Intended for healthcare professionals

Letters Being at the helm for patients

It's all in the listening

BMJ 2007; 335 doi: (Published 26 July 2007) Cite this as: BMJ 2007;335:172
  1. Malcolm I Thomas, managing director, Effective Professional Interactions
  1. Morpeth, Northumberland NE61 1SH
  1. mithomas{at}

    One serious structural problem for communication in medical encounters is the primacy given to diagnosis (and other technical goals).1 Doctors don't even listen properly to the first thing a patient says before launching into a series of directive questions designed to produce a diagnosis, or a …

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