This is a vignette designed to train health care professionals. The clinician in the video uses both helpful and non-helpful interventions. The learner is encouraged to identify which interventions are helpful and which are not.
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Vignette description: Charles is a 16 year old boy who has come to an outpatient clinic for a routine preventive services visit and physical exam. It is his first appointment with this provider. This vignette covers the initial moments of the preventive services visit. Adolescent boys generally respond to a personal and friendly greeting. They appreciate eye contact, a smile, and a handshake. They want their provider to begin by asking questions about their lives and activities, and show interest in them as individuals. They express difficulty with a provider who is stiff and has a "checklist approach". They may not like the provider to write or type when he/she is conducting the interview. The patient may be more accepting of a computer if the provider tells him beforehand about the importance of entering information and reinforcing confidentiality. Adolescents are often concerned about confidentiality. Some may be quite guarded if they have experienced providers sharing information with their parents.
