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Physician empathy

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https://www.readbyqxmd.com/read/28532893/making-a-difference-in-medical-trainees-attitudes-toward-latino-patients-a-pilot-study-of-an-intervention-to-modify-implicit-and-explicit-attitudes
#1
Mimi V Chapman, William J Hall, Kent Lee, Robert Colby, Tamera Coyne-Beasley, Steve Day, Eugenia Eng, Alexandra F Lightfoot, Yesenia Merino, Florence M Simán, Tainayah Thomas, Kari Thatcher, Keith Payne
Negative attitudes and discrimination against Latinos exist in the dominant U.S. culture and in healthcare systems, contributing to ongoing health disparities. This article provides findings of a pilot test of Yo Veo Salud (I See Health), an intervention designed to positively modify attitudes toward Latinos among medical trainees. The research question was: Compared to the comparison group, did the intervention group show lower levels of implicit bias against Latinos versus Whites, and higher levels of ethnocultural empathy, healthcare empathy, and patient-centeredness? We used a sequential cohort, post-test design to evaluate Yo Veo Salud with a sample of 69 medical trainees...
May 5, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28505180/empathic-nonverbal-behavior-increases-ratings-of-both-warmth-and-competence-in-a-medical-context
#2
Gordon T Kraft-Todd, Diego A Reinero, John M Kelley, Andrea S Heberlein, Lee Baer, Helen Riess
In medicine, it is critical that clinicians demonstrate both empathy (perceived as warmth) and competence. Perceptions of these qualities are often intuitive and are based on nonverbal behavior. Emphasizing both warmth and competence may prove problematic, however, because there is evidence that they are inversely related in other settings. We hypothesize that perceptions of physician competence will instead be positively correlated with perceptions of physician warmth and empathy, potentially due to changing conceptions of the physician's role...
2017: PloS One
https://www.readbyqxmd.com/read/28501114/evaluation-of-palliative-care-training-and-skills-retention-by-medical-students
#3
Priti P Parikh, Mary T White, Lynne Buckingham, Kathryn M Tchorz
BACKGROUND: Training in palliative and end-of-life care has been introduced in medical education; however, the impact of such training and the retention of skills and knowledge have not been studied in detail. This survey study examines long-term follow-up on end-of-life communication skills training, evaluation, and skills retention in medical students. MATERIALS AND METHODS: During the surgical clerkship, all third-year medical students received communication skills training in palliative care using simulated patients...
May 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28499346/occupational-burnout-and-empathy-influence-blood-pressure-control-in-primary-care-physicians
#4
Oriol Yuguero, Josep Ramon Marsal, Montserrat Esquerda, Jorge Soler-González
BACKGROUND: Good physician-patient communication can favor the adoption of healthy lifestyle habits, which is essential in high blood pressure (BP) management. More empathic physicians tend to have lower burnout and better communication skills. We analyzed the association between burnout and empathy among primary care physicians and nurses and investigated the influence on BP control performance. METHODS: Descriptive study conducted in 2014 investigating burnout and empathy levels in 267 primary care physicians and nurses and BP control data for 301,657 patients under their care...
May 12, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28486880/process-oriented-dynamic-group-psychotherapy-for-depression-as-a-teaching-modality-in-a-family-medicine-residency-program-a-pilot-study
#5
Eric P Simon, Richard McClaflin, Rachel Zonca, Karen Mikuni, Willard Chung, Ethan Etnyre, Lindsey Faucette, David Oates, Chuck Merrill
Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills. A secondary benefit of this modality was to provide in-house, primary care treatment to depressed patients, although the efficacy of this was not evaluated in the present study. Methods A 10-item, self-report, Likert-type questionnaire was administered to a convenience sample of family medicine residents who had participated in the program...
January 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28471469/influence-of-physician-empathy-on-the-outcome-of-botulinum-toxin-treatment-for-upper-limb-spasticity-in-patients-with-chronic-stroke-a-cohort-study
#6
Alessandro Picelli, Gabriella Vallies, Elena Chemello, Alessandro Gavras, Paola Castellazzi, Andrea Meschieri, Anna Serina, Marialuisa Gandolfi, Alessio Baricich, Andrea Santamato, Carlo Cisari, Nicola Smania
OBJECTIVE: To examine the relationship between patient-rated physician empathy and outcome of botulinum toxin treatment for post-stroke upper limb spasticity. DESIGN: Cohort study. SUBJECTS: Twenty chronic stroke patients with upper limb spasticity. METHODS: All patients received incobotulinumtoxinA injection in at least one muscle for each of the following patterns: flexed elbow, flexed wrist and clenched fist. Each treatment was performed by 1 of 5 physiatrists with equivalent clinical experience...
April 27, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28464865/empathy-in-psychoanalysis-and-medical-education-what-can-we-learn-from-each-other
#7
Henriette Löffler-Stastka, Felicitas Datz, Karoline Parth, Ingrid Preusche, Xenia Bukowski, Charles Seidman
BACKGROUND: Several research areas, including medical education (ME), focus on empathy as an important topic in interpersonal relationships. This focus is central to the use of communication skills related to empathy and even more crucial to provide information in a way that makes patients feel more involved in the treatment process. Psychoanalysis (PA) provides its initial concept of empathy based on affective aspects including findings from neuroscience and brain research. Enhancing cooperation between ME and PA can help to integrate both aspects of empathy into a longitudinal training program...
May 2, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28461743/motivational-interviewing-for-adherence-post-training-attitudes-and-perceptions-of-physicians-who-treat-asthma-patients
#8
Miguel Román-Rodríguez, Lara Ibarrola-Ruiz, Fernando Mora, Vicente Plaza, Joaquín Sastre, Alfonso Torrego, José María Vega, Guadalupe Sánchez-Herrero
OBJECTIVE: The aim of this study was to evaluate the attitudes and perceptions of health care professionals (HCPs) who have been trained in motivational interviewing (MI) to improve adherence. Another objective of this study was to compare groups of HCPs with different levels of training in adherence (trained vs untrained; previous training in adherence education [AdhE] vs specific training in MI). METHODS: For this study, a national questionnaire-based survey was conducted among HCPs treating asthma...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28449612/residents-responsibilities-adopting-a-wider-view
#9
Ami Schattner
Current ACGME regulations have limited residents' weekly hours and continuous working hours, a marked change, despite its uncertain effects on physician well-being and quality of care. Although residency programs in internal medicine and family medicine have adapted schedules to conform to these regulations, increasing evidence is accumulating to suggest that these training experiences are not adequately preparing the next generation of practicing primary care and hospital-based physicians. Data from an array of sources continue to demonstrate significant deficiencies in six areas of residents' responsibilities towards their patients: diminished patient "face time" and direct patient care; focus on patients' "reason for hospitalization" or "reason for visit" at the expense of possible neglect of patients' "secondary" medical problems; limited attention to patients' emotional or contextual problems and limited empathy; deficient implementation of the essential constituents of patient-centered care; neglect of habitual "reflective practice"; and excessive distinction between inpatient and outpatient responsibilities, leading to missed opportunities for inpatient residents to be aware of and attend to patients' post-discharge course although new information and readmissions related to the index hospitalization are prevalent...
April 27, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28430567/how-should-clinicians-respond-to-medical-requests-from-clinician-family-members-of-patients
#10
Andrew Thurston
In the medical profession, receiving a request for medical management from a colleague is a routine experience. However, when the colleague is a family member of a patient and the desired or requested medical intervention is not medically indicated in the attending physician's view, the situation becomes more complicated. Ethical issues include respect for patient autonomy and social justice as well as nonmaleficence. Furthermore, interpersonal and professional relationships may be tested in this situation...
April 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28406102/strong-correlations-between-empathy-emotional-intelligence-and-personality-traits-among-podiatric-medical-students-a-cross-sectional-study
#11
Kurtis Bertram, John Randazzo, Nathaniel Alabi, Jack Levenson, John T Doucette, Peter Barbosa
BACKGROUND: The ability of health-care providers to demonstrate empathy toward their patients results in a number of positive outcomes improving the quality of care. In addition, a provider's level of emotional intelligence (EI) can further the doctor-patient relationship, stimulating a more personalized and comprehensive manner of treating patients. Furthermore, personality traits of a clinician may positively or negatively influence that relationship, as well as clinical outcomes. This study was designed to evaluate empathy levels in podiatric medical students in a 4-year doctoral program...
September 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28404208/predictors-of-physicians-communication-performance-in-a-decision-making-encounter-with-a-simulated-advanced-stage-cancer-patient-a-longitudinal-study
#12
Yves Libert, Delphine Canivet, Catherine Ménard, Laëtitia Van Achte, Christine Farvacques, Isabelle Merckaert, Aurore Liénard, Jean Klastersky, Christine Reynaert, Jean-Louis Slachmuylder, Jean-François Durieux, Nicole Delvaux, Darius Razavi
OBJECTIVES: Physicians' characteristics that influence their communication performance (CP) in decision-making encounters have been rarely studied. In this longitudinal study, predictors of physicians' CP were investigated with a simulated advanced-stage cancer patient. METHODS: Physicians (n=85) performed a decision-making encounter with a simulated patient (SP). Their CP was calculated by analyzing encounter transcripts with validated interaction analysis systems...
March 4, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28379929/associations-between-physician-empathy-physician-characteristics-and-standardized-measures-of-patient-experience
#13
Alexander Chaitoff, Bob Sun, Amy Windover, Daniel Bokar, Joseph Featherall, Michael B Rothberg, Anita D Misra-Hebert
PURPOSE: To identify correlates of physician empathy and determine whether physician empathy is related to standardized measures of patient experience. METHOD: Demographic, professional, and empathy data were collected during 2013-2015 from Cleveland Clinic Health System physicians prior to participation in mandatory communication skills training. Empathy was assessed using the Jefferson Scale of Empathy. Data were also collected for seven measures (six provider communication items and overall provider rating) from the visit-specific and 12-month Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG-CAHPS) surveys...
April 4, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28370335/challenges-faced-by-physicians-when-discussing-the-type%C3%A2-2-diabetes-diagnosis-with-patients-insights-from-a-cross-national-study-introdia-%C3%A2
#14
M Capehorn, W H Polonsky, S Edelman, A Belton, S Down, V Gamerman, F Nagel, J Lee, A Alzaid
AIMS: To investigate physicians' recalled experiences of their conversations with patients at diagnosis of Type 2 diabetes, because physician-patient communication at that time may influence the patient's subsequent self-care and outcomes. METHODS: As part of a large cross-national study of physician-patient communication during early treatment of Novo 2017 Charles Fox v2 Type 2 diabetes (IntroDia(®) ), we conducted a cross-sectional survey of physicians treating people with Type 2 diabetes in 26 countries across Africa, Asia, Europe, Latin America, the Middle East, North America and Oceania...
March 28, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28350633/patient-and-physician-race-and-the-allocation-of-time-and-patient-engagement-efforts-to-mental-health-discussions-in-primary-care-an-observational-study-of-audiorecorded-periodic-health-examinations
#15
Patricia K Foo, Richard M Frankel, Thomas G McGuire, Alan M Zaslavsky, Jennifer Elston Lafata, Ming Tai-Seale
This study investigated racial differences in patient-physician communication around mental health versus biomedical issues. Data were collected from audiorecorded periodic health examinations of adults with mental health needs in the Detroit area (2007-2009). Patients and their primary care physicians conversed for twice as long, and physicians demonstrated greater empathy during mental health topics than during biomedical topics. This increase varied by patient and physician race. Patient race predicted physician empathy, but physician race predicted talk time...
March 27, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28347193/placebo-prescription-and-empathy-of-the-physician-a-cross-sectional-study
#16
João Braga-Simões, Patrício Soares Costa, John Yaphe
BACKGROUND: Empathy in the patient-physician relationship is a major component in an effective placebo treatment, as in every medical treatment. Understanding the role of empathy of the physician in the placebo effect may help dissect some of the context variables responsible for the effectiveness of the placebo. OBJECTIVES: To determine the frequency of placebo prescription, doctors' beliefs, motivation, and attitudes to placebos in general practice in northern Portugal and to test the association between placebo prescription and physician empathy...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28344715/the-emotional-intelligence-of-pediatric-residents-a-descriptive-cross-sectional-study
#17
Scott A McLeod, Lyn K Sonnenberg
BACKGROUND: Emotional Intelligence (EI) is a type of social intelligence. Excellent scores are achieved by displaying high levels of empathy in interpersonal relationships, strong skills in managing stressful situations as well as other personal competencies. Many of the social competencies that EI describes may have a direct impact on patient care. The objective of this study was to describe EI of pediatric residents and to identify if there are EI skills that should be selected for targeted intervention...
February 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/28343206/-euthanasia-an-attempt-to-organize-issue
#18
Tomasz Kirmes, Mateusz Wilk, Czesław Chowaniec
This article is an attempt to complete and holistically discuss problem of euthanasia, especially its ethical and legal aspects, comparing to Polish law. The subject of euthanasia arouse interest of the society because it touches one of the most important aspects of life, which is the death. Even bigger emotions are aroused amongst physicians. They are forced to put on the line the life as biggest value on the one side and autonomy of human being on the other. It also touches the empathy for suffering. The euthanasia was divided into three forms: active euthanasia, passive euthanasia and assisted suicide...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28321806/patient-satisfaction-in-musculoskeletal-medicine
#19
REVIEW
Matthew J Smith, Theodore J Choma
PURPOSE OF REVIEW: This is a literature review of the measurement of patient satisfaction in musculoskeletal medicine. Its purpose is to better understand the motivation for such measurements, the potential confounders, and the potential physician behaviors that may modulate such measures. RECENT FINDINGS: There have been studies documenting that physician conveyance of empathy, the extent to which patients' expectations for pain control and timeliness of care are met, as well as patient demographics and health status all affect the current measures of patient satisfaction...
March 20, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28287827/intensive-care-unit-educators-a-multicenter-evaluation-of-behaviors-residents-value-in-attending-physicians
#20
Lekshmi Santhosh, Snigdha Jain, Anna Brady, Michelle Sharp, W Graham Carlos
RATIONALE: It is important for attending physicians to know which behaviors influence learner perceptions. To date, two studies focusing on general medicine attending physicians have been published addressing internal medicine residents' perceptions of attending physicians; there are no data on intensive care unit (ICU) attending physicians. OBJECTIVES: We sought to expand the evidence regarding this topic through a multicenter study at four geographically diverse academic medical centers...
April 2017: Annals of the American Thoracic Society
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