One medical educator wrote me in response to the podcast, “How a small change in what you say can improve your patient education.” She thanked me for giving a ‘name’ to the problem that is a deficit perspective. She pointed out the tension between approaching a patient focused on the problem, and approaching a patient […]
Clinical Communication
Health communication has all the pitfalls of everyday communication
Wouldn’t it be nice if we could magically leave our awkwardness, doubt, or frustration at the door when we have to communicate in a professional capacity? In the summer of 2016, I was in the audience when Marcella Nunez-Smith, of Yale’s School of Medicine, gave a keynote address to a conference of health communication researchers. In […]
“I don’t want to unintentionally offend people”
I was coaching a physician on communication, and at one point our conversation took an interesting turn. We had been talking about interprofessional communication, when the physician told me she was worried about offending people unintentionally. At first, I thought she was talking about her colleagues. But she also gave some examples of interactions with […]
12 Reflective practice prompts for health professionals
[This post available as a podcast episode here.] I have heard “reflective practice” mentioned a few times, in the years I have been talking with physicians, medical educators, and public health professionals. Dr. Tasha Wyatt, of the Educational Innovation Institute at the Medical College of Georgia, explained to me: “Physicians are trained–very much so–to gather […]
What does health literacy mean to you?
A few months ago, I decided to conduct an informal survey. I’d begun thinking about the relationships between health literacy research and health care workers’ everyday practice. Since I often get to talk with physicians one-on-one, I decided to ask the next few physicians I encountered a simple question: When you hear the phrase ‘health […]
10 Ways to communicate a complex idea during patient education
If you’ve got to explain something to a patient, how do you do it? If you have important information or complex ideas to share, how do you get it all across? This is another in my series on patient education. I’ve talked about getting clear on what you’re teaching and how you’re assessing; on patient […]





