The Patient-Physician RelationshipManaging the Challenges

Dr. Nick BusingPresident and Chief Executive Officer

Montréal May 6, 2008

“Listen to the patient, he is telling you the diagnosis”

Sir William Osler said:

“If the term patient-centred care is going to have real meaning, it is important to listen to patient experiences, to make that information

publicly available, and to act on it.

But the starting point is asking, and listening”

André Picard, The Globe and Mail, April 3, 2008

Good communication skills: Benefits fordoctors and patients.

Susan J. Hawken, The New Zealand Family Physician, Vol. 32, No. 3 - June 2005

Viewpoint: Power and Communication

Why simulation training ought to be complemented by experiential and humanist

learning

Michael Hanna and Joseph J. Fins, Academic Medicine, Vol. 81, No. 3 - March 2006

“If students have their clinical training, mainly in hospitals, especially tertiary care

hospitals, they will get the message – this is what disease is, and this method for

investigating it is the method of medicine…If they are taught mainly by specialists, they will get the message this is where authority

prestige and power lie.”

Dr. Ian McWhinnie said:

The hidden curriculum….

“the set of influences that function at the level of organizational structure and culture including, for example, implicit rules to survive the institution such as customs, rituals, and taken for granted aspects”

H. Lempp & C. Seale: The hidden curriculum in undergraduate medical education qualitative study of medical students’ perceptions of teaching. British Medical Journal. 2004

Is There Hardening of the Heart During Medical School?

Newton, Barber et al. Academic Medicine. Vol. 83, No. 3 – March 2008