Pratica di Shadowing: Communication Skills: A Patient-Centered Approach - Impara a parlare inglese con YouTube
C1
Come in.
275 frasi
Se le frasi sono troppo corte o troppo lunghe, clicca su Edit per modificarle.
1
Come in.
2
Miss Bellamy?
3
Yes.
4
Hi, I'm Connie Harris.
5
I'll be your doctor today.
6
Let me just wash my hands really quick.
7
Would you prefer Miss Bellamy or could I call you Pat?
8
Pat's fine.
9
Great.
10
Well, it's nice to meet you.
11
Nice to meet you.
12
Can you tell me why you're here today?
13
I have a terrible headache.
14
That looks really bad.
15
Yeah, it does.
16
Is there anything else besides your headache that you want to address here today at the clinical program?
17
No, it's just that, except I am concerned.
18
I just recently changed insurance companies and I'm not sure this is going to be covered yet.
19
Alright.
20
Was there anything, because what we can do is while we're talking and I'm doing your history and physical,
21
I will have my office secretary look into the insurance plan that you have.
22
So you don't have to worry about that.
23
Yeah, that sounds good.
24
Okay, sounds great.
25
Is there anything else?
26
No, I just, this is just really bad.
27
Okay.
28
So what I'd like to do today,
29
and let's take a look at what's causing your headache.
30
I will go over history,
31
physical, and then we'll do again a physical exam,
32
and then we will look into your insurance policy and make sure that's all taken care of.
33
Does that sound like a good plan for you?
34
Yeah, that's good.
35
Perfect.
36
So tell me a little bit more about this,
37
the head pain that you're having.
38
Well, it started about three days ago and nothing has helped it.
39
It's just laid me flat.
40
I haven't been able to go to work.
41
Nothing's helped.
42
It's all over.
43
It's really bad when I move,
44
so I'm trying not to move too much.
45
And the light is bothering me a lot.
46
Okay.
47
And unfortunately I can't dim the lights in this room,
48
but I'll try to go quickly and it would be okay if I took some notes.
49
Oh sure.
50
Alright.
51
So you said this headache started about three days ago?
52
Yeah.
53
Okay.
54
Was there anything that brought it on,
55
anything unusual that happened maybe three days ago?
56
Not really, no. Okay.
57
Can you tell me anything that makes it better?
58
Oh nothing's made it better.
59
I took some Tylenol, I tried Motrin, nothing.
60
I just try not to move too much.
61
Alright.
62
Is there anything that makes it worse?
63
Yeah.
64
Movement.
65
Movement.
66
And light.
67
Okay.
68
And it's just constant though.
69
There's, you know, it doesn't, it's just constant.
70
It's all over.
71
Okay.
72
So if you had to rate it on a pain scale,
73
zero being no pain, ten being the worst pain you ever had.
74
A tan.
75
I've never had a headache like this.
76
Okay.
77
Yeah, that sounds really bad.
78
Now, as far as radiation, does it move?
79
You said the pain is all up here in the front of your head.
80
It's kind of all over.
81
But also, I've got this shooting pain down my neck,
82
and my neck is very stiff.
83
Okay.
84
But it's the entire head.
85
Entire head, okay.
86
As far as in the timing,
87
you said that it started three days ago,
88
but you said is it constant?
89
Yeah, it started gradually, but once it got there, it hasn't gone away.
90
It doesn't get better, it doesn't get worse, it's just the same.
91
So do you, what I want to get is your perception of what you think is going on.
92
Oh, I don't know.
93
I just, I can hardly think.
94
It's so painful.
95
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.
99
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.
Scarica l'app
Valutazione AI per ogni frase che pronunci
TRENDING
Popolari
Perché esercitarsi a parlare con questo video?
Questo video offre una simulazione realistica di una visita medica, fornendo un contesto utile per gli studenti che desiderano migliorare la pronuncia inglese e le proprie capacità comunicative. Interagire con un dialogo di questo tipo permette agli studenti di comprendere meglio il linguaggio specifico utilizzato in situazioni di vita reale, specialmente in ambito sanitario. Utilizzando questo video come risorsa nella tua pratica di conversazione in inglese, puoi migliorare la tua capacità di parlare in modo naturale e fluido, affrontando al contempo l'ansia che molti provano durante le conversazioni importanti.
Grammatica ed espressioni nel contesto
Ci sono diverse strutture grammaticali e frasi chiave utilizzate nel dialogo che possono risultare preziose per gli studenti. Ecco alcune di esse:
- "Can you tell me why you're here today?" - Questa espressione è un ottimo modo per iniziare una conversazione, mostrando interesse per l'altra persona.
- "I just recently changed insurance companies" - Qui si può notare l'uso del present perfect, utile per discutere di eventi recenti che influenzano il presente.
- "Does that sound like a good plan for you?" - Questa struttura offre un modo cortese per chiedere conferma, importante in qualsiasi dialogo, soprattutto se si tratta di questioni mediche.
Queste frasi non solo arricchiscono il vocabolario ma aiutano anche a costruire frasi in modo naturale durante la shadow speak.
Trappole comuni di pronuncia
Durante il video, alcuni termini e accenti potrebbero presentare delle difficoltà per chi sta imparando l'inglese. È importante prestare attenzione a:
- "headache" - La 'h' iniziale deve essere enfatizzata, mentre il suono 'ache' deve essere pronunciato chiaramente.
- "insurance" - Spesso viene pronunciato rapidamente, ma è fondamentale articolare sia la 'i' che la 's'.
- "physical exam" - Qui, il termine 'physical' potrebbe essere confuso; assicurati di vendere la 'ph' come un suono 'f'.
Praticare queste parole attraverso il shadowing site ti aiuterà a padroneggiare la pronuncia e ridurre gli errori comuni.
Cos'è la tecnica dello Shadowing?
Shadowing è una tecnica di apprendimento delle lingue supportata da studi scientifici, originariamente sviluppata per la formazione dei traduttori professionisti e resa popolare dal poliglotta Dr. Alexander Arguelles. Il metodo è semplice ma potente: ascolti un audio in inglese di madrelingua e lo ripeti immediatamente ad alta voce — come un'ombra che segue il parlante con un ritardo di solo 1–2 secondi. A differenza dell'ascolto passivo o degli esercizi di grammatica, lo shadowing costringe il tuo cervello e i muscoli della bocca a elaborare e riprodurre simultaneamente i modelli di discorso reale. La ricerca dimostra che migliora significativamente la precisione della pronuncia, l'intonazione, il ritmo, il discorso connesso, la comprensione dell'ascolto e la fluidità del parlato — rendendolo uno dei metodi più efficaci per la preparazione alla prova di speaking dell'IELTS e per la comunicazione reale in inglese.
☕ Offrici un caffè
ShadowingEnglish rimane gratuito al 100% grazie al tuo supporto. I costi del server e IA sono elevati — il tuo caffè ci aiuta ad andare avanti! 🙏