physician21

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Archive for the tag “communication skills”

Saluti, caro dottore!

saluti caro dottore
Under this delightful Italian salutation I wish to emphasize the importance of language for the physician. Indeed, language use and mastering is one of the big challenges to be a good physician provided that good and gentle contact with the patient constitutes in most cases the secret word towards cure and release. This fact is very striking when caring for a patient of different language and culture. The patient would be so surprised and impressed when the doctor utters his/her own language words in an agreeable manner dispensing the need for an interpreter. This should be a preliminary reason to achieve patient’s confidence and cooperation. Again, the patient’s description of the present complaint in a language that is felt and tasted should help the physician to resolve the case much more precisely. The wonders of good language communication are far away from being simply listed especially when pain to be relieved and suffer to be eased.

The rendezvous with the language does not stop at containing the many Latin and Greek words and terms but the physician maybe appointed to walk a long and interesting experience with learning and practicing many tongues to help maintain good communication with people and refine the health care provision.

On teamwork

Good doctors are good team players, because health care is complex, and nobody knows everything or how to relate to every patient and his or her unique needs. Because we are all fallible, we all see many examples of poor teams, where bad communication, power struggles, and personality clashes lead to poor outcomes. Stress, overwork, and resource restrictions contribute to this, but not inevitably. So it is worthwhile, at the outset of this journey through medicine, to commit oneself to being a good team member. 3 rules help; (1) All members are valuable; none is irreplaceable, and members are valued for who they are, not just for the resources they bring. (2)’Innocence is no excuse’- ie you may not be ’to blame’ for a group’s malfunction but in the end each member is responsible for everything. (3) Every member needs encouragement. Just how important this is, is shown by this comment from a well-known statesman: “He was impossible. It wasn’t that he didn’t attend to his work. But his manner brought into conflict with everybody… When the crisis came, and the whole truth had to come out, he laid the blame on us: in his conduct there was nothing, absolutely nothing to reproach. His self-esteem was so strongly bound up, apparently, with idea of his innocence, that one felt a brute as one demonstrated, step by step, the contradictions in his defence, and, bit by bit, stripped him naked before his own eyes. But justice to others demanded it. When the last rag of a lie had been taken from him, and we thought there was nothing more to be said, out it came with stifled sobs.

‘But why did you never help me? You knew that I always felt you were against me. And fear and insecurity drove me further and further along the course for which you now condemn me. It’s been so hard- everything. One day, I remember, I was so happy: one of you said that something I had produced was quite good-‘

So, in the end, we were, in fact, to blame. We had not voiced our criticisms, but we had allowed them to stop us from giving him a single word of acknowledgment, and in this way had barred every road to improvement. It is always the stronger one who is to blame.”

Reference: Longmore M, Wilkinson IB, Davidson EH, Foulkes A, Mafi AR: Oxford Handbook Of Clinical Medicine, 8. Edition; Prologue to clinical medicine: Dag Hammarskjöld on teamwork.

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