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Communication and professionalism.

M E Whitcomb
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Abstract

The text of this lecture was presented in July 1999 at the international Chicago meeting on Communication in Medicine. The topic 'Communication and professionalism' has been approached by drawing on the work at the Association of American Medical Colleges (AAMC). The challenge is to align medical education content with societal needs, practice patterns and scientific developments. In this perspective, the goals of medicine have been presented, however, also related to experienced real life situations, the changes within medical practice and the erosion of the doctor-patient relationship. It is stressed that we must produce excellent clinicians, who have good communication skills, and being able to use those skills in the care of their patients. This implies that the current focus on communication in medicine is very important in the medical education.

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CommunicationEducation, MedicalGoalsHumansPhysician-Patient RelationsProfessional CompetenceAddress

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BibTeXRIS

M E Whitcomb. 2000. Communication and professionalism.. https://doi.org/10.1016/s0738-3991(00)00137-3

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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