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Enhancing Patient Comprehension in Orthopaedic Surgery: The EXPLAIN Framework for Surgeon-Patient Communication.

Benjamin Hershfeld1,2,3, Christine Lucido1,2,3, Randy M Cohn1,2,3

  • 1Northwell, New Hyde Park, New York.

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Improving patient comprehension in orthopaedic surgery is crucial. The EXPLAIN framework offers a structured approach to enhance patient understanding, manage expectations, and improve surgical outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Medical Communication
  • Patient Education

Background:

  • Patient comprehension in orthopaedic surgery is often inadequate, leading to unrealistic expectations and affecting informed consent and satisfaction.
  • Effective expectation management is a key challenge in surgical communication.

Purpose of the Study:

  • To introduce and evaluate the EXPLAIN framework, a structured, orthopaedic-specific communication strategy.
  • To improve patient understanding of orthopaedic conditions, procedures, and recovery.

Main Methods:

  • The EXPLAIN framework comprises seven components: Educate, eXample, Purpose, Language/Learn, Analogy/Articulate, Illustrate, and Navigate.
  • Utilizes evidence-based strategies like plain language, teach-back, anatomical models, 3D aids, and structured navigation programs.

Main Results:

  • Implementation of the EXPLAIN framework can significantly enhance patient comprehension.
  • Associated benefits include reduced patient anxiety and lower hospital readmission rates.

Conclusions:

  • The EXPLAIN framework offers a systematic method to improve communication in orthopaedic surgery.
  • Adoption of EXPLAIN can foster shared decision-making, mitigate malpractice risks, and ultimately improve patient outcomes and satisfaction.