Recording the consultation – bmj Observations

Last week it was on my wish-list and here on my blog. Now it’s in the bmj and on the agenda at a conference called “Keeping Patients in the Dark” at the Dartmouth Institute, Hanover, New Hampshire, in June 2014 (

“Imagine being able to analyze all clinical encounters. How much shared decision making was really done? What was the connection between the history, the findings, the decisions made, and the evidence used? How much assessment could be achieved by speech analysis and natural language processing?” ”Patientgate’ – digital recording changes everything’. Glyn Elwyn. BMJ 2014;348:g2078

Trevor Jackson discusses the article in Editor’s Choice and asks ‘would future analysis of recordings of doctor-patient consultations improve our understanding of overdiagnosis?’ with a link to
( where Tim Cundy and colleagues ‘discuss recently proposed diagnostic criteria for gestational diabetes “that triple its prevalence” (doi:10.1136/bmj.g1567). “Is it good clinical care,” they ask, “or yet another example of overdiagnosis?”

NB Recording the doctor/patient consultation is one of the referenced  issues raised in one of the discussion sections of ‘Nothing Personal, disturbing undercurrents in cancer care’ (see recent posts) on page 19 – ‘The benefits of taping significant consultations are now well recognised. 5,6.’


About bmitzi

Medical writer, author, artist. Cancer campaigner. Aiming always to improve health services and bring compassion into health care.
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