The Patient - Practitioner relationship

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Vinesh Naidoo

The Patient – Practitioner relationship

a). Outline one study examining interpersonal skills in the patient-practitioner relationship. (6)

b). Discuss problems involved in researching interpersonal skills in the patient-practitioner relationship. (10)

Part A

In 1984, two researchers named Beckman and Frankel taped 74 office consultations involving doctors and their patients. It came to their notice that surprisingly doctors were not particularly good listeners. The doctors who took part within this study had shockingly terrible listening skills and this lead to some very interesting results for Beckman and Frankel.

Beckman and Frankel found that, in responding to the doctors’ opening questions, patients were able to speak for an average of just 18 seconds before being interrupted.

Therefore, at least one patient was allowed to talk on about their condition for nearly two-and-a-half minutes before the doctor cut him off. That means that, to achieve the 18-second average, that Beckman and Frankel recorded quite a few consultations must have been extremely simplistic. The doctor probably gave them a few seconds to tell them what their problem was without even listening to their actual problem.

doctors often interrupt patients after the initial concern, apparently assuming that the first complaint is the chief one, yet the order in which patients present their problems is not related to their clinical importance

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the longer the doctor waits before interrupting at the beginning of the interview, the more likely she is to discover the full spread of issues that the patient wants to discuss and the less likely will it be that new complaints arise at the end of the interview (Beckman and Frankel 1984)

Consequently within this study two types of interpersonal skills were being portrayed; questioning skills and listening skills.

Interrupting people is not only bad manners; it also robs doctors (and lawyers) of important benefits often gained from letting patients and clients talk:

  • Listening saves time and helps ...

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