闫红梅，姜岳，李天姿

    全科门诊的接诊是全科医生诊疗最重要的环节，是体现全科医学诊疗能力和水平的重要内容，同时也是全科医学研究的重要方面，值得深入研究和探讨[1]。本文从英国全科门诊接诊的肺部感染范例出发[2]，逐一分析和探讨全科医疗接诊的特色和要点，有利于广大医务工作者更好地掌握门诊接诊的技巧。

    1 接诊记录

    Doctor：How can I help you today ？

    Patient(80 years old，male)：It's me chest.I need antibiotics.

    Doctor：I see.Is there anything else going on in your life ？

    (Doctor is fishing for a cue or a hidden agenda.In most cases there will be no cue and the consultation is straightforward.Just remember that you only need four of your consultations to demonstrate an obvious cue.)

    Patient：No，just me chest acting up doctor.

    Doctor：Do you live by yourself？

    Patient：No，I have me Mrs.

    Doctor：And how do you pass the time of day？

    Patient：Bit of gardening，walking.

    Doctor：What did you do before you retired ？

    Patient：I used to work in the coal mines.I've been to the hospital and all that.I had an X-ray，and it showed that I have black lungs.They told me I've got coal worker's lung.

    Doctor：Why do you think you have a chest infection ？

    Patient：Been coughing up yellow stuff ......