Mastering Doctor-Patient Communication: SGU Experts Offer Key Insights for Future Physicians

The first interaction with a patient often sets the tone for the entire relationship. A few small gestures can make a big difference. "When meeting a patient for the first time, know their name and pronounce it correctly," says Dr. Lisa Doggett, Family and Lifestyle Medicine Specialist at the Multiple Sclerosis and Neuroimmunology Center at UT Health Austin. "If you're unsure of the pronunciation, ask."

Greet any accompanying family members or friends as well. "Don't ignore others in the room besides the patient," Dr. Doggett adds. "Acknowledge family members—perhaps with a handshake or a high-five for a young child."

Time constraints are a reality in any medical setting, but patients should never feel rushed or pressured. A straightforward way to convey attentiveness is to sit down while speaking with them. "Standing makes you look rushed," explains Dr. Doggett. "Even when you're short on time, your patient shouldn't feel that way. A short conversation at eye level can go a long way."

She also encourages finding common ground when possible. "Don't be afraid to break the ice with an anxious or difficult patient—ask about their family, job, or hobbies."

Good patient communication is just as much about listening as it is about speaking. Active listening enables patients to express their concerns while also facilitating physicians' efficient gathering of important information.

It's easy to become distracted by electronic health records or note-taking, but eye contact should not be sacrificed. "Don't hide behind a computer screen," advises Dr. Doggett. "If you need to type during a consultation, make sure your setup allows you to face the patient. It shows respect and helps build rapport."

A doctor's posture and tone can either strengthen or weaken patient trust. "Look directly at the patient when you're making an important point," says Dr. Bernard Remakus, Internist and author. "Be aware of your body language and avoid habits that may cause a patient to doubt your confidence or honesty."

"If you feel something is bothering the patient, identify their affect and discuss the potential problem with the patient before the problem interferes with your history and physical exam," Dr. Remakus advises.

During difficult conversations, patients may understandably be shaken, confused, or upset. A physician with good patient communication will not just understand what a patient is experiencing, but they will also acknowledge and validate the patient's concerns.

"If the patient starts to cry or expresses strong emotions, stay with them," says Dr. Doggett. "Give them space to process what they're feeling, and acknowledge those emotions. Showing your empathy goes a long way."

Good communication with patients isn't just a courtesy; it's a surprisingly important element to patients' health. SGU remains dedicated to equipping students from Thailand with the soft skills and experiences necessary for thriving in global medical careers. For more information on the programs and tracks available through St. George's University School of Medicine, visit SGU's website.

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