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Importance of communication between physicians and patients
Importance of communication between physicians and patients
Importance of communication between physicians and patients
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Does your head hurt, does your body ache, and how are your bowl movements? After a head to toe assessments, touching and prodding, the physician writes up a prescription and explains in a medical jargon the treatment plan. As the short consultation comes to a close, it’s wrapped up with the routine “Please schedule an appointment if there are no signs of improvement”. This specific experience often leaves the patient feeling the “medical gaze” of the physicians. Defined by good and good, the medical gaze is the physicians mentality of objectifying their patient to nothing more than a biological entity. Therefore it is believed that the medical gaze moves away from compassionate and empathetic care, thus leaving patients feeling disconnected from their physicians. In order to understand how the medical gaze has stemmed into patient care, I begin with observations of a Grand Round, lectures for the progress of continuing medical education of physicians. There are expectations of physicians to be informed of cutting edge medical procedures and biotechnology since it can result in a less aggressive and more efficient treatment plan of patients. As I witness the resident physician’s maturation of medical competence in during a Surgical Grand Round at UC Irvine Medical Center, it has shifted the paradigm of the medical gaze and explains how competence is a form of compassion and empathy in patient care. As I walked into the auditorium late, I noticed that audience was transfixed with their current preoccupation to notice anyone slipping in and out of the room. The first noticeable factor was the medical residence in white coats. Residences are doctors who had recently graduated from medical schools and are focused primarily on the... ... middle of paper ... .... However numbers are important, numbers makes statements and changes the course of biomedicine. The world of biomedicine changes at an extraordinary rate and being informed on the lasts discovery requires continues education. Nonetheless, it does not give leeway for physicians to avoid attempts to understand the patient’s perspective of their illness. There needs to be communication from both sides. Health is a combination of emotional and biological processes, joining up with a doctor to best suit the emotional needs is beneficial for both parties. The shared goal is for everyone to live a healthy and happy life. The Surgical Grand Rounds proves that the medical gaze is beneficial to becoming compassionate. The irony is that in order to provide the best quality of medical treatment, competence from the medical gaze leads to the outcome of compassion and care.
The medical values learned in chapter 11 are, emotional detachment, professional socialization, clinical experience, mastering uncertainty, mechanistic model, intervention, and emphasis on acute and rare illnesses. The three that I mainly care about are, emotional detachment, mastering uncertainty, and clinical experience. Emotional detachment is a very important medical value because this can strongly affect not only the patient but the doctor as well. The doctor is supposed to sustain emotional detachment from patients. (Weitz 276). A doctor should try and keep their distance because their emotion can strongly affect the patient. How a doctor reacts or approaches a situation will show how they are with emotional detachment. Mastering
In her personal essay, Dr. Grant writes that she learned that most cases involving her patients should not be only handled from a doctor’s point of view but also from personal experience that can help her relate to each patient regardless of their background; Dr. Grant was taught this lesson when she came face to face with a unique patient. Throughout her essay, Dr. Grant writes about how she came to contact with a patient she had nicknamed Mr. G. According to Dr. Grant, “Mr. G is the personification of the irate, belligerent patient that you always dread dealing with because he is usually implacable” (181). It is evident that Dr. Grant lets her position as a doctor greatly impact her judgement placed on her patients, this is supported as she nicknamed the current patient Mr.G . To deal with Mr. G, Dr. Grant resorts to using all the skills she
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
This requires respect and compassion and prioritizing their comfort and values. I believe that as future physicians, we must be open to the different identities and perspectives of each individual in order to try to understand their beliefs and concerns. This level of empathy allows us to connect with patients on a deeper level and treat them with better quality care. Given this, I was immediately drawn to Georgetown’s Literature and Medicine program. Having taken a similarly named course during my undergraduate career, I recognize how literature, fiction or non-fiction, can create a compelling narrative that draws us into the mind of the writer and the characters. Medically related narratives raise issues that we will be confronted with later on in our careers, such as the respective responsibilities of the patient and physician, the role of medical ethics, and the value of compassion and empathy. This program will help me to become a more reflective and empathetic individual that places the beliefs and comfort of the patient at the forefront of my professional practice, and can competently cater to the needs of a diverse
Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part.
Atul Gawande is not only our resident surgeon; he’s also a patient himself. He’s anxious before performing a surgery, he dwells on mistakes, and he has emotions: he’s human and he understands us. However, he does not appear to share concerns with his patients initially. Gawande experiences a long, drawn-out development from a young medical student to the doctor he is today. This process of identifying with patients is evident in his anthology of essays Complications: A Surgeon’s Notes on an Imperfect Science. Dr. Gawande appears to emphasize the value of making mistakes, and how it is a core component of his daily life as a physician. His mistakes are dependent on the “good choices or bad choices” he makes, and regardless
Bearing undergoes a series of examinations, she comes across Dr. Jason Posner, who is a former student of Dr. Bearing’s. Dr. Posner, much like Dr. Bearing, is a complete scholar, motivated solely by the possibility of discovery. One can immediately tell from his interactions with Dr. Bearing, that Dr. Posner is not exactly the most hospitable physician. He asks Dr. Bearing how she is feeling today but he asks not because he is genuinely interested in her answer, but because by doing so he satisfies the need to empathize. In one particular scene, Dr. Posner is preforming a pelvic exam on Dr. Bearing and lets out an alarming gasp when feeling her tumor. He does nothing to console or comfort Dr. Bearing and upon finishing the exam, he leaves quickly and abruptly. This tense and uncomfortable situation is quickly contrasted with Nurse Susie Mohanan’s response. In this terribly awkward moment, Susie offers Dr. Bearing a tissue and sympathizes with her simply by being there. The contrast between Dr. Posner and Susie in regards to the way in which they treat Dr. Bearing is strikingly different. This juxtaposition is further exemplified when Dr. Bearing becomes ill from all numerous rounds of intensive chemotherapy treatments. Dr. Posner insensitively diagnoses Dr. Bearing with fever and neutropenia, but at the same time vehemently refuses to lower her treatment doses. Susie tries to argue that Dr. Bearing’s quality of life is clearing suffering, but Dr. Posner will have none
The clinical gaze is a term derived from Michel Foucault’s The Birth of the Clinic. He explained that the clinical encounter changed drastically from the eighteenth to the nineteenth century and best described the new structure with the doctor asking the patient “Where does it hurt?” as opposed to previously asking the patient a question like “What is the matter with you?” He says that it was no longer considered necessary for doctors to listen to patients describe their experience of illness and their symptoms in order for the doctor to diagnose and treat them. Instead, doctors began to focus on the isolated, diseased organs, treating the patient as a body, a series of anatomical objects, and ignoring the social and personal realities of the patient. Furthermore, in the paradigm of the clinical gaze, physicians examine and talk about the patient’s diseases, while the patient usually remains silent. This can definitely be seen as the beginning of modern positivist science in which human, social, and historical contexts are considered completely irrelevant. (Holmes, pg.
Screech!!! The bus’ brakes scream upon stopping. I look up to see buildings that look like stone and marbled statuses. The buildings stood tall with tan shiny finishes. The grass was too green to be true and the atmosphere felt like home to me. I had embarked upon a journey that I never thought would be. I was here, here at Emory School of Medicine. Numerous of people walking around with white doctor coats, teal scrubs, and soft colorful crocs. I was a part of an elite group of about thirty high school students, who would soon be a part of Emory’s School of Medicine mentoring program, called Emory School of Medicine Pipeline Program. This program introduced intercity students, such as myself, to the world of medicine. This inspired students to become future medical doctors, nurses, and other medical professions. This program greatly influenced my interest for medicine.
Ms. Phillips met us in the waiting area and walked us through the very spacious building to the elevator, taking us to her office on the third floor. She explained to us that the building was once a hospital (W. Phillips, personal communication, October 4th, 2013). This explained the wide doorways, spacious halls, drab atmosphere, and considerable amount of walking it takes to get from one place to the next. Ms. Phillips’ office had very welcoming in décor. Pictures of her child and what seemed to be his artwork, and the work of other children, decorated almost every available wall space. Because the room was once a hospital room, the layout was very strange for an office. Visitors have to sit perpendicular to Ms. Phillips’ desk. Because Ms. Phillips provides in home services, I do not believe this would aff...
Taub, S., & Parsi, K.JD, PhD (2003, Feb). The Trend Toward Casual Dress and Address in the Medical Profession. Retrieved April 5, 2005, from http://www.ama-assn.org/ama/pub/category/6563.html
It is quite obvious that morals, ethics and common courtesy are not enough to encourage the respect of patients in the educational atmosphere, as is seen in the story. I believe it is the responsibility of the medical school to encourage their teachers to demonstrate ways to connect with patients rather than just teaching the anatomy of health care. Teachers are supposed to be role models for students and if they are not taught to treat patients with respect, the only way they can learn that kind of skill is the hard way; through the loss of patients because of their feelings of irrelevancy at the doctor’s office, or through the complaints of people who are unsatisfied with their quality of health care.
The Dalai Lama once wrote “Compassion is one of the principal things that makes our lives meaningful. It is the source of lasting happiness and joy and is the foundation of a good heart. Through acts of kindness, affection, honesty and justice we not only help others but ensure our own benefit as well. By contrast the more our hearts and minds are afflicted with ill-will, the more miserable we become. We cannot escape the need for love and compassion.” (Lama)
There it was lying in front of me—a cadaver, completely discolored, with a face as white as snow, but with perfectly manicured nails and dignity in how she was treated by the medical students. At Rush Medical College, I had the privilege to enter the anatomy lab and witness the hands-on experience of dissecting a cadaver and how the medical students upheld the dignity of cadavers by keeping them covered and having moments of silence before their first incisions. This delicate and beautiful balance between science and ethics is what permeates healthcare: the dichotomy between treating patients and respecting their wishes. Through the UCIHP Medical Schools Trek, I got a flavor of this delicate balance as I interacted with students and faculty from the Pritzker School of Medicine, Rush Medical College, and the Stritch School of Medicine. Attending the trek has also educated me about the nuances of the medical school admissions process and how medical schools differ from one another in their approaches to the medical curriculum.
There are many benefits to simply listening and working to understand the problems of a patient. Research studies have shown that compassionate doctors commit less medical errors and have patients with better recovery which ultimately leads to higher patient satisfaction. However, crossing over the line and becoming too invested in a patient’s well-being can have detrimental effects. Doctors who become too invested can suffer from compassion fatigue which can cause burn out consequently ending a career as a proficient physician. It is necessary to maintain impartiality to come up with a clear treatment plan, compassion bolsters the outcome of the plan by showing the patient that doctors truly care about their