Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu



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Medical psychology.book

3. Be empathic. 
Empathy is a basic skill physicians should develop 
to help them recognize the indirectly expressed emotions of their 
patients. Once recognized, these emotions need to be acknowledged and 
further explored during the patient-physician encounter. Further, 
physicians should not ignore or minimize patient feelings with a 
redirected line of inquiry relentlessly focused on "real" symptoms. 
Patient satisfaction is likely to be enhanced by physicians who 
acknowledge patients' expressed emotions. Physicians who do this are 
less likely to be viewed as uncaring by their patients. 
4. Slow down. 
Physicians who provide information in a slow and 
deliberate fashion allow the time needed for patients to comprehend the 
new information. Other techniques physicians can use to allow time 
include pausing frequently and reinforcing silence with appropriate body 
language. A slow delivery with appropriate pauses also gives the listener 
time to formulate questions, which the physician can then use to provide 
further bits of targeted information. Thus, a dialogue punctuated with 
pauses leads to deeper comprehension on both sides.
One study found that physicians typically wait only 23 seconds 
after a patient begins describing his chief complain before interrupting 
and redirecting the discussion. Such premature redirection can lead to 
late-arising concerns and missed opportunities to gather important data. 
As a side note, patient satisfaction is also greater when the length of 
the office visit matches his or her previsit expectation. In situations 
involving the delivery of bad news, the technique of simply stating the 
news and pausing can be particularly helpful in ensuring that the patient 
and patient's family fully receive and understand the information. 
Allowing this time for silence, tears, and questions can be essential. 

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