Over the past 3 decades, the biopsychosocial model of health has become increasingly
important in the effective practice of medicine. Central to this model is an emphasis on treating
the patient as a whole person, including the biological, psychological, behavioral, and social
aspects of their health. 1,2 Essential elements of the physician-patient relationship include
verbal and nonverbal communication, effective questioning and transmission of information
(task-oriented behavior), expressions of empathy and concern (psychosocial behavior), and
partnership and participatory decision-making. 3–5 In recent decades, teaching and evaluation
of biopsychosocial care and communication skills have been incorporated into the medical
training process. The United States Medical Licensing Examination includes assessment of
communication skill, and the Accreditation Council for Graduate Medical Education and
American Board of Internal Medicine require training and evaluation in communication skills
for residents. Effective physician-patient communication is linked empirically to outcomes of
care including patients’ satisfaction, health status, recall of information, and adherence
Over the past 3 decades, the biopsychosocial model of health has become increasinglyimportant in the effective practice of medicine. Central to this model is an emphasis on treatingthe patient as a whole person, including the biological, psychological, behavioral, and socialaspects of their health. 1,2 Essential elements of the physician-patient relationship includeverbal and nonverbal communication, effective questioning and transmission of information(task-oriented behavior), expressions of empathy and concern (psychosocial behavior), andpartnership and participatory decision-making. 3–5 In recent decades, teaching and evaluationof biopsychosocial care and communication skills have been incorporated into the medicaltraining process. The United States Medical Licensing Examination includes assessment ofcommunication skill, and the Accreditation Council for Graduate Medical Education andAmerican Board of Internal Medicine require training and evaluation in communication skillsfor residents. Effective physician-patient communication is linked empirically to outcomes ofcare including patients’ satisfaction, health status, recall of information, and adherence
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