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Related Experiment Video

Updated: Jun 4, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

[Difficult consultations rather than difficult patients].

Pieter R Tuinman¹, H H Riëtta Oberink, Margreet Wieringa-de Waard

¹Academisch Medisch Centrum Amsterdam, Netherlands. p.r.tuinman@amc.uva.nl

Nederlands Tijdschrift Voor Geneeskunde

|February 19, 2011

Summary

Difficult medical encounters, often involving patients with unexplained symptoms, leave both patients and physicians unsatisfied. Enhanced communication and psychosocial training may reduce these challenging patient-physician interactions.

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Area of Science:

Internal Medicine
Psychosomatic Medicine

Background:

Physician-patient encounters can be challenging, with 1 in 6 labeled 'difficult'.
Difficult encounters disproportionately involve patients with medically unexplained or psychiatric conditions.
Younger, less experienced physicians report more difficult encounters.

Observation:

Two cases are presented: a male patient with irritable bowel syndrome post-surgery and a female patient with medically unexplained symptoms.
Neither patient had a treatable organic cause identified.
Both encounters were unsatisfactory for the patient and the physician.

Findings:

Difficult encounters negatively impact patient satisfaction.
Physicians experiencing frequent difficult encounters are at higher risk for burnout.
Lack of communication and psychosocial training contributes to difficult encounters.

Implications:

Improved communication skills training for physicians is crucial.
Integrating psychosocial medicine into medical education can mitigate difficult encounters.
Addressing the factors contributing to difficult encounters can enhance patient care and physician well-being.