Better communicators make better doctors
Canadian 鈥渂edside manner test鈥� a reliable predictor of patient complaints
Physicians who score poorly on patient-physician communication skills exams are far more likely to generate patient complaints to regulatory authorities, says a new study led by 捆绑SM社区鈥檚 Robyn Tamblyn and published in the September 5 issue of JAMA.
Tamblyn鈥檚 team followed 3,424 physicians licensed to practice in Ontario and Quebec who took the Medical Council of Canada clinical skills examination between 1993 and 1996. They discovered a very strong relationship between those who scored poorly and later complaints by patients.
鈥淟ow scores on the exam were quite predictive,鈥� said Tamblyn, scientific director of 捆绑SM社区鈥檚 Clinical and Health Informatics research unit. 鈥淚t was really like a dose-response relationship. The higher your score, the less likely you would get complaints. And this was whether you were a man, a woman, a foreign medical graduate or whether you were in Ontario or Quebec. It was amazingly robust.鈥�
The Medical Council of Canada became the first accreditation body in the world to introduce patient-physician communication skills testing as part of the medical credentialing process in the 1990s. Despite generating considerable controversy at the time, the study鈥檚 results prove their value, said Tamblyn. 鈥淭his is a bit of a good news story for Canada. We led the world in this.鈥� The United States instituted similar testing in 2005, and Tamblyn expects to see similar results there.
There were 1,116 complaints filed for 3,424 physicians, of which 696 were retained by the regulatory bodies after investigation. Physicians who scored in the lowest 25 per cent of all those tested were disproportionately likely to generate complaints, according to the study, adding up to 170 complaints above what would be expected statistically annually.
鈥淭he good news is that this type of testing could be done much earlier and we could make things better for all physicians and patients,鈥� said Tamblyn. 鈥淲e could even make it part of the admissions procedures to medical school. We need to have physicians who can communicate better, and we should select not just on the basis of IQ, but of emotional IQ.鈥�
An abstract of the study is available .