US researchers have developed a tutorial to make cancer doctors more empathetic and make them address better their patients fears and worries.
The computer-based tool includes feedback on the doctors own audio recorded visits with patients, and provides an alternative to more expensive courses.
In the Duke University study appearing November 1, 2011, in the Annals of Internal Medicine, the research team found that the course resulted in more empathic responses from oncologists, and patients reported greater trust in their doctors a key component of care that enhances quality of life.
Earlier studies have shown that oncologists respond to patient distress with empathy only about a quarter of the time, said James A. Tulsky, MD, director of the Duke Center for Palliative Care and lead author of the study.
Often, when patients bring up their worries, doctors change the subject or focus on the medical treatment, rather than the emotional concern. Unfortunately, this behavior sends the message, This is not what were here to talk about.
Tulsky said cancer doctors have many reasons for avoiding emotionally fraught conversations. Some worry that the exchanges will cause rather than ease stress, or that they dont have time to address non-medical concerns.
Oncologists are among the most devoted physicians passionately committed to their patients. Unfortunately, their patients dont always know this unless the doctors articulate their empathy explicitly, Tulsky said. Its a skill set. Its not that the doctors are uncaring, its just that communication needs to be taught and learned.