Record, C. Christmas, R. Ziegelstein and L. Hanyok declare that they have no competing interests.
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DOI: National Center for Biotechnology Information , U. Journal List Perspect Med Educ v. Perspect Med Educ. Published online Dec Mark V. Wilcox , 1 Megan S. Orlando , 1 Cynthia S. Ziegelstein , 2 and Laura A. Hanyok 2.
Megan S. Cynthia S. Roy C. Laura A. Author information Copyright and License information Disclaimer. Hanyok, Email: ude. Corresponding author.
Global Patient Care
This article has been cited by other articles in PMC. Abstract Background Patient-centred care is an important aspect of quality health care. Keywords: Patient-centredness, Learning environment, Empathy, Medical student. What this paper adds Patient centredness is an essential component of high quality health care and should be present within the medical school learning environment. Methods Study methods and measure An online anonymous survey was sent to all medical students at the Johns Hopkins University School of Medicine in Baltimore, Maryland. Open in a separate window.
Table 2 Themes with representative quotes from medical student experiences that were highly patient-centred. He was admitted for pre-renal AKI secondary to volume depletion in his nursing home. It was one of the most memorable and rewarding experiences of medical school thus far.
My longitudinal clerkship LC preceptor was really good at showing how to be friends with your patient while still maintaining the professionalism of the relationship. My advisor very much values patient-centred care and consistently modelled it for us. Table 3 Themes with representative quotes from medical student experiences that were least patient-centred. The instructors saw the cadavers as pieces of objects instead of real, dead people. Biographies Mark V. Notes Conflict of interest M.
References 1. Patient-centered medicine: transforming the clinical method. Oxford: Radcliffe Publishing; Patient-centered care and communication in primary care practice: what is involved? Patient Educ Couns. Committee on Quality of Health Care in America. Institute of Medicine.
Washington D. Hafferty FW.
From student to patient to doctor | Featured Story | Medical College of Wisconsin
Acad Med. Communication, Curriculum, and Culture Study Group. Doing Qualitative Research. Experiences of medical students and their teachers. Med Educ. Med Teach. Arch Intern Med. Gray GR. Teaching patient-centered care. Fam Med. Haidet P, Stein HF. The role of the student-teacher relationship in the formation of physicians. The hidden curriculum as process. J Gen Intern Med. Shochet RB. Md Med. Teach Learn Med. Not the Same Everywhere. He referred his patient to a neurologist for further evaluation.
His shoulders and arms were not as strong as they should have been.
Can a doctor legally disclose a patient’s HIV status without their consent?
And he had no reflexes anywhere. The neurologist reviewed the blood test obtained by the primary-care doctor. There was no sign of anemia, infection or inflammation. The neurologist performed a nerve-conduction study, during which a tiny electrode, inserted into the muscle, measures the electrical impulses the nerve fibers send to the brain when the muscle is working. A spinal tap revealed high levels of protein in the cerebral spinal fluid, suggesting that the patient might have some type of autoimmune neuropathy, nerve damage caused by rogue antibodies.
The doctor first treated him with plasmapheresis — a technique that removes antibodies from the circulation. This process can be used to treat both G. It worked. In the weeks following that first series of treatments, the man felt stronger. He was excited to be back to about 70 percent of normal. Two months after his last treatment, he started losing ground. His balance went, and after a couple of falls, he had to start relying on a cane. Maybe it helped a little, but he continued to weaken. The cane stopped being enough, and he had to use a wheelchair outside the house. Because the patient was not responding to treatment as expected, the neurologist looked for other possible causes of the severe weakness.
Was it H. Could it be lupus? He sent out more blood and scanned his bones, but those results revealed nothing new. Imaging showed no pathology in his brain or spine to account for the weakness. He put the patient back on plasmapheresis and sent him to physical therapy. He continued to worsen. His hands became clumsy, and eating was difficult. He also kept losing weight. He started out at just over pounds. After that year of treatment, he was down to She recalled that the neurologist had mentioned the possibility that he had POEMS — an acronym of the symptoms caused by an overproduction of antibodies, including polyneuropathy pain and weakness and a loss of sensation in different parts of the body , organomegaly enlarged organs , endocrinopathy hormonal abnormalities , monoclonal plasma cell proliferation too many antibody-producing cells and skin changes.
But he had ruled out that diagnosis. Reading up on it, she found case reports of patients who sounded remarkably like her husband.
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He had at least two of the symptoms polyneuropathy and monoclonal plasma cell proliferation. Not likely, he said. Besides, the proliferation of antibodies that made him think of POEMS in the first place is seen in up to 10 percent of patients with C. Kazim Sheikh, a neurologist at the University of Texas at Houston. She took her husband to see Dr. Sheikh a few weeks later. It might fit, he agreed. But there were also other possibilities.
He ordered a PET scan to look for lesions on the bone.