
A Career Attending to, and Teaching About, the Patient-Doctor Relationship
From The Clinical Excellence Podcast by Adam Cifu, MD
February 24, 2026 · 20 min · Episode 68
About this episode
Dr. Michelle Kittleson and Dr. Adam Cifu discuss the complexities of the patient-doctor relationship and strategies for effective communication in challenging situations.
Dr. Michelle Kittleson and Dr. Adam Cifu get real about the patient-doctor relationship, especially when the stakes are high and the answers are not simple. She shares a small move that can ease a patient’s anxiety in seconds: showing you came prepared, with their story already in your hands. They talk through shared decision making, why patients should steer, and why clinicians still need to give a clear recommendation. They also spend time on the toughest pivot of all: when cure is off the table, what do you say next, and what can you still do to reduce suffering?
People in this episode
Host: Dr. Adam Cifu
Guest: Dr. Michelle Kittleson
Topics covered
- patient-doctor relationship
- shared decision making
- patient anxiety
- communication in healthcare
- end-of-life care
Keywords
- patient-doctor relationship
- shared decision making
- patient anxiety
- communication
- end-of-life care
- healthcare
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