Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Become more than a clinician. Be a healer.

Sarah Fraser, MD
Physician
March 6, 2019
Share
Tweet
Share

When a patient goes to the doctor, they usually have a specific health problem in mind. Sometimes, the treatment is straightforward; a urinary tract infection warrants antibiotics. A laceration can be sutured. Other issues, however, are more complex. For example, communicating a terminal diagnosis to a patient. Consoling his grieving widow two months later. In circumstances like these, even if there is no cure, there is still space for healing.

Central to healing is compassion. In medical school, I remember a particular assigned reading on the topic. The article included tips like putting a hand on your patient’s shoulder to comfort them in times of need. Nod your head to show you’re listening. I thought it was funny that we were learning such a step-wise approach to showing that you care. Whether it comes naturally or is an acquired skill, compassion is deeply embedded in the role of a healthcare provider.

In the summer after my first year of medical school, I traveled to Honduras for an elective. I studied with a physician there whom I will never forget: Dr. Juan Almendares. He is an internal medicine specialist and was formerly the dean of medicine at a large university in Tegucigalpa, the capital city of Honduras. He practiced a combination of traditional and western medicine and ran a free clinic for people living in poverty.

After fully exploring the patient’s initial concern, Dr. Almendares would ask, “What else is worrying you?” The patient would go on to talk about another issue, and then he would repeat the same question. What else is worrying you?  He would continue asking this until the patient had nothing else to say, really getting to the root of the problem. His patients loved him and felt heard. After this experience, I knew two things to be true. First, this doctor was a healer, and second, I wanted to be more like him.

It’s not that easy, though. Taking extra time with a patient in a strained health care system might not seem feasible for many of us. Our aging population adds to the pressure. I have to admit; sometimes I hesitate before asking, “What else is worrying you?” I know how time-consuming it could become. Not only might I fall behind in my schedule, but the time I take could also affect my colleagues and my other patients who are waiting to be seen.

Is it better to see many patients quickly, or fewer, and really take time with each? I’m not sure what the right answer is, but perhaps it lies somewhere in the middle. I recently had a conversation with another physician whom I respect about developing the skill of determining which patients need more time versus those who can be seen more quickly. Counseling someone about an addiction, for example, requires a more thorough approach than administering a vaccination.

Funding arrangements also affect how much time is spent with patients. In the fee-for-service model, doctors are paid based on how many patients are seen per day. This method of compensation could be a challenge given that there are many costs associated with running a practice. There are other funding models (e.g., salary, hourly, and others) which allow doctors to spend more time with their patients. Many governments are moving away from the fee-for-service funding model for this very reason.

We all know the saying “time heals all wounds.” Spending more time listening and getting to the root of a patient’s concern allows doctors to not only practice medicine, but to become healers.

Sarah Fraser is a family physician who can be reached at her self-titled site, Sarah Fraser MD. She is author of  Humanities Emergency.

Image credit: Shutterstock.com 

Prev

The reason so many physicians are retiring early

March 6, 2019 Kevin 19
…
Next

The most loving thing: end of life and saying goodbye

March 6, 2019 Kevin 2
…

Tagged as: Practice Management, Primary Care

Post navigation

< Previous Post
The reason so many physicians are retiring early
Next Post >
The most loving thing: end of life and saying goodbye

ADVERTISEMENT

More by Sarah Fraser, MD

  • These 2 Canadian provinces are getting it right in the COVID-19 pandemic

    Sarah Fraser, MD
  • The bittersweet post-COVID life for this physician

    Sarah Fraser, MD
  • How long does coronavirus stay on surfaces?

    Sarah Fraser, MD

Related Posts

  • From physician to holistic healer: my journey on Clubhouse

    Holly MacKenna, MD
  • Healer, are you so different from me?

    Michele Luckenbaugh
  • An ode to great clinician-educators

    Robert Centor, MD
  • My healer, please guide me on this journey

    Michele Luckenbaugh
  • A physician’s addiction to social media

    Amanda Xi, MD
  • How to start reversing the clinician shortage today

    Timothy Lee, MPH

More in Physician

  • How shared language saved a patient from isolation

    Syed Ahmad Moosa, MD
  • The shocking risk every smart student faces when applying to medical school

    Curtis G. Graham, MD
  • The physician who turned burnout into a mission for change

    Jessie Mahoney, MD
  • Time theft: the unseen harm of abusive oversight

    Kayvan Haddadan, MD
  • Why more doctors are leaving clinical practice and how it helps health care

    Arlen Meyers, MD, MBA
  • Harassment and overreach are driving physicians to quit

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • How shared language saved a patient from isolation

      Syed Ahmad Moosa, MD | Physician
    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • How shared language saved a patient from isolation

      Syed Ahmad Moosa, MD | Physician
    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...