John Launer: Taking the temperature of the consultation

The BMJ Pub Date : 2025-01-08 DOI:10.1136/bmj.q2881
John Launer
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Abstract

Most of us have favourite questions that we like to ask when consulting with patients or that we’re fond of teaching to medical students and resident doctors. One popular question many GPs teach their registrars to ask is, “What made you come today, particularly?” This can sometimes lead patients to disclose a triggering event that was just as important as the long running symptom they first presented with. Personally, I put a different question at the top of my own list for teaching: “How is this conversation going for you so far?” I like this question for several …
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约翰·劳纳:测量咨询的温度
我们大多数人在咨询病人的时候都有自己喜欢问的问题,或者我们喜欢教医科学生和住院医生的问题。许多全科医生经常教他们的注册商问这样一个问题:“你今天来这里的原因是什么?”这有时会导致患者透露一个触发事件,与他们首次出现的长期症状一样重要。就我个人而言,我把一个不同的问题放在了我自己的教学清单的首位:“到目前为止,你的谈话进行得怎么样?”我喜欢这个问题好几次了……
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