Pratique du Shadowing: Communication Skills: A Patient-Centered Approach - Apprendre l'anglais à l'oral avec la vidéo
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275 phrases
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1
Come in.
2
Miss Bellamy?
3
Yes.
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Hi, I'm Connie Harris.
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I'll be your doctor today.
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Let me just wash my hands really quick.
7
Would you prefer Miss Bellamy or could I call you Pat?
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Pat's fine.
9
Great.
10
Well, it's nice to meet you.
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Nice to meet you.
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Can you tell me why you're here today?
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I have a terrible headache.
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That looks really bad.
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Yeah, it does.
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Is there anything else besides your headache that you want to address here today at the clinical program?
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No, it's just that, except I am concerned.
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I just recently changed insurance companies and I'm not sure this is going to be covered yet.
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Alright.
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Was there anything, because what we can do is while we're talking and I'm doing your history and physical,
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I will have my office secretary look into the insurance plan that you have.
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So you don't have to worry about that.
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Yeah, that sounds good.
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Okay, sounds great.
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Is there anything else?
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No, I just, this is just really bad.
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Okay.
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So what I'd like to do today,
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and let's take a look at what's causing your headache.
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I will go over history,
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physical, and then we'll do again a physical exam,
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and then we will look into your insurance policy and make sure that's all taken care of.
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Does that sound like a good plan for you?
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Yeah, that's good.
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Perfect.
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So tell me a little bit more about this,
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the head pain that you're having.
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Well, it started about three days ago and nothing has helped it.
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It's just laid me flat.
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I haven't been able to go to work.
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Nothing's helped.
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It's all over.
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It's really bad when I move,
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so I'm trying not to move too much.
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And the light is bothering me a lot.
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Okay.
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And unfortunately I can't dim the lights in this room,
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but I'll try to go quickly and it would be okay if I took some notes.
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Oh sure.
50
Alright.
51
So you said this headache started about three days ago?
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Yeah.
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Okay.
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Was there anything that brought it on,
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anything unusual that happened maybe three days ago?
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Not really, no. Okay.
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Can you tell me anything that makes it better?
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Oh nothing's made it better.
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I took some Tylenol, I tried Motrin, nothing.
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I just try not to move too much.
61
Alright.
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Is there anything that makes it worse?
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Yeah.
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Movement.
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Movement.
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And light.
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Okay.
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And it's just constant though.
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There's, you know, it doesn't, it's just constant.
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It's all over.
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Okay.
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So if you had to rate it on a pain scale,
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zero being no pain, ten being the worst pain you ever had.
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A tan.
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I've never had a headache like this.
76
Okay.
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Yeah, that sounds really bad.
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Now, as far as radiation, does it move?
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You said the pain is all up here in the front of your head.
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It's kind of all over.
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But also, I've got this shooting pain down my neck,
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and my neck is very stiff.
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Okay.
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But it's the entire head.
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Entire head, okay.
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As far as in the timing,
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you said that it started three days ago,
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but you said is it constant?
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Yeah, it started gradually, but once it got there, it hasn't gone away.
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It doesn't get better, it doesn't get worse, it's just the same.
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So do you, what I want to get is your perception of what you think is going on.
92
Oh, I don't know.
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I just, I can hardly think.
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It's so painful.
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I just, because it's so bad, I was afraid.
96
My neighbor had a headache and ignored it last year
97
and he suddenly started having seizures and it turns out he had a brain tumor.
98
So I thought I just should come in and look at it.
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Yeah, I can understand your concern.
100
How is it impacting your daily life?
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I can't go to work.
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I can't do anything.
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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?
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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?
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Yeah, I go in yearly,
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I had been, and it's been well controlled,
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so I haven't been on medication.
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No offense for that.
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But other than that, I haven't had any problems.
120
Okay, any surgical history?
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No. Any hospitalizations?
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No. All right.
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And you said the only medicine you're taking was the Tylenol Maltrand.
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Yeah, and they didn't help.
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Okay, you just wanted to verify.
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Do you have any drug allergies?
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No. Okay.
128
What about family history?
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Do you have any medical history of headaches or?
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In my family?
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Right.
132
You know, my mom said she used to get migraines when she was in her 20s and 30s.
133
Okay.
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But I don't remember her saying anything else about it.
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My sister, I have one sister, she's healthy.
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My dad, he has high blood pressure.
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Other than that, he's healthy.
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And that's about it.
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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?
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Yeah, I do.
145
Is it cigarettes or chewing gum?
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Yeah, cigarettes.
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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?
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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?
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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?
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Actually, a week ago I was in North Carolina for a family reunion and there was a four-year-old who was sick there.
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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
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so far is you started at an onset of a severe headache about three days ago.
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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.
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It came on gradually and it's been constant pain in the frontal area.
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Medical history, you're in hyper you have high blood pressure
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but that's controlled with diet no surgical history no really hospitalizations the pain though isn't really impacting your day-to-day living
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and daily life you try to tell no motor
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and it didn't help otherwise no medications you've got the family
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history of your mom with migraines otherwise your family is healthy you smoke about a half a pack a day,
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you don't drink, and then you were,
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you said you took a trip about a week ago,
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or two weeks ago?
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Yeah.
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Okay.
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It was a family reunion a week ago.
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Yeah, I don't know.
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It was in North Carolina.
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All right.
191
Yeah, I can understand your concern about your friend.
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You said that he was having seizures.
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I've just never had this kind of pain before.
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Yeah, and I can understand that.
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So what I would like to do is,
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we've pretty much gone over the history.
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What I'd like to do is complete a physical exam,
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do some testing,
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and I want to ask too if there's any other concerns I need to address before we get to that final exam.
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Okay, that sounds good.
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Okay, sounds great.
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Okay.
203
All right.
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Hi, I'm Deb.
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I'm your standardized patient.
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Nice job.
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I'm going to give you some feedback on your communication skills in this encounter,
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but before I do, how did you feel it went?
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Pretty good.
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I was nervous at first,
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I think, and just trying to make sure
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that I was getting all patient information so we could make sure we got the correct tests.
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Yeah, yeah.
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How did you feel when you walked in?
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You feel pretty comfortable?
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I think I got more comfortable as we sat down and got to talking.
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I could see that.
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Yeah, good.
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Okay.
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Well, I thought you did a nice job.
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You had an appropriate introduction,
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introduced yourself for some last name, shook hands.
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I think you have a very warm demeanor and you're comfortable,
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which makes me as a patient comfortable.
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You did elicit my chief complaint and asked about any other concerns,
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and that's when I told you I was also concerned about my insurance,
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so that was another thing on the agenda.
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So you did set a mutual agenda,
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asked me if I agreed,
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and so we had a clear roadmap going forward,
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so you did, you hit all those real well.
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Your first question, tell me about this pain,
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that was a nice open-ended question,
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so it allowed me to then tell my story,
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followed up with some more pointed questions just for clarification.
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and you're an active listener,
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had good eye contact, and could do a little bit more reflective listening,
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just little points where you could verify,
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check for accuracy, maybe paraphrase as I'm going through.
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You did a nice summary in the middle.
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That's good.
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But just a little bit more reflection to let me know as a patient that you're hearing me.
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You asked my perspective of what I thought was going on
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and then you got the story of my fear that maybe I've got a brain tumor,
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I don't know.
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Right, right.
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Yeah.
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So I thought you had nice flow, logical sequence of questioning.
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A little bit of signposting,
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we just covered this and now we're going to do that.
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I heard that once.
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As these interviews get longer,
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you're going to want to signpost between each section.
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I've taken your history, now I'd like to go into a physical exam.
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Did a nice summary in the middle.
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You moved through quickly, so you attended to the timeline.
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You did ask permission to ask some social questions.
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Maybe you want to mention,
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social questions may not be a flag for me that this could be personal or uncomfortable.
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Oh, right.
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Maybe I'm going to ask a little more, some personal questions here.
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Is that all right with you?
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Just so I'm, social questions sounds fine to me until you start asking something that might sound personal.
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So you might use the word,
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some more personal questions here.
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judgmental, didn't bat an eye when I said I smoke half a pack.
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You have nice vocal range,
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eye contact, comfortable demeanor, so that felt real good.
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And then you did a summary at the end and asked,
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did you ask, do anything else?
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Okay, so anything else before we do a physical exam.
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So it was very nice, nice encounter.
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Well, thank you so much.
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Nice meeting you.
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You too.
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Vocabulaire et conseils d’expression pour cette leçon
Cette leçon d’expression orale de niveau C1 s’appuie sur la vidéo « Communication Skills: A Patient-Centered Approach ». Les mots qui reviennent le plus souvent : pain, sound, headache. Cette vidéo contient 275 phrases et 1910 mots à répéter en shadowing. La partie parlée dure 13:08. Le locuteur parle à un rythme régulier d’environ 145 mots par minute, confortable pour le shadowing. 86 % des mots font partie des 3 000 mots les plus courants en anglais ; le reste mérite d’être vu avant de commencer.
Vocabulaire clé de cette vidéo
Les 15 mots les plus avancés de la vidéo, avec leur prononciation et leur sens :
| Mot | Prononciation | Sens |
|---|---|---|
| headache nom | /ˈhɛdeɪk/ | mal de tête |
| migraine nom | /ˈmaɪɡɹeɪn/ | migraine |
| nauseous adjectif | /ˈnɔʃəs/ | nauséabond |
| demeanor nom | /dɪˈminɚ/ | comportement, conduite |
| hospitalization nom | /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/ | hospitalisation |
| signpost nom | /ˈsaɪnˌpoʊst/ | poteau indicateur |
| seizure nom | /ˈsi.ʒɚ/ | saisie |
| verify verbe | /ˈvɛɹɪfaɪ/ | vérifier |
| stiff adjectif | /stɪf/ | rigide, raide |
| tumor nom | /tuː.məɹ/ | tumeur |
| surgical adjectif | /ˈsɝd͡ʒɪkəl/ | chirurgical |
| cigarette nom | /ˈsɪɡəɹɛt/ | cigarette |
| diagnose verbe | /ˈdaɪ.əɡˌnoʊs/ | diagnostiquer |
| elicit verbe | /ɪˈlɪsɪt/ | susciter |
| frontal adjectif | /ˈfɹʌn.təl/ | frontal |
Les verbes à particule que vous entendrez
| Mot | Sens |
|---|---|
| end up verbe | se terminer, se finir |
| go away verbe | partir, s'en aller |
| go through verbe | traverser |
| sit down verbe | s'asseoir |
| turn out verbe | se finir, se terminer |
Des phrases à répéter
Des phrases courtes et complètes de la vidéo, à réutiliser dans la conversation de tous les jours :
- 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?
La grammaire de cette vidéo
Les structures que le locuteur utilise le plus, avec les mots exacts de la vidéo :
| Structure | Dans la vidéo |
|---|---|
| Present perfect have/has + participe passé — une action passée qui compte encore maintenant | has helped · haven't been · I've never had |
| Voix passive be + participe passé — l’accent est mis sur ce qui arrive, pas sur qui le fait | be covered · was diagnosed |
Prononciation à surveiller
Le locuteur utilise 64 contractions et formes réduites, comme I'm, don't, you're. Prononcez-les sous leur forme courte, telles que vous les entendez.
- Les sons « sh » et « zh »: nauseous /ˈnɔʃəs/, hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, seizure /ˈsi.ʒɚ/, clarification /ˌklæɹɪfɪˈkeɪʃən/
- Mots longs — placez bien l’accent: hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, clarification /ˌklæɹɪfɪˈkeɪʃən/
Les sons difficiles pour les francophones :
- /h/ — il se souffle, il n’est pas muet: headache /ˈhɛdeɪk/, hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/
- /tʃ/ et /dʒ/ — à ne pas adoucir en « ch » et « j »: surgical /ˈsɝd͡ʒɪkəl/, judgmental /ˌd͡ʒʌd͡ʒˈmɛnt(ə)l/, allergy /ˈæl.əɹ.d͡ʒi/, chew /tʃuː/
- /r/ anglais — langue recourbée, sans frotter la gorge: migraine /ˈmaɪɡɹeɪn/, verify /ˈvɛɹɪfaɪ/, reunion /ɹiːˈjuːnjən/, tumor /tuː.məɹ/, cigarette /ˈsɪɡəɹɛt/
Comment s’entraîner avec cette vidéo
- Écoutez la vidéo en entier une fois sans parler et notez les mots que vous ne connaissez pas.
- Répétez phrase par phrase à vitesse normale, en reprenant chacune jusqu’à ce que votre rythme corresponde à celui du locuteur.
- Enregistrez-vous et comparez avec l’original, en faisant attention à des mots comme headache, migraine, nauseous.
Qu'est-ce que la technique du Shadowing ?
Le Shadowing est une technique d'apprentissage des langues fondée sur la science, développée à l'origine pour la formation des interprètes professionnels. Le principe est simple mais puissant : vous écoutez de l'anglais natif et le répétez immédiatement à voix haute — comme une ombre suivant le locuteur avec un décalage de 1 à 2 secondes. Les recherches montrent une amélioration significative de la précision de la prononciation, de l'intonation, du rythme, des liaisons, de la compréhension orale et de la fluidité.