Abstract
In modern clinical practice, listening is hindered by changes in the environment such as the implementation of the electronic record and the increasing use of testing. Yet, there are important dividends to deep listening, including an enhancement of accurate data gathering for better diagnostic reasoning as well as witnessing the patient’s experience and alleviating the alienation of illness. Methodologies such as mindfulness, narrative medicine, presence, and better design of clinical spaces can help facilitate close listening in clinical spaces. When close listening occurs, patients benefit and physicians also connect with a deeper sense of service and purpose, which is necessary for a satisfying career in clinical work.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Schatzki SC. Norman Rockwell visits a country doctor. AJR Am J Roentgenol. 1999;173(4):984.
Sinsky C, Colligan L, Li L, Prgomet M, Reynolds S, Goeders L, Westbrook J, Tutty M, Blike G. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann Intern Med. 2016;165(11):753–60.
Raban MZ, Walter SR, Douglas HE, Strumpman D, Mackenzie J, Westbrook JI. Measuring the relationship between interruptions, multitasking and prescribing errors in an emergency department: a study protocol. BMJ Open. 2015;5(10):e009076.
Montague E, Chen PY, Xu J, Chewning B, Barrett B. Nonverbal interpersonal interactions in clinical encounters and patient perceptions of empathy. J Participat Med. 2013;5:e33.
Fletcher RH, Fletcher SW, Fletcher GS. Clinical epidemiology: the essentials. Philadelphia: Lippincott Williams & Wilkins; 2012.
Kanzaria HK, Hoffman JR, Probst MA, Caloyeras JP, Berry SH, Brook RH. Emergency physician perceptions of medically unnecessary advanced diagnostic imaging. Acad Emerg Med. 2015;22(4):390–8.
Kromann CB, Jensen ML, Ringsted C. The effect of testing on skills learning. Med Educ. 2009;43(1):21–7.
Epstein RM. Assessment in medical education. N Engl J Med. 2007;356(4):387–96.
Balogh EP, Miller BT, Ball JR. Improving diagnosis in health care. Washington, D.C: National Academies Press; 2016.
Ricoeur P. Life in quest of narrative. 1991.
Felman S, Laub D. Testimony: crises of witnessing in literature, psychoanalysis, and history. Florence: Taylor & Francis; 1992.
Kafka F. The metamorphosis. New York: Modern Library; 2013.
Frank AW. The wounded storyteller: body, illness, and ethics. Chicago: University of Chicago Press; 2013. p. 25.
Jurecic A. Illness as narrative. Pittsburgh: University of Pittsburgh; 2012.
Scarry E. The body in pain: the making and unmaking of the world. USA: Oxford University Press; 1985.
Jagosh J, Boudreau JD, Steinert Y, MacDonald ME, Ingram L. The importance of physician listening from the patients’ perspective: enhancing diagnosis, healing, and the doctor–patient relationship. Patient Educ Couns. 2011;85(3):369–74.
Kabat-Zinn, Jon. Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette UK, 2009.
Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284–93.
Charon R. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001;286(15):1897–902.
Charon R. Narrative medicine: honoring the stories of illness. New York: Oxford University Press; 2008.
Merleau-Ponty M, Lefort C. The visible and the invisible: followed by working notes. Evanston: Northwestern University Press; 1968.
Bachelard G, Jolas M. The poetics of space. Boston: Beacon Press; 1994.
Sternberg EM. Healing spaces. Cambridge: Harvard University Press; 2009.
Obituary. Henri Matisse. New York Times. 1954 Nov 04. Available from: http://www.nytimes.com/learning/general/onthisday/bday/1231.html.
Csikszentmihalyi M, Csikszentmihalyi IS. Optimal experience: psychological studies of flow in consciousness. Cambridge: Cambridge University Press; 1992.
Gunderman R. "For the young doctor about to burn out." The Atlantic Monthly. Feb 21, 2014; 21. Print.Â
IsHak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242–5.
Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. In Mayo Clinic Proceedings. 2015;90(12):1600–1613. Elsevier.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Gowda, D. (2017). Taking Time to Truly Listen to Our Patients. In: Papadakos, P., Bertman, S. (eds) Distracted Doctoring. Springer, Cham. https://doi.org/10.1007/978-3-319-48707-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-48707-6_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-48706-9
Online ISBN: 978-3-319-48707-6
eBook Packages: MedicineMedicine (R0)