Shadowing Practice: Communication Skills: A Patient-Centered Approach - Learn English Speaking with Video

Come in.

Miss Bellamy?

Yes.

Hi, I'm Connie Harris.

I'll be your doctor today.

Let me just wash my hands really quick.

Would you prefer Miss Bellamy or could I call you Pat?

Pat's fine.

Great.

Well, it's nice to meet you.

Nice to meet you.

Can you tell me why you're here today?

I have a terrible headache.

That looks really bad.

Yeah, it does.

Is there anything else besides your headache that you want to address here today at the clinical program?

No, it's just that, except I am concerned.

I just recently changed insurance companies and I'm not sure this is going to be covered yet.

Alright.

Was there anything, because what we can do is while we're talking and I'm doing your history and physical,

I will have my office secretary look into the insurance plan that you have.

So you don't have to worry about that.

Yeah, that sounds good.

Okay, sounds great.

Is there anything else?

No, I just, this is just really bad.

Okay.

So what I'd like to do today,

and let's take a look at what's causing your headache.

I will go over history,

physical, and then we'll do again a physical exam,

and then we will look into your insurance policy and make sure that's all taken care of.

Does that sound like a good plan for you?

Yeah, that's good.

Perfect.

So tell me a little bit more about this,

the head pain that you're having.

Well, it started about three days ago and nothing has helped it.

It's just laid me flat.

I haven't been able to go to work.

Nothing's helped.

It's all over.

It's really bad when I move,

so I'm trying not to move too much.

And the light is bothering me a lot.

Okay.

And unfortunately I can't dim the lights in this room,

but I'll try to go quickly and it would be okay if I took some notes.

Oh sure.

Alright.

So you said this headache started about three days ago?

Yeah.

Okay.

Was there anything that brought it on,

anything unusual that happened maybe three days ago?

Not really, no. Okay.

Can you tell me anything that makes it better?

Oh nothing's made it better.

I took some Tylenol, I tried Motrin, nothing.

I just try not to move too much.

Alright.

Is there anything that makes it worse?

Yeah.

Movement.

And light.

Okay.

And it's just constant though.

There's, you know, it doesn't, it's just constant.

It's all over.

Okay.

So if you had to rate it on a pain scale,

zero being no pain, ten being the worst pain you ever had.

A tan.

I've never had a headache like this.

Okay.

Yeah, that sounds really bad.

Now, as far as radiation, does it move?

You said the pain is all up here in the front of your head.

It's kind of all over.

But also, I've got this shooting pain down my neck,

and my neck is very stiff.

Okay.

But it's the entire head.

Entire head, okay.

As far as in the timing,

you said that it started three days ago,

but you said is it constant?

Yeah, it started gradually, but once it got there, it hasn't gone away.

It doesn't get better, it doesn't get worse, it's just the same.

So do you, what I want to get is your perception of what you think is going on.

Oh, I don't know.

I just, I can hardly think.

It's so painful.

I just, because it's so bad, I was afraid.

My neighbor had a headache and ignored it last year

and he suddenly started having seizures and it turns out he had a brain tumor.

So I thought I just should come in and look at it.

Yeah, I can understand your concern.

100

How is it impacting your daily life?

101

I can't go to work.

102

I can't do anything.

103

Yeah.

104

Okay.

105

So it sounds like it's really impacting your life.

106

Yeah, I can't.

107

Okay.

108

If it's okay, I would like to go talk a little bit about your medical history and your social history.

109

Okay, sure.

110

All right.

111

history, do you have any medical conditions I should be aware of?

112

I was diagnosed with high blood pressure about three years ago,

113

but we've been addressing it with diet changes.

114

Okay, so it's controlled with diet?

115

Yeah, I go in yearly,

116

I had been, and it's been well controlled,

117

so I haven't been on medication.

118

No offense for that.

119

But other than that, I haven't had any problems.

120

Okay, any surgical history?

121

No. Any hospitalizations?

122

No. All right.

123

And you said the only medicine you're taking was the Tylenol Maltrand.

124

Yeah, and they didn't help.

125

Okay, you just wanted to verify.

126

Do you have any drug allergies?

127

No. Okay.

128

What about family history?

129

Do you have any medical history of headaches or?

130

In my family?

131

Right.

132

You know, my mom said she used to get migraines when she was in her 20s and 30s.

133

Okay.

134

But I don't remember her saying anything else about it.

135

My sister, I have one sister, she's healthy.

136

My dad, he has high blood pressure.

137

Other than that, he's healthy.

138

And that's about it.

139

I don't have any kids.

140

All right.

141

It's all right, I would like to ask you some social history questions that,

142

just for, there are records.

143

Do you smoke?

144

Yeah, I do.

145

Is it cigarettes or chewing gum?

146

Yeah, cigarettes.

147

And how much do you smoke?

148

About a half a pack a day.

149

What about alcohol?

150

I don't drink.

151

Also, are you married?

152

Yeah, I'm married.

153

And children?

154

No. And just some additional questions is looking at your kind of GYN history,

155

are you last menstrual period?

156

Oh, I'm in menopause.

157

Okay.

158

Yeah.

159

So, going back into the history again,

160

have you, you said your mom had migraines earlier on.

161

Have you been around and no other,

162

you haven't been nauseous or have you been in other sickness?

163

Yeah, I've been nauseous.

164

Okay.

165

In fact, I threw up twice early on because when I move it makes me nauseous.

166

Okay.

167

Nothing out of the ordinary over the past couple of weeks?

168

Have you been on any trips or anything?

169

Actually, a week ago I was in North Carolina for a family reunion and there was a four-year-old who was sick there.

170

I don't know what they had but I guess they ended up taking him into emergency.

171

So let me just summarize to make sure I've got everything straight

172

so far is you started at an onset of a severe headache about three days ago.

173

It's worse with movement.

174

Light really makes it hurt bad.

175

It's a 10 out of 10 pain and you're also complaining of a stiff neck with that.

176

It came on gradually and it's been constant pain in the frontal area.

177

Medical history, you're in hyper you have high blood pressure

178

but that's controlled with diet no surgical history no really hospitalizations the pain though isn't really impacting your day-to-day living

179

and daily life you try to tell no motor

180

and it didn't help otherwise no medications you've got the family

181

history of your mom with migraines otherwise your family is healthy you smoke about a half a pack a day,

182

you don't drink, and then you were,

183

you said you took a trip about a week ago,

184

or two weeks ago?

185

Yeah.

186

Okay.

187

It was a family reunion a week ago.

188

Yeah, I don't know.

189

It was in North Carolina.

190

All right.

191

Yeah, I can understand your concern about your friend.

192

You said that he was having seizures.

193

I've just never had this kind of pain before.

194

Yeah, and I can understand that.

195

So what I would like to do is,

196

we've pretty much gone over the history.

197

What I'd like to do is complete a physical exam,

198

do some testing,

199

and I want to ask too if there's any other concerns I need to address before we get to that final exam.

200

Okay, that sounds good.

201

Okay, sounds great.

202

Okay.

203

All right.

204

Hi, I'm Deb.

205

I'm your standardized patient.

206

Nice job.

207

I'm going to give you some feedback on your communication skills in this encounter,

208

but before I do, how did you feel it went?

209

Pretty good.

210

I was nervous at first,

211

I think, and just trying to make sure

212

that I was getting all patient information so we could make sure we got the correct tests.

213

Yeah, yeah.

214

How did you feel when you walked in?

215

You feel pretty comfortable?

216

I think I got more comfortable as we sat down and got to talking.

217

I could see that.

218

Yeah, good.

219

Okay.

220

Well, I thought you did a nice job.

221

You had an appropriate introduction,

222

introduced yourself for some last name, shook hands.

223

I think you have a very warm demeanor and you're comfortable,

224

which makes me as a patient comfortable.

225

You did elicit my chief complaint and asked about any other concerns,

226

and that's when I told you I was also concerned about my insurance,

227

so that was another thing on the agenda.

228

So you did set a mutual agenda,

229

asked me if I agreed,

230

and so we had a clear roadmap going forward,

231

so you did, you hit all those real well.

232

Your first question, tell me about this pain,

233

that was a nice open-ended question,

234

so it allowed me to then tell my story,

235

followed up with some more pointed questions just for clarification.

236

and you're an active listener,

237

had good eye contact, and could do a little bit more reflective listening,

238

just little points where you could verify,

239

check for accuracy, maybe paraphrase as I'm going through.

240

You did a nice summary in the middle.

241

That's good.

242

But just a little bit more reflection to let me know as a patient that you're hearing me.

243

You asked my perspective of what I thought was going on

244

and then you got the story of my fear that maybe I've got a brain tumor,

245

I don't know.

246

Right, right.

247

Yeah.

248

So I thought you had nice flow, logical sequence of questioning.

249

A little bit of signposting,

250

we just covered this and now we're going to do that.

251

I heard that once.

252

As these interviews get longer,

253

you're going to want to signpost between each section.

254

I've taken your history, now I'd like to go into a physical exam.

255

Did a nice summary in the middle.

256

You moved through quickly, so you attended to the timeline.

257

You did ask permission to ask some social questions.

258

Maybe you want to mention,

259

social questions may not be a flag for me that this could be personal or uncomfortable.

260

Oh, right.

261

Maybe I'm going to ask a little more, some personal questions here.

262

Is that all right with you?

263

Just so I'm, social questions sounds fine to me until you start asking something that might sound personal.

264

So you might use the word,

265

some more personal questions here.

266

judgmental, didn't bat an eye when I said I smoke half a pack.

267

You have nice vocal range,

268

eye contact, comfortable demeanor, so that felt real good.

269

And then you did a summary at the end and asked,

270

did you ask, do anything else?

271

Okay, so anything else before we do a physical exam.

272

So it was very nice, nice encounter.

273

Well, thank you so much.

274

Nice meeting you.

275

You too.

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Vocabulario y notas de pronunciación para esta lección

Esta lección de conversación de nivel C1 se basa en el vídeo “Communication Skills: A Patient-Centered Approach”. Las palabras que más se repiten: pain, sound, headache. Este vídeo tiene 275 frases y 1910 palabras para practicar shadowing. La parte hablada dura 13:08. El hablante mantiene un ritmo constante de unas 145 palabras por minuto, cómodo para el shadowing. El 86 % de las palabras está entre las 3.000 más comunes del inglés; conviene repasar el resto antes de empezar.

Vocabulario clave de este vídeo

Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:

Palabra	Pronunciación	Significado
headache sustantivo	/ˈhɛdeɪk/	dolor de cabeza, cefalea
migraine sustantivo	/ˈmaɪɡɹeɪn/	migraña, jaqueca
nauseous adjetivo	/ˈnɔʃəs/	nauseabundo, nauseoso
demeanor sustantivo	/dɪˈminɚ/	porte, apostura
hospitalization sustantivo	/ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/	hospitalización
signpost sustantivo	/ˈsaɪnˌpoʊst/	letrero, cartel
seizure sustantivo	/ˈsi.ʒɚ/	incautación, decomiso
verify verbo	/ˈvɛɹɪfaɪ/	verificar
stiff adjetivo	/stɪf/	rígido, duro
tumor sustantivo	/tuː.məɹ/	tumor
surgical adjetivo	/ˈsɝd͡ʒɪkəl/	quirúrgico
cigarette sustantivo	/ˈsɪɡəɹɛt/	cigarrillo, pitillo
diagnose verbo	/ˈdaɪ.əɡˌnoʊs/	diagnosticar
elicit verbo	/ɪˈlɪsɪt/	suscitar, elicitar
frontal adjetivo	/ˈfɹʌn.təl/	frontal

Phrasal verbs que vas a escuchar

Palabra	Significado
go over verbo	sentar, pasar
end up verbo	terminar, ir a parar
go away verbo	irse, marcharse
go through verbo	atravesar
sit down verbo	sentarse
throw up verbo	lanzar
turn out verbo	resultar

Frases que vale la pena repetir

Frases cortas y completas del vídeo que puedes reutilizar en la conversación diaria:

Can you tell me why you're here today?
Does that sound like a good plan for you?
Can you tell me anything that makes it better?
How is it impacting your daily life?
Do you have any medical history of headaches or?

Gramática en este vídeo

Las estructuras que más usa el hablante, con las palabras exactas del vídeo:

Estructura	En el vídeo
Present perfect have/has + participio pasado — una acción pasada que sigue importando ahora	has helped · haven't been · hasn't gone
Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace	be covered · was diagnosed · was also concerned

Pronunciación a tener en cuenta

El hablante usa 64 contracciones y formas reducidas, como I'm, don't, you're. Dilas en su forma corta, tal como las oyes.

Los sonidos de “sh” y “zh”: nauseous /ˈnɔʃəs/, hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, seizure /ˈsi.ʒɚ/, clarification /ˌklæɹɪfɪˈkeɪʃən/
Palabras largas — cuida el acento: hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, clarification /ˌklæɹɪfɪˈkeɪʃən/

Sonidos difíciles para hispanohablantes:

/v/ — no es /b/: los dientes tocan el labio inferior: verify /ˈvɛɹɪfaɪ/, reflective /ɹɪˈflɛktɪv/
/z/ — sonora, no /s/: hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, menopause /ˈmɛnəpɔːz/, paraphrase /ˈpæɹəfɹeɪz/, summarize /ˈsʌməˌɹaɪz/
/dʒ/ — no es la “y” ni la “ch”: surgical /ˈsɝd͡ʒɪkəl/, judgmental /ˌd͡ʒʌd͡ʒˈmɛnt(ə)l/, allergy /ˈæl.əɹ.d͡ʒi/

Cómo practicar con este vídeo

Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
Grábate y compara con el original, prestando atención a palabras como headache, migraine, nauseous.

¿Qué es la Técnica de Shadowing?

Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.

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Vocabulario y notas de pronunciación para esta lección

Vocabulario clave de este vídeo

Phrasal verbs que vas a escuchar

Frases que vale la pena repetir

Gramática en este vídeo

Pronunciación a tener en cuenta

Cómo practicar con este vídeo

¿Qué es la Técnica de Shadowing?