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Related Concept Videos

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Updated: Oct 31, 2025

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences
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Exam Room Culture.

Paul J Hershberger1, Katharine Conway1, Justin M Chu2

  • 1Department of Family Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.

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Summary

Physicians can foster a more positive clinical environment by prioritizing psychological safety, physician vulnerability, and patient-centered purpose. This approach enhances the patient experience and improves clinical outcomes.

Keywords:
chronic disease managementculturepatient engagementpatient–physician relationship

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Area of Science:

  • Clinical Medicine
  • Healthcare Management
  • Patient Experience

Background:

  • Patient anxiety in clinical settings often stems from concerns about belonging, judgment, and honesty.
  • The culture of the clinical environment significantly impacts patient perceptions and engagement.

Purpose of the Study:

  • To explore how physicians can cultivate a clinical culture that enhances patient psychological safety and trust.
  • To identify key elements from successful organizational cultures that can be applied to the clinical encounter.

Main Methods:

  • Conceptual analysis of organizational psychology principles.
  • Application of these principles to the physician-patient relationship within the exam room setting.

Main Results:

  • Emphasizing psychological safety for patients is crucial for open communication.
  • Physician vulnerability can build trust and rapport.
  • A focus on the patient's purpose transforms the clinical encounter.

Conclusions:

  • Creating a psychologically safe and trusting clinical environment improves patient satisfaction.
  • Physician actions directly shape the clinical culture, leading to more productive interactions.
  • Integrating principles of successful organizational cultures can optimize the healthcare experience for all stakeholders.