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. 2021 Feb 23:8:2374373521996962.
doi: 10.1177/2374373521996962. eCollection 2021.

Exam Room Culture

Affiliations

Exam Room Culture

Paul J Hershberger et al. J Patient Exp. .

Abstract

If the minds of patients could be read, one would likely discover thoughts related to the culture of the clinical environment. "Do I belong here?" "Will I be judged?" "Is it safe to be honest?" We consider what physicians can do to create a culture in the exam room that corresponds to features found in the cultures of successful organizations. These characteristics include an emphasis on psychological safety for patients, a willingness to be vulnerable on the part of the physician, and a sincere focus on the patient's purpose. Our conclusion is that by prioritizing such elements, the clinical encounter may be more satisfying and productive for the patient and physician alike.

Keywords: chronic disease management; culture; patient engagement; patient–physician relationship.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Eisenberger NI, Cole SW. Social neuroscience and health: neurophysiological mechanisms linking social ties with physical health. Nature Neurosci. 2012;15:669–74. doi:10.1038/nn.3086 - PubMed
    1. Chang SWC, Fagan NA, Toda K, Utevsky AV, Pearson JM, Platt ML. Neural mechanisms of social decision-making in the primate amygdala. Proc Natl Acad Sci U S A. 2015;112:16012–17. doi:10.1073/pnas.1514761112 - PMC - PubMed
    1. Peck CJ, Salzman CD. The amygdala and basal forebrain as a pathway for motivationally guided attention. J Neurosci. 2014;34:13757–67. doi:10.1523/jneurosci.2106-14.2014 - PMC - PubMed
    1. Kahneman D. Thinking, Fast and Slow. New York: Farrar, Straus, & Giroux; 2011.
    1. FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18:19. doi:10.1186/s12910-017-0179-8 - PMC - PubMed

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