Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id i58MFj920548; Tue, 8 Jun 2004 18:15:45 -0400 (EDT) Date: Tue, 8 Jun 2004 18:15:45 -0400 (EDT) Message-Id: <59777914@mailbox2.Hitchcock.ORG> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: Walter.F.Wallace@Hitchcock.ORG (Walter F. Wallace) To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:4441] Re: Which Test? X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas Content-Transfer-Encoding: 8bit Content-Type: text/plain; charset=iso-8859-1 X-Mailer: BlitzMail® version 2.6.3/blitzserv 3.10b11 Status: O Content-Length: 2059 Lines: 36 I think David Rosen raises some very good questions not only about REALM, but about use of a medical diagnostic mental model we bring to our patients. The issue may revolve not around assessing a patient's ability to understand and communicate health concerns, but rather around the ability of the provider to competently respond to the needs of the patient. Maybe the question is not "which test?" But "who gets tested?" During residency, newly minted MD's are expected to develop skills and demonstrate competency to -- ** communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families ** counsel and educate patients and their families ** provide patient-focused care ** create and sustain a therapeutic and ethically sound relationship with patients ** use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills ** demonstrate respect, compassion, and integrity ** be responsiveness to the needs of patients and society that supercedes self-interest ** be accountabile to patients and society ** demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities Do we need better ways to diagnose literacy skills of patients? Or, do we need better ways to enhance the skills of providers to engage in authentic dialogue with patients? Walter Walter F. Wallace ACGME Regulations Manager GME Office Dartmouth-Hitchcock Medical Center 603-653-0466 (V) 603-653-0405 (F) Pager 5860 ******************************************** IMPORTANT NOTICE REGARDING THIS MESSAGE This e-mail transmission is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution violates confidentiality and privacy laws, and is prohibited. If you are not the intended recipient, please contact the sender immediately and destroy all copies of the message. Thank you for your cooperation.
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