ABSTRACT

This analysis of medical interviews begins with what physicians themselves have identified as a recurring problem in need of resolution by means of elimination: the use of “Okays” in clinical interactions. Physicians’ claims have not emerged solely or even predominantly from self-reported intuitions based on interview experience. Rather, observations regarding the problematic nature of “Okays” are drawn from actual examinations and reviews of videorecorded interviews involving third-year medical students. As will be discussed, the patterns identified and findings put forth are rooted in an educational mission designed to minimize dysfunctional while maximizing appropriate clinical behaviors; the ultimate concern rests with enhancing the quality of doctor–patient communication and thus the possibility of positive healing outcomes.