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Physician empathy

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https://www.readbyqxmd.com/read/28103729/strategies-to-promote-resilience-empathy-and-well-being-in-the-health-professions-insights-from-the-2015-centile-conference
#1
Aviad Haramati, Sian Cotton, Jamie S Padmore, Hedy S Wald, Peggy A Weissinger
The high prevalence of physician burnout is of great concern and may begin with observed declines in empathy and increases in stress and burnout in medical and health professions students. While underlying causes have been described, there is less certainty on how to create effective interventions in curricula and workplace. In October 2015, The Center for Innovation and Leadership in Education (CENTILE) at Georgetown University, together with MedStar Health, Georgetown's clinical partner, and six academic institutions sponsored a conference in Washington, DC...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28075109/patient-centered-communication-basic-skills
#2
M Jawad Hashim
Communication skills needed for patient-centered care include eliciting the patient's agenda with open-ended questions, especially early on; not interrupting the patient; and engaging in focused active listening. Understanding the patient's perspective of the illness and expressing empathy are key features of patient-centered communication. Understanding the patient's perspective entails exploring the patient's feelings, ideas, concerns, and experience regarding the impact of the illness, as well as what the patient expects from the physician...
January 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28018531/well-being-in-residency-a-systematic-review
#3
REVIEW
Kristin S Raj
BACKGROUND : Rates of physician burnout have increased in recent years, and high burnout levels are reported by physicians in training. OBJECTIVE : This review of the research on resident well-being seeks to identify factors associated with well-being, summarize well-being promotion interventions, and provide a framework for future research efforts. METHODS : Keywords were used to search PubMed, PsycINFO, and MEDLINE. Studies included were conducted between 1989 and 2014...
December 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27981566/patient-perceptions-of-care-as-influenced-by-a-large-institutional-pharmacogenomic-implementation-program
#4
Ryan P McKillip, Brittany A Borden, Paige Galecki, Sandra A Ham, Linda Patrick-Miller, Julianne P Hall, Sheena Hussain, Keith Danahey, Mark Siegler, Matthew J Sorrentino, Yasmin Sacro, Andrew M Davis, David T Rubin, Kristen Lipstreuer, Tamar S Polonsky, Rita Nanda, William R Harper, Jay L Koyner, Deborah L Burnet, Walter M Stadler, Mark J Ratain, David O Meltzer, Peter H O'Donnell
Despite growing clinical use of genomic information, patient perceptions of genomic-based care are poorly understood. We prospectively studied patient-physician pairs who participated in an institutional pharmacogenomic implementation program. Trust/Privacy/Empathy/Medical Decision-Making (MDM)/Personalized Care (PC) dimensions were assessed through patient surveys after clinic visits at which physicians had access to preemptive pharmacogenomic results (Likert scale, 1-minimum/5-maximum; mean [SD]). From 2012-2015, 1,261 surveys were issued to 507 patients, with 792 (62...
December 16, 2016: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/27968846/factors-associated-with-professionalism-in-chinese-medical-students-an-exploratory-cross-sectional-study
#5
Angela P Fan, Russell O Kosik, Guo-Tong Xu, Qiaoling Cai, Selina Lien, Lei Huang, Xudong Zhao, Xiaojie Zhang, Yuhwa Wang, Qi Chen
BACKGROUND: Professionalism is a central part of medical practice, and medical organisations worldwide have mandated training on this topic for future medical doctors. In China, national guidelines were developed to make explicit expectations that were once implicit. Medical education reform over the past decade has emphasised topics such as medical humanities, life-long learning, and patient-centered learning in an effort to increase the professionalism of future physicians. Although the importance of teaching professionalism has been well recognised, few studies have evaluated its implementation at Chinese medical schools...
October 2016: Lancet
https://www.readbyqxmd.com/read/27928433/psychopathology-and-psychotherapeutic-intervention-in-diabetes-particularities-challenges-and-limits
#6
REVIEW
Popa-Velea O, Bubulac L, Petrescu L, Purcarea Rm
Diabetes is a problem of great public health importance, creating a considerable burden to the affected individuals and society. The psychological approach of this disease implies the early acknowledging of behavioral symptoms and the construction of effective psychotherapeutic interventions. Regarding the psychological symptoms, cognitive malfunctions in diabetes include a slowing of information processing, attention, memory, and concentration, which, in turn, can significantly diminish motivation for therapy, compliance, and ability for self-care...
October 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27920117/reliability-and-validity-of-the-dutch-version-of-the-consultation-and-relational-empathy-measure-in-primary-care
#7
Inge van Dijk, Nick Scholten Meilink Lenferink, Peter L B J Lucassen, Stewart W Mercer, Chris van Weel, Tim C Olde Hartman, Anne E M Speckens
BACKGROUND: Empathy is an essential skill in doctor-patient communication with positive effects on compliance, patient satisfaction and symptom duration. There are no validated patient-rated empathy measures available in Dutch. OBJECTIVE: To investigate the validity and reliability of a Dutch version of the Consultation and Relational Empathy (CARE) Measure, a widely used 10-item patient-rated questionnaire of physician empathy. METHODS: After translation and back translation, the Dutch CARE Measure was distributed among patients from 19 general practitioners in 5 primary care centers...
December 5, 2016: Family Practice
https://www.readbyqxmd.com/read/27903754/trajectories-to-seeking-demedicalised-assistance-in-suicide-a-qualitative-in-depth-interview-study
#8
Martijn Hagens, Bregje D Onwuteaka-Philipsen, H Roeline W Pasman
BACKGROUND: In the Netherlands, people can receive (limited) demedicalised assistance in suicide (DAS)-an option less well known than physician-assisted dying (PAD). AIM: This study explores which trajectories people take to seek DAS, through open-coding and inductive analysis of in-depth interviews with 17 people who receive(d) DAS from counsellors facilitated by foundation De Einder. RESULTS: People sought DAS as a result of current suffering or as a result of anticipating possible prospective suffering...
November 30, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27898142/sv%C3%A3-ra-samtal-med-patienter-tr%C3%A3-nas-p%C3%A3-kurs-med-sk%C3%A3-despelare-en-medveten-strategi-hj%C3%A3-lper-b%C3%A3-de-l%C3%A3-kare-och-patient
#9
Anders Danielsson, Hanna Dahlstrand, Franziska Edvinsson, Mattias Tranberg, Anna Wrangsjö, Carl-Johan Fürst
The physician's communication skill influences the patient's mental and physical wellbeing, as well as the physician's own experience of stress. Most patients wish to be informed about their disease, by physicians who are honest, gives time, sustains hope, listens and shows compassion and empathy. Even though there are established guidelines on how to break bad news, the physician must find out and respond to the unique reactions and needs of each individual, in order to communicate successfully. There is no consensus on how to construct and evaluate communication skills training programs for physicians, and more RCT-studies are requested...
November 22, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27888946/difficult-doctors-difficult-patients-building-empathy
#10
Patricia F Anderson, Elise Wescom, Ruth C Carlos
Effective doctor-patient communication facilitates the therapeutic relationship, promotes patient physical and mental health, and improves physician satisfaction. Methods of teaching effective communication use a range of techniques, typically combining didactic instruction with simulated communication encounters and reflective discussion. Rarely are patients and physicians exposed to these instructions as colearners. The evidence for the utility of graphic stories, comics, and cartoons to improve patient comprehension and self-regulation is small but encouraging...
December 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27875561/the-perception-of-physician-empathy-by-patients-with-inflammatory-bowel-disease
#11
Costanza Chiapponi, Maxie Witt, Gabriele E Dlugosch, Veit Gülberg, Matthias Siebeck
BACKGROUND AND AIMS: This study focused on the difference between perceived and desired physician empathy (pPE and dPE) in the eye of patients with inflammatory bowel disease (IBD). It was investigated if a discrepancy (ΔPE) correlates with trust and satisfaction of patients. At the same time the aim was to gain detailed information about the subjective burden of disease and the resources of IBD patients, in order to better understand them. METHODS: A modified version of the German Version of the Consultation and Relational Empathy (CARE) measure was completed as a paper-and-pencil questionnaire by IBD patients attending our facility (n = 32) and as an online survey by IBD patients at other locations throughout Germany (n = 89)...
2016: PloS One
https://www.readbyqxmd.com/read/27873425/i-want-you-to-pretend-to-be-sincere
#12
Julia Hynes
Medical education has changed dramatically since the inception of this journal 50 years ago and is indeed a work in progress: there is now heavy emphasis on the character of the physician, in particular, and professionalism, in general. The subjects of communications skills and the teaching of sincerity, empathy and compassion are relative newcomers to the stage: they are not even as old as this journal itself. Nevertheless, these topics arose in an ancient debate dating from classical antiquity. 'Can we teach virtue?' Plato wondered in the Meno...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27857767/exploring-the-missing-link-empathy-among-dental-students-an-institutional-cross-sectional-survey
#13
Vikram Pal Aggarwal, Robin Garg, Nikita Goyal, Puneet Kaur, Sakshi Singhal, Nancy Singla, Deeksha Gijwani, Aditi Sharma
BACKGROUND: Empathy plays an important role in healthy dentist and patient relationship. Hence, the aim of the study is to (a) to measure the self-reported empathy levels among dental undergraduate and postgraduate students. (b) To review the trend of changes in empathy level with experience, age, and gender among dental undergraduate and postgraduate students. MATERIALS AND METHODS: This cross-sectional, questionnaire-based study was carried out in two private dental institutions situated in Sri Ganganagar, India, with a sample size of 978...
September 2016: Dental Research Journal
https://www.readbyqxmd.com/read/27856065/associations-of-medical-student-empathy-with-clinical-competence
#14
Rachel S Casas, Ziming Xuan, Angela H Jackson, Lorraine E Stanfield, Nanette C Harvey, Daniel C Chen
OBJECTIVE: Empathy is a crucial skill for medical students that can be difficult to evaluate. We examined if self-reported empathy in medical students was associated with clinical competence. METHODS: This study combined cross-sectional data from four consecutive years of medical students (N=590) from the Boston University School of Medicine. We used regression analysis to evaluate if self-reported empathy (Jefferson Scale of Physician Empathy (JSPE)) predicted scores in clinical clerkships, United States Medical Licensing Examinations, and OBJECTIVE: Structured Clinical Examinations (OSCEs)...
November 10, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27832247/living-in-a-patient-centric-universe
#15
Dennis H Kraus
Patients with head and neck cancer face a number of challenges in terms of treatment, cure of their underlying malignant condition, and quality of survivorship. This presentation will focus on the patient perception of both the quality of care and the empathy and availability of the head and neck oncology team. It has become evident that the quality of survivorship plays a central role in the patient's decision-making process. The process of decision making by the patient facing head and neck cancer and the impact on treatment choices will be explored...
December 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27809814/a-consultation-training-program-for-physicians-for-communication-about-complementary-medicine-with-breast-cancer-patients-a-prospective-multi-center-cluster-randomized-mixed-method-pilot-study
#16
Susanne Blödt, Nadine Mittring, Lena Schützler, Felix Fischer, Christine Holmberg, Markus Horneber, Adele Stapf, Claudia M Witt
BACKGROUND: The aim was to develop and evaluate a training program for physicians for communicating with breast cancer patients about complementary medicine (CM). METHODS: In a cluster-randomized pilot trial eight breast cancer centers (two physicians per center) were randomized to either a complementary communication training program (9 h e-learning + 20 h on-site skills training) or to a control group without training. Each physician was asked to consult ten patients for whom he or she is not the physician in charge...
November 4, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27808467/measuring-pediatric-hematology-oncology-fellows-skills-in-humanism-and-professionalism-a-novel-assessment-instrument
#17
Jennifer C Kesselheim, Anurag K Agrawal, Nita Bhatia, Angel Cronin, Rima Jubran, Paul Kent, Leslie Kersun, Amulya Nageswara Rao, Melissa Rose, Stephanie Savelli, Mukta Sharma, Evan Shereck, Clare J Twist, Michael Wang
BACKGROUND: Educators in pediatric hematology-oncology lack rigorously developed instruments to assess fellows' skills in humanism and professionalism. PROCEDURE: We developed a novel 15-item self-assessment instrument to address this gap in fellowship training. Fellows (N = 122) were asked to assess their skills in five domains: balancing competing demands of fellowship, caring for the dying patient, confronting depression and burnout, responding to challenging relationships with patients, and practicing humanistic medicine...
November 3, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27803206/effect-of-a-person-centered-course-on-the-empathic-ability-of-dental-students
#18
Julien Rosenzweig, Alessandra Blaizot, Nancie Cougot, Estelle Pegon-Machat, Olivier Hamel, Nareg Apelian, Christophe Bedos, Maria-Teresa Munoz-Sastre, Jean-Noel Vergnes
Person-centered or patient-centered care (PCC) focuses on the individual's needs and concerns. Although PCC is widely acknowledged as a core value of modern medicine, there has been a lack of research on how dental curricula could engage future dentists in PCC approaches. The aim of this study was to assess the impact of a PCC course on empathy in dental students. A controlled study was conducted with fourth-year dental students in four dental faculties in France in 2014-15. The test group (n=63) received 20 hours of PCC training including arts-based approaches, narrative dentistry activities, and workshops on communication based on the Calgary-Cambridge guide...
November 2016: Journal of Dental Education
https://www.readbyqxmd.com/read/27796726/empathizing-with-patients-the-role-of-interaction-and-narratives-in-providing-better-patient-care
#19
EDITORIAL
Carter Hardy
Recent studies have revealed a drop in the ability of physicians to empathize with their patients. It is argued that empathy training needs to be provided to both medical students and physicians in order to improve patient care. While it may be true that empathy would lead to better patient care, it is important that the right theory of empathy is being encouraged. This paper examines and critiques the prominent explanation of empathy being used in medicine. Focusing on the component of empathy that allows us to understand others, it is argued that this understanding is accomplished through a simulation...
October 28, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27773600/the-physician-patient-working-alliance-theory-research-and-future-possibilities
#20
Jairo N Fuertes, Arielle Toporovsky, Mariela Reyes, Jennifer Bennett Osborne
OBJECTIVE: This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS: The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the relationship, such as empathy, trust, and shared decision-making. Lastly, a meta-analysis was conducted based on the seven empirical studies (a total N of 1023 patients) that have examined the physician-patient working alliance...
October 19, 2016: Patient Education and Counseling
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