RT Book, Section A1 Fortin, Auguste H. A1 Dwamena, Francesca C. A1 Frankel, Richard M. A1 Smith, Robert C. SR Print(0) ID 56843129 T1 Chapter 2. Data-Gathering and Relationship-Building Skills T2 Smith's Patient-Centered Interviewing: An Evidence-Based Method, 3e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176000-3 LK accessmedicine.mhmedical.com/content.aspx?aid=56843129 RD 2024/10/08 AB In Chapter 1, we introduced two types of interviewing skills: “patient-centered skills” and “clinician-centered skills.” Patient-centered interviewing skills are used at the beginning of the interaction to gather unique symptom and personal information from the patient; they are also used throughout the interview to build and maintain the clinician-patient relationship. By focusing on what the patient has already introduced, patient-centered skills encourage the patient's lead. A useful analogy is to view each individual bit of new information, from interviewer or patient, as being placed on a table between them. When using patient-centered interviewing skills all new bits of information are placed on the table by the patient. To be certain, clinicians will influence and have an effect upon the conversation by asking the patient to say more about a bit of information on the table, for example, but a patient-centered approach minimizes the clinician's impact. Clinician-centered interviewing skills are used in the middle of the interview to fill in the details of the patient's story, and to collect required routine data. Used prematurely, or excessively, clinician-centered skills can contaminate the patient's story with what is on the clinician's mind. This is sometimes referred to as premature hypothesis testing, which can lead to an inaccurate or biased view of the problem(s) and how best to deal with them.