0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

The Silent Dimension:  Expressing Humanism in Each Medical Encounter

Ami Schattner, MD
Arch Intern Med. 2009;169(12):1095-1099. doi:10.1001/archinternmed.2009.103.
Text Size: A A A
Published online

Extract

Humanistic behavior is considered an essential component of professional medical care. However, the evidence shows that it is often neglected. Many barriers to the expression of sensitivity to the patient's concerns and empathy and compassion in the clinical encounter can be identified. Time constraints, poor continuity of care, appearance of alienating factors between patients and physicians, and the “hidden curriculum” are just a few in a long list. To overcome them, personal adoption of the CAPTURES* mnemonic technique is suggested. It includes Curiosity about the patient's personal aspects, finding something to Admire, trying to see things from the patient's Perspective, Touching and Using body language to convey caring, Reacting to the patient, and Stressing any positive or encouraging aspects to provide Support, reassurance, and hope. Four brief case examples are presented herein to demonstrate that a warm, interested, and supportive attitude toward patients can be regularly adopted with ease in every setting. Personal inclusion of the humanistic aspect in each patient-physician encounter accompanied by several of the institutional educational changes indicated may significantly alter the current scene despite obvious limitations. Marked benefits for both physicians and patients can be expected, including improvements in patients' satisfaction, trust, and compliance, leading to significantly better “hard” health outcomes. Thus, sincere humanistic behavior can become an integral part of the encounter, correcting current deficiencies and catching up with the astounding advances of modern biomedicine.

Figures in this Article

Topics

humanism

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 1.

The many factors adversely affecting expressions of humanism in patient physician relationships. CAM indicates complementary and alternative medicine; HMO, health maintenance organization.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Personal attitudes and techniques to enhance a sincere humanistic component in the encounter (mnemonic: “CAPTURES*”).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.

Institutional interventions suggested to improve the humanistic aspects of patient care by focused educational effort (mnemonic: “SIC” [Latin: “thus”], to read: “SIC CAPTURES*” HUMANISM). CME indicates continuing medical education.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 12

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Skills, Humanism, and EBM

brightcove.createExperiences();