The relationship between patient and physician has changed dramatically the last few years and you would have to be deaf and blind not to see this in recent visits to doctor’s imageoffices.  This article points out how the role of somewhat parenting has gone to partner today.  The doctor used to be the focal point whereby we received all our relative medical information and education, but that process has changed, especially with the new “informed patient”, who had done some homework before ever arriving at the office for their appointment.  It is an adjustment from both sides of the coin.  Good article and well worth reading from Medical Economics, and yes Marcus Welby seems to no longer practice.  BD 

The doctor-patient relationship has changed dramatically with the demise of 'good ol' doc' and the explosion of medical technology," says Paul M. Ross, an orthopedic surgeon in Pawlet, VT. "Today, patients are not only more knowledgeable, they're more cynical. The increased use of physician extenders, hurried service, and overbooking have all contributed to the number of physician-patient relationships that are adversarial as opposed to collegial.

Ahmet Ucmakli, an FP in Temeluca, CA, laments that "neither physician nor patient trust each other anymore. Owing to the intrusive effects of third-party payers, physicians are, at best, advisors; more realistically, we're waiters who take orders from patients, insurers, and administrators." In Philadelphia FP Brad Stoltz's view, the "constant threat of litigation" has eroded the physician-patient bond.

The new doctor-patient paradigm - How the shift from the "physician as wise parent" model to one of more shared responsibility is playing out in the exam room. - Medical Economics

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