Lançamento do livro:
VITAL CONVERSATIONS – IMPROVING COMMUNICATIONS BETWEEN DOCTORS AND PATIENTS
Autor: Dennis Rosen M.D
Dennis Rosen é pneumologista pediatra na Havard University, e também se interessa pela área de Educação Médica.
Ele acaba de lançar o livro “Vital Conversations” no qual mostra a comunicação médico-paciente tem impacto nas resultado do cuidado e pode inclusive diminuir custos. Além de trazer relatos pessoais analisados sob a ótica da medicina, da antropologia e da sociologia, traz também sugestões práticas.
O Professor Dennis estará visitando o CEDEM no próximo semestre para um ciclo de palestras.
Saiba mais no site: www.dennisrosenmd.com
1. Why did you decide study the communication between doctors and patients?
Having lived and worked in different societies and countries, I’ve always been sensitive to how easily miscommunication and misunderstandings can arise between people from different backgrounds. The longer I’ve been in practice, however, the more I’ve grown to appreciate just how frequently this can also occur between people you might not expect it to. As I think all of us who work in medicine realize, good communication is an integral part of the doctor-patient relationship, which is itself the foundation of good medical care. Unfortunately, over the last several years there has been increasing pressure here in the United States—and elsewhere, I’m sure—to practice medicine in a more “efficient” manner, which usually translates into asking doctors to see more patients in less time. The result is more costly, and lower-quality, care
2. How can better communication between doctors and patients impact treatment outcomes?
Better communication between doctors and patients directly correlates with better medical adherence by patients, fewer bounce-back admissions to the hospital after discharge, and increased use of preventive care services, such as cancer screening for example. It also correlates with greater patient engagement in managing their own care, fewer unnecessary medical and surgical procedures, greater patient satisfaction, and fewer malpractice lawsuits against doctors.
3. What you think about the development of communications skills during undergraduate education?
I think that although this is very important, it needs to be reinforced during residency and beyond, once the everyday pressures of getting work done can lead people to cut corners and neglect this extremely important part of medical practice. One way of developing communication skills during medical school is to go beyond frontal lectures and to include hands-on experiential workshops that explore different aspects of physician-patient communication. It is also important that medical students be given the opportunity to observe experienced clinicians during their work. Although we all want our medical students to take histories on their own as well as examine patients and be involved in the conversations that take place with them, it is important that students learn by example from people who have been doing this for years.
4. Are there new strategies or technologies to teaching communications skills?
In our hospital, for example, we’ve developed simulation workshops in which we use professional actors to play the role of family members. We enact a variety of scenarios which start out with a medical component that needs to be reviewed and end with a conversation with the families about an unexpected complication. The purpose of these workshops is different from other in which actors play the role of a standardized patient with the purpose of disclosing symptoms of a predetermined disease based upon how well the student takes the history. Instead, we focus on the intrapersonal interactions that so frequently arise on the wards and in the clinics, and allow the students to struggle and to observe the struggles of their colleagues while trying to resolve the issues at hand