The right dx

Siggs, Tim ts228 at LEICESTER.AC.UK
Tue Jan 21 17:52:09 UTC 2014


Interesting idea, and then what about the type if praise and how this shapes the doctors practice and their perceptions of ability? This video of children explains this quite nicely... The adult literature says most of this is ingrained following childhood experiences but nevertheless raises the point of why the type if feedback is more crucial than you might think
http://youtu.be/TTXrV0_3UjY

Further to what it means to a doctor to receive that kind of praise of which Victoria mentioned, as a psych I can't truly comment from my own practice, but to think psychodynamically I'm minded of how such an act may draw out the person in the clinician which I can imagine may present a conflict with trying to remain, to an extent at least, somewhat separate from the a potentially large caseload of patients who all may have very distressing and difficult circumstances. That is, keeping some interpersonal distance enables clinicians to do their job. So in terms of the clinician you mentioned I'm sure they would have genuinely appreciated it - it's nice to know when we've done a good job and how grateful people are for it. But to openly discuss this may take your relationship to a different level that may make it harder for the dr-patient relationship to operate optimally in the future.

Just my thoughts, would be interesting to hear from those who may have had this experience.

Tim Siggs
Trainee Clinical Psychologist

On 21 Jan 2014, at 16:13, "Robert Bell" <rmsbell at ESEDONA.NET<mailto:rmsbell at ESEDONA.NET>> wrote:

What does patient praise do to a physicians diagnostic skills?

Rob Bell

Sent from my iPad

On Jan 20, 2014, at 6:13 PM, Vic Nicholls <nichollsvi2 at GMAIL.COM<mailto:nichollsvi2 at GMAIL.COM>> wrote:

Question for the medical professionals on this list.

I have a doctor who looked up something in UpToDate at my last appointment months ago. She gave me another test which showed a problem. I remembered that.

I put a note to her, coming up at my next appointment, saying that I hadn't said so but that I appreciated her doing that. I said there are those who wouldn't do that in front of a patient, but the fact that she went searching for an answer on my account really made me feel like she put my welfare and patient care first.

Do doctors really appreciate that? She hasn't said anything but I know she got it. I have asked for the bosses of doctors before and given them things that I said I appreciated about them and how much it meant to me.

Thanks,

Victoria

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