Clinical Hypocompetence: The Interview

  1. FREDERIC W. PLATT, M.D.; and
  2. JONATHAN C. McMATH, M.D.
  1. Denver, Colorado

    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

    • ▸From the Department of Medicine, Presbyterian Medical Center, and the Department of Psychiatry, University of Colorado Medical Center; Denver, Colorado.

    • ▸Requests for reprints should be addressed to Frederic W. Platt, M.D.; Presbyterian Medical Center, 1719 East Nineteenth Avenue; Denver, CO 80218.

      • Received April 30, 1979.
      • Accepted August 27, 1979.
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