Appendix 1

Instruction :
 Write down your own example for each step of medical interview! You have to read the
example in the reference before you make your own.
 Practice your own example and you should choose one as your favourite one!

No Skills
Initiating the session
1. GREET patient and obtain patient’s name

2. INTRODUCE SELF and clarifies role

3. DEMONSTRATES interest and RESPECT, attend to physical comfort

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4. IDENTIFIES AND CONFIRMS PATIENT’S PROBLEM LIST OR ISSUES

5. NEGOTIATES AGENDA taking both patient’s and doctor’s perspective into account

Gathering Information
6. ENCOURAGE PATIENT TO TELL STORY of problems from when first started to the present in own words
(clarifies reason for presenting now)

7. LISTEN ATTENTIVELY, allows patient to complete statement without interruption and leaves space for patient
to think before answering or go on after pausing
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8. FACILITATES PATIENT’S RESPONSES VERBALLY AND NON VERBALLY (use encouragement, silence,
repetition, paraphrasing, interpretation)
9. USE concise, EASILY UNDERSTOOD QUESTIONS AND COMMENTS, avoids jargon

10. CLARIFIES PATIENT’S STATEMENT which are vague or need amplification

11. DETERMINES AND ACKNOWLEDGES PATIENT’S IDEAS

12. EXPLORES CONCERNS (including worries, effects on lifestyle) regarding each problem

13. DETERMINE PATIENT’S EXPECTATIONS regarding each problem

14. ENCOURAGES EXPRESSION OF FEELING AND THOUGHT

15. SUMMARIZES AT THE END OF A SPECIFIC LINE OF INQUIRY to verify own interpretation of what
patient has said, to ensure no important data were omitted

16. PROGRESSES, USING TRANSLATON STATEMENTS; includes rationale for next session

17. STRUCTURE interview in LOGICAL SEQUENCE

BUILDING RELATIONSHIP
18. USING APPROPRIATE NON-VERBAL BEHAVIOUR
Demonstrates appropriate non–verbal behaviour:

If reads, writes notes or uses computer:

Demonstrates appropriate confidence:

19. DEVELOPING RAPPORT

Accepts legitimacy of patient’s views and feelings; is not judgmental:

Uses empathy, acknowledges patient's views and feelings:

Provides support:

Deals sensitively:
20. INVOLVING THE PATIENT
Shares thinking:

Explains rationale :

During physical examination, explains process, asks permission:

EXPLANATION AND PLANNING

21. PROVIDING THE CORRECT AMOUNT AND TYPE OF INFORMATION
Chunks and checks:

Assesses patient’s starting point:

Asks patients what other information would be helpful:

Gives explanation at appropriate times:

22. AIDING ACCURATE RECALL AND UNDERSTANDING

Organises explanation:

Uses explicit categorisation or signposting:

Uses repetition and summarising:

Uses concise, easily understood language:

Uses visual methods of conveying information:

Checks patient’s understanding:

23. ACHIEVING A SHARED UNDERSTANDING: INCORPORATING THE PATIENT’S PERSPECTIVE

Relates explanations to patient’s illness framework:

Provides opportunities and encourages patient to contribute:

Picks up verbal and non-verbal cues:

Elicits patient's beliefs, reactions and feelings:

24. PLANNING: SHARED DECISION MAKING

Shares own thinking as appropriate:

Involves patient:
Encourages patient to contribute their thoughts:

Negotiates plan:

Offers choices:

Checks with patient if accepts plans, if concerns have been addressed:

CLOSING THE SESSION

25. FORWARD PLANNING

Contracts with patient:

Safety nets:

26. ENSURING APPROPRIATE POINT OF CLOSURE

Summarises session:

Final check: