How do newly-qualified doctors perceive empathy in medical training and practice?

Agius, Steven; Brown, Jeremy; Stratta, Emily; Hayden, Jacky; Baker, Paul

doi:10.5455/jcme.20170530064220

Cited by 2 publications

(1 citation statement)

References 16 publications

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With keen interest, was received the article by Agius et al [1], "Empathy in medical training." It was timely and worthy of further discussions, as many respondents cited "pressed for time," as among the common reasons for the inability to practice empathy, a real-time scenario is presented, which demonstrates how time is conserved in the long run with the practice of empathy.

An elderly female walked into the outpatient department, moaning; she had the manner of a chron-ically ill, only that such signs were lacking on clinical examination.

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confidence: 99%

A curious case of s-l-o-o-o-o-o-o-w fever

Khandal¹

2018

J Contemp Med Edu

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With keen interest, was received the article by Agius et al. [1], "Empathy in medical training." It was timely and worthy of further discussions, as many respondents cited "pressed for time," as among the common reasons for the inability to practice empathy, a real-time scenario is presented, which demonstrates how time is conserved in the long run with the practice of empathy.An elderly female walked into the outpatient department, moaning; she had the manner of a chron-ically ill, only that such signs were lacking on clinical examination. Her blood pressure was normal, and her pulse and chest auscultation revealed that nothing particular was threatening her. She complained of fever, which she defined as "s-l-o-oo-o-o-o-w" variant which eludes detection in thermometers. She described the word slow with all the pause and continuation in a sinew manner as if the entity was hanging on a thread yet, troubled her in every fancied way. Her repetition of the word "slow" continued uninterrupted during her narrative; with the description and method remaining the same:The son who accompanied wanted to intervene and stop the re-petitive description, on the anxiety that such description might irritate the physician. But the process continued unabated till the multiplicity of it lost all meanings to this listener-She had three sons, two of whom lived abroad and visited her only on occasions of festivals. The third one although lived nearby didn't seem to live with her and accompanied her only for health reasons to hospitals. It became apparent over the due course of her repetitive emphasis on "s-l-o-o-o-o-o-o-w" that she had a history of asthma; otherwise, there was nothing particular to note. She had no lurking dangers of cancer, or a cryptic infection, which can present in every conceivable manner; as her long history of the illness over a decade brought rest to any such diagnostic con-sideration. Such heuristic thinking has its limitation, and listening to her narration was persisted with without intervening the natural flow of thought, her description-The only pause she took during such description is to collect strength to describe the illness all over again-s-l-o-o-o-o-o-o-w. The son wanted to intervene her again; as he seemed assured that her illness cannot be solved, or he wanted to save her doctor from the now apparent discomfort. In any case, the description of the dis-Every physician sees patient saying "low-fever" in which the cases claim is not detected on the thermometer and is the limitation of relying on a thermometer above the patient. Occasionally, such patients "over the years" are found to have some cancer or some very uncommon disease. Many have no disease process and come to the physician repetitively over prolonged period; some probably find solace in the manner of being a patient. Assurance on the part of the doctor in many of such cases works as a great medicine-a placebo.Fever along with pain remains the primary reason for health care visits, and the scope of this two symptoms can span the entire b...

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“…

An elderly female walked into the outpatient department, moaning; she had the manner of a chron-ically ill, only that such signs were lacking on clinical examination.

…”

mentioning

confidence: 99%