[Bio-psycho-social history--is it still up to date in the time of media communication?].
Specialization in medicine changes the kind of communication between doctor and patient. The direct personal communication is quite often complemented by the indirect communication via interactive media. A clinical investigation still demands a broad bio-psycho-social anamnesis which should encompass the history of the illness, the patient, and his/her ailment. The bio-psycho-social anamnesis is subdivided into nine steps: Joining, "map", actual disease, former illnesses, family history, personal development, social anamnesis, overview of the functioning of the systems, finalization of the anamnesis. The different steps are explained, and adequate techniques of exploration are described. How to conduct a professional doctor-patient conversation and exploration can similarly be learnt as the techniques of a physical investigation. These communication skills should be continuously taught during the education of medical students as well as during the further training of physicians.
Buddeberg
C
C
Abteilung Psychosoziale Medizin, UniversitätsSpital Zürich. claus.buddeberg@usz.ch
D002983:Clinical Competence; D003146:Communications Media / Q000639:trends; D003695:Delivery of Health Care / Q000379:methods* / Q000639:trends; D005858:Germany; D008487:Medical History Taking / Q000379:methods*; D010808:Physical Examination / Q000379:methods* / Q000639:trends; D010819:Physician's Role; D010817:Physician-Patient Relations