Follow this link Too much talking | QReview to a blog post about the importance of eliciting understanding, concerns and beliefs and listening, rather than just telling.
The author, Dr. Susan Shaw, is Chair, Health Quality Council and Department Head, Adult Critical Care, for the Saskatoon Health Region in Canada.
The post originally appeared on Q Review, a blog published by theThe Health Quality Council (HQC). HQC is an independent agency that measures and reports on quality of care in Saskatchewan, promotes improvement, and engages its partners in building a better health system.
Friday, June 15, 2012
Saturday, June 2, 2012
A Program to Promote Empathy Among Residents: Documenting Medicine
See this link for a story about an innovative program for promoting empathy among medical residents at Duke.
Documenting Medicine
Documenting Medicine
Friday, May 18, 2012
The Empowered Patient: Hearing is Empowering
My column in the June, 2012 issue of MPNforum, The Empowered Patient: Hearing is Empowering, (http://mpnforum.com/michael-june/ ) is about my long journey to improved hearing. Why did it take me so long to order hearing aids? I hope my story will lower the barriers to obtaining hearing aids among the millions who suffer from age related hearing loss.
Saturday, May 12, 2012
Several Recent Articles Stress the Value of Empathy in Medical Care.
The importance of empathy in medical care is the focus of several articles recently published in the medical literature. See below for a brief comment on each and a link or reference to the article.
In an article that appeared in the March, 2012 issue of Perspectives on Psychological Science, Hacque and Waytz include empathy reduction in clinicians as one of the "causes of dehumanization" in medicine. They suggest that clinicians have difficulty being empathic when actively engaged in demanding cognitive processes, such as diagnostic reasoning and problem solving. Empathy reduction can be countered, however, by strategies which promote clinician awareness of the human and emotional aspects of patient care, such as learning about the whole patient (e.g., interests, roles, values, preferences) and recognizing the dehumanizing aspects of medical settings, technology and the procedural elements of care. The article citation is: Hacque, OS, Waytz A. Dehumanization in Medicine: Causes, Solutions, and Functions. Perspectives on Psychological Science March 2012 vol. 7 no. 2 176-186. doi: 10.1177/1745691611429706
In the May, 2012 issue of the Journal of General Internal Medicine, Helen Reiss and colleagues reported that training in empathy improves physician use of empathic skills. Reiss reports that providing three 60-minute empathy training modules to residents and fellows (physicians undergoing specialty training post medical school) produced significantly greater changes in a patient-rated measure of empathy than residents undergoing standard training. Trained physicians also showed greater changes in their ability to decode facial expressions of emotion. An abstract of the article can be found at: http://www.ncbi.nlm.nih.gov/pubmed/22549298
And, the most inspiring article of the recent articles was written by Bernie Lown, MD's on his personal blog. See: http://bernardlown.wordpress.com/2012/04/29/social-responsibility-of-physicians/ . Bernie is a renowned cardiologist, educator and researcher who has been a proponent of patient-centered care for 60 + years! Dr. Lown is a leading voice in medical ethics and social responsibility and was a recipient of the Nobel Peace Prize for his leadership of the Physicians for Social Responsibility during this organization's campaign to educate the public about the medical consequences of a nuclear catastrophe. He has also been an outspoken critic of overtreatment and
unnecessary use of medical technology, especially in advancing cardiovascular health, and has emphasized the value of addressing health behaviors and promoting patient engagement and empowerment in his publications. The current article is a transcript of his address to the April, 2012 Avoiding Avoidable Care Conference held in Cambridge, MA. (See http://avoidablecare.org/ for more on the conference). Here is my favorite section:
In an article that appeared in the March, 2012 issue of Perspectives on Psychological Science, Hacque and Waytz include empathy reduction in clinicians as one of the "causes of dehumanization" in medicine. They suggest that clinicians have difficulty being empathic when actively engaged in demanding cognitive processes, such as diagnostic reasoning and problem solving. Empathy reduction can be countered, however, by strategies which promote clinician awareness of the human and emotional aspects of patient care, such as learning about the whole patient (e.g., interests, roles, values, preferences) and recognizing the dehumanizing aspects of medical settings, technology and the procedural elements of care. The article citation is: Hacque, OS, Waytz A. Dehumanization in Medicine: Causes, Solutions, and Functions. Perspectives on Psychological Science March 2012 vol. 7 no. 2 176-186. doi: 10.1177/1745691611429706
In the May, 2012 issue of the Journal of General Internal Medicine, Helen Reiss and colleagues reported that training in empathy improves physician use of empathic skills. Reiss reports that providing three 60-minute empathy training modules to residents and fellows (physicians undergoing specialty training post medical school) produced significantly greater changes in a patient-rated measure of empathy than residents undergoing standard training. Trained physicians also showed greater changes in their ability to decode facial expressions of emotion. An abstract of the article can be found at: http://www.ncbi.nlm.nih.gov/pubmed/22549298
And, the most inspiring article of the recent articles was written by Bernie Lown, MD's on his personal blog. See: http://bernardlown.wordpress.com/2012/04/29/social-responsibility-of-physicians/ . Bernie is a renowned cardiologist, educator and researcher who has been a proponent of patient-centered care for 60 + years! Dr. Lown is a leading voice in medical ethics and social responsibility and was a recipient of the Nobel Peace Prize for his leadership of the Physicians for Social Responsibility during this organization's campaign to educate the public about the medical consequences of a nuclear catastrophe. He has also been an outspoken critic of overtreatment and
unnecessary use of medical technology, especially in advancing cardiovascular health, and has emphasized the value of addressing health behaviors and promoting patient engagement and empowerment in his publications. The current article is a transcript of his address to the April, 2012 Avoiding Avoidable Care Conference held in Cambridge, MA. (See http://avoidablecare.org/ for more on the conference). Here is my favorite section:
Sixty years of doctoring has taught me that taking a history, namely listening, is the quintessential part of doctoring. Proper listening is a skill, an art and a core element of medical professionalism. History taking is far more than providing key elements for a diagnosis. It is the basis for nurturing trust. I am persuaded that nothing of science taught to medical students is as difficult to master as is the fine art of listening.
Monday, April 16, 2012
Strategy #6 for Empowerment - Connect with Others
See the 1 year anniversary issue of MPNforum for my latest The Empowered Patient column: http://mpnforum.com/the-empowered-patient-connect-with-others/
MPNforum is an online magazine that features news, interviews and stories on topics of interest to people with Myeloproliferative Neoplasms. My contribution to the May, 2012 issue focuses on the benefits of connecting with others through online magazines, support pages and listserves. Experiencing and expressing empathy are among the most valuable aspects of contributing to and participating in these online resources and sites.
MPNforum is an online magazine that features news, interviews and stories on topics of interest to people with Myeloproliferative Neoplasms. My contribution to the May, 2012 issue focuses on the benefits of connecting with others through online magazines, support pages and listserves. Experiencing and expressing empathy are among the most valuable aspects of contributing to and participating in these online resources and sites.
Saturday, March 17, 2012
Top 10 Ways to Be More Empowered: New Post in MPNForum, April, 2012
My latest column in the April, 2012 issue of MPN Forum lists my top 10 strategies for empowerment. As I approach 60, I plan to employ these strategies to help me to stay well and manage my health conditions. I hope you will find them useful as well.
See Top 10 Ways to Be More Empowered
See Top 10 Ways to Be More Empowered
Sunday, March 4, 2012
Lady Gaga Launches Foundation to Promote Tolerance, Acceptance and Empathy Among Youth
When you listen to Lady Gaga's pulsing music, see her striking photos, or watch her theatrical performances on video or TV, my guess is that empowerment and empathy are not the first things that come to mind. However, after learning about the launch of Lady Gaga's new Born This Way Foundation (BTWF) http://bornthiswayfoundation.org/, I am going to have a hard time not thinking about Lady Gaga's empathy whenever I hear Born This Way, the Foundation's anthem.
At a news conference held at Harvard University, Lady Gaga and her mother, Cynthia Germanotta, indicated that they started the Born This Way Foundation to promote youth empowerment and speak out against bullying. As noted on the BTWF website, the Foundation's mission is "to foster a more accepting society, where differences are embraced and individuality is celebrated." To achieve its mission, the Foundation is "dedicated to creating a safe community that helps connect young people with the skills and opportunities they need to build a braver, kinder world."
In an interview that appeared in Nicholas Kristof's New York Times column http://www.nytimes.com/2012/03/01/opinion/kristof-born-to-not-get-bullied.html?_r=2&src=me&ref=general, Lady Gaga describes being taunted, bullied and traumatized by fellow students during her high school years. And, in an interview on the pop culture site, PopCrush http://popcrush.com/lady-gaga-launches-born-this-way-foundation/, Lady Gaga states that she has learned to respond to taunts with empathy...“I always have a moment of empathy.... I think they must be going through something today that is coming from a place of mental turmoil or a psychological challenge".
It would be wonderful if Lady Gaga can help stem the increase in youth bullying by promoting empowerment, empathy, tolerance and acceptance.
At a news conference held at Harvard University, Lady Gaga and her mother, Cynthia Germanotta, indicated that they started the Born This Way Foundation to promote youth empowerment and speak out against bullying. As noted on the BTWF website, the Foundation's mission is "to foster a more accepting society, where differences are embraced and individuality is celebrated." To achieve its mission, the Foundation is "dedicated to creating a safe community that helps connect young people with the skills and opportunities they need to build a braver, kinder world."
In an interview that appeared in Nicholas Kristof's New York Times column http://www.nytimes.com/2012/03/01/opinion/kristof-born-to-not-get-bullied.html?_r=2&src=me&ref=general, Lady Gaga describes being taunted, bullied and traumatized by fellow students during her high school years. And, in an interview on the pop culture site, PopCrush http://popcrush.com/lady-gaga-launches-born-this-way-foundation/, Lady Gaga states that she has learned to respond to taunts with empathy...“I always have a moment of empathy.... I think they must be going through something today that is coming from a place of mental turmoil or a psychological challenge".
It would be wonderful if Lady Gaga can help stem the increase in youth bullying by promoting empowerment, empathy, tolerance and acceptance.
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