مهارات الاستشارة للأطباء المقيمين أو أطباء الإمتياز الجزء الأول

  مهارات الاستشارة للأطباء المقيمين  أو أطباء الإمتياز وكيفية التحقق من فكرة المريض واهتماماته وقلقانه  والجانب النفسي الاجتماعي للمريض و من يهتمون لأمره أو رعايته 

consultation skills for junior doctor and how to check patient idea, concerns and concerns (ICE ) and psychosocial aspects 


Consultation skills are essential for all doctors, but they are significant for junior doctors. Good consultation skills can help you to build rapport with patients, gather accurate information, and provide effective care.

There are many different ways to improve your consultation skills. Here are a few tips:

  • Start by listening to the patient:  اسمع كويس لشكوى مريضك:Really listen to what the patient is saying, both verbally and nonverbally. Pay attention to their body language and facial expressions.
  • Ask open-ended questions. أسال اسئلة مفتوحة حتى تتيح للمريض فرصة التفكير و الرد المناسب :Open-ended questions encourage the patient to talk more. They also help you to gather more information.
  • Summarize what you have heard. لخص ما سمعته من المريض و ابد اهتماما كافيا: This helps to ensure that you have understood the patient correctly. It also gives the patient a chance to correct any misunderstandings.
  • Be respectful and compassionate. ابد تعاطفا مع مريضك  Patients are likelier to open up to you if they feel comfortable and respected.
  • Be patient: كن صبورا    It may take some time to build rapport with the patient and gather all the information you need.

As a junior doctor, you will be expected to consult with patients on a regular basis. This can be a daunting task, but it is an essential skill that you will need to develop in order to provide safe and effective care.

A good consultation begins with building rapport with the patient. أهمية بناء جسور الثقة مع مريضك 

This means taking the time to introduce yourself, explain your role, and listen to the patient's concerns. It is also important to be respectful and compassionate and to create a safe and confidential environment for the patient to discuss their health.

Once you have built rapport with the patient, you can begin to gather information about their health history and current symptoms. It is important to ask open-ended questions and to listen carefully to the patient's answers. You should also be aware of the patient's body language and facial expressions, as these can provide clues about their emotional state.

Once you have gathered all of the necessary information, you can begin to formulate a diagnosis. It is important to consider all of the possible causes of the patient's symptoms and to rule out any serious conditions. You should also discuss the patient's treatment options with them, and to explain the risks and benefits of each option.

The consultation should end with a summary of the patient's diagnosis and treatment plan. You should also provide the patient with your contact information, and encourage them to call you if they have any questions or concerns.

Here are some tips for improving your consultation skills:

هل حقا تشجع مريضك على إلقاء الأسئلة ؟

Be prepared. Before you consult with a patient, take some time to review their medical history and any relevant laboratory or imaging tests. This will help you to ask more informed questions and to make a more accurate diagnosis.
Listen actively. When the patient is talking, listen carefully and avoid interrupting. Pay attention to their body language and facial expressions, and ask questions to clarify anything that you do not understand.
Be respectful and compassionate. Remember that the patient is going through a difficult time, and that they are likely to be feeling anxious or scared. Be patient and understanding, and do your best to put them at ease.
Be clear and concise. When you are explaining the patient's diagnosis and treatment plan, be clear and concise. Use language that the patient can understand, and avoid using medical jargon.
Encourage the patient to ask questions. It is important to encourage the patient to ask questions about their diagnosis and treatment plan. This will help them to understand their condition and to make informed decisions about their care.
Follow up. After the consultation, be sure to follow up with the patient to see how they are doing. This will help you to assess the effectiveness of the treatment plan and to make any necessary adjustments.


Once you have gathered the necessary information, you can start to formulate a diagnosis and plan of care. It is important to consider the patient's ideas, concerns, and concerns (ICE) when making decisions.

تفقد بعناية أفكار المريض و تصوراته عن مشكلته الحالية و مجى فهمه لها و ما نوع و كيفية قلقه و هواجسه بما يتعلق بمرضه
و كذلك تصوره عن فرص العلاج المتاحة و ما يمكن ان تقدمه له بصدق و أمانه

The patient's idea is what they think is wrong with them. The patient's concerns are their fears and worries about their health. The patient's concerns are their expectations for care.

It is important to address the patient's ICE in order to provide effective care. You can do this by explaining the diagnosis and treatment plan to the patient, answering their questions, and addressing their concerns.

The psychosocial aspects of a patient's illness are also important to consider. These include the patient's social support network, financial situation, and coping mechanisms.

تفقد الجوانب النفسية و الاجتماعية للمريض و جوانب حياته المختلفة و الأسرية و المادية بما يتعلق بحالته الصحية العامة و الحالية

It is important to address the psychosocial aspects of a patient's illness in order to provide holistic care. You can do this by asking the patient about their social support network, financial situation, and coping mechanisms.

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