Australian Doctor 11th April 2025 | Page 21

OPINION 21
ausdoc. com. au 11 APRIL 2025

OPINION 21

Insight

Are you really listening?

only we slow down enough to
transformed my practice. My
to communicate in a safe space.
in tertiary settings regularly
Dr Anne Stephenson GP in Torquay, Victoria.
hear it.
And sadly, patients who do not feel heard, will very likely hold back and make diagnosis even
biggest regret is not discovering this training earlier in my career.
By attending experiential
We get it wrong, try again and find new ways to communicate that work for you and your patients.
receive this deep listening training, yet for GPs, it remains much harder to access because of cost and scheduling challenges.
more fraught.
communication courses, I have
Patients express their grat-
But in a system that burns so
What we need is not diagnostic certainty but connection.
This deeper listening sounds simple. In reality, it is a skill that takes hands-on practice.
For me, training in communication has completely
had the chance to workshop my challenges and practise new skills.
The small group setting gives the opportunity to try new ways
itude for the care they receive, often telling me that the way I listen to them has made all the difference.
I have seen many clinicians
many of us out, reconnecting with this deeper way of practising medicine could be the key to rediscovering meaning, purpose and fulfilment in our work.

WHEN I observe young GP registrars with patients, I see

the immense weight they
carry.
I remember that feeling
acutely— the pressure to make
the right diagnosis, to get
everything right, to check every
symptom, rule out red flags and
follow protocols.
This vigilance invariably
narrows the focus: by chasing
certainty, we can miss seeing
the human being sitting right
in front of us.
It reminds me of something
my brother told me when I
was learning to ride a bike: if
all your focus is on avoiding
obstacles, that is exactly what
you will crash into.
I wish I could write a letter
to my younger GP self and say,
“ Lift your gaze. See the whole
landscape. That is where the
real insight lies.”
I have been a practising GP
for over 30 years, and I have
come to believe our narrow
biomedical training comes at
an enormous cost to us and
our patients.
The way we are taught to
take a medical history often
disconnects us from the very
people we seek to heal.
The most profound work
in medicine is not just in our
questioning, diagnostic tests
and treatments but in truly
hearing our patients.
Very often a patient’ s deepest
concerns are not spoken
outright— they are woven into
pauses, hesitations and what is
left unsaid.
When the fear of missing
something takes over for
the clinician, active listening
becomes secondary.
The patient’ s words are
heard, but their emotions, hesitations
and deeper concerns
may go unnoticed.
Yet, paradoxically, it is
often in these subtler cues—
the things not explicitly said
— that the most important
insights emerge.
The art lies in bringing your
own authenticity to the way
you listen and apply it to your
medical lens.
Deep listening does not
replace medical reasoning— it
integrates with it. When we step
beyond problem-solving mode
into true connection, patients
often give us the diagnosis— if