0
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 to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

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.

Grahic 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*”).

Grahic 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.

Grahic Jump Location

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

CME
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.
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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

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

Web of Science® Times Cited: 8

Sign In to Access Full Content

Related Content

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

Articles Related By Topic
Related Topics
PubMed Articles
A piece of my mind. Remarkably wise.
JAMA : the journal of the American Medical Association ;
A piece of my mind. A systems engineer meets the system.
JAMA : the journal of the American Medical Association ;
Jobs
JAMAevidence.com

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