The medical interview: a core curriculum for residencies in internal medicine.
A core curriculum for teaching medical interviewing is presented that enhances the internist's skills in a broad range of interactions with patients. Learning these skills is now left to chance and is often deficient. Four objectives are developed: patient-centered interviewing and treatment; an integrated (biopsychosocial) approach to clinical reasoning and patient care; personal development of humanistic values; and psychosocial and psychiatric medicine. Teaching options include real and simulated encounters with patients, observation with discussion, and use of groups. A general strategy for implementing the curriculum at the local level requires the intellectual and financial support of the dean and department chairman, and a multidisciplinary faculty committed to developing, implementing, and evaluating the curriculum. At many programs, faculty development will be necessary.
D003479:Curriculum; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000379:methods; D007396:Internship and Residency; D007407:Interviews as Topic / Q000379:methods*; D008487:Medical History Taking; D009937:Organizational Objectives; D010817:Physician-Patient Relations; D013663:Teaching / Q000379:methods