Abstract

The doctors’ clinical time collides with the increasing of the use of telecare technologies in our digital era, reducing the actual doctor-patient interaction and the potential to engage with therapeutic doctor-patient communication. In our qualitative study, we followed a collaborative German-Israeli project that trained medical students to use complementary and integrative medicine (CIM) methods in order to improve doctor-patient communication. Interviews with the participants and participatory observation revealed the ways the mentors taught CIM methods, the meaning of therapuitic doctor-patient communication and how the students learned and implemented these skills in different ways. Our findings show that students expand their communication channels and skills, notice their own somatic-sensory states, and engage with somatic knowledge in different interactions. Our findings correspond with, and signify the intercorporeal space of doctor-patient interaction in the way in which doctors’ and patients’ soma-sensual aspects are interact, influence each another, and enable therapeutic communication.

Highlights

  • We experience ourselves, bodily, through the other, as visible to the other and this drives us to stabilize our relationship with them

  • These, in a way, are some of the ‘pathological symptoms’ of the health system of our time and there is a call for dramatic changes, to set a different clinical strategy that aims for better doctor-patient interaction and communication which are less mechanical, stressful and more holistic and humanistic interactions. From these socio-economic and health issues, and the need to improve doctor-patient communication skills, the project titled “Improving medical student's communication skills with integrative medicine” was emerged and will be discussed in detail in this article. Some of this project’s findings already published elsewhere (Ortiz et al, 2018), in this article we focus on the ways Complementary and Integrative Medicine (CIM) skills enabled doctors to be aware of, and to experience the importance of the soma-sensual aspects existing in Doctor-Patient Communication (DPC)

  • One of the Israeli mentors explained, “it is a kind of an inner search for connecting with one another, not through one’s illness, but to try to figure out where this person is stated in its life journey and why, what is the question of its journey?” In order to emphasize the importance of using/be aware to different senses in DPC by self-experience, the project’s mentors provided five sensual stations: seeing, hearing, touching, breathing and listening for the students

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Summary

Introduction

Through the other, as visible to the other and this drives us to stabilize our relationship with them. The PCC paradigm is oriented towards various aspects and issues of the patients’ illness and living experiences, it highlights the patients’ uniqueness and their broad elements of living conditions, including the bio-psycho-social characteristics and conflicts that affect patients’ somatic experiences. Doctor-Patient Communication (DPC) skills, as Bensing and her colleagues argued, are manifested within the royal path of combining EBM and PCC paradigms and consider their advantages in doctor-patient interaction (Bensing, 2000; Bensing, Van Dulmen, & Tates, 2003; Derksen, Bensing, & Lagro-Janssen, 2013). Effective DPC means a therapeutic communication, enables an open dialog, addressing all the relevant information about the patients’ biopsychosocial condition, the diagnostic process and findings, the possible treatments, doctors’ empathy, trust and shared decision needed to foster healing (Weiss & Lonnquist, 2009:261). The DPC effective skills are developed through social interactions, professional and private socialization, self-reflection, doctors’ awareness of, and coping with possible obstacles, for instance, organizational financial issues, bureaucracy issues, etc.; and the doctors’

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