the patient-doctor relationship
DESCRIPTION
The Patient-Doctor Relationship. Sonia Sehgal, M.D. Course Director CFI Associate Clinical Professor Department of Internal Medicine UC Irvine Program in Geriatrics This work was supported by a grant From the Donald W. Reynolds Foundation. Objectives. - PowerPoint PPT PresentationTRANSCRIPT
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The Patient-Doctor Relationship
Sonia Sehgal, M.D.Course Director CFI
Associate Clinical ProfessorDepartment of Internal MedicineUC Irvine Program in Geriatrics
This work was supported by a grant From the Donald W. Reynolds Foundation
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Objectives
• Understand why patient-doctor communication is key to a successful relationship
• Learn basic communication strategies for an improved patient-doctor experience
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The Patient-Doctor Relationship• Class exercise:
– Tell me about your most memorable positive experience with a physician (when you were a patient)
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The Patient-Doctor Relationship• Class exercise:
– Tell me your most negative experience
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The Patient-Doctor Relationship
• What does being a doctor mean to you?
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Communication
• Patient-Doctor communication is important– Improved satisfaction– Improved compliance– Improved decision making– Better health outcomes– Decreased malpractice claims
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Communication Skills
• Essential for diagnosing and treating illness
• Essential in establishing a meaningful patient-doctor relationship
• Facilitates educating and counseling patients
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Communication
• Information gathered must be:– Objective – Accurate– Precise
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A model patient-doctor relationship• Trust• Compassion• Open and honest
communication• Respect
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Why is Doctor-Patient Communication Unique?• Trust
– Patients on the first visit share their most personal information to someone they have never met before
– They look to you for guidance when making critical health care decisions
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Why is Doctor-Patient Communication Unique?• Trust
– Within minutes of meeting, patients are often required to disrobe for a physical examination and are placed in a vulnerable situation
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Communication
• Who will you be communicating with?– Patients– Families– Colleagues– Other health professionals
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Patient Communication
• Patients who feel at ease are more likely to tell you their reason for coming to the doctor’s office
• Be yourself!• Show true interest
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The Physician’s Duties
• Respects the patient• Ensures privacy and trust of
confidential information• Demonstrates genuine concern
for patient’s health• Limits distraction to provide
patient undivided attention
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Respect
• Introduce yourself– Patient– Family– Caregiver
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Respect
• Explain your role and goal for the interaction
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Respect
• If appropriate shake hands
• Always address the patient as: Mr., Mrs., Ms, etc.
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Empathy
• To understand a person’s experience
• Different than sympathy• Requires
– Active listening– Interest in patient’s experience
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Objectivity
• Removing your own beliefs and values
• Avoid judgmental attitudes– IV Drug Abuse– Education– Socioeconomic status– Language/Cultural differences– Ageism
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Active Listening Skills
• Respect the patient as a whole person, not a diseased body
• Use confirmatory statements:– “Yes”– “Tell me more about that”
• Allow the person to tell their whole story without unnecessary interruptions
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Active Listening
• Don’t be afraid of silence
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Body Language
• Examination room configuration• Sitting/Standing• Eye level• Eye contact
– Note taking• Posture• Hurried speech
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Body Language
• Patients notice more than you think– 2/3 of communication is non-
verbal • Appropriate use of touch
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Patient-Doctor Communication:Key Points• Ask about expectations, feelings
and concerns• Show concern for comfort and
modesty• Give an opportunity to express
feelings and concerns• Encourage patients to ask
questions
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Communication skills can be developed with
practice, patience and a willingness to learn