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Using 'Windows of Opportunities' in Brief Interviews to Understand Patients' Concerns
William T. Branch, MD;
Tariq K. Malik, MD, MPH
JAMA. 1993;269(13):1667-1668.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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WE OBSERVED five seasoned clinicians in practice to find out how they interact with patients. We analyzed videotapes made of their interactions with randomly selected, regular office patients. We found five instances during four of the 20 videotaped interviews during which patients discussed their concerns about personal, emotional, and/or family issues in sequences lasting from 1 to 7 minutes. These interactions stood out from the rest of the interviews, so that we termed them "windows of opportunity."
We believe that we have observed an approach taken by some highly experienced practitioners for the purpose of efficiently exploring their patients' psychological and social issues during brief interviews. By describing our observations, we hope to encourage other clinicians to employ this approach.
Method
We did not plan to compare one physician with another, but rather, to discern the ways by which experienced clinicians related to their patients. We employed the iterative process
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, Mass (Dr Branch); and School of Public Health, Harvard University, Boston, Mass; Division of Internal Medicine, Nassau County Medical Center, East Meadow, NY; and Department of Clinical Medicine, State University of New York at Stony Brook School of Medicine (Dr Malik).
Footnotes
Reprint requests to Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 (Dr Branch).
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