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by Christopher Cornue
During one of the sessions at the recent International Society for Quality in Healthcare (ISQua) Annual Meeting in Boston, three thought leaders in physician practices discussed the physician’s role in patient-centered care. At the heart of their discussion was a document from the UK titled “Good Medical Practice”. This document details what is expected from each physician and sets the expectations for both physician and patient. In 2007, the National Alliance for Physician Competence completed their work creating a similar document for use in the United States, based largely on the document from the UK, as well as Canada and some other countries. Detail of their work is available at gmpusa.org.
They also discussed the apparent gap in preparing our professionals for their roles in healthcare. Specific to the discussion was the example of physicians vs. nurses. Physicians go through years of training, as do nurses. However, there’s no “transition” to the active role as practitioner for nurses. After medical school, doctors go through residency which then validates their training and they achieve in depth experience before they take care of their first patient. There are a series of accreditations that occur, with checks and balances to ensure every needed aspect of medical training is covered in residency and before they can obtain their license and become credentialed. In nursing, once they’ve completed their coursework, they start working at the bedside without a similar “transition” as with medical students. They asked the question … should there be something formal in place before they receive their license and start taking care of patients?
Finally, the session concluded with a discussion about research showing that, according to patients, a doctor is good if he/she: 1) has expert medical knowledge & skills; 2) is empathetic & respectful; 3) has excellent interpersonal skills; and 4) is honest. These are very realistic expectations by patients. The Good Medical Practice document is offered as a foundation of expectations between patients and physicians, and will hopefully help to bring additional attention to these very real expectations.
10/16/07 @ 16:46
10/16/07 @ 19:11
