52
ACTA MEDICA ACADEMICA
PERSONAL COPY
1
Department of Family Medicine
School of Medicine, University of Split
Split, Croatia
2
Department of Research in Biomedicine
and Health, School of Medicine
University of Split, Split, Croatia
Corresponding author:
Nataša Mrduljaš-Đujić
Department of Family Medicine
Split University School of Medicine
Šoltanska 2
21000 Split
Croatia
md.natasa@gmail.com
Tel.: + 385 21 631 292
Fax: + 385 21 631 292
Received: 19 December 2011
Accepted: 8 February 2012
Copyright © 2012 by
Academy of Sciences and Arts
of Bosnia and Herzegovina.
E-mail for permission to publish:
amabih@anubih.ba
Students’ letters to patients as a part of education in family
medicine
Nataša Mrduljaš-Đujić¹, Ivančica Pavličević¹, Ana Marušić², Matko Marušić²
Family medicine fosters holistic approach to patient-centered practice.
Current medical curriculum in Croatia does not have well-structured
courses or tools to prepare medicals students for successful commu-
nication with the patient and for building lasting and beneicial doc-
tor-patient relationship. We explored the value of students’ practice
in writing letters to patients about their illness as a way of building
personal and compassionate relationship with patients. Sixth year stu-
dents at the School of Medicine in Split wrote letters to the patients
from consultations under the supervision of the supervisor in a fam-
ily medicine practice. Structured teaching of communication with the
patient brings family medicine back to what has actually always been
its main part – communication and doctor-patient relationship. Our
future aim is to develop students’ letters to patients as a new tool in
the family medicine course examination. Moreover, we will investigate
how they can be used in everyday practice of family medicine.
Key words: Letter to the patient, Family practice, Communication,
Doctor patient relationship.
New models in family medicine education
Acta Medica Academica 2012;41(1):52-58
DOI: 10.5644/ama2006-124.36
Introduction
Word comes irst and then cure!
Hippocrates
At present, medical profession seems to be
more concerned about form and technology
than about individual interaction with a pa-
tient as a human being: “To be intellectually
free, sometimes we have to write the diagno-
sis, medical history, state facts and igures,
and then we have time for the patient. First,
we must satisfy the system. Let’s do the pa-
perwork, then we can be doctors” (1). On the
other hand, family medicine fosters holistic,
bio-psycho-social approach to patient-cen-
tered practice. It seeks to identify the patient’s
priorities and concerns, and includes patients