Clinical Hypocompetence: The Interview
Abstract
In observing more than 300 clinical interviews, we have seen a high frequency of physician-engendered defects. Most of the defective examples can be classified as one or a combination of five syndromes: therapeutic lack; inattention to primary data (symptoms); a high control style; an incomplete data base usually omitting patient-centered data and active problems other than the present illness; and a thoughtless interview in which the physician fails to formulate needed working hypotheses. Proper diagnosis of these defects allows for better prescription of educational correction.
Article and Author Information
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▸From the Department of Medicine, Presbyterian Medical Center, and the Department of Psychiatry, University of Colorado Medical Center; Denver, Colorado.
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▸Requests for reprints should be addressed to Frederic W. Platt, M.D.; Presbyterian Medical Center, 1719 East Nineteenth Avenue; Denver, CO 80218.
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- Received April 30, 1979.
- Accepted August 27, 1979.
- ©1979 American College of Physicians
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