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editor has the last word




           Better Patient Communication for Better Outcomes



                                       In my practice, I frequently have patients visiting   are well versed in English. For patients with a
                                       to seek a second opinion. And often I find myself   weaker educational background, even the common
                                       asking  these  patients  to  return  back  to their   medical terms like ‘hypertension’ may seem to be
                                       attending clinician because treatments suggested   alien.
                                       and mostly half-underway, are the indicated par-  2. Listen to your patients
                                       for-the-course procedures. Most of these situations,   Although your  clinical  experience  may  endow
                                       in my view, are born out of a lack of comprehensive   you to understand the problem and arrive at the
                                       elucidation of  treatment plan i.e. the patient   diagnosis within the first few sentences spoken
                                       and their family haven’t been appropriately   by the patients, jumping into a rapid conclusion
                                       communicated of the problem and the suggested   may in fact, inadvertently hide the actual problem.
                                       solution.                                Listening to the patients completely helps in
                                          I believe practice of medicine is a partnership
              Dr. SuShant umre         between us doctors and our patients, more so in   uncovering the patient agenda, deeper concerns,
                                                                                other problems, helpful diagnostic information
                                       dentistry, where during the course of treatment,   and potential contraindications in therapeutic
                  There is no          our non-sedated, usually conscious patients may   management.
              dearth of studies        have to bear some amount of discomfort.  Naturally,   3. Assure understanding
             revealing that good       both doctors and patients need to be on the same   Even if you avoid clinical jargons, patients most
                                       page, and the parties involved need to have a broad
                                                                                often forget half the information provided and the
               communication           understanding of what is to be expected.   part they try to remember is sometimes incorrect.
               skills of doctors          While we the clinicians need to operate with   This may cause failure in the expected clinical
               improve patient         empathy, patients need to go through the procedure   outcome as the medicines/therapies you prescribed
                                                                                may not be followed ‘as is’. The art of disseminating
                                       ungrudgingly. Hence proper communication of the
              satisfaction and is      treatment plan is indispensable and paramount.   the information lies in the hands of the physicians.
              usually-half-the-        This leads me to the opinion that ‘improved and   Divulge the most important information first,
                  game-won.            effective communication’ should be a topic taught   make sure your patient understands them,
                                       in medical schools and discussed in medical
                                                                                and then reveal other information. Repeat the
                                       societies and platforms.                 explanation if needed. Write down the prescription
                                          Healing a patient always requires a holistic   in details. It may be good idea to  print out
                                       approach  which  may  involve  approaches  prescriptions. Keep ready hand-outs of expected
                                       beyond   performing  treatment  procedures.  issues post reconstruction, or generic post-surgical
                                       There is no dearth of studies revealing that good   instructions.
                                       communication skills of doctors improve patient   4. Be empathetic
                                       satisfaction and is usually-half-the-game-won.   Besides assessing the clinical condition of a patient,
                                       There are also the added advantages of interpersonal   physicians should also focus on the emotional health
                                       skills helping in 1) gathering better information   of the patients. The tone you use to communicate,
                                       to facilitate accurate diagnosis, 2) permitting for   your facial expression, body language, eye contact,
                                       better identification of patients’ requirements,   the time you spend with your patient, the way you
                                       perceptions, and expectations, 3) helping in proper   acknowledge their concerns may relieve their stress
                                       counseling and delivering therapeutic instruction.   and allay anxiety. The more empathetic you come
                                                                                across as, the more the patients are likely to reveal
                                       Tips to Improve communication            some clinically pertinent information that they
                                       How do you ensure that there is no communication   would otherwise hesitate to disclose.
                                       gap between you and your patients? A better two-  5. End on a positive note
                                       way communication is necessary to achieve the   An encouraging ending note means a lot to the
                                       expected clinical outcome. Hence, mastering   patients. Hence, finish the conversation keeping
                                       the art of communication is as relevant as your   this in mind. Besides that, always inform them on
                                       clinical expertise. I have listed in brief five virtuous   how they can contact you again if they have any
                                       guidelines that are useful for every medical doctor:  problem or question. Your patients should always
                                       1. Avoid medical jargon                  get a sense that the doctor is approachable.
                                       It might become natural after almost a decade-long   And on that note, we wish you and your patients
                                       medical training for young practitioners, to use   a new and improved Doctor-patient relationship.
                                       medical jargons. However, most patients are unable   Here’s to more fulfilling and cherish-able treatment
                                       to understand complex medical terms, even if they   procedures, both for them and you! n


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