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9780199958184: Motivational Interviewing: A Guide for Medical Trainees

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This may be the single most important book you ever buy during your medical training. Rotations come and go, exams come and go, but regardless of specialty, patient-care will be at the heart of your practice. It is no exaggeration to say that motivational interviewing (MI) has transformed the way doctors engage with patients, families, and colleagues alike. MI is among the most powerful tools available to promote behavior change in patients. In an age of chronic diseases (diabetes, hypertension, heart disease, obesity), behavior change is no longer limited to substance use or the field of psychiatry - maladaptive choices and behaviors that negatively impact health outcomes are rampant. There is an explosion of research projects using MI or adaptations of MI in the behavioral health medicine field in the past decade. Hospitalizations can't make people change. How marvelous is it that an evidence-based health behavior change approach (MI) can help people change the outcomes of their illnesses and the course of their lives.

This therapeutic approach is not a form of psychotherapy and is not the stuff of cobwebs and old leather couches. MI is readily integrated into regular ward rounds and office visits and provides an effective and efficient approach to patients clinical encounters.

Written by experts in the field and medical trainees across medicine, this is the first MI guide of its kind. It explores how MI enhances contact with patients from every level of training, following an accessible, succinct approach. This book covers the application of MI method and skills into practice and also includes numerous clinical scenarios, personal reflections and online animated clinical vignettes (video clips) that share the challenges and successes the authors have focused.

Furthermore this book is endorsed by the pioneers of MI: William R. Miller & Stephen Rollnick.

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This book is an enjoyable read. It is well written and makes good use of tables, figures, textboxes, and quizzes to emphasize key points. The online video clips help tie it all together and enable readers to hear MI in use.

This is a unique collaboration between three seasoned clinicians, educators and researchers and a diverse group of medical trainees in a broad range of practice settings. They have produced an exceptional book on Motivational Interviewing (MI) to help medical trainees understand and implement MI concept, skills, and techniques. The breadth and richness of the chapters empower the reader with remarkable skills to strengthen the patient-doctor relationship. It is filled with skillfully crafted clinical scenarios, tools, tips, and personal reflections of trainees illustrating the experiences and challenges of experiencing, learning, and implementing MI in medical encounters. This guide is inevitably destined to become a classic in medical training. (Dennis C. Daley, Ph.D., Professor of Psychiatry & Social Work, University of Pittsburgh School of Medicine Department of Psychiatry)

This is an outstanding book about Motivational Interviewing that is very clear, easy to read, and engaging. The interesting and appropriate cases grab you. The book is full of examples of words, phrases, questions and statements to use, and will be valuable to practicing health care practitioners, not just the medical trainees to whom the book is geared. The practical advice is invaluable, and I think it will help prevent burn out in any health care practitioner who uses it. (Patricia K. Kokotailo, MD, MPH, Professor of Pediatrics, Wisconsin School of Medicine and Public Health)

This important book, for the first time, provides a guide to Motivational Interviewing that is specifically designed for physicians. Motivational Interviewing is a critical skill for helping patients to change their health behaviors toward healthier habits. Most physicians will confront problems every day with their patients' health behaviors-poor adherence to medications, to diet or lifestyle recommendations, or recommendations to quit smoking or moderate drinking, to name some examples. Yet, physicians have typically received little training in this essential technique. This book should be required reading for all physicians in training, and one also hopes that it will become the foundation of courses of study on Motivational Interviewing during medical training. (Edward Nunes MD, Professor of Clinical Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute)

Motivational Interviewing: A Guide for Medical Trainees provides a straightforward guide for medical students and residents of all clinical specialties, and should be required reading in medical school and post-graduate training. Physicians already out in practice will also benefit greatly from this very clear and concise training manual. (Marshall Forstein, MD, Associate Professor of Psychiatry, Harvard Medical School, Director of Residency Program in Psychiatry)

This evidence-based and theory-informed guide provides excellent, practical instruction for practitioners to cease inflicting help and instead, connect with patients in a manner that helps them want to receive help and actually change behaviors. With practical examples for all types of practice situations and patient populations, this guide helps practitioners embrace the essence of Motivational Interviewing with the understanding that helping patients through dialogue does not always require hours. The authors excel at creating the experience about which they write - the reader will want to learn from each chapter, change practice behaviors, and dive into the next chapter's teachings with a new outlook. All health practitioners would do well in reading and learning from this well-crafted book. (Jennifer D Irwin, PhD, Faculty of Health Sciences, Western University)

This superb book provides the clinician in training with a blueprint for enabling these practitioners to adopt a model for therapeutic interactions that enables patients to participate in their care and treatment decision-making. The authors deliver detailed and clear instruction on the methods for conducting motivational interviewing utilizing case-based examples crafted to give the readers the needed information and skills to be able to adopt this approach in their practice. This book is required reading for all clinicians who are part of any treatment team including physicians, nurse practitioners, nurses, physician assistants, social workers, and public health professionals. This book is a toolkit to change the approach to patient care for the adoption of motivational interviewing in health care practice. (Linda Rose Frank, Associate Professor of Public Health, Medicine, & Nursing Graduate School of Public Health University of Pittsburgh)

This fascinating book is an invitation to enter into the medical trainee's world. It's eloquent writing speaks to the central importance of understanding the complexity of patient behavior and highlights the clinical wisdom of the application of motivational interviewing in health behavior change. This rich and scholarly guide is practical, straightforward, and elegantly balanced between up-to-date theoretical perspectives and clinical scenarios that are well synthesized and illustrated with captivating visual tools. Step-by-step the readers learn the concepts and skills of motivational interviewing through abundant and vivid patient-trainee dialogues. This book will become an essential text for the generation of future physicians that will have to undoubtedly deal with the challenges of behavior change in medical practice. (Jean-Bernard Daeppen, MD, Chief of Alcohol Treatment Center Lausanne University Medical School, Lausanne, Switzerland)

This uniquely informative book provides practical strategies to apply motivational interviewing (MI) from the clinics to the wards. It elucidates the spirit as well as the processes of MI so that medical trainees feel equipped to guide patient in making meaningful changes in their lives. Not only does it incorporate realistic clinical examples of talking to patients about substance use or medication adherence, but it also provides a repertoire of phrases and skills that trainees can use daily among different populations. Learning MI has fundamentally changed the way I engage with patients, and it has taught me that true healing can only begin when you listen to patients. I would strongly recommend this book to all medical trainees who want to feel connected to their patients and make a positive impact in their lives. (Laura Lin, BA, MS3, University of Pittsburgh School of Medicine)

Motivational Interviewing: A Guide for Medical Trainees is a unique manual on interview techniques essential for effective medical practice. In addition to an experienced and knowledgeable group of editors, they have enlisted contributions from medical trainees that represent the next generation of practitioners and provide perspectives from many specialty arenas. This is more than a textbook. Experienced practitioners and trainees alike will be inspired by these stories, perspectives, examples and guidance. This educational program creatively follows its' own advice, asking us to challenge traditional approaches and motivating us to improve our behavior change skills by applying motivational interviewing approaches in our medical practices. (Duncan B. Clark, M.D., Ph.D. University of Pittsburgh School of Medicine)

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