Doctors in training vs boards and beyond
10 However, patient-centered medicine has not always been common practice. The principles of patient-centered medicine date back to the ancient Greek school of Cos. Patient surveys have consistently shown that they want better communication with their doctors. Tongue et al 9 reported that 75% of the orthopedic surgeons surveyed believed that they communicated satisfactorily with their patients, but only 21% of the patients reported satisfactory communication with their doctors. 8 Doctors tend to overestimate their abilities in communication. 2 Studies on doctor-patient communication have demonstrated patient discontent even when many doctors considered the communication adequate or even excellent.
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The ultimate objective of any doctor-patient communication is to improve the patient's health and medical care. 2 Appropriate communication integrates both patient- and doctor-centered approaches.
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2, 7 Interpersonal skills build on this basic communication skill. 5, 6īasic communication skills in isolation are insufficient to create and sustain a successful therapeutic doctor-patient relationship, which consists of shared perceptions and feelings regarding the nature of the problem, goals of treatment, and psychosocial support. 2– 4 These are the core clinical skills in the practice of medicine, with the ultimate goal of achieving the best outcome and patient satisfaction, which are essential for the effective delivery of health care.
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“Medicine is an art whose magic and creative ability have long been recognized as residing in the interpersonal aspects of patient-physician relationship.” 1Ī doctor's communication and interpersonal skills encompass the ability to gather information in order to facilitate accurate diagnosis, counsel appropriately, give therapeutic instructions, and establish caring relationships with patients.