How Not to Interview an Elderly Clinic Patient: A Case Illustration and the Interviewer's Explanation

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Abstract
Although medical students increasingly espouse comprehensive care for the elderly, they are often swept up in the more traditional biophysical orientation when faced with the clinic treatment setting. This is a verbatim account of an interview in an outpatient clinic of a well-known New England teaching hospital between a fourth year medical student and a 69-yearold Italian immigrant male suffering from a pain in the leg. It highlights not only the communication gap, but the student's explanation for the problems in terms of the conflict between the teaching and service goals of the medical education system.

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