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The purpose of this study is to observe whether people would report being less likely to sue a physician who shows more empathy when giving a patient potentially bad news regarding their medical condition.
The investigators hypothesized that patients will have less propensity to sue emergency physicians after a poor outcome if the physician demonstrated empathy by verbalizing that they recognize the patient is concerned about their symptoms, and that the patient knows their typical state of health better than a physician seeing them for the first time. Accordingly, the investigators will assess whether the presence or absence of emergency physician empathetic statements in videotaped simulated encounters will alter patient propensity towards litigation. Secondary objectives are to assess whether the presence or absence of empathetic statements alters patient perceptions of discharge instruction clarity, physician expertness, physician caring, and physician desirability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Emergency Room Patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Intention to sue | This outcome will be assessed by asking "Would you sue this doctor?" after viewing a short video. Items will be measured on a 5-point scale (1=Definitely no to 5=Definitely yes). | Immediately after viewing |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of physician expertise | This outcome will be assessed by asking "Do you believe this physician is an expert?" after viewing a short video. Items will be measured on a 5-point scale (1=Definitely no to 5=Definitely yes). | Immediately after viewing |
| Assessment of physician caring |
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Inclusion Criteria:
Exclusion Criteria:
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Emergency room patients
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| Name | Affiliation | Role |
|---|---|---|
| Dustin Smith, MD | Loma Linda University | Principal Investigator |
| Ellen Reibling, PhD | Loma Linda University | Study Director |
| Jesse Kellar, MD | Loma Linda University | Study Director |
| Steve Green, MD | Loma Linda University | Study Director |
| Elizabeth Walters, MD | Loma Linda University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Loma Linda University Emergency Department | Loma Linda | California | 92354 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27002161 | Derived | Smith DD, Kellar J, Walters EL, Reibling ET, Phan T, Green SM. Does emergency physician empathy reduce thoughts of litigation? A randomised trial. Emerg Med J. 2016 Aug;33(8):548-52. doi: 10.1136/emermed-2015-205312. Epub 2016 Mar 21. |
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| ID | Term |
|---|---|
| D003142 | Communication |
| ID | Term |
|---|---|
| D001519 | Behavior |
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This outcome will be assessed by asking "Do you think this doctor cared about the patient?" after viewing a short video. Items will be measured on a 5-point scale (1=Definitely no to 5=Definitely yes). |
| Immediately after viewing |
| Assessment of whether subject would want to be physician's patient | This outcome will be assessed by asking "Would you want this physician as your doctor?" after viewing a short video. Items will be measured on a 5-point scale (1=Definitely no to 5=Definitely yes). | Immediately after viewing |
| Assessment of clarity of physician instructions | This outcome will be assessed by asking "Did you understand the instructions the doctor gave the patient?" after viewing a short video. Items will be measured on a 5-point scale (1=Definitely no to 5=Definitely yes). | Immediatley after viewing |