Listening With CompassionTuesday, November 20, 2018
One of the key themes that emerged from our interviews with patients recently published in Clinical Obesity, was the importance of “real” listening and the role of compassion.
“People described feeling validated and ‘like a human’. Many reflected in later interviews on how this experience impacted their ability to cope with frustrations while implementing their plan. Patients appreciated that providers repeatedly summarized what they understood and validated their interpretations with them. Patients experienced this as ‘real listening’ that resulted in an accurate understanding of their specific circumstances as basis for appropriate care plans.”
In my own practice, I have made it a rule to dictate my notes right in front of the patient. Not only does this allow my patient to correct me if I get a detail wrong, but it also provides direct feedback to my patient that I have indeed heard their story and understand the issues that are important to them. Thus, I see my dictations not just as a means of communicating my assessment and recommendations to their family doctor, but also as an important part of my actual intervention (many patients have told me just how much listening to me dictate and interpret their story has meant to them).
Obviously, compassion is a big part of the approach. I have long learnt to keep judgement out of my medical practice. I am not there to judge any of my patients (who am I to judge anyone?). Rather, it is my job to accept them as they are and hopefully help them move things forward to the goals that they find important.
This simple “attitude adjustment” (that I made a long time ago), was perhaps the single most important change to my practice.
More on the other themes that emerged from our interviews in coming posts.