The doctor A physician—also known as doctor of medicine, medical doctor, or simply doctor—practices the ancient profession of medicine, which is concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease or injury. This properly requires both a detailed knowledge of the academic disciplines underlying-patient A patient is any person who receives medical attention, care, or treatment. The person is most often ill or injured and in need of treatment by a physician or other health care professional, although one who is visiting a physician for a routine check-up may also be viewed as a patient relationship is central to the practice of medicine Medicine is the science and art of healing humans. It includes a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Before scientific medicine, healing arts were practiced along with alchemical and ritual practices that developed out of religious and cultural traditions. The term & and is essential for the delivery of high-quality health care in the diagnosis and treatment of disease. The doctor-patient relationship forms one of the foundations of contemporary medical ethics Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as they apply to medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology. Most medical schools and universities teach medical students from the beginning, even before they set foot in hospitals, to maintain a professional rapport with patients, uphold patients’ dignity, and respect their privacy.
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Importance
A patient must have confidence in the competence of their doctor and must feel that they can confide in him or her. For most physicians, the establishment of good rapport with a patient is important. This being said, some medical specialties, such as psychiatry Psychiatry is the medical specialty devoted to the study and treatment of mental disorders—which include various affective, behavioural, cognitive and perceptual disorders. The term was first coined by the German physician Johann Christian Reil in 1808. It literally means the 'medical treatment of the mind' . A medical doctor specializing in and family medicine Family Medicine is a medical specialty devoted to comprehensive health care to people of all ages. It is a form of primary care that provides continuing, comprehensive health care for the individual and family across all ages, sexes, diseases, and parts of the body. It is based on knowledge of the patient in the context of the family and the, emphasize the doctor-patient relationship more than others, such as pathology In medicine, pathology is the study and diagnosis of disease. The related scientific study of disease processes is called "general pathology". Medical pathology is divided into two main branches, anatomical pathology and clinical pathology. Medical pathologists work through examination of organs, tissues, bodily fluids, and whole bodies or radiology Radiologists are physicians that utilize an array of imaging technologies (such as ultrasound, computed tomography , nuclear medicine, positron emission tomography (PET) and magnetic resonance imaging (MRI)) to diagnose or treat diseases. Interventional radiology is the performance of (usually minimally invasive) medical procedures with the.
The quality of the patient-physician relationship is important to both parties. The better the relationship in terms of mutual respect, knowledge, trust, shared values and perspectives about disease and life, and time available, the better will be the amount and quality of information about the patient's disease transferred in both directions, enhancing accuracy of diagnosis and increasing the patient's knowledge about the disease. Where such a relationship is poor the physician's ability to make a full assessment is compromised and the patient is more likely to distrust the diagnosis and proposed treatment, causing decreased compliance Compliance is a medical term that means the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication, or drug compliance, but may also mean use of medical appliances such as compression stockings, chronic wound care, self-directed physiotherapy exercises, or attending counseling or other courses of therapy to actually follow the medical advice. In these circumstances and also in cases where there is genuine divergence of medical opinions, a second opinion A second opinion is a visit to a physician other than the one a patient has previously been seeing in order to get a differing point-of-view. Second opinions may be sought by a patient under the following circumstances: from another physician may be sought or the patient may choose to go to another doctor.
Issues
Physician superiority
The physician may be viewed as superior to the patient, because the physician has the knowledge and credentials, and is most often the one that is on home ground.
The doctor-patient relationship is also complicated by the patient's suffering (patient derives from the Latin patior, "suffer") and limited ability to relieve it on his/her own, potentially resulting in a state of desperation and dependency on the physician.
A physician should at least be aware of these disparities in order to establish rapport There are a number of techniques that are supposed to be beneficial in building rapport such as: matching your body language ; maintaining eye contact; and matching breathing rhythm. Some of these techniques are explored in neuro-linguistic programming and optimize communication with the patient.
Benefiting or pleasing
A dilemma may arise in situations where what is the most efficient treatment (or avoidance of treatment) is not the same as what the patient wants for various reasons. In such cases, the physician may need to choose between the patient's physical health or other rather material benefits on one hand and the doctor-patient relationship or other psychological or emotional aspect on the other.
Formal or casual
There may be differences in opinion between the doctor and patient in how formal or casual the doctor-patient relationship should be.
For instance, according to a Scottish study,[1] patients want to be addressed by their first name more often than is currently the case. In this study, most of the patients either liked (223) or did not mind (175) being called by their first names. Only 77 disliked it, most of whom were aged over 65.[1] On the other hand, most patients don't want to call the doctor by his or her first name.[1]
Perspectives
The physician-patient relationship can be analyzed from the perspective of ethical Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as they apply to medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology concerns, in terms of how well the goals of non-maleficence, beneficence, autonomy, and justice are achieved. Many other values and ethical issues can be added to these. In different societies, periods, and cultures, different values may be assigned different priorities. For example, in the last 30 years medical care in the Western World has increasingly emphasized patient autonomy in decision making.
The relationship and process can also be analyzed in terms of social power relationships (e.g., by Michel Foucault Michel Foucault , born Paul-Michel Foucault (15 October 1926 – 25 June 1984), was a French philosopher, sociologist, and historian. He held a chair at the prestigious Collège de France with the title "History of Systems of Thought," and also taught at the University at Buffalo and the University of California, Berkeley), or economic transactions. Physicians have been accorded gradually higher status and respect over the last century, and they have been entrusted with control of access to prescription medicines as a public health measure. This represents a concentration of power and carries both advantages and disadvantages to particular kinds of patients with particular kinds of conditions. A further twist has occurred in the last 25 years as costs of medical care have risen, and a third party (an insurance In law and economics, insurance is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. An insurer is a company selling the insurance; an insured or policyholder is the person or company or government agency) now often insists upon a share of decision-making power for a variety of reasons, reducing freedom of choice of healthcare providers and patients in many ways.
In some settings, e.g. the hospital ward, the patient-physician relationship is much more complex, and many other people are involved when somebody is ill: relatives, neighbors, rescue specialists, nurses, technical personnel, social workers and others.
Other Perspectives
In non-Western societies, particularly traditional Eastern societies and American Indian societies, the physician/patient relationship may be couched in different terms. The illness may be seen as a violation of the spiritual realm and the cure will be seen likewise as having to take place in the spiritual realm. Violation of some spiritual rule can result in illness; persons distant to the patient may have caused illness by manoeuvres in the spiritual realm, by cursing or causing another practitioner / shaman / healer to place the curse. Powerful faith in these factors can result in serious illness or cure. Spirits can be part of a culture's usual pantheon, ancestor spirits or arbitrary new spirit forces arising independently or as derived from an existing object in the real world: such as an animist spirit coming from a totem animal, mountain or other thing. As in the scientific West, the practitioner is assumed to have special knowledge or power, and is paid by the patient in some form.
Bedside manner
Bedside manner is essential in affecting the doctor-patient relationship. A good bedside manner is typically one that reassures and comforts the patient while remaining honest about a diagnosis. Vocal tones, body language Body language is a form of non-verbal communication, which consists of body posture, gestures, facial expressions, and eye movements. Humans send and interpret such signals subconsciously, openness, presence, and concealment of attitude may all affect bedside manner. Poor bedside manner leaves the patient feeling unsatisfied, worried, frightened, or alone. Bedside manner becomes difficult when a healthcare professional explains to the patient the true diagnosis, while keeping the patient from being alarmed.
Examples in fiction
- Dr. Gregory House Gregory House, M.D., is a fictional character and protagonist of the American medical drama House. Portrayed by Hugh Laurie, the character is a maverick medical genius with two specializations, in infectious diseases and nephrology. He works as the Chief of Diagnostic Medicine at the fictional Princeton-Plainsboro Teaching Hospital, and there (of the show House House, also known as House, M.D., is an American television medical drama that debuted on the Fox network on November 16, 2004. The program was co-created by David Shore and Paul Attanasio; Fox officially credits Shore as creator. The show's central character is Dr. Gregory House , an unconventional, maverick medical genius who heads a team of) has a caustic, callous bedside manner. However, this is an extension of his normal personality.
- In Grey's Anatomy Grey's Anatomy is an American medical drama television series. It follows the lives of interns, residents and their mentors in the fictional Seattle Grace Mercy West Hospital in Seattle, Washington. The pilot episode, "A Hard Day's Night" premiered on March 27, 2005 on ABC. Since then, five seasons have aired, and the sixth season began, Dr. Burke Preston Xavier Burke, more commonly known as Preston Burke and Burke, was a fictional surgeon on the ABC television series Grey's Anatomy. The character was portrayed by actor Isaiah Washington, up until the fourth season compliments Dr. George O'Malley George O'Malley is a fictional surgeon from the ABC television series Grey's Anatomy, portrayed by actor T.R. Knight, who was nominated Outstanding Supporting Actor In A Drama Series at the 2007 Emmy Awards. Knight has portrayed George since the beginning of the show. It was announced on June 17, 2009 that T.R. Knight will not be returning to the's ability to care for Dr. Bailey's baby by saying "it speaks to a good bedside manner."
- Doc Martin Doc Martin is a British television comedy drama starring Martin Clunes. Created by Dominic Minghella, it is filmed on location in and around the fishing village of Port Isaac, Cornwall, with filming of most interior scenes and production carried out in a converted barn at a local farm. So far, there have been three series of the show, and a from the Doc Martin Doc Martin is a British television comedy drama starring Martin Clunes. Created by Dominic Minghella, it is filmed on location in and around the fishing village of Port Isaac, Cornwall, with filming of most interior scenes and production carried out in a converted barn at a local farm. So far, there have been three series of the show, and a British TV series is a good example of a doctor with a poor bedside manner.
- In Lost Lost is an American live-action television series. It follows the lives of plane crash survivors on a mysterious tropical island, after a commercial passenger jet flying between Sydney and Los Angeles crashes somewhere in the South Pacific. Each episode typically features a primary storyline on the island as well as a secondary storyline from, Hurley Hugo "Hurley" Reyes, is a fictional character on the ABC television series Lost played by Jorge Garcia. Reyes at times serves as the show's comic relief but some episodes focus on him in a more serious light tells Jack Shephard Dr. Jack Shephard is a fictional character on the ABC television series Lost played by Matthew Fox. Jack is the leader of the crash survivors and the main character of the series. He is the antithesis of John Locke and the love interest of both Kate Austen (Evangeline Lilly) and Juliet Burke (Elizabeth Mitchell). He is also the half-brother of that his bedside manner "sucks". Later in the episode, Jack is told by his father to put more hope into his sayings, which he does when operating on his future wife.
- In Closer, Larry, the doctor tells Anna when they first meet that he is famed for his bedside manner.
- In Donald Trump Donald John Trump is an American business magnate, socialite, author and television personality. He is the Chairman and CEO of the Trump Organization, a US-based real-estate developer. Trump is also the founder of Trump Entertainment Resorts, which operates numerous casinos and hotels across the world. Trump's extravagant lifestyle and outspoken's 2008 celebrity-edition of The Apprentice finalie, Ivanka Trump Ivanka Marie Trump is an American businesswoman, socialite, heiress, and fashion model. She is the daughter of Ivana and Donald Trump, and is currently Vice President of Real Estate Development and Acquisitions at the Trump Organization. Before working for her father, she worked for Forest City Enterprises. Trump joined forces with Dynamic Diamond tells Piers Morgan Piers Stefan Pughe-Morgan , known professionally as Piers Morgan, is the former editor of the tabloid newspapers the News of the World (1994–1995) and the Daily Mirror (1995–2004) that he did not have a good bedside manner.
- In Scrubs Scrubs is an American comedy-drama created in 2001 by Bill Lawrence and produced currently by ABC Studios. The show follows the lives of several employees of Sacred Heart, a teaching hospital. It features fast-paced dialogue, slapstick, and surreal vignettes presented mostly as the daydreams of the central character, Dr. John "J.D.", J.D Jonathan Michael "J.D." Dorian, M.D., is a fictional character on the American comedy-drama Scrubs, played by Zach Braff. For his portrayal of the doctor, Braff was nominated for a 2005 Emmy Award and received three consecutive Golden Globe nominations in 2005, 2006 and 2007. J.D. is the narrator and main character of the series. He is a good example of a doctor with great bedside manner, while Elliot Reid Elliot Reid, M.D., is a fictional character played by Sarah Chalke in the American comedy-drama Scrubs is a doctor with poor or non-existent bedside manner. Dr. Cox is an interesting subversion, in that his manner is gruff and intense while still inspiring patients to do their own best to aid in the healing process, akin to a drill sergeant.
- In Star Trek: Voyager, the Doctor The Doctor is an Emergency Medical Hologram, "Mark I" character from the television series Star Trek: Voyager, played by actor Robert Picardo. The character also appeared in the now-closed Star Trek: The Experience Borg 4-D Adventure at the Las Vegas Hilton often compliments himself on the charming bedside manner he developed with the help of Kes Kes is a character in the television series Star Trek: Voyager, played by Jennifer Lien.
- In M*A*S*H M*A*S*H is a media franchise. Owned in its film and television incarnations by 20th Century Fox, the series concerns a group of fictional characters who served at the fictional 4077th Mobile Army Surgical Hospital during the Korean War. The original incarnation of the series is loosely based on the real 8055th M*A*S*H, and features Hawkeye Pierce, Hawkeye Pierce Captain Benjamin Franklin "Hawkeye" Pierce is a fictional character and lead protagonist in the M*A*S*H novels, film, and television series. The character was played by Donald Sutherland in the film and by Alan Alda on television. He is both the main character and the only character to appear in every episode of the television series, Trapper John McIntyre "Trapper" John Francis Xavier McIntyre is a fictional character in Richard Hooker's M*A*S*H novels, as well as the film and the two TV series that followed them. The nickname was derived from him being caught having sex with a woman in the ladies' room on a train, when said woman announced "He trapped me!" (The blurb on the, B.J. Hunnicutt Captain B. J. Hunnicutt, played by Mike Farrell, is a fictional character in the TV show M*A*S*H, which ran from 1972-1983 on CBS, and Sherman Potter Colonel Sherman Tecumseh Potter M.D. was a fictional character from the M*A*S*H television show. He was portrayed by Harry Morgan all possess a caring and humorous bedside manner meant to help patients cope with traumatic injuries. Charles Winchester Major Charles Emerson Winchester III, M.D., is a fictional character, a principal on the television series, M*A*S*H, played by David Ogden Stiers. He was introduced in the first episode of the show's sixth season, "Fade Out, Fade In" initially possesses no real bedside manner, acting with detached professionalism, until the rigors of his job help him develop a sense of compassion for his patients. Frank Burns Major Franklin Delano Marion "Frank" Burns is a fictional character in the M*A*S*H film and television series. Burns first appeared in the original M*A*S*H novel by Richard Hooker, where he had the rank of captain. The character was then portrayed in the film by Robert Duvall, and in the television series by Larry Linville has a poor bedside manner, constantly minimizing the seriousness of his patients' injuries, accusing them of cowardice and goading them to return to the front lines.
See also
- Physician A physician—also known as doctor of medicine, medical doctor, or simply doctor—practices the ancient profession of medicine, which is concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease or injury. This properly requires both a detailed knowledge of the academic disciplines underlying
- Medical ethics Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as they apply to medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology
References
- ^ a b c McKinstry B (October 1990). "Should general practitioners call patients by their first names?". BMJ 301 (6755): 795–6. doi A digital object identifier is a character string used to uniquely identify an electronic document or other object. Metadata about the object is stored in association with the DOI name and this metadata may include a location, such as a URL, where the object can be found. The DOI for a document is permanent, whereas its location and other metadata:10.1136/bmj.301.6755.795. PMID A PMID is a unique number assigned to each PubMed citation of life sciences and biomedical scientific journal articles. The related Pubmed Central archive may additionally assign a separate number, a PMCID (PubMed Central Identifier), normally written with a PMC prefix 2224269.
Further information
- Alexander GC, Casalino LP, Meltzer DO (August 2003). "Patient-physician communication about out-of-pocket costs". JAMA 290 (7): 953–8. doi A digital object identifier is a character string used to uniquely identify an electronic document or other object. Metadata about the object is stored in association with the DOI name and this metadata may include a location, such as a URL, where the object can be found. The DOI for a document is permanent, whereas its location and other metadata:10.1001/jama.290.7.953. PMID A PMID is a unique number assigned to each PubMed citation of life sciences and biomedical scientific journal articles. The related Pubmed Central archive may additionally assign a separate number, a PMCID (PubMed Central Identifier), normally written with a PMC prefix 12928475.
- Alexander GC, Casalino LP, Tseng CW, McFadden D, Meltzer DO (August 2004). "Barriers to patient-physician communication about out-of-pocket costs". J Gen Intern Med 19 (8): 856–60. doi A digital object identifier is a character string used to uniquely identify an electronic document or other object. Metadata about the object is stored in association with the DOI name and this metadata may include a location, such as a URL, where the object can be found. The DOI for a document is permanent, whereas its location and other metadata:10.1111/j.1525-1497.2004.30249.x. PMID A PMID is a unique number assigned to each PubMed citation of life sciences and biomedical scientific journal articles. The related Pubmed Central archive may additionally assign a separate number, a PMCID (PubMed Central Identifier), normally written with a PMC prefix 15242471.
- Alexander GC, Casalino LP, Meltzer DO (March 2005). "Physician strategies to reduce patients' out-of-pocket prescription costs". Arch. Intern. Med. 165 (6): 633–6. doi A digital object identifier is a character string used to uniquely identify an electronic document or other object. Metadata about the object is stored in association with the DOI name and this metadata may include a location, such as a URL, where the object can be found. The DOI for a document is permanent, whereas its location and other metadata:10.1001/archinte.165.6.633. PMID 15795338.
- Alexander GC, Lantos JD (2006). "The doctor-patient relationship in the post-managed care era". Am J Bioeth 6 (1): 29–32. doi:10.1080/15265160500394556. PMID 16423784.
- Pham HH, Alexander GC, O'Malley AS (April 2007). "Physician consideration of patients' out-of-pocket costs in making common clinical decisions". Arch. Intern. Med. 167 (7): 663–8. doi:10.1001/archinte.167.7.663. PMID 17420424.
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The Hindu
A dream physician, Richard C. Frank is well qualified and has a great bedside manner . He will make it a point to explain complex medical terms in a language ...
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ue, 09 Feb 2010 19:42:16 GM
How is their . bedside manner. ? Do they solve issues during a project or pass them off? Do they respect your budget, or does it just get in the way of their creativity? Once you have assessed their abilities, you have to determine the most ...
Q. I am needing to find a good doctor for my son that understands that a child can be terminally ill but look "normal" on the outside. I have an appointment to go talk to her but want to know a little background on her first. Any help would be wonderful. Our last pediatrician was a really big jerk.
Asked by Kelli M - Thu Feb 28 20:18:12 2008 - - 2 Answers - 0 Comments
A. Try talking to your local Hospice there. Ask them who they'd recommend. If your son is terminally ill, I'd highly recommend you use the help that Hospice provides. I think Web MD might have info as well. Good luck.
Answered by Gabbie and Sammy LOVE raw meat! - Thu Feb 28 20:30:22 2008
