Communication médecin-patient

PASS

Chapitre 1 / 4

Greeting and Introduction

Établir le premier contact

Begin with a warm greeting and introduce yourself clearly. Use the patient's name and ask how they prefer to be addressed. A simple 'Good morning, I'm Dr. [Name]' sets a professional tone. Ask an open question like 'What brings you in today?' to start the conversation. Maintain eye contact and a calm posture to build trust immediately.

Exemple

"Good morning, Mrs. Dubois. I'm Dr. Martin. How would you like me to address you?"

À retenir

Always use the patient's surname unless invited to use their first name.

💡 À retenir : A confident, empathetic introduction reduces patient anxiety and opens the dialogue.

Taking a Patient History

Recueillir les informations

Use open-ended questions to let the patient describe their symptoms freely. Then follow up with closed questions for specifics: location, intensity, duration. Employ the SOCRATES mnemonic for pain. Listen actively, nod, and use phrases like 'I see' or 'Go on' to encourage the patient. Summarise what you've heard to confirm understanding.

Définition

SOCRATES: Site, Onset, Character, Radiation, Associated symptoms, Time course, Exacerbating/relieving factors, Severity.

Rappel

Open question: 'Can you describe the pain?' Closed question: 'Is the pain sharp or dull?'

💡 À retenir : Structured questioning ensures no key detail is missed while making the patient feel heard.

Expressing Empathy and Reassurance

Montrer de l'empathie

Acknowledge the patient's emotions with phrases like 'That sounds very difficult' or 'I can see this is worrying you.' Use the NURSE framework: Naming, Understanding, Respecting, Supporting, Exploring. Reassure without false promises: 'We will do everything we can to help you.' A compassionate tone strengthens the therapeutic alliance.

Définition

NURSE: Name the emotion, Understand it, Respect the patient, Support them, Explore further.

À retenir

Avoid phrases like 'Don't worry' – they can dismiss the patient's feelings.

💡 À retenir : Empathy is not just words; it's about validating the patient's experience.

Explaining Diagnosis and Treatment

Expliquer clairement

Use plain language, avoid jargon, and check understanding with teach-back: 'Can you tell me what you understood?' Break information into small chunks. Offer written summaries if needed. Discuss benefits and risks of treatment options. Invite questions and shared decision-making. End with a clear plan and next steps.

Exemple

"Your blood pressure is a bit high. That means your heart is working harder. We'll start with a low dose of medication and review in two weeks."

💡 À retenir : Clarity and collaboration improve adherence and patient satisfaction.

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