Patient education and validating understanding

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Most learners prefer the visual mode of learning (some research suggests that this is the preferred learning style of 60% of adult learners) so having visual aids to supplement the discussion can be very powerful.

I would ask the IRB to provide more of a rationale of what their concerns are (e.g., is the format of a flip chart per se, the content, the actual visual images or messages, or something else? Once you understand more of their concerns ,you can potentially explore other avenues such as multi-media presentations, re-formatted consent documents or other avenues that would still accomplish the goal of enhanced patient understanding while complying with the IRB’s policies.

The transcripts in table 1 and table 2 were drawn from actual physician interviews as part of a study in which standardized patients (actors) were sent covertly into physician practices, with prior informed consent,9 to examine different physician interaction styles.

The differences between the tables are subtle but important.

The purpose of the gait assessment using F-Scan System was to test and optimize the benefits of the orthotic device; and if this failed, determine if forefoot surgery was necessary and what affect this may have on forefoot pressures.

As a result of the plantar pressure measurements, the orthotic devices utilized were modified to optimize pressure redistribution at the forefoot.

Summary: Beth Harper of Clinical Performance Partners answers this question and more from a popular webinar presentation on informed consent.

We get to know our patients, their families and their concerns over time, and very often patients appreciate the care they receive.For example, physicians often redirect patients at the beginning of the visit, giving patients less than 30 seconds to express their concerns.2 Later in the visit, physicians tend not to involve patients in decision making3 and, in general, rarely express empathy.4 Patients forget more than half of physicians' clinical recommendations,5 and differences in agendas and expectations often are not reconciled. These problems are likely to persist even in the face of intensive practice redesign efforts unless communication between patients and physicians is addressed.This article will describe how to use principles of patient-centered communication to structure the initial moments of a medical encounter so that the physician can more reliably elicit, explore and respond to patients' concerns.The patient had no medical conditions other than obesity, a body weight of 136 kg (BMI 58.8).Her pain severity was measured on a Visual Analog Scale for Pain (VAS) to be 8/10 standing and 10/10 when trying to walk, causing a limp (antalgic gait).

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