Tag Archives: doctor-patient relations
doctor shaking hands with female patient

Coaching Patients Saves Lives and Money (video)

The Coaching On Achieving Cardiovascular Health (COACH) Program has been proven to improve biomedical and lifestyle cardiovascular disease (CVD) risk factors. The objective of this study was to evaluate the long-term impact of The COACH Program on overall survival, hospital utilization, and costs from the perspective of a private health insurer (payor), in patients with […]

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‘A Man Walks Into a Bar’: Riddles in the Teaching of Medicine

For some years now, one of us (AV) has enjoyed posing this riddle on teaching rounds with residents.1, 2 A man walks into a bar and makes a wager: He will keep his head submerged in a bucket of water for as long as the patrons wish. If he succeeds, the patrons must each buy him […]

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William H. Frishman, M.D.

House Calls

When I was a medical student, 50 years ago, physicians, especially pediatricians, internists, and family physicians, were still making house calls as part of their provision of care for their patients.1 The symbol of the practicing physician at that time was the “black bag,” which contained diagnostic tools like the stethoscope, ophthalmoscope, tuning fork, reflex hammer, […]

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Work–Life Balance, Burnout, and the Electronic Health Record

United States physicians were studied by Shanafelt et al in 2011, and again in 2014, regarding burnout and satisfaction with work–life balance.1 Physician burnout increased significantly, from 45.5% to 54.4%. Parallel studies of all US workers during the same period showed no changes. There are several possible explanations for this. New physician members were added to the […]

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Medical Axioms: The Pithy Little Sayings That Reflect Deeper Knowledge

  I love axioms. Perhaps it is the result of hearing them from one of my earliest mentors in medical school. Or perhaps it is the result of advice given me by my journalist/English teacher mother who told me that everything you write can be improved by condensation. Whatever the underlying reason, I continue to […]

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nurse showing an elderly woman something on a tablet in office

Candid to the Bitter End: Indiscriminate Disclosures

  The physician’s obligation to tell the patient the full truth about his or her condition has become an established ethical principle, enabling patients’ autonomy, shared decision-making, and patient-centered care. However, indiscriminate application of this obligation may at times be harmful to the patient, contradicting the old Hippocratic imperative of “first do no harm” (“Primum […]

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