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This is hilarious because I had the same problem/experience. I feel for you.
It's a hard thing to teach especially if you're normally a stoic/reserved person.
At first, I thought it was all serious and I held back from my real personality and shieet.
But after failing the first test or whatever, I just turned the experience on it's head.
I just started behaving like those training sessions were completely casual; no physician seriousness.
Laughed when I wanted, cracked a joke when it was felt good.
Said, "oh that sucks, man" when the patient told me about sucky things.
Being evasive/embarrassed about your drinking history? "Yeah man, I could use one every evening too."
Guess what, I've since done fine and showed with lots of "empathy." Psh.
Just keep in mind that patients are just people.
And you're just two homies talking about awkward medical ****. Keep it casual/normal as much as possible.
Great post. I feel like I've been doing better in clinics by ditching the faux-serious exterior and just letting my true self show. Of course, I keep it professional, but interactions with patients are so much better when they see you're a real human being and not a robot. In other words, the physician-patient relationship becomes stronger.
ASIDE: I read your username as "caffeine enema". I should probably go to bed early tonight.