title: Progress in teaching physician-patient communication in medical school; personal observations and experience of a medical educator.
abstract: In spite of the enormous progress of Western medicine during the past century there has not be a concomitant rise in the public's satisfaction with the medical profession. Much of the discontent relates to problems in physician-patient communication. The multiple advantages of good communication have been clearly demonstrated by numerous careful studies. While the past few decades have witnessed much more attention given to teaching communication skills in medical schools, there are a number of factors that create new problems in physician-patient communication and counteract the positive teaching efforts. The "hidden curriculum", the increased emphasis on technology, the greater time pressures, and the introduction of the computer in the interface between physician and patient present new challenges for the teaching of physician-patient communication.
authors.affiliation: Moshe Prywes Center for Medical Education, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Shimon
authors.initials: S
authors.lastname: Glick
keywords: Physician-patient communication; communication skills; medical education; medical school curriculum
references.citation: Pediatrics. 1968 Nov;42(5):855-71
references.pmid: 5685370
references.citation: Med Teach. 2005 Nov;27(7):613-8
references.pmid: 16332553
references.citation: Patient Educ Couns. 1998 Nov;35(3):161-76
references.pmid: 9887849
references.citation: Med Times. 1973 Oct;101(10):62-4 passim
references.pmid: 4585472
references.citation: Surgery. 2002 Jul;132(1):5-9
references.pmid: 12110787
references.citation: BMJ. 1991 Nov 30;303(6814):1385-7
references.pmid: 1760608
references.citation: CMAJ. 1992 Oct 15;147(8):1149-52
references.pmid: 1393928
references.citation: J Med Educ. 1982 Apr;57(4):334-6
references.pmid: 7062334
references.citation: Acad Med. 1999 Feb;74(2):130-41
references.pmid: 10065054
references.citation: Patient Educ Couns. 1999 Jun;37(2):191-5
references.pmid: 14528545
references.citation: N Engl J Med. 1982 Aug 19;307(8):506-9
references.pmid: 7099221
references.citation: CMAJ. 1995 May 1;152(9):1423-33
references.pmid: 7728691
references.citation: Acad Med. 1999 Jan;74(1):13-8
references.pmid: 9934288
references.citation: Medicine (Baltimore). 1980 Mar;59(2):79-99
references.pmid: 7360043
references.citation: N Engl J Med. 1969 Mar 6;280(10):535-40
references.pmid: 5764453
references.citation: Arch Intern Med. 1992 Sep;152(9):1814-20
references.pmid: 1520048
references.citation: Acad Med. 2008 Mar;83(3):244-9
references.pmid: 18316868
references.citation: Johns Hopkins Med J. 1977 May;140(5):222-32
references.pmid: 859230
references.citation: Ann Intern Med. 1984 Nov;101(5):692-6
references.pmid: 6486600
references.citation: Med Care. 1975 Jan;13(1):10-24
references.pmid: 1089182
references.citation: JAMA. 1994 Nov 23-30;272(20):1583-7
references.pmid: 7966867
references.citation: JAMA. 2000 Aug 23-30;284(8):1021-7
references.pmid: 10944650
references.citation: Med Educ. 1989 Jan;23(1):55-61
references.pmid: 2927342
references.citation: Headache. 1986 Jun;26(6):285-94
references.pmid: 3721865
references.citation: Acad Med. 2005 Feb;80(2):118-24
references.pmid: 15671313
references.citation: Clin Pediatr (Phila). 2008 Jan;47(1):49-57
references.pmid: 17901215
references.citation: Acad Med. 1994 Nov;69(11):861-71
references.pmid: 7945681
references.citation: JAMA. 1996 Jan 10;275(2):152-6
references.pmid: 8531314
references.citation: Acad Med. 2005 Dec;80(12):1094-9
references.pmid: 16306279
references.citation: Med Educ. 1988 May;22(3):189-92
references.pmid: 3405112
references.citation: Br Med J (Clin Res Ed). 1986 Jun 14;292(6535):1576-8
references.pmid: 3087523
references.citation: J Eval Clin Pract. 2009 Aug;15(4):641-9
references.pmid: 19522722
references.citation: Time. 1989 Jul 31;134(5):48-53
references.pmid: 10294076
references.citation: JAMA. 1997 Feb 19;277(7):553-9
references.pmid: 9032162
references.citation: Acad Med. 2009 Sep;84(9):1182-91
references.pmid: 19707055
references.citation: Science. 1977 Apr 8;196(4286):129-36
references.pmid: 847460
references.citation: J Gen Intern Med. 2006 Oct;21(10):1116-20
references.pmid: 16836623