Smile, You're on Video


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If you could watch a recording of your latest patient visit, would you be proud of your interpersonal skills?

Fam Pract Manag. 2016 Nov-Dec;23(6):40.

Author disclosure: no relevant financial affiliations disclosed.

You may recall the old television series “Candid Camera,” where unsuspecting persons were caught on video in humorous scenarios and told to “Smile, you're on Candid Camera.” I wonder how many of our patient encounters would make us smile (or cringe) if we were able to watch them.

I have done video monitoring of residents in a family medicine residency program for well over a decade. (We always get permission, of course, and everyone is aware of the camera.) Although it can be intimidating, I am convinced that video monitoring is one of the most powerful ways to help physicians improve their interpersonal skills.

If your patient interactions were recorded today, what would an observer notice? Here are a few of the things we pay attention to with residents:

Physical proximity. We sometimes see residents get inside the patient's personal space, causing the patient to lean backward. It reminds me of a classic “Seinfeld” episode where the character Elaine has a boyfriend who invades everyone's space and is dubbed the “close talker.” On the other hand, we have witnessed residents standing clear across the room from the patient in a manner

About the Author

J. LeBron McBride is director of behavioral medicine at Floyd Medical Center's Family Practice Residency in Rome, Ga. He is a credentialed pastoral counselor and licensed family therapist.

Author disclosure: no relevant financial affiliations disclosed.


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