Transcript Improved Delivery of Cardiovascular Care (IDOCC) through

The Patient-Physician Relationship
Managing the Challenges
Dr. Nick Busing
President and Chief Executive Officer
Montréal
May 6, 2008
Sir William Osler said:
“Listen to the patient, he is
telling you the diagnosis”
“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 for
doctors 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
Dr. Ian McWhinnie said:
“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.”
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