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Questioning a Taboo

Questioning a Taboo Opinion A PIECE OF MY MIND Physicians’ Interruptions During Interactions With Patients A seminal event occurred in 1984. Howard Beckman, Let’s start with the critical, agenda-setting phase, Larry B. Mauksch, MEd MD, and Richard Frankel, PhD, published a study re- when patient and physician should identify and priori- Department of Family porting that physicians interrupt patients, on average, tize issues to address during the visit. A physician who Medicine, University of after 18 seconds during an encounter. According to understands the 18-second interruption study may be Washington, Seattle; Google Scholar, this study has been referenced more effective at agenda setting. Beckman and Frankel and Editor, Families, Systems and Health: 1115timesinacademicjournalsandbooks,50timesalone classified four physician behaviors as interruptions The Journal of in 2016. The mainstream press picked up on this study when used during the opening moments because Collaborative Family with titles such as “Study Finds Doctors Aren’t Good these behaviors distracted the patient from sharing Healthcare. Listeners” or “Prescription for Doctors: Listen More.” additional concerns. The first form of interruption is an Inlightofthe1984finding,howmanystudents,resi- “interrogative” or closed-ended question, such as “How dents, and practicing physicians in the last 30 years have long have you had this pain?” This interruption inaugu- been http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Questioning a Taboo

JAMA , Volume 317 (10) – Mar 14, 2017

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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2016.16068
pmid
28291896
Publisher site
See Article on Publisher Site

Abstract

Opinion A PIECE OF MY MIND Physicians’ Interruptions During Interactions With Patients A seminal event occurred in 1984. Howard Beckman, Let’s start with the critical, agenda-setting phase, Larry B. Mauksch, MEd MD, and Richard Frankel, PhD, published a study re- when patient and physician should identify and priori- Department of Family porting that physicians interrupt patients, on average, tize issues to address during the visit. A physician who Medicine, University of after 18 seconds during an encounter. According to understands the 18-second interruption study may be Washington, Seattle; Google Scholar, this study has been referenced more effective at agenda setting. Beckman and Frankel and Editor, Families, Systems and Health: 1115timesinacademicjournalsandbooks,50timesalone classified four physician behaviors as interruptions The Journal of in 2016. The mainstream press picked up on this study when used during the opening moments because Collaborative Family with titles such as “Study Finds Doctors Aren’t Good these behaviors distracted the patient from sharing Healthcare. Listeners” or “Prescription for Doctors: Listen More.” additional concerns. The first form of interruption is an Inlightofthe1984finding,howmanystudents,resi- “interrogative” or closed-ended question, such as “How dents, and practicing physicians in the last 30 years have long have you had this pain?” This interruption inaugu- been

Journal

JAMAAmerican Medical Association

Published: Mar 14, 2017

References