The Medication Interest Model

This pioneering book on the clinician-patient alliance - written in a fast-paced, highly enjoyable writing style - shows medical, nursing, physician assistant, and clinical pharmacy students the importance of the principles behind shared decision making and how to transform those principles into clinical practice. Shawn Christopher Shea, MD, an internationally respected author, has a superb ability to perceive the complexities of clinical interviewing as applied to shared decision making, while creating frameworks and interviewing techniques that illuminate, clarify, and simplify those complexities so that young clinicians can immediately apply them. This book demonstrates the art of enhancing the therapeutic alliance by addressing one of the most, if not the , most important of interviewing tasks with regard to achieving successful healing: collaboratively talking with patients about their medications and effectively enhancing their medication adherence.

The Medication Interest Model (MIM) was developed by watching clinicians and case managers talk with their patients about their medications and holding over 150 MIM workshops with primary care physicians, nurses, mental health professionals and other allied health professionals. The result is a book filled with the type of wisdom and knowledge that can only be gained by learning from the skilled clinicians who talk with patients on a daily basis about their medications. Students (as well as experienced clinicians) will find this wonderfully practical resource to be a text they will frequently pull down from their shelves to absorb its wisdom long after they have left their training programs.

This highly acclaimed, Doody’s Core title has been thoroughly updated and expanded for the second edition: The Medication Interest Model (MIM), its motivational theory (the Choice Triad), and its over 100 easily learned and practical interviewing techniques are described and demonstrated with clear examples and compelling illustrative interview dialogue.

• Interviewing principles and techniques are easily learned and used, providing an ideal introduction to medical, nursing, physician assistant, and clinical pharmacy students on how to effectively create the therapeutic alliance while enhancing medication adherence.
• Provides the most up to date information and nuances of the Medication Interest Model (MIM) from its creator and developer, a clinical model explicitly designed for effective use in the hectic clinical settings of primary care clinics, specialty clinics, and hospital units .
• Presents more than 100 specific interviewing techniques that are equally useful for medications for all disease states – from hypertension, diabetes, hyperlipidemia, asthma, and congestive heart failure to cancer, AIDS, and PTSD .
• Clearly shows how words powerfully impact whether or not patients are interested in taking medications and staying on them by providing the exact phrasings of over 100 interviewing techniques demonstrating, with clinical examples and clinical dialogue, all of their nuances for immediate, everyday practicality.
• Contains a wealth of relevant information for physicians, nurses, physician assistants, case managers, and clinical pharmacists across disciplines from primary care to specialists in endocrinology, cardiology, neurology, rheumatology and psychiatry – and is equally valuable and relevant to both students and experienced clinicians.
• User-friendly Tip Archive, with the exact wording of all 100 of the tips shown in the easily accessed e-book for quick referral by medical and nursing students during clinical rotations.

Enhance Your eBook Reading Experience:

• Read directly on your preferred device(s), such as computer, tablet, or smartphone.
• Easily convert to audiobook, powering your content with natural language text-to-speech.

• Interviewing principles and techniques are easily learned and used, providing an ideal introduction to medical, nursing, physician assistant, and clinical pharmacy students on how to effectively create the therapeutic alliance while enhancing medication adherence.
• Provides the most up to date information and nuances of the Medication Interest Model (MIM) from its creator and developer, a clinical model explicitly designed for effective use in the hectic clinical settings of primary care clinics, specialty clinics, and hospital units .
• Presents more than 100 specific interviewing techniques that are equally useful for medications for all disease states – from hypertension, diabetes, hyperlipidemia, asthma, and congestive heart failure to cancer, AIDS, and PTSD .
• Clearly shows how words powerfully impact whether or not patients are interested in taking medications and staying on them by providing the exact phrasings of over 100 interviewing techniques demonstrating, with clinical examples and clinical dialogue, all of their nuances for immediate, everyday practicality.
• Contains a wealth of relevant information for physicians, nurses, physician assistants, case managers, and clinical pharmacists across disciplines from primary care to specialists in endocrinology, cardiology, neurology, rheumatology and psychiatry – and is equally valuable and relevant to both students and experienced clinicians.
• User-friendly Tip Archive, with the exact wording of all 100 of the tips shown in the easily accessed e-book for quick referral by medical and nursing students during clinical rotations

Enhance Your eBook Reading Experience:

• Read directly on your preferred device(s), such as computer, tablet, or smartphone.
• Easily convert to audiobook, powering your content with natural language text-to-speech.

Current Edition Reviews:
“The audience is healthcare providers, including students, residents, and practitioners . . . . provides a number of methods that promote safe, adherent, and collaborative information that enable positive dialogue between patient and healthcare provider. There is a wealth of information on interviewing processes . . . . thoroughly explores various reasons why patients do not take their medication . . . . proven interview techniques to talk with patients about their medications . . . covers various specialized topics including culture, religion, family, and the digital world . . . .”
Doody’s Review
MaryAnn Frances Troiano, DNP
Monmouth University School of Nursing and Health Studies

“Dr. Shea’s book on the Medication Interest Model (MIM) is such a necessary and crucial tool in the care of our patients. We may be skilled in the cardiovascular exam, or the pulmonary exam, or we may be superb in the comprehensive neurology or mental health exam, but without techniques like those found in the MIM, these honed skills become almost meaningless. Every clinician must read this book. It should be required reading for all medical students, nursing students, physician assistants, and social workers. The provider-patient relationship has not had such an advance since Sir William Osler.”
Peter G. S. Gunther, MD, FACP
Chief Medical Officer, Community Health Centers of Burlington, Vermont
Clinical Associate Professor, Larner College of Medicine, University of Vermont

Previous Edition Reviews:

“In the following pages, you are in for a treat. You are about to enter the very soul of what we do, and you could not find a better guide . . . . destined to fill a giant void in the training of all medical and nursing students, as well as becoming a classic read for experienced clinicians in search of the art of medicine. My advice is simple – read it.”
Former Surgeon General of the United States (1981-1989)
C. Everett Koop, MD, ScD
Senior Scholar, C. Everett Koop Institute at Dartmouth

“As an endocrinologist I can safely say that the secret to treating diabetes lies within the pages of this book, for the secret of successfully treating diabetes – as well as all other serious diseases – lies in improving medication adherence. No book provides better answers to this vexing problem. Laced with humor and compassion it is a fun book, a rare clinical gem, highly recommended for all generalists, specialists, nurses, case managers, and medical, nursing, and clinical pharmacy students. I read it carefully – twice.”
George F. Cahill, Jr. M.D.
Professor of Medicine, Emeritus, Harvard Medical School
Past President, American Diabetes Association
“A bright and refreshing writing style, packed with unusually insightful interviewing tips. Medication issues are central, complex, and controversial in the era of evidence-based medicine and shared decision-making; and Dr. Shea’s book is simply the best resource available on communicating with people about their medications.”
Robert E. Drake, MD, PhD
Andrew Thomson Professor of Psychiatry
Dartmouth Medical Schools

“A valuable book for even the most experienced clinician from primary care to endocrinology. Dr. Shea brings rich insights to a topic (what words we choose as we introduce medications and address their side-effects), that is seldom discussed in training. He reminds us that our words are as important a part of the pharmacopoeia as the medications themselves.”
John F. Steiner, MD, MPH
Director of the Colorado Health Outcomes Program
Professor of Medicine, Preventive Medicine and Biometrics
University of Colorado

“Shawn Shea, a rare Lincolnesque physician, wrassles to the ground the tough problem of improving medication adherence . . . . written with gimlet-eyed clarity and eloquence – this book is a boon for any clinician.”
Mack Lipkin, MD
Founding President of the American Academy on Physician
and Patient
Professor of Medicine
NYU Medical Center