Female
doctors are better than their male counterparts at breaking bad
news to patients, a study has suggested.
Mock consultations using actors were videotaped by psychologists
from the Universities of Coventry, Warwick and Leicester.
They found that male doctors were more likely to deliver the
bad news in an abrupt style and include the patient in discussions
about treatment.
The study's authors say that more training may be needed in future.
Hospital doctors in the past have received little training in
the correct techniques for telling a patient about a serious illness
- most of their expertise comes from experience.
The modern suggestion is that rather than simply delivering the
news and telling the patient what treatment would follow - and
its likely outcome - the consultation should be "patient-centred".
This means that there should be full opportunity for the patient
to discuss fears and concerns.
It has always been suspected that women typically have a more
"empathic" approach - which is better suited to this
kind of consultation, while many men are more likely to want to
"stick to the facts".
The research, presented at the British Psychological Society's
conference, backs this up.
The verbal behaviour and body language of 32 male and 12 female
doctors taking part in videotaped mock consultations was examined
by psychologists. The research suggested that women doctors had
"superior communication skills".
Sheila Bonas, from the University of Leicester, said that even
with a relatively small number of interviews, the differences
were significant.
She said: "We did not find that every female doctor had
better communication skills than every male doctor, and we wouldn't
like to suggest this.
"However, it's possible that some male doctors might benefit
from a little extra training on this issue."
She said that some patients actually preferred the more abrupt
style of consultation - but that a modern doctor should be able
to spot this and make the necessary adjustments to his or her
approach.
(Agencies)