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A farewell visit in the outpatient world

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Fred N. Pelzman, M.D., tells of a resident growing teary-eyed over a long-time patient farewell visit.

“Out here in the outpatient world — in the ‘real world’ as we like to call it — the relationships may start out smaller {than in a hospital}, but they have great potential to grow. We may be fine-tuning or wholesale changing medicines, learning about barriers to medical literacy, overcoming patients’ fears of undergoing certain tests or procedures, or adapting our preset notions of what is right and best for our patients to a patient’s own set of personal and cultural beliefs. This builds connections, and it only matures with time.”

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