Intended for healthcare professionals

Rapid response to:

Observations Ethics Man

Listening to patients is not enough

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2670 (Published 02 June 2017) Cite this as: BMJ 2017;357:j2670

Rapid Response:

Re: Listening to patients is not enough

Listening is not quite enough - though it helps if you do not shoot the next question while the patient or the accompanyimg adult is able to :1. Understand 2. Compose the answer in the head 3. Articulate.

Might I add that
a) merely because both the doctor and the patient claim to speak English, they may be talking different types of English. Mutually unintelligible.
b) the interpreter or the "go-between" may, and sometimes does (in my experience) utter an incorrect version.
c) if you went on duty in A and E at 10 pm, working more or less non-stop, you will have little ability at 5 am, to properly examine (history taking included) a child with a medical illness, though you may be perfectly fit to do a good job with an adult patient with a dislocated shoulder.

Competing interests: No competing interests

11 June 2017
JK Anand
Retired doctor
Free spirit
Peterborough