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1、Doctor-Patient Relationship and Medical Professionalism,Holly J.Humphrey,MDDean for Medical EducationThe University of Chicago Pritzker School of Medicine,Framing the Issue,The Physician Charter Principles include:Primacy of patient welfare Patient autonomyCommitments include:Honesty with patients P
2、atient confidentiality Maintaining appropriate relationships with patients,ABIMF,ACP,EFIM 2001,ACGME Competencies,Patient CareMedical KnowledgePractice-Based Learning and ImprovementInterpersonal and Communication SkillsProfessionalismSystems-Based Practice,ACGME Outcome Project,1999,Framing the Iss
3、ue,Seven Essential Elements in Physician-Patient CommunicationBuild the doctor-patient relationshipOpen the discussionGather informationUnderstand the patients perspectiveShare informationReach agreement on problems and plansProvide closure,Bayer-Fetzer Conference on Physician-Patient Communication
4、in Medical Education,1999,Etiquette Based Medicine,Checklist for first meeting with a hospitalizedpatient:Ask permission to enter the room;wait for an answerIntroduce yourself,showing ID badgeShake hands(wear gloves if needed)Sit down.Smile if appropriateBriefly explain your role on the teamAsk the
5、patient how he/she is feeling about being in the hospital,Kahn MW,N Eng J Med,2008,Doctor-Patient Relationship Linked to Outcomes of Care,Sustained physician-patient partnerships with bonds of trust and knowledge of patients were correlates of three outcomes of careAdherenceSatisfactionImproved heal
6、th status,Safran DG et al,J of Fam Practice,1998,Example,The University of Chicago FACE Card Program,The University of Chicago FACE Card Program,BACKGROUNDPatients admitted to academic teaching hospitals are often cared for by teams made up of multiple physicians at varying levels of training.Potent
7、ial for confusion,possible misrepresentation.1.2Patients are in a unique position to evaluate the professional behavior of their inpatient physicians.,OBJECTIVESTo help patients identify and evaluate their inpatient physicians.To collect patient evaluations of the professional behaviors of their inp
8、atient physicians.,Description:FACE CardsSide 1,Description:FACE CardsSide 2,FACE Card Procedure,During attending rounds for new patients,the team members place their card in the corresponding spot in the plastic card holder.Team members give card holder to the patient and explain the project to the
9、 patient,asking him or her to rate the physicians.,FACE Card Procedure,FACE envelopes used for the collection of FACE cards are placed in patients charts in front of discharge papers by unit secretaries.Reports for physicians are generated from completed evaluations.Reports go into a portfolio for v
10、iewing by trainee during structured quarterly feedback session with PD or chief.,Sample Comments,“This doctor made such an impression on me that Im now going to switch her for my primary doctor.She was everything a successful,caring doctor should be.I feel like I just found the most perfect doctor.”
11、“Excellent young doctor.Very caring and sweet!”“While I believe this doctor cared for me excellently most of the time I felt I was in the dark about what was happening.I never had a chance to ask questions until the end mostly because everyone was always in such a hurry to get away.”,AAMC Survey:Cur
12、ricular Content,AAMC Medical Educations Quiet Revolution,“I want the doctors of tomorrow to know that when all the formal teaching is over and I walk into your office my need is for medical care for my child,but my desperate hope is that you have the same stake in my childs health as I do.”J.SchlucterMother of 2Both children with cystic fibrosis,
