The medical interview is a highly choreographed discussion between a doctor and patient

• The parties behave in certain stereotypical patterns according to traditions, rules and customs
• An inherent power imbalance exists, favoring the doctor
• Almost invariably: the doctor sets the parameters of the consultation and determines the structure of the interaction – our behavior imposes limits on our patients

The Patient/Relationship-Centered Approach promotes a more collaborative partnership

• As a physician, you determine the level of contribution of your patient, your patient’s degree of involvement in the direction of the interview and the balance between doctor- vs. patient-centeredness
• Used effectively: enables patient involvement in the consultation, and a more balanced relationship

Objectives of Structuring the Interview

1. Enable a flexible and ordered interview
2. Help your patient understand and be involved in the interview’s trajectory
3. Encourage patient participation and collaboration
4. Accurate and efficient information gathering

Silverman, J., Kurtz, S., & Draper, J. (2013). Skills for Communicating with Patients (Thrid Edit). London: Radcliffe Publishing.