Doctor-Patient Relationship 1st year MBBS Practical

Doctor-Patient Relationship 1st year MBBS Practical.

Who is Physician???. Physician is a well qualified person to practice medicine, especially one who specializes in diagnosis and medical treatment. Physician provides medical care Def: Medical care refers chiefly to those personal services that are provided directly by physicians or rendered as a result of the physicians instructions..

Who is Patient???. A person who requires medical care. A person under a physician's care for a particular disease or condition..

Contd... So physician gives medical care and a patient receive it. This process requires a sound relationship between the doctor and patient..

Fundamentals of DPR. Communication Empathy Trust Informed consent Professional boundaries.

Communication. A Successful doctor is one who knows how to communicate with his patient. There are 3 levels of communication. 1.Communication on an Emotional plane : Doctor should have a sympathetic ear. 2.Communication on cultural plane : Should have awareness of general concepts of culture & social organization of community..

3.Communication on Intellectual plane – Social distance between doctor or & patient should be minimized. Most important communication between doctor and patient is humor..

Why it is important. Patient-Doctor communication is important Improved satisfaction Improved compliance Improved decision making Better health outcomes Decreased malpractice claims.

Communication Skills. Essential for diagnosing and treating illness Essential in establishing a meaningful patient-doctor relationship Facilitates educating and counseling patients.

Information gathered must be: Objective Accurate Precise.

Trust Patients on the first visit share their most personal information to someone they have never met before They look to you for guidance when making critical health care decisions.

Patients who feel at ease are more likely to tell you their reason for coming to the doctor’s office Be yourself! Show true interest.

Empathy. To understand a person’s experience Different than sympathy Requires Active listening Interest in patient’s experience.

Informed Consent. Definition-- When two or more persons agree upon the same thing in the same sense they are said to consent ( section 13 of Indian Contract Act, 1872) Who can given consent? 1. any person who is conscious 2. mentally sound and 3. ≥ twelve years of age.

Professional boundaries: This deals with any behavior on the part of the doctor that transgresses the limits of the professional relationship, or boundary violations. For example, the following behaviors should be avoided to respect professional boundaries between the doctor and patient:.

Contd... observing the patient in unorthodox settings at the convenience of the physician; burdening the patient with personal information. Patients, in turn, need to avoid frequent phone calls and unscheduled visits to their doctors, as a sign of respect for their time..

Qualities of physician. 1. SENSE OF RESPONSIBILITY : Essential in a doctor Breeds dedication and motivates to do what is right, going beyond the call of duty Keep you going even when you are tired; go to the extra mile for the sake of the patients - Do the right things, sacrifice without ulterior motives, even when no one else is looking.

2-COMPASSION & EMPATHY : Kind, compassionate, humane, considerate, tolerant, generous, empathic and sensitive - This quality brings out dedication to the patient from a genuine sense of concern.

3-PROFESSIONALISM : - Quality that ensure patients rights, autonomy, modesty and privacy is respected at all times..

4-KNOWLEDGEABLE: - Doctor must have adequate knowledge and keep abreast with development in medicine - Honest enough to know limitation and refer patient for consultation.

5-HUMILITY: - Arrogance, pride and overconfidence are dangerous qualities for a doctor Open up to medical errors and misdiagnoses Humility helps to recognize not just their strengths but also their weaknesses. - We are not god - Understand our limitations, humble enough to ask for help.

6-COMMUNICATION SKILLS AND BEDSIDE MANNERS: - Communication plays an important role between doctor and patients, colleagues or public.

Role of Physician. Health care providers Technical consultant To convince the necessity of medical services Apply a high degree of skill & knowledge to the problems of illness. Act for welfare of patient and community rather then for own self interest, desire for money, advancement etc. Be objective and emotionally detached. Be guided by rules of professional practice. Helps to make Society and community healthy.

Rights of the Doctor. Granted right to examine patients physically & to enquire into intimate areas of physical & personal life. Granted considerable autonomy in professional practice. Occupies position of authority in relation to the patient.

Rights of the Patient. • Right to considerate and respectful care. • Right to information on diagnosis, treatment and medicines. • Right to obtain all the relevant information about the professionals involved in the patient care. • Right to expect that all the communications and records pertaining to his/her case be treated as confidential . • Right to every consideration of his/her privacy concerning his/her medical care programme ..

Contd... Right to expect prompt treatment in an emergency • Right to refuse to participate in human experimentation, research, project affecting his/her care or treatment. • Right to get copies of medical records • Right to know what hospital rules and regulations apply to him/her as a patient and the facilities obtainable to the patient. • Right to get details of the bill. • Right to seek second opinion about his/her disease, treatment, etc..

Exercise:. Tell me about your most memorable positive experience with a physician (when you were a patient) Tell me your most negative experience What does being a doctor mean to you? Why you chose to become a Doctor.