![]() ![]() The discussion will focus on the problem-oriented diagnostic interview, but the health promotion interview and interviews during follow-up visits will also be mentioned.īefore reading this chapter, the student should keep in mind that interviewing is a practical skill that can only be learned through doing. It will outline the knowledge, attitudes, and skills that lead to effective interviewing. It provides a guide to conducting initial interviews and making sense of what happens. This chapter will demonstrate the validity of interviewing as a clinical science based on critical observation and analysis of the patient without diminishing its excitement as a clinical activity. Perhaps the most compelling is that labeling it an "art" removes interviewing from the realm of critical appraisal and suggests that there is something magical or mysterious about interviewing that cannot be described or taught. ![]() There are many reasons to dispute this distinction. Interviewing is often considered part of the "art" in contrast to the "science" of medicine. The analytical skills of diagnostic reasoning must be balanced with the interpersonal skills needed to establish rapport with the patient and facilitate communication. The demands made on the physician are both intellectual and emotional. However, interviewing is also one of the most difficult clinical skills to master. ![]() The medical interview is the practicing physician's most versatile diagnostic and therapeutic tool. ![]()
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January 2023
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