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Patient Doctor Relationship.pptx
- 1. The Patient-Doctor Relationship Dr Sanjev Dave Professor & HOD Community Medicine SSJGIMSR, Almora(UK)
- 2. Objectives • Understand why patient-doctor communication is key to a successful relationship • Learn basic communication strategies for an improved patient-doctor experience
- 3. The Patient-Doctor Relationship • Class exercise: – Tell me about your most memorable positive experience with a physician (when you were a patient)
- 4. The Patient-Doctor Relationship • Class exercise: – Tell me your most negative experience
- 5. The Patient-Doctor Relationship • What does being a doctor mean to you?
- 6. Communication • Patient-Doctor communication is important – Improved satisfaction – Improved compliance – Improved decision making – Better health outcomes – Decreased malpractice claims
- 7. Communication Skills • Essential for diagnosing and treating illness • Essential in establishing a meaningful patient-doctor relationship • Facilitates educating and counseling patients
- 8. Communication • Information gathered must be: – Objective – Accurate – Precise
- 9. A model patient- doctor relationship • Trust • Compassion • Open and honest communication • Respect
- 10. 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
- 11. 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
- 12. Communication • Who will you be communicating with? – Patients – Families – Colleagues – Other health professionals
- 13. 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
- 14. 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
- 15. Respect • Introduce yourself – Patient – Family – Caregiver
- 16. Respect • Explain your role and goal for the interaction
- 17. Respect • If appropriate shake hands • Always address the patient as: Mr., Mrs., Ms, etc.
- 18. Empathy • To understand a person’s experience • Different than sympathy • Requires – Active listening – Interest in patient’s experience
- 19. Objectivity • Removing your own beliefs and values • Avoid judgmental attitudes – IV Drug Abuse – Education – Socioeconomic status – Language/Cultural differences – Ageism
- 20. 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
- 21. Active Listening • Don’t be afraid of silence
- 22. Body Language • Examination room configuration • Sitting/Standing • Eye level • Eye contact – Note taking • Posture • Hurried speech
- 23. Body Language • Patients notice more than you think – 2/3 of communication is non- verbal • Appropriate use of touch
- 24. 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
- 25. Communication skills can be developed with practice, patience and a willingness to learn
Hinweis der Redaktion
- Allow students 10 or more minutes to share their experiences.
- Allow students 10 or more minutes to share their experiences. Allow students to comment on each others stories- reflecting on how the negative experience made them feel as a patient, toward the treating provider, to the profession in general. Allow students to reflect on how this experience will shape their future clinical career.
- Allow students 10 or more minutes to reflect on the question.
- Provide students examples from clinical practice: *Highlight how the above points makeup the backbone for the clinical encounter, medical history taking and physical examination
- Remind students to be culturally sensitive and respectful.