only we slow down enough to |
transformed my practice. My |
to communicate in a safe space. |
in tertiary settings regularly |
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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
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biggest regret is not discovering this training earlier in my career.
By attending experiential
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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. |
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more fraught. |
communication courses, I have |
Patients express their grat- |
But in a system that burns so |
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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
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had the chance to workshop my challenges and practise new skills.
The small group setting gives the opportunity to try new ways
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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
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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. |
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WHEN I observe young GP registrars with patients, I see |
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the immense weight they |
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carry. |
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I remember that feeling |
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acutely— the pressure to make |
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the right diagnosis, to get |
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everything right, to check every |
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symptom, rule out red flags and |
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follow protocols. |
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This vigilance invariably |
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narrows the focus: by chasing |
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certainty, we can miss seeing |
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the human being sitting right |
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in front of us. |
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It reminds me of something |
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my brother told me when I |
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was learning to ride a bike: if |
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all your focus is on avoiding |
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obstacles, that is exactly what |
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you will crash into. |
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I wish I could write a letter |
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to my younger GP self and say, |
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“ Lift your gaze. See the whole |
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landscape. That is where the |
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real insight lies.” |
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I have been a practising GP |
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for over 30 years, and I have |
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come to believe our narrow |
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biomedical training comes at |
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an enormous cost to us and |
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our patients. |
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The way we are taught to |
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take a medical history often |
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disconnects us from the very |
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people we seek to heal. |
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The most profound work |
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in medicine is not just in our |
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questioning, diagnostic tests |
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and treatments but in truly |
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hearing our patients. |
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Very often a patient’ s deepest |
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concerns are not spoken |
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outright— they are woven into |
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pauses, hesitations and what is |
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left unsaid. |
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When the fear of missing |
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something takes over for |
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the clinician, active listening |
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becomes secondary. |
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The patient’ s words are |
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heard, but their emotions, hesitations |
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and deeper concerns |
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may go unnoticed. |
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Yet, paradoxically, it is |
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often in these subtler cues— |
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the things not explicitly said |
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— that the most important |
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insights emerge. |
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The art lies in bringing your |
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own authenticity to the way |
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you listen and apply it to your |
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medical lens. |
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Deep listening does not |
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replace medical reasoning— it |
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integrates with it. When we step |
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beyond problem-solving mode |
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into true connection, patients |
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often give us the diagnosis— if |