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- W3133685553 abstract "To the Editor: We would like to commend the authors of “Development of the Uncertainty Communication Checklist: A Patient-Centered Approach to Patient Discharge From the Emergency Department.” 1 Not only do Rising and colleagues address the important issue of how we can support doctors to develop the skills to communicate diagnostic uncertainty to patients, but they also offer a rare example of how to involve patients in teaching and in learner assessment. We were also pleased to see that the checklist will continue to be refined based on the experience of its use in teaching emergency department residents. However, we would have appreciated some further detail on the refinement process the authors plan to use. It strikes us—a psychiatrist completing a PhD in the field of ambiguity tolerance, and a professor of medical education—that such a checklist could have far wider use. As the authors indicate, diagnostic uncertainty is common within medicine, and this issue is not unique to the discharge process within the emergency department. For example, there is limited evidence regarding the best way to support and train clinicians in communicating to patients the challenging concept of medically unexplained (i.e., persistent physical) symptoms. Within the United Kingdom, this is a huge challenge within both the community (primary care) and the acute hospital (secondary care) settings. We are in complete agreement that involving patients to improve the doctor–patient interaction approach is the “next frontier” for public engagement. Involving patients would be particularly useful for interactions where there are likely to be medically unexplained symptoms, as we know that patients are often not satisfied with the explanations or care they receive. 2 As suggested by Rising and colleagues, 1 if tools such as the uncertainty communication checklist are developed, then monitoring patient outcomes would be crucial, and there might well be a subsequent desirable change in health care utilization." @default.
- W3133685553 created "2021-03-15" @default.
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- W3133685553 date "2021-02-23" @default.
- W3133685553 modified "2023-10-14" @default.
- W3133685553 title "A Wider Use for the Uncertainty Communication Checklist" @default.
- W3133685553 cites W2751348589 @default.
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- W3133685553 doi "https://doi.org/10.1097/acm.0000000000003839" @default.
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