Deficit perspectives are sneaky. Maybe the better word is ‘insidious.’ They can worm their way quietly into our work. And when there, they do real damage. Maybe you’ve heard the term. If not, it’s a tendency to maintain a focus on negative instances, examples, or qualities. Like seeing patients as passive recipients. Or centering on what […]
Public Health Communication
How individual providers can help address health disparities
Addressing health disparities can seem overwhelming, especially at a time when health professionals are already under immense demands–and pressures to be almost superhuman. Yet often, the providers I talk to espouse values of equity and justice. National Minority Health Month draws attention to how Americans have experienced variable access to care based on race, ethnicity, socioeconomic […]
Learn two steps to help improve your health communication
“I was listening for the pain. I kept listening for the pain.” This was what a physician said during our debriefing after a role-play. She was the ‘attending,’ another physician played the ‘patient,’ and I was the observer. The role-play was a brief initial patient consultation. During the debrief, we were focused on communication. The […]
4 tips for sharing information with a patient or client
Last week, I was at the Chronic Disease Prevention Symposium, where I gave a plenary session on health literacy. After my talk, there was time for questions. Eventually, one physician raised his hand. Taking the microphone, he said he’d appreciated my talk. Then, he asked (as closely as I can recall): What if we need […]
13 prompts to help you reflect on your patient communication
As you might expect, I often talk with providers about their patient communication, and sometimes those providers are physicians. As with any providers, physicians have their own reasons for seeking some communication support. For instance, one physician put it to me this way: “I do some of the right stuff you’re talking about, but I […]
Health literacy as an interaction, Part 2
“We’re burned by, ‘Tell ‘em what they need to know, and hope they heard.’ It’s the cultural legacy…” A surgeon told me this when we were talking about health literacy. His candor startled me. He went on to make the point that he was convinced he (and his colleagues) could be doing better. Despite […]





