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The pediatric surgeon-patient relationship
Sandra Rackley1, John Michael Bostwick
1Department of Psychiatry and Behavioral Sciences, Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010, USA. srackley@childrensnational.org
Insights
Effective surgeon-patient communication, especially with children, improves surgical care quality and satisfaction. Tailoring communication to a child's developmental stage enhances the patient-physician relationship, with skills improving through practice.
Area of Science:
- Pediatric Surgery
- Surgical Communication
- Patient-Physician Relationship
Background:
- Technical skills are often prioritized in surgical training.
- Effective communication is a critical, frequently used skill in surgery.
- A strong patient-physician relationship is vital for quality surgical care, patient satisfaction, and improved outcomes.
Purpose of the Study:
- To highlight the importance of communication in surgical practice.
- To outline principles for enhancing surgeon-patient communication, particularly with pediatric populations.
- To emphasize the benefits of a developmentally sensitive communication approach.
Main Methods:
- Review of general communication principles applicable to all patients.
- Emphasis on adapting communication strategies based on a child's age, cognitive abilities, and emotional state.
- Highlighting the learnable nature of communication skills through practice and self-reflection.
Main Results:
- Communication is the most utilized 'procedure' by surgeons.
- General communication principles enhance interactions with all children and families.
- Developmentally sensitive communication significantly improves relationships with pediatric patients.
- Communication skills are amenable to learning and improvement.
Conclusions:
- Prioritizing and refining communication skills is essential for surgeons.
- A developmentally appropriate approach to communication optimizes pediatric surgical care.
- Continuous practice and self-reflection are key to mastering surgical communication.
Abstract:
Though technical aspects of surgical practice are commonly emphasized, communication is the most frequent "procedure" employed by surgeons. A good patient-physician relationship enhances the quality of surgical care by improving outcomes and patient and family satisfaction. There are general principles that can enhance communication with all children and families. Employing a developmentally sensitive approach that adjusts communication style based on a child's cognitive abilities and emotional concerns can further enhance the relationship with children of different ages. These communication skills can be learned and are improved by practice and self-reflection.
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