The Knee

The Knee

Most doctors agree that the dehumanization in the clinical setting can lead to the loss of a patient because of the lack of respect they are given. That is a great incentive for doctors to try to get to know their patients and make them feel as comfortable as possible. When a patient attends a teaching hospital where aspiring doctors exam patients in groups, there is no real reward for them learning personal information about the patient. They will move on to start their own practice and probably never see the patient again. However, just because the patients are at a teaching hospital does not make them any less important, so how can medical school programs promote patient-physician relationships when the physician has nothing to gain?

Morals and ethics would tell a doctor to respect their patient's privacy and keep the examinations discrete. Ideally doctors will know all their patients by name, not disease, know a little bit about their private life and find a point of contact with each patient. When in large groups, doctors and medical students don't really have the opportunity to speak privately with the patients to get to know them, but should they disregard the patient all together and merely address the chief complaint? In Constance Meyd's "The Knee," "all eyes are on the knee; no one meets her eyes" and she is viewed by the students and teacher as "irrelevant" (167). The woman's "embarrassment and helplessness are evident" to the examiners, but they disregard her emotions as they continue the leg maneuvers. Common courtesy would tell the group to close the door and allow the patient to cover herself more adequately, but the author emphasized that the door was open the entire time.

It is quite obvious that morals, ethics and common courtesy are not enough to encourage the respect of patients in the educational atmosphere, as is seen in the story. I believe it is the responsibility of the medical school to encourage their teachers to demonstrate ways to connect with patients rather than just teaching the anatomy of health care. Teachers are supposed to be role models for students and if they are not taught to treat patients with respect, the only way they can learn that kind of skill is the hard way; through the loss of patients because