Physician discusses etiquette-based medicine.
Psychiatrist Michael W. Kahn, M.D., writes in the New York Times (12/2, D6) that “high-level skills like reflectiveness and empathy are an important part of medical education these days.” Dr. Kahn notes that, in article he published several months ago in the New England Journal of Medicine, “medical schools may be underemphasizing a much simpler virtue: good manners.” The article contained a description of “a common-sense method for spreading clinical courtesy that” he called “etiquette-based medicine,” and he “proposed a simple, six-step checklist for doctors to follow when meeting a hospitalized patient for the first time.” This list includes asking for permission to enter a room, introducing oneself, shaking hands, explaining the physician’s role vis-à-vis the patient, and asking patients how they feel “about being in the hospital.” Dr. Kahn points out that “etiquette-based medicine rests on the fact that patients derive comfort from specific actions – as opposed to attitudes or feelings – that are independent of the doctor’s emotional investment in the patient.”
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