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MED-110 Medical Sociology > Doctor-patient Relashionship P2 > Flashcards

Doctor-patient Relashionship P2 Flashcards

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USMLE® Step 1 flashcards Sociology 101 flashcards
1
Q
  1. What went well in this consultation?
A
  • the doctor was doing his best to apply scientific knowledge to the case
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2
Q
  1. What went poorly in this consultation?
A
  • there were gaps in the communication between the doctor and the patient
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3
Q
  1. Traditionally, in medical consultations, what did doctors try to understand?
A
  • the symptoms the patient was experiencing
  • the patient’s experiences
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4
Q
  1. Who is more involved in the treatment decision making?
A
  • the patient themselves
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5
Q
  1. What are the three main models of treatment decision making?
A
  1. Professional Choice
    (doctor decides)
    (this is most likely to be observed during emergencies)
  2. Shared Choice
    (this achieves concordance)
  3. Consumer Choice
    (the patient decides)

NB: in reality
: there is a mixture of all of these three

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6
Q
  1. Do patients always prefer to have a shared choice?
A
  • no
  • this happens especially when the patients are
    experiencing some kind of crisis
  • they then prefer for the decision to be made for them
    (EG: with specific cancers)
  • patients do always wish to be informed about
    their condition
  • even if they do not want to participate in any decision
    making
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7
Q
  1. What skills should a Doctor demonstrate when they are dealing with a patient?
A
  • be active listeners
  • be empathetic
  • be open-minded
  • be non-biased
  • have clear communication
  • summarise concisely what the patient tells you
  • have patience
  • be inquisitive
  • have good eye contact
  • have open body language
  • present the patient with easy to understand
    information
  • be humble
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8
Q
  1. What are patient’s often dissatisfied with, with regards to Medical Consultaations?
A
  • the way their Clinicians communicate
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9
Q
  1. What do studies show, with regards to good communication skills performed by the Doctor?
A
  • the patient’s satisfaction is better
  • the patient adheres better to their medical treatment
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10
Q
  1. What are 9 Basic Communication skills that the doctor should have when taking the patient’s history?
A
  1. Initiate the consultation
  2. Consent and Confidentiality
  3. Use of closed and open questions
  4. Checking the patient’s perspective
  5. Empathise
    (recognise, accept, validate)
  6. Signpost
  7. Check the patient’s understanding
  8. Summarise
  9. Close the consultation
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11
Q
  1. What is meant by Initiating the Consulations?
A
  • introducing yourself
  • explaining the purpose of the consultation
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12
Q
  1. What is meant by Consent and Confidentiality?
A
  • obtaining consent
  • ensuring confidentiality
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13
Q
  1. What is meant by the Use of Closed and Open Questions?
A

CLOSED QUESTIONS:
- questions that lead to given answers

OPEN QUESTIONS:
- these allow the patient to narrate

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14
Q
  1. What is meant by Checking the Patient’s Perspective?
A
  • checking what the patient thinks by using an open question
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15
Q
  1. What is meant by Empathise (RAV) ?
A

RECOGNISE:
- and pick up on the patient’s cues

ACCEPT:
- be non judgemental

ACKNOWLEDGE:
- confirm that their emotion is present

VALIDATE:
- conform that their emotion is valid

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16
Q
  1. What is meany by Checking the Patient’s Understanding?
A
  • asking the patient how they understand medical terms, conditions and management
  • asking the patient if everything is clear
  • asking the patient to summarise what you have told them
17
Q
  1. What is meant by Summarising and Closing the Consultation?
A
  • summarising to make sure that you have understood the condition well
  • closing the consultation by mentioning to the patient what you are going to do with the information
  • thanking the patient
18
Q
  1. What are the Basic Communication skills for giving information to the patient?
A
  • avoid using jargon
  • use simple language
  • organise the information when you present it
  • do not jump from one issue to another
  • give the information in small chunks
  • do not scare the patient
  • start the conversation with something positive
  • check the patient’s understanding
19
Q
  1. Does this diagram make sense to you?
A
  • yes
20
Q
  1. Based on Sociological Principles, how would you classify the consultation?
A
  • Professional Choice
  • the doctor decides
  • the doctor does not check up on the patient’s
    perspectives
21
Q
  1. What communication skills has the doctor demonstrated (or failed to demonstrate)?
A

they have not demonstrated the basic skills for history taking:
- consent
- confidentiality
- open questions
- empathy
- signposting
- closing

  • the doctor scared the patient
  • they did not tell the patient something positive
22
Q
  1. Read though this summary.
    Does everything make sense?
A
  • yes

MED-110 Medical Sociology (17 decks)

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