Patient-Centered Clinical Method History Physical Lab Feelings Ideas Function Expectations 1 – Exploring both disease and illness experience Cues and prompts 2 – Understanding the whole person Disease Illness Person Proximal Context Distal Context 3 – Finding Common Ground Problems Goals Roles Mutual decisions 4 – Incorporating prevention and health promotion 6 – Being realistic 5 – Enhancing the patient-physician relationship A grounding principle of this curriculum is the patient-centered clinical method, described by Stewart et al at Western Ontario University. Found to improve patient outcomes and satisfaction Learning and applying this model to challenging interactions will help our residents better care for these challenging patients Patient-Centered Medicine: Transforming the Clinical Method, Stewart, M. et al, 2003