A5028176357- Empathy and Medical Education
- Healthcare professionals’ stress and burnout
- Patient-Provider Communication in Healthcare
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Healthcare cost, quality, practices
- Clinical Reasoning and Diagnostic Skills
- Family and Patient Care in Intensive Care Units
- Primary Care and Health Outcomes
- Optimism, Hope, and Well-being
- Diversity and Career in Medicine
- Ethics in medical practice
- Healthcare Systems and Challenges
- Mindfulness and Compassion Interventions
- Vaccine Coverage and Hesitancy
- Radiology practices and education
- Healthcare Systems and Technology
- Palliative Care and End-of-Life Issues
- Health and Medical Research Impacts
- Ethics in Clinical Research
- Patient Satisfaction in Healthcare
- Electronic Health Records Systems
- Medical Malpractice and Liability Issues
- Mental Health and Patient Involvement
- Viral Infections and Outbreaks Research
Compassionate Cancer Care
2011-2022
Harvard University
2012-2022
Mount Auburn Hospital
2008-2020
Brown University
2019
South Tees Hospitals NHS Foundation Trust
2016
American Association of Colleges of Nursing
2015
University of Massachusetts Chan Medical School
2015
Arnold P Gold Foundation
2015
Josiah Macy Jr Foundation
2015
Sarah Cannon
2013
As the US health care system undergoes restructuring and pressure to reduce costs intensifies, patients worry that they will receive less compassionate care. So do providers. Our survey of 800 recently hospitalized 510 physicians found broad agreement is “very important” successful medical treatment. However, only 53 percent 58 said generally provides Given strong evidence such improves outcomes patients’ experiences, we recommend national quality standards include measures care; be a...
Medical Writings7 August 2001"Let Me See If I Have This Right …": Words That Help Build EmpathyJohn L. Coulehan, MD, Frederic W. Platt, Barry Egener, Richard Frankel, PhD, Chen-Tan Lin, Beth Lown, and William H. Salazar, MDJohn MDDr. Coulehan: State University of New York at Stony Brook; Brook, NY 11794-8036Dr. Platt: Colorado Health Sciences Center; Denver, CO 80222Dr. Egener: American Academy on Physician Patient; Portland, OR 97210Dr. Frankel: Highland Hospital; Rochester, 14620Dr. Lin:...
To assess the impact of Schwartz Center Rounds, an interdisciplinary forum where attendees discuss psychosocial and emotional aspects patient care. The authors investigated changes in attendees' self-reported behaviors beliefs about care, sense teamwork, stress, personal support.In 2006-2007, researchers conducted retrospective surveys at six sites offering Rounds ("the Rounds") for > or =3 years prospective 10 new that have held =7 Rounds.Most survey respondents indicated attending enhanced...
Physicians' interpersonal and communication skills have a significant impact on patient care correlate with improved healthcare outcomes. Some studies suggest, however, that decline during the four years of medical school. Regulatory other organizations, recognizing importance in practice medicine, now require competence skills. Two challenges exist: to select framework teach across undergraduate education, develop implement uniform model for assessment these The authors describe process...
Purpose – The purpose of this paper is to present a statement about the involvement patients in education health and social care professionals developed at an international conference November 2015. It aims describe current state identify action items for next five years. Design/methodology/approach describes how patient has as logical consequence public participation research. summarizes across continuum training, including benefits barriers. was outcome. Findings identifies nine priorities...
To understand the interpersonal and communication behaviors that are perceived positively by patients in a video encounter whether patient-centered relationships can be established virtually.A qualitative analysis of patient visit feedback was performed to build consensus around exemplary practices during virtual urgent care visit. Voluntarily submitted comments associated with 5-star review after were randomly selected from more than 49,000 an 11-month period, January 1, 2016, through...
Abstract Objective To explore how patients and physicians describe attitudes behaviours that facilitate shared decision making. Background Studies have described physician in making, explored aids for informing queried whether want to share decisions. Little attention has been paid patients’ behaviors making or the influence of on each other during this process. Methods Qualitative analysis data from four research work groups, composed with chronic conditions primary care physicians. Results...
Faculty development is essential to fostering excellence in medical education and desired learning outcomes. Little known, however, about the personal professional impact of faculty programs on participants, learners, institutions. We explored perspectives fellowship graduates their skills, self-perceptions, participation communities, reflective practice. also results implementation a scholarly project.The study was qualitative analysis semistructured interviews with 40 from multiple...
The media through which we communicate shape how think, act, and who are. Electronic health records (EHRs) may promote more effective, efficient, coordinated, safer care. Research is emerging, but needed to assess the effect of EHRs on communication, relationships, patients' trust, adherence, outcomes. authors posit that introduce a "third party" into exam room interactions competes with patient for clinicians' attention, affects capacity be fully present, alters nature physicians' sense...
Empathy and compassion provide an important foundation for effective collaboration in health care. Compassion (the recognition of response to the distress suffering others) should be consistently offered by care professionals patients, families, staff, one another. However, without may result uncoordinated care, while technically correct but depersonalized that fails meet unique emotional psychosocial needs all involved. Providing compassionate, collaborative (CCC) is critical achieving...
Empathy and compassion are important catalysts for the healing process, but some research suggests their decline during training practice. Compassion involves recognition, understanding, emotional resonance empathic concern another's concerns, distress, pain suffering, coupled with acknowledgement, motivation relational action to ameliorate these conditions.Neuroscientists have identified neural networks that generate shared representations of directly experienced observed feelings,...
EXECUTIVE SUMMARY Organizational leaders are recognizing the urgent need to mitigate clinician burnout. They face difficult choices, knowing that burnout threatens quality and safety of care sustainability their organizations. Creating cultures system improvements support workforce diminish vital leadership skills. The motivation heal draws many health professionals chosen work. Further, research suggests compassion creates a sense personal reward professional satisfaction. Although...
There is a growing appreciation of the need for educational faculty development within medical education. The authors describe establishment and subsequent expansion one such fellowship in education that arose from cooperative efforts Harvard Medical School, Beth Israel Deaconess Center, Mount Auburn Hospital. Three resultant fellowships are outlined share common goals enhancing skills as educators, providing an opportunity to conduct scholarly research, supporting fellows change agents,...
Peer assessment of teaching can improve the quality instruction and contribute to summative evaluation effectiveness integral high-stakes decision making. There is, however, a paucity validated, criterion-based peer instruments. The authors describe development pilot testing one such instrument share lessons learned. report provides description how task force Shapiro Institute for Education Research at Harvard Medical School Beth Israel Deaconess Center used Delphi method engage academic...
Healthcare professionals and organizations, policy makers, the public are calling for safe effective care that is centered on patients' needs, values, preferences. The goals of interprofessional shared decision making support to help patients agree choices effective, health promoting, realistic, consonant with professionals' values This requires collaboration among their family caregivers. Continuing professional development urgently needed healthcare acquire knowledge, skills, attitudes...
Patients and clinicians endorse the importance of compassionate healthcare but patients report gaps between its perceived demonstration. Empathy compassion have been associated with quality life significant health outcomes these characteristics are not optimally measured or used for performance organizational improvement.To address gaps, we conducted a study objective evaluating properties 12-item Schwartz Center Compassionate Care Scale® using psychometric analysis cognitive...
*The authors are participants in the activities of IOM Roundtable on Value & Science-Driven Health Care. The views expressed those and not necessarily authors’ organizations or Institute Medicine. paper is intended to help inform stimulate discussion. It has been through review procedures National Academies a report Medicine Research Council.
Compassionate care requires understanding of another’s pain or suffering, with commitment to doing something relieve this. It is endorsed by nursing and other healthcare professionals in their codes ethics as one main responsibilities. Yet too often it comes public attention a deficiency organisations. Any effort achieve meaningful quality improvement must start method measuring patient experience. The Schwartz Center Care Scale™ (SCCCS) unidimensional 12-item questionnaire high internal...
The authors present 10 strategies, plus challenges and opportunities, that have informed three well-established, yearlong medical education fellowships (defined as single cohorts of teaching faculty who participate in extended development activities) during the period 1998 to 2008. These strategies include (1) defining an operating philosophy, values, goals, (2) establishing a curriculum reflects roles responsibilities fellows faculty, (3) employing basic approach adult learning, (4)...