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Content provided by Saul J. Weiner and Stefan Kertesz, Saul J. Weiner, and Stefan Kertesz. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Saul J. Weiner and Stefan Kertesz, Saul J. Weiner, and Stefan Kertesz or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

There is an idealized version of physician-patient communication that is taught in medical schools, reinforced with acronyms like PEARLS, SPIKES, and LEARN, but what resemblance does it bear to how doctors actually sound in the exam room? Co-host Saul Weiner leads a research team that has audio recorded and analyzed thousands of medical encounters. In this episode, he and Stefan read a transcript from a typical visit, portraying patient and doctor, respectively, breaking out of role periodically to reflect on what’s just happened. Throughout, the physician interacts with the computer, peppering their patient with questions while conducting data entry.

On the one hand, the visit is unremarkable. The physician seems reasonably conscientious. On the other, it is disturbing for their lack of engagement even when the patient shows signs of distress or confusion. What can we learn and teach by studying transcripts of real doctor-patient interactions, warts and all? Saul has posted over 400 of them, all de-identified, in a federal data repository.

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63 episodes