Doctor-Patient Relationships

Sep 15, 2018 Issue
Violence in the Health Care Setting: What Can We Do? [Curbside Consultation]

n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of employment in the United States.

Jul 1, 2018 Issue
The Doorknob Phenomenon in Clinical Practice [Curbside Consultation]

By definition, the doorknob phenomenon or doorknob statement occurs when patients wait until the last moment in the clinical encounter—often while the physician is grasping the doorknob to exit the examination room—to utter something that, not uncommonly, provides crucial information. Physicians mus...

May 15, 2018 Issue
Persons with Disabilities: I'm the Expert About My Body [Close-ups]

Physicians can improve access to health care for patients with disabilities by listening to patients and their supporters, making reasonable accommodations, and advocating for patients.

May 15, 2017 Issue
Providing Trauma-Informed Care [Curbside Consultation]

Family physicians commonly care for survivors of trauma, but they may not always realize it. Trauma, which can affect any patient regardless of age or sex, is broadly defined as the experience of violence or victimization, including sexual abuse, physical abuse, psychological abuse, neglect, loss, d...

Mar 1, 2016 Issue
When Physician Family Members Are Involved in Patients' Care [Curbside Consultation]

It is not unusual for physicians to care for patients who have physician family members. This can be advantageous for patients, their families, and the clinical team because physician family members often better understand the clinical situation, its severity, and the treatment options. They can als...

Apr 15, 2015 Issue
Cultural Competence Education for Health Care Professionals [Cochrane for Clinicians]

Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to be ineffective.

Nov 1, 2013 Issue
Talking with Children About a Parent's Serious Illness [Curbside Consultation]

It is not uncommon for children to have parents who have cancer. Although parents may be understandably apprehensive about discussing a serious illness, children want and need to know what is happening. It is strongly recommended that children be involved and informed in the illness and death of a parent.

Jul 1, 2013 Issue
Text Message Appointment Reminders [Cochrane for Clinicians]

Text message reminders increase attendance at health care appointments compared with no reminders or postal reminders. They are as effective as telephone call reminders but are less expensive.

Jun 1, 2013 Issue
Caring for Colleagues, VIPs, Friends, and Family Members [Curbside Consultation]

There may be no higher professional honor than being asked to care for a colleague, a “very important person” (VIP), a friend, or a family member. However, these requests can be problematic if they are not addressed properly. The following strategies can help physicians avoid pitfalls when faced wit...

Mar 15, 2013 Issue
Managing Difficult Encounters: Understanding Physician, Patient, and Situational Factors [Article]

Family physicians commonly find themselves in difficult clinical encounters. These encounters often leave the physician feeling frustrated. The patient may also be dissatisfied with these encounters because of unmet needs, unfulfilled expectations, and unresolved medical issues. Difficult encounters...

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