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Tick-Tock Affects Doc Talk

Posted on: 05/20/2002
In our fast-paced society, some people worry that quality, person-to-person communication has fallen by the wayside. This goes for doctors and patients, too. Medical advances mean doctors have more to share with patients. But the time doctors can spend with patients is less because of managed care, outpatient surgery, and shorter hospital stays.

Recently, the American Academy of Orthopaedic Surgeons did a survey to see how orthopedic surgeons communicated with their patients. The surgeons surveyed thought they were good listeners. However, patients thought the surgeons were less caring and used more technical words than their regular doctors.

Good communication starts with the first doctor visit. Information is shared, a relationship builds, and the patient is given choices for treatment. Doctors who have good communication skills use open-ended questions, versus questions that can be answered with "yes" or "no." They also practice active listening. These techniques allow doctors to really understand the needs of their patients.

Good communication has many benefits. Patients are more satisfied when they have been able to express their concerns. They make more informed decisions and follow their treatment plans. They have better results and make fewer malpractice claims. Good communication also reduces costs of care. Patients who are educated by their doctors have shorter hospital stays and fewer complications, and they use less pain medication.

Although communication is important, doctors don't get much training in this area in medical school. Researchers have developed workshops to improve doctors' skills in this area. Workshops involve role-playing, videotapes, and open discussions. After just eight hours of workshop training, doctors improve their communication skills. And the results seem to last.

To improve relationships between doctors and patients, communication skills should be taught in medical school and tested on certifying exams. Doctors should also be encouraged to go to special workshops to enhance their skills in this area. The American Academy of Orthopaedic Surgeons will continue to work toward these goals so that patients can get the best possible care.

References:
John W. Frymoyer, MD, and Nan P. Frymoyer, MEd. Physician-Patient Communication: A Lost Art? In Journal of the American Academy of Orthopaedic Surgeons. March/April 2002. Vol. 10. No. 2. Pp. 95-105.

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