Clinical Problem-Solving
Authors: DAVID A. NARDONE
Journal: Annals of Internal Medicine (1978)

Letters and Corrections1 November 1978Clinical Problem-SolvingDAVID A. NARDONE, M.D., JAMES B. REULER, M.D., DONALD E. GIRARD, M.D.DAVID A. NARDONE, M.D.Search for more papers by this author, JAMES B. REULER, M.D.Search for more papers by this author, DONALD E. GIRARD, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-89-5-722 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The article by Kassirer and Gorry in the August issue (Ann Intern Med 89:245-255, 1978) is an excellent review of the cognitive aspects of history-taking.We prefer to emphasize, however, that the major deficiencies in history-taking by students and house officers include the inability to master the "conduct" (1, 2) of the interview, the "content" (3) of the interview, and the integration of these concepts (Figure 1). Collecting data (content) requires familiarization with medical terminology, organization of information, and symptom characterization. Effective interaction between the patient and the doctor (conduct) requires a sensitivity to people and a...References1. MAGUIRERUTTER GD: History-taking for medical students. I. Deficiencies in performance, Lancet 2:556-558, 1976 CrossrefMedlineGoogle Scholar2. WIENERNATHANSON SM: Physical examination. Frequently observed errors. JAMA 236:852-855, 1976 CrossrefMedlineGoogle Scholar3. FEINSTEIN A: Scientific methodology in clinical medicine. IV. Acquisition of clinical data. Ann Intern Med 61:1162-1193, 1964 LinkGoogle Scholar4. ENGEL G: The deficiencies of the case presentation as a method of teaching: another approach. N Engl J Med 284:20-24, 1971 CrossrefMedlineGoogle Scholar5. VERBY J: The audiovisual interview. A new tool in medical education. JAMA 236:2413-2414, 1976 CrossrefMedlineGoogle Scholar1. KASSIRERGORRY JG: Clinical problem solving: a behavioral analysis. Ann Intern Med 89:245-255, 1978 LinkGoogle Scholar2. GUZE S: Nature of psychiatric illness. Compr Psychiatry 19:295-307, 1978 CrossrefMedlineGoogle Scholar3. DUDLEY H: The clinical task. Lancet 2:1352-1354, 1970 CrossrefMedlineGoogle Scholar4. BALINT M: The Doctor, His Patient and the Illness. New York, International Universities Press, 1976 Google Scholar5. WEED L: Medical records that guide and teach. N Engl J Med 278:593-600, 1968 CrossrefMedlineGoogle Scholar6. MORGANENGEL WG: The Clinical Approach to the Patient. Philadelphia, W. B. Saunders Co., 1969 Google Scholar7. KIMBALL C: Techniques of interviewing. I. Interviewing and the meaning of the symptom. Ann Intern Med 71:147-153, 1969 LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Hospital Portland, OR 97207 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySpeech and SurvivalHistory-Taking and Development of the Examination Record 1 November 1978Volume 89, Issue 5_Part_1Page: 722-723 Issue Published: 1 November 1978 PDF DownloadLoading ...