The doctor-patient relationship - Respiratory and Sleep Medicine Specialty Training Program

Respiratory physicians look after patients suffering the spectrum of illness from very acute (and often life-threatening) to very chronic (and often incurable). They often form long-term relationships with their patients. Due to their frequent role in the treatment of conditions such as COPD and lung cancer, these specialists need to have an empathetic approach to patients who may be seen to have contributed (and possibly still be contributing) to their illness (e.g through tobacco use). They require the ability to recognise and accept when palliation of symptoms is more appropriate than further active treatment, along with good skills in communicating with patients about prognosis and end-of-life issues. The patients seen by respiratory physicians are increasingly elderly due to the ageing population, although patients of all ages are consulted. There are interactions with high altitude and diving physiology and sports medicine. There are also interconnections with psychological medicine because respiratory symptoms are a common manifestation of anxiety.

Sleep physicians may encounter patients of all ages, including children. They form long term close relationships with their patients, particularly when psychological and behavioural interventions are a prominent component of the management plan. Many patients underestimate the significance of sleep disorders on their wellbeing, and thus good communication skills are necessary in order to achieve adherence with therapy. These specialists need to comfortable in dealing with patients with depression or other mental health issues, which often coexist with sleep disorders.

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Last modified: January 10, 2008 2:17 AM