Medical communication: the views of simulated patients

Laughey, William; Grandal, Nora Sangvik; Finn, Gabrielle M.

doi:10.1111/medu.13547

Cited by 22 publications

(19 citation statements)

References 36 publications

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“…Figure 1 shows that doctors interact with information in medical online communities. Communication in the community covers many areas, not just medicine [42][43][44][45][46]. In the process of information exchange, different patients and doctors might need different types and quantities of information [47].…”

Section: Close Communication Of Information In the E-health Communitymentioning

confidence: 99%

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Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

2020

IJERPH

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In tandem with internet development and widespread social media use, e-health communities have begun to emerge in recent years. These communities allow doctors to access forums anywhere, anytime, seek or exchange medical information online, find literature, and so on. This is convenient and can solve some problems for doctors while also promoting doctor communication. This study collected and collated 102 doctors in the "Lilac Forum" and used social network tools to quantify the overall network density, centrality, core-periphery structure, and structural hole indicators of doctors' information exchange from a social-capital perspective. The results showed that the frequency of interaction between doctors differed because of differences in the identities and participation of doctors in the e-health community. The density of the doctors' information dissemination network (0.228) and network cohesion (0.610) were relatively high. Thus, the doctors were more closely connected, and information was easily spread. At the same time, doctors with higher professional titles had obvious location characteristics, familiarity and trust, and high levels of reciprocity. They could obtain redundant information in the network and were more likely to influence the behavior of other doctors. This study's findings provide support for improving information exchange among doctors in e-health communities and improving the service levels of the platforms.institutions, and medical practitioners [7]. Forums such as Lilac (www.dxy.cn/bbs) and Love Love Doctor (bbs.iiyi.com/) provide medical information and services to many doctors. However, there are still relatively few active users in medical forums [8], which means the acceptance level of e-health communities is still lacking. Therefore, it is important to explore the information exchange behaviors of doctors in such communities to promote the service level of e-health communities.The e-health community is an electronic information platform where doctors can exchange academic, basic medical, and other information. In e-health communities, doctors can access forums anywhere, anytime, seek or exchange medical information, find literature, and so on. At the same time, doctors can also post comments and questions on the forum and communicate with others. This is convenient and can solve some problems for doctors. If a doctor's area lacks the advanced medical resources and medical resources, and a patient requires advanced treatment, the doctor can access relevant advanced medical information in a forum. Then, the patient can be better prepared for the advanced treatment before the referral, which can increase cure rates [9]. E-health communities also can break the limitations of time and space and help doctors obtain professional knowledge from other doctors at different levels, which can reduce imbalances in medical resources [10]. Although such advantages indicate that e-health communities have good prospects, some shortcomings still exist. First, users of the Lilac forum are independent...

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Section: Close Communication Of Information In the E-health Communitymentioning

confidence: 99%

“…Physician title. ,10,15,16,17,30,33,37,38,41,43,45,50,51,52,54,55,57, 63, 64, 65, 67, 81, 82, 83, 85, 87, 90, 91, 92, 93, 94 …”

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confidence: 99%

Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

2020

IJERPH

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“…If current medical training is encouraging students to fake their empathy-and these data suggest it is-then does this present a problem? There is very little research on the impact of hollow empathic statements, but qualitative research in simulated patients suggests that the insincerity in these statements is easy to detect [31]. Even if students and clinicians can learn to simulate empathy in a way that convinces patients, there remains the problem that the students and clinicians themselves know they are being less than genuine in their approach, which could inversely impact on professional satisfaction [25].…”

Section: Context Within the Literature And Implicationsmentioning

confidence: 99%

‘I’m sorry to hear that’—Empathy and Empathic Dissonance: the Perspectives of PA Students

2020

Self Cite

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Context Our understanding of clinical empathy could be enhanced through qualitative research-research currently underrepresented in the field. Physician associates within the UK undergo an intensive 2-year postgraduate medical education. As a new group of health professionals, they represent a fresh pair of eyes through which to examine clinical empathy, its nature and teaching. Methods Working with a constructivist paradigm, utilising grounded theory methodology, researchers studied 19 purposively sampled physician associate students in two UK medical schools. One-to-one semi-structured interviews were transcribed verbatim. Data were analysed using a grounded theory approach. Results The global themes were the pathways to empathy, empathy modifiers and empathic dissonance a novel term to describe the discomfort students experience when pressurised into making empathic statements they don't sincerely feel. Students preferred using non-verbal over verbal expressions of empathy. A conceptual model is proposed. The more substantial empathic pathway, affective empathy, involves input from the heart. An alternative empathy, more constrained, comes from the head: cognitive empathy was considered a solution to time pressure and emotional burden. Formal teaching establishes empathic dissonance, a problem which stems from over-reliance on the empathic statement as the means to deliver clinical empathy. Conclusions This study furthers our understanding of the construct and teaching of empathy. It identifies empathic barriers, especially time pressure. It proposes a novel concept-empathic dissonance-a concept that challenges medical educationalists to reframe future empathy teaching.

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“…In the first substantial qualitative study on simulated patients' views on medical consulting, Laughey et al . reported three overlapping and synergistic themes: listening with empathy and showing that empathy, continuous human connection and enabling information flow from the patient …”

Section: Communication With Patientsmentioning

confidence: 99%

Communication: an enabling competency

Tobin

Watters

2020

ANZ Journal of Surgery

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Medical communication: the views of simulated patients

Abstract: This first in-depth study of SPs' views on medical consulting identifies a communication triad that both affirms and builds on the current literature base. Five novel teaching points emerge, with clear relevance for best practice communication teaching and curricula design.

Cited by 22 publications

References 36 publications

Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

Analysis of Network Structure and Doctor Behaviors in E-Health Communities from a Social-Capital Perspective

‘I’m sorry to hear that’—Empathy and Empathic Dissonance: the Perspectives of PA Students

Communication: an enabling competency

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