Communication Skills: A Patient-Centered Approach

This video shows an example of a communication skills assessment between a student and a standardized patient.

[@medtube3431]

The examiner was A good actress.

[@rolandocasas2382]

Should win an Oscar

[@Temirbekuly]

I would say B+ good

[@MrCred_]

Great. Ima ace my communication skills test tomorrow. Thank you

[@thienngoquang6617]

9:10 Woowww, if this is a movie, this would be a plot twist Anyway, Thanks to the video, it give me lots of help on my study

[@mookamama15]

It actually freaked me out a little bit lol...she SWITCHED

[@joeeaston9292]

Thank you for the video Im proud to see you Dr's and nurses trying to treat people with compassion for a change!

[@falleavesx8177]

This was great to see as a new LPN. Thanks!

[@Melodyof_Rain]

Oh my god! seriously?i literally thought that she was a patient.She was so good.I must say more than good.she is amazing.The video is so satisfying.So helpful video.With love.

[@PivotStickmanAnimations]

How is this video so satisfying? It was a pain to watch actually

[@NSS9749]

Lovely! Thank you very much for sharing it. I am practicing my interaction with patients and this is very helpful specially the feedback in the end. Well done! : )

[@bryanjason8319]

Hello how are you doing today?

[@CricketGirrl]

As a patient with a chronic illness who has experienced significant medical gaslighting....THANK YOU for working on your interaction with patients!! We need more people like you! ❤

[@vantablack4079]

Beautiful communication. Other than not entirely empathizing with the patient I thought that this was a really good example of patient - healthcare worker communication

[@bosemanfilmsbfilms7826]

Entirely emphasizing? What do you mean by this?

[@DocAMoya]

empathizing not emphasizing @@bosemanfilmsbfilms7826

[@CricketGirrl]

​@@bosemanfilmsbfilms7826 in my opinion, it's just an acting issue. The actors did a great job, but we can't expect it everyone to be an Oscar winner! ❤

[@jessyjohny5703]

Thank you so much .Good communication improved vedios. I personaly request for you I need more same Scenario related and different diseases related vedio ,becuase this very help to my Oet speaking knowledge now. Areal hospital scenario feeling now.

[@doubleg992]

hey guys, where do we find more of these sort of videos?

[@mr.tamilanajayvlogs579]

Vanakam da mapala ,SRIHER (CHENNAI ) la irrunthu 😎

[@Mia-ki3jx]

She did a great job.

[@michaelwong4303]

Very interesting!! I had lots of rather frustrating experience with my patients when I tried to take their pain history: they always JUMP from the beginning STRAIGHT to the latest symptom without giving a description of how the pain developed/progressed during the period, or they simply said, " oh, pain , just pain, don't know how to describe it, just hurt". You have a very intelligent patient :)

[@Ayotzi94]

Would hate to have you as a doctor.

[@headcrusher3376]

I see that you are frustrated because your patients are not describing their problems as you expected. I believe that you have to realize and learn that patients are people who have a problem and it's making them annoyed and sad so you have to sympathize with them since they are the ones with a problem (not you), You should not enter the room and expect the patient to describe his problems in the exact same way a patient in a medical textbook describe them! "The patient did not read Macleod's Clinical Examination book like you did!". Once you accept that reality you will start to allow yourself to improve your communication skills and you will become a better doctor! Here is what you have to work on: 1- Empathize with your patients (they are the one who's suffering and expecting to be treated well) + (they are humans who will feel better psychologically when they find another human who understand them). 2- Work up your way to guide the conversation. (if patients use very few words to describe their problem). 3- be patient and don't look in a hurry. Just set down and tell them to speak and gather the information then categorize them in the systemic history taking taking approach that you learned. I hope that you read my feedback and apply my points and hopefully they will help you out! Greetings from a 4th year Medical Student from The Middle East.

[@michaelwong4303]

@@headcrusher3376 Thank you for your advice which I'll take with great appreciation. You are right that patients are not trained to understand the symptoms of a disease so we ask them to describe their symptoms IN THEIR OWN WORDS, ie do not put words in their mouth like , " ....So you have this and that, yeah?".....And that is exactly where the problem is....Without the right words it is very difficult to make a general diagnosis locate the possible causes. Empathy is of upmost importance to build up a rapport but I'm sure you understand the pressure of time in a busy surgery. Thanks anyway and best wishes for your future!! PS I'm not a Dr.

[@MacchiatoSwirlGirl]

I have a fully typed medication, all my doctor's I've seen, symptom checker, my medical history, allergies, surgery's and beief family history. I put on a zip keep in my files, grab and go. I always have them send paperwork ahead.

[@roselinerose8478]

very interesting , history slow and very comfortable for patient.

[@keegancan]

Great patience and listening skills. Maybe have a pair of sunglasses in a consultation room.

[@ankursnd]

thank you, very informative video.

[@ownhana7100]

Hi This is Daehee Kim, a producer on Korean entertainment TV broadcast (tvN). This show is called as 'Crime Miscellaneous Dictionary Useful To Know' which is in Korean, "알아두면 쓸데있는 범죄 잡학사전". We would like to obtain permission to use the following video for episode 5, which will be aired on February 6, 2022 in Korean broadcasting. We look forward to your reply as to whether it is possible to obtain material permission (1) and provide high-definition video (2). If it is possible to use the video, it would be appreciated if you could tell us about the payment method along with the cost. Thanks for your consideration and time upon this matter, and I will look forward to hearing from you soon. Hope you have a great day.

[@sajjadtoofani5644]

Great video! Thanks. How long does it take for a medical examination in your country?

[@CricketGirrl]

We're supposed to get about 20 minutes (that's usually about what US insurance will cover), but most people report actual face-to-face contact with a provider closer to five minutes. I have several chronic illnesses, and I see doctors frequently. I also grew up in Saudi Arabia between 1980-1995. The quality of healthcare I received in Saudi Arabia quite frankly was above and beyond the average healthcare in the US.

[@DaaRich]

Thank you for the video, It give me lots of help on my study 🙌🙌

[@panashechitenhe5510]

That was great and very helpful...Thank you 🙏

[@peternicola7622]

Liked very much the patient was actually the communication therapist.

[@banchusona955]

Iam really impressed with this conversation Iam going to appear english language efficiency test on 24th

[@Jifnei]

"I am going to take an english language efficiency test on the 24th" would be more appropriate. Good luck tomorrow

[@ST-sz6sz]

It is really essential in medical routine but unfortunately it is not prevalent in many countries.

[@lesleeamorespiritu9445]

I almost got carried away until 9:13

[@kumywah_ak8019]

i think she did great

[@femmytitania4609]

Let me introduce myself, Femmy, a 2017 medical student, please allow me to use the video clip above for the purposes of my research video 🙏 I'll include the link to the video source I used later. Thank you very much

[@nancyvalencia6836]

You did it great.

[@freddyscotts4293]

Hope you doing well and staying safe.......

[@freddyscotts4293]

Hope you doing well and staying safe.......

[@tayokarate]

Fever?

[@ismaelgutierrez181]

So I watched this video to train myself about medical terms because I started to work as a medical interpreter and I want to do my best special when doctor interviews the patient I muss interprete Word by word kind of difficult but I'm still struggling with it.

[@fatimahdheyaakadhim2942]

Why the dr is keep asking about things the pt already said!!

[@paulcaiger2557]

fever , neck stiffness - didn't ask about nausea and vomiting , visual disturbances. Did she ask about her having these headaches before or any history of head trauma ; Any other symptoms such as rash , sore throat .

[@CaptApril123]

Was this more about communications as opposed to diagnostics though? The nausea was addressed and she did ask about headache history (i think :)

[@normagavino2292]

this will inspire health workers

[@yousifmohamedelzein2623]

she did not ask about associations like fever,skin rash ,visual disturbance,and neurological symptoms----also she failed to inquire about symptoms of high ICP

[@iankhn]

Yousif Mohamed Elzein sh tried to elicit vomiting though indirectly

[@harmindersidhu6462]

Anyone gave celbam exam recently please let me know how will be theexam ? Difficult easy ?? Reply please

[@freddyscotts4293]

Hope you doing well and staying safe.......

[@blakebash995]

I feel bad for the once who have /had this .. Seeing myself without hives or hsv2 now I’m really grateful and excited thank you Dr Oseghale Sunday Herbal Home …..

[@tayokarate]

She did not characterize the headache

[@joeyh5325]

Pt's said she had stiff neck, and the doc even didn't ask if pt had fever to rule out the meningitis

[@shahramasgharzadeh5864]

great

[@billytessio6326]

Repeatedly asking questions for answers patient already disclosed. I’d dispense with the writing and remember the more relevant details but perhaps write down details of family history iffff something comes up

[@pinarsebnem]

there is no way a patient with 10/10 headache can conduct this

[@melaniemallozzi3851]

She was acting

[@knpstrr]

some people report 10/10 that aren't. it is subjective.

[@mahanasmolootty8237]

E😂

[@RodGibsonMusic]

The Dr's hairdresser should be thrown in jail.

[@jkjk-nk7tg]

😃😃😃😃

[@ChristopherBratten]

Aw, no need to be unkind. She's beautiful. And she did a great job.

[@smellypatel5272]

Karen haircut lol

[@fizaomer9523]

😎😁

[@sana.nisarshaikh2003]

🤣

[@meganhenry5795]

No Dr. I've ever seen acts this kind.

[@suriyaphromnopavong5272]

I live in a moderately large town (pop. just under 50k), and the doctors at the clinic I visit are very personable, as are the doctors for my son.

[@amethyst4444]

You haven’t seen many doctors then…

[@Sunshine-do3yv]

Well those days are officially gone....very sad but very true🥀🥀🥀🥀🥀🇺🇲

[@pritamshil5765]

Sir,are facial asymmetry and body asymmetry in human being normal?

[@10181ngh]

Omg that was such a face crack. 🤣 What were those people saying, though? I can't figure it out.

[@new-knowledge8040]

An experiment was performed. Four intelligent people were selected. Two were men, two were women. Each was given an identical script to memorize. This script was what they were going to say to the randomly selected doctor that they were going to be sent to. One man and one woman were told to look spiffy, with spiffy looking hair styles and so forth, and were told to speak in a monotone voice. The other man and woman were told to dress casually, and look a little bit scruffy, and to speak emotionally. OK here comes the good stuff. The spiffy looking man, recited his script to the doctor. The doctor said, we must look into this immediately. I will send you to a hospital and we will have certain tests done. Then came the spiffy looking woman. The doctor said, if the problem persists for the next few days, then come back and we'll look into it much deeper. Then came the casual looking emotional man. The doctor said straightaway, there's nothing wrong with you. Then came the emotional casual looking woman. The doctor angrily said, there is absolutely nothing wrong with you. Madam, what you are, is a hypochondriac. So the doctors appeared to base decisions upon behavior, appearance, and being male or female, rather than what was spoken to them.

[@new-knowledge8040]

The point being, is that if the problem is so extreme that it spills into your emotions, the doctor will think little of you. But if it seems trivial, and thus does not spill into your emotions, you will be treated as though you are God.

[@clairbear1234]

@@new-knowledge8040 And gender differences- women are historically scene as exaggerating and over emotional. Even worse for black women in the united states

[@new-knowledge8040]

@@clairbear1234 It makes you wonder what it takes to get the doctors to respond. I accidentally broke one of my toes when it hit the bed post. The bone was busted into two pieces. It hurt, big time. I waited a couple of days for the pain to go down, and then I took a taxis to a nearby hospital. By surprise, there was no bruising as of yet. When seeing the woman who took my details to check me in, standing right beside her, was a doctor. After both saw my foot, they looked at each other in a manner that said out loud, "We've got a nutcase here.". Then the doctor told her to mark it down as a " Grey Case ", meaning that it did not seem to be a clear cut black and white situation. Once in, two nurses and one doctor stared at my toe and again gave the nasty facial expression of, "This guy is crazy.". So I rotated my toe such that the toenail was now pointing downward rather than upward, while saying slowly so that these idiots could understand it, " IT'S BBBRRROOOKEEENNNN.". They still did not believe me. Not until the x-rays came in, were they no longer 100% convinced that there was nothing wrong with the toe. The x-rays made it crystal clear that the bone was busted into two pieces. But there is more. I also once had a broken bone in my right hand. It too was busted into two pieces. It hurt like heck when the doctor at the hospital bent and twisted my hand. He asked me if it hurt. I said yes, but with a monotone voice. So since I did not cry like a baby, he immediately said that it was just bruised, and so it would be back to normal in a few weeks. But he then said that he did not want to lose his job, and so he had to follow the hospital policies and thus take an x-ray of my hand. About a half an hour later, I saw him coming down the aisle towards me, and then he stopped, took the x-ray out of the envelope, held it up to the ceiling florescent lights, and then suddenly his jaw almost dropped to the floor. He was stunned. Then he quickly ran over to me and pointed out on the x-ray that the bone was broken into two pieces, and said that I needed a cast, and that I would be taken care of IMMEDIATELY. Thank goodness for x-rays.

[@DeRocco21]

the problem with that is priming meaning there is already accusatory language or behavior from people from the get go even on the clients part@@clairbear1234

[@CricketGirrl]

​@@clairbear1234any kind of brown woman, really. I'm 25% Native American with very dark skin. Even though I identify as Caucasian, I receive pretty obvious discrimination in healthcare. I have to take my white-as-a-sheet husband with me to get doctors to listen.

[@estherdu1789]

that uno reserve tho

[@MrLiquidhallo]

This is funny, it will never happen in a routine hospital. Max u get with a consultant is 5 min in a good day. Nice effort do.

[@vincaalkaloids6732]

That's actually the real, classical method of dealing with patients. First, you take their history, after which several possible diagnosis come to your mind. Then you perform a physical examination to support or exclude your provisional diagnosis. Finally, you order tests (blood tests, radiological tests etc) which will finally confirm a diagnosis. Then you prescribe medications.

[@dysplasiaanaplasia4128]

Well this happens , depends on the doctor .. i have seen in my med school consultants communicated with patients with patience... We are taught like this too

[@NSS9749]

It did happen to me though, the doctor took his time with me and we had a great conversation disclosing my symptoms and pain also we went for physical examination. Depends where you go or what doctor you get maybe?

[@smellypatel5272]

@@NSS9749 +1, it depends on your doctor. Problem is, the way US healthcare is structured, doctors need to spend less time with patients in order to make money. You can't really blame them either because becoming a doctor takes so much time and you have to make money.

[@m16zxd]

I think it is more important to try to remember the important information and retain it in your head. The relation of time she spent writing notes to eye contact with the patient is like 3:1. I think it might help to copy only the positive findings relevant to the initial DDX. If you try to copy all her menstrual period characteristics, the fact that she doesnt drink, if she is married.. etc.. you seem more like a typing machine instead of a human empathetic doctor..

[@minanakhjavani319]

I think there is nothing wrong with typing as long as letting the patients know about the need of it

[@IJ2050]

I agree with you. The connection seemed pretty dry and lacking in empathy.

[@CricketGirrl]

Great video. I just searched "active listening for doctors," and this was one of four videos. I think this was the only one done by an American. Awfully telling when medical errors are the third leading cause of death in the US, and the number one patient complaint is that doctors don't listen. Misdiagnosis is rampant. If doctors don't listen when patients are telling them what's wrong, how do they think they're helping?

[@shwanali7158]

so many cons for the history of present illness, trauma and accidents, drug allergy, systematic review

[@arnettebowman6640]

My first critique is that there was too many um’s from the person who was giving the critique of the person who was being monitored in the first place from the beginning. Secondly it could have flowed a little better if there had been some sort of standardized questioning for the what seemed like a new nurse practitioner who had never seen a patient before. Judging from what I seen. Just because I usually see in most Dr’s offices now days they use a computer that has a form to fill out with questions about their patients that they have to answer and then they get to the point where they can ask questions about their issues and concerns about their illness. Or this is an old video that needs to be updated.

[@CricketGirrl]

Ugh. I hate that method. The doctor stares at their laptop, ticking off boxes, and rarely makes eye contact with the patient. If your body didn't happen to read the same textbook that form was based off of, you're screwed.

[@felisemilan7954]

Information gathering here is very efficient but there is no effective empathy for this woman who is so visibly uncomfortable, holding her head and sighing. Only somewhat empathic statements are made in the same tone of voice as all other comments and moved away from so quickly as to make them seem pretty pro forma. I think I will use this with my students as an example of how to be effective at gathering data but wholly ineffective at being truly patient centered or empathic.

[@smellypatel5272]

Exactly what I was thinking

[@ibelongs.tojesus6439]

You need to go ER because of headaches rate 10/10

[@ruiaiiiii11]

wow, the plot twist. hhhahahaha so good

[@mohansaudenyakthungba3119]

Doctor well quition

[@Nmoviee]

OOOh really, i was worried about the patient what an acting !!!!

[@alliswell48]

she was bit nervous, even she could do it better...best wishes

[@Malik_aka]

Is not so good conversation. She didn't asked about what medicine she took and repeating questions

[@Sanayai_thongram]

Wow didn't know the patient would b her teacher.😂

[@LawnBunny777]

The teacher said she was "warm." Maybe she meant "cool" as I did not detect an ounce of warmth, just a hurried list of questions. Also, the "patient" had already mentioned she had no kids and then the student forgot and asked again - not exactly active listening. Zero humor or personality, very clinical and distant.

[@oluchiamaechi355]

Meeting Dr IGUDIA KZbin channel was the beginning of a new life for me after using his herbs medication in curing my Diabetes disease.

[@dizzica]

migraine?

[@youssifhaggag3980]

ذاكر يا صحبي الميد قرب

[@jorgebarrosatp]

0.27

[@sthdvgsggshdvdgh677]

0:11c

[@joannazawanowska8081]

Hello, thank you for your video. I have one business question, could I contact you somehow?

[@Avonmakeuplady101]

Shouldn't she be checking for a stroke or something instead of asking all those questions?

[@shree017]

😅 hilarious hairstyle

[@jamesgingo347]

That was awful that none of the medicine Helped your Headache

[@alliswell48]

she does need psychological support rather than any sort of medication.

[@aayomafanboy257]

English student here. good comm skills but the presenting complaint part of history was poor

[@AceHigh59]

Hope she is OK

[@princessmissy50]

1) Doc said she would "wash her hands" but she didn't - she DISINFECTED her hands. 2) Doc never shook the patient's hand upon greeting her. 3) The patient should have completed a written medical history & family history, and a nurse taken the patient's vitals & gone over her info about the headaches, BEFORE the doc entered the room. 4) Docs today all have your info in their computerized chart and look at their computer screen much more than they observe the patient. Where was the computer?? 5) Docs never have this much time to talk to one patient - especially if they're on Medicare.

[@TheGeorge1710]

I don't think this video is meant to be representative of a real life clinical encounter between the physician and patient. It seems more likely that it is a demonstration of the Calgary-Cambridge model of history gathering, which is the current model used to assess history taking for the purpose of board exams.

[@TommyGalazkowski]

completely false about your point #5. annual medicare wellness visits are actually scheduled to be 40 minutes long, as mandated federally-- twice as long as a normal patient visit.

[@MrCred_]

It's a demonstration for junior doctors. By the way this is how this is taught in medical school.

[@valquiriagreen316]

hum hum hum doctor says so many hum ... it is distracting

[@morianosuarez223]

I'D HIGHLY RECOMMEND DR EDES HERBAL MEDICINE ON KZbin FOR NATURAL HOLISTIC CURE FOR HERPES Email him on [e-mail] dredesherbalhome.weebly.com/product-order.html www.google.com/url?sa=t&source=web&cd=&ved=2ahUKEwi-w8LupPDqAhUCtRoKHWm7CIMQo7QBMAJ6BAgDEAE&url=https%3A%2F%2Fm.youtube.com%2Fwatch%3Fv%3DLuaVP0VXbsM&usg=AOvVaw2MwhJLFJuEyfcxbn6YMeAl

[@freddyscotts4293]

Hope you doing well and staying safe.......

[@pedromartin6308]

plot twist

[@trevorstewart2588]

Jen

[@williamglanvill3177]

K m

[@narancauk]

Ugly picture of USA Capitalistic Health system...Insurance??????.....Patient excelent acting

[@jbizzlenewport]

can't believe you need insurance for a headache, America is shit

[@tayokarate]

lol

[@dhirendramohanty7401]

Fake pateint had Subarachnoid hemorrhage

[@ddas7974]

Nice diagnosis boi

[@ZeePark21]

Subarachnoid hemorrhage for 3 days straight? Wow she's strong. Sounds like meningitis to me.

[@sumaiyaiqbal4345]

shows lack of experience

[@rajwinderhundal8271]

great