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Doctor-centred explanation (Doxplaining)

The well-meaning expert

The eagerness of the GP to impart information loses sight of the needs of the patient here. There's an assumption of understanding of the procedures and terminology described with little attention to pacing and checking. The patient seems to understand issues relating to Prostate Biopsy side effects, but it's not clear whether he has kept pace with what is essentially info-dumping.

 

It is the GP's role to sense-check the pace and flow of information and allow space for questions and clarifications. Exam Scenarios often influences and over-promote this type of behaviour.

SCA Feedback Statements

Explanations were inadequately shared or adapted for the person's needs

The examiner felt that your explanations were unclear or insufficient for patient understanding.

Explanations should be relevant and understandable to patients and carers, using clear language that is both appropriate and accessible. People living with disability may need special consideration.

For example, ‘There is a small lesion on your film’ contains jargon that may have little meaning to your patient. Or ‘You have some proteins causing joint pain as your body is fighting itself’ may not be useful to a Rheumatology Nurse Specialist. A hearing-impaired person may benefit from visual aids or written explanations. A child of eleven may need an adaptation of the explanation given to their adult carer/parent.

 

Suggestion

Try to employ communication techniques and materials that may adapt explanations to the needs of the person and/or carer.

Consider what do they need to know, and how can I explain it in a way that is accessible and helpful for them? Then how might I check they understand?

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