Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient.

Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient.
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校准医生。

DOI:
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发表时间:
1997
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
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通讯作者:
C. Kaplan
C. Kaplan
中科院分区:
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文献类型:
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作者:
Novack Dh;A. Suchman;Wayne M. Clark;R. Epstein;E. Najberg;C. Kaplan

文献摘要

被引文献

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医生的个人特征、他们过去的经验、价值观、态度和偏见可能会对与患者的沟通产生重要影响;了解这些特征可以加强沟通。由于医学培训和继续教育项目很少采取有组织的方法来提高个人意识,我们提出了一个由4个核心主题组成的“课程”,以供思考和讨论。主题包括医生的信念和态度,医生在病人护理中的感受和情绪反应,具有挑战性的临床情况,以及医生的自我护理。我们提供了一些可以促进医生个人意识的有组织的活动的例子,如支持小组、巴林特小组和对有意义的医学经验的讨论。这些活动的经验表明,通过增强个人意识,医生可以改善他们的临床护理,提高对工作、关系和自己的满意度。
Physicians' personal characteristics, their past experiences, values, attitudes, and biases can have important effects on communication with patients; being aware of these characteristics can enhance communication. Because medical training and continuing education programs rarely undertake an organized approach to promoting personal awareness, we propose a "curriculum" of 4 core topics for reflection and discussion. The topics are physicians' beliefs and attitudes, physicians' feelings and emotional responses in patient care, challenging clinical situations, and physician self-care. We present examples of organized activities that can promote physician personal awareness such as support groups, Balint groups, and discussions of meaningful experiences in medicine. Experience with these activities suggests that through enhancing personal awareness physicians can improve their clinical care and increase satisfaction with work, relationships, and themselves.