Pediatric Interviewing A Practical, Relationship-Based Approach

Clear and effective communication in a clinical context has enormous benefits, and especially in pediatrics, where assessing patients’ symptoms is more challenging. Clinicians who interview well gather extra data, to be sure, but also gain from a number o

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Pediatric Interviewing

A Practical, Relationship-Based Approach

Pediatric Interviewing

Current Clinical Practice Neil S. Skolnik, MD, Series Editor

For other titles published in this series, go to www.springer.com/series/7633

Pediatric Interviewing A Practical, Relationship-Based Approach

James Binder, MD Marshall University School of Medicine, Huntington, WV, USA

James Binder, MD Marshall University School of Medicine Huntington, WV USA [email protected]

ISBN 978-1-60761-255-1 e-ISBN 978-1-60761-256-8 DOI 10.1007/978-1-60761-256-8 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009944066 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Humana Press is part of Springer Science+Business Media (www.springer.com)

To Susan, James, Michael, and Maura In loving memory of Jim and Pat Binder

Series Editor Introduction

OÔ bivoV bracυvV, eJ de teJcnh makrhv Life is short, [the] art long —Hippocrates

Pediatric Interviewing: A Practical, Relationship Based Approach by James Binder is filled with a unique blend of wisdom, experience, and evidence, which will serve as a guide and as a reminder that what comes first in the care of the patient is the language and the silences that are shared between patient and physician. The medical interview quickly establishes the type of caring relationship the two will share. In this age of electronic medical records, pay-forperformance, and evidence-based medicine it is easy to lose sight that medicine is fundamentally about one person who has knowledge and experience providing care for another individual who is asking for help. How the physician organizes his or her interactions has an important impact on the experience and outcomes for both the physician and for the patient. Dr. Binder presents a conceptual framework with which to approach interviewing and illustrates this framework with practical examples from years of teaching and prac