- •Kursk state medical university
- •V.I. Narolina, I.F. Shamara
- •Communication in doctor’s profession Kursk – 2008
- •Государственное образовательное учреждение
- •Содержание contents
- •Предисловие
- •Методика работы с учебным пособием
- •Рекомендации студенту
- •Unit I. Discussing the medical profession
- •Раздел I. Беседуем о профессии врача методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Speech Patterns:
- •My Future Profession
- •Not only by the Drugs
- •Becoming a Doctor Pre-reading
- •What Happens at a Medical School
- •Task 2. Summary Writing
- •Task 3.
- •Task 4.
- •The pediatrician
- •Case history
- •The physician
- •Case history
- •The surgeon
- •Case history
- •The general practitioner
- •Case history
- •The doctor in the Third World
- •Case history
- •The intensive care doctor
- •Case history
- •The terminal care doctor
- •Case history
- •The doctor and the law
- •Alternative medicine
- •Case history
- •Unit II. Communication of a doctor with a patient
- •Раздел II. Общение врача с больным методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Adjectives:
- •General symptoms:
- •Doctor-Patient Interaction Asking the Patient about the Present Illness
- •Physical Examination of a Patient (Giving commands)
- •Additional / Further Examination & Treatment Laboratory and Instrumental Studies
- •Consulting Specialists
- •Suggesting Hospitalization
- •Case History (Main Points)
- •Illness: described as to the time of onset, mode of onset, duration,
- •2. Nose, throat: running nose/caryzo/nasal cold ;sore
- •Enquiring into the Case History (Speech Models)
- •Pain characteristics
- •Intensity
- •E. Personal History:
- •Texts and dialogues At the Doctor’s Consulting Room
- •At the Polyclinics
- •Summoning a Doctor
- •Talk between a Mother (m), her Son (s) and the Doctor (d)
- •Examination of the Patient
- •Taking a Case History
- •Asking about the Present Complaints
- •Аsking about Pain Characteristics
- •At the Cardiologist’s
- •Asking about the Personal History & the Present Illness
- •System Review
- •Details of the Present Condition
- •Disorders Accompanying the Main Disease
- •Examining the Patient (Giving Commands)
- •Consilium on Investigations
- •Diagnosis and Treatment (Explaining to the patient)
- •Giving Advice
- •Unit III. Discussing the work of a hospital
- •Раздел III. Обсуждаем работу больницы методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns Polyclinics/Out-patient Department
- •Speech Models:
- •Medical Personnel
- •Paramedical Personnel
- •Junior Medical Personnel
- •Hospital
- •Verbs and Verb Combinations
- •Speech Models
- •Texts and Dialogues District Polyclinic
- •Interviewing the Doctor-in- Chief about the Work of the Polyclinic
- •At the Registry
- •District Doctor’s Work
- •District Doctor’s Working Day
- •Combined City Hospital
- •Interviewing the Doctor-in-Chief about the work of the Hospital
- •Work of an In-Patient Department
- •Visiting an In-Patient
- •Unit IV. Discussing the work of a chemist’s shop
- •Раздел IV. Беседуем о работе аптеки методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Drug Classes
- •Verbs and Verb Combinations:
- •Speech Patterns
- •Texts and Dialogues At the Chemist’s
- •Medicines and Medical Commodities
- •Voltaren
- •Indications
- •At the Ready-Made Medicine Department
- •At the Prescription Department
- •At a Hospital Chemist’s
- •At the University Chemist’s
- •Unit V. Discussing national health services in russia, usa, uk
- •Раздел V. Обсуждаем организацию систем здравоохранения в россии, сша, великобритании методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Public health institutions list
- •Management in preventive medicine (medico-sanitary) work
- •Texts and Dialogues Medical Service in Russia
- •An Interview on Medical Service in Russia
- •The National Health Service in Great Britain
- •Practitioner Services
- •Family Doctor Service
- •Professional Training
- •National Health Services in the United Kingdom
- •Medical Service in the usa
- •Health Services in the usa Situation for intercultural communication: a Russian doctor comes to the usa for a tour and speaks to an American guide about the problems of health services in the usa
- •Unit VI. Discussing scientific aspects of medicine
- •Раздел VI. Участвуем в научном общении ученых-медиков методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns Scientific Knowledge
- •Adjectives:
- •Speech Models
- •Rendering a Scientific Paper
- •Discussing an Article Starting the Сonversation
- •Discussing the Contents
- •Making Things Clear
- •Impressions
- •Closing the Discussion
- •Opening the Discussion
- •Conducting the Conference
- •Closing the Conference
- •Presenter Giving his Paper (Report)
- •Some Words Linking Ideas
- •Interaction between the Participants and the Speaker after his Report Participants Addressing the Chairman and the Speaker
- •The Speaker’s Replies
- •Some Notes for Speakers
- •Fragments of Scientific Correspondence
- •Appendix I
- •Speech Models
- •Size, Shape, Colour, Texture Characteristics
- •Speech Models
- •The Human Body
- •Speech Models
- •Muscular-Skeletal System
- •Cardiovascular System
- •Аррendix II
- •Physiological Processes and Changes
- •Приложение II
- •Описание физиологических процессов и изменений
- •Speech Моdels
- •Appendix ііi General Symptoms and Adverse Reactions: Приложение ііi
- •Пожелание студенту
- •Список литературы
- •305041, Г. Курск, ул. К. Маркса, 3.
- •305041, Г. Курск, ул. К. Маркса, 3.
Doctor-Patient Interaction Asking the Patient about the Present Illness
What do you complain of? What is wrong with you? What's the matter with you?
Patient's emotions while Doctor's showing interest, describing his condition asking for additional
information, consolation
Oh, Doctor, nothing serious. Really! Oh, indeed! Is that so?
Just a trifle. I see. That's clear.
You see, Doctor… I know what you mean.
The matter is that... Anything else? What else?
In short... Tell me more about it
To be honest. Now, now. Calm down.
Unfortunately... Take it easy. Please, don't worry.
My... troubles me. Thing's do happen. Never mind.
My... gives some causes for concern. Don't be nervous. Cheer up!
I am worried about... There is nothing to worry about.
I am scared. Don't let it upset/distress you
I am very anxious about... /get you down.
I feel awful. Don't take it so much to heart.
1 suspect... Let’ s hope for the better.
It's horrible! You'll be well again soon.
It's too awful for words! Everything will be fine, I am sure.
- When did you fall ill? Hew long have you been ill? Since when do you feel ill? When did the first symptoms appear?
- 1 fell ill about a week ago. -1 have been ill for 2 years. The pains are troubling me for 2-3 months. The pains got worse in the past 2 weeks.
- What was the onset of your disease? What began to trouble you first? What was the first symptom?
- There was a bad cough at first (pains in my wrist, fever, vomiting).
- How is the disease developing? Did your condition get worse (better)? Did the character of the pains change?
- Pains (cough, attacks, shortness of breath) intensified lately (subsided).
- Did you take drugs?
- Yes I take tranquilizers. - No, I don't take any drugs. My doctor prescribed me the medicine for my headache, but I don't take it regularly.
- Does the drug relieve pains? - Yes, it does. It relieves the pain but for a short period. - Yes, when taking the drug I feel the pain subsides. - No I don't say the drug helps me.
Physical Examination of a Patient (Giving commands)
Please, come over here. I'll examine you. Roll your sleeve up. Ваге уоuг arm to the elbow. Get undressed, please. Take your clothes off. Remove your clothes. Take everything off.
Undress, please. Don't get undressed.
Strip to the waist, Don't strip naked. Take off the shirt.
Bare your abdomen.
Dress up, please. Put your clothes on.
You may put your clothes on. You may get dressed now, thank you.
Let me feel your pulse. Give me your hand/wrist. Give me your arm, I want to check your blood pressure, Let me put my blood pressure machine cuff. Let me put the cuff around your arm; and, please, relax.
Please, open your mouth wide. Stick out/show me your tongue. Say "Ah!" I want to check your throat. Let me see your tonsils. Thank you. Close your mouth. Put your chin up; let me palpate your tonsils. Swallow, please, is it hard to swallow? Does it hurt here? Cough a little. That will do. I want to listen to your heart and lungs. Please, take a deep breath and hold it. Breathe in and keep it. Take a deep breath and keep it. Now, blow your air out and hold it. Don't breathe now. Breathe in and out through your mouth. Breathe deeply. Breathe normally. Turn your head and breathe. Continue. Enough.
Stand/keep still. Don't move. Sit down. Sit still. Sit quiet, please. Move nearer.
Lean slightly forward. Lie down on the couch/on the examination table. Lie down on your back/right side/left side/abdomen. Lie quietly. Take/remove your hands off/from the abdomen. Put/hold your hands along the trunk/body.
I'm going to examine your abdomen. I must palpate your liver. Does it hurt when I press? Does it hurt when I withdraw my fingers? Did it hurt anywhere that I touched you? Where does it hurt? Show where the pain is the most acute Strain/relax the abdominal muscles. Inflate your belly. Deflate your abdomen. Pull in your belly. Draw your abdomen in. That will do. Sit up, please. Relax, please. Try to relax.