Our patients are at the center of health care. Decisions regarding care consider many factors.
We emphasize the importance of a good history and thoughtful physical examination, supplemented by radiographic studies and results of previous treatments. We also inherently work toward developing trusting relationships with patients, so shared decision-making leads to the best outcomes. This process requires true listening to provide culturally competent care.
These lofty principles can be sabotaged by factors we cannot control, such as the patient’s mistrust of the health care system. Factors