EPISODE · Feb 24, 2026 · 19 MIN
A Career Attending to, and Teaching About, the Patient-Doctor Relationship
from The Clinical Excellence Podcast · host Adam Cifu, MD
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?
What this episode covers
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?
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A Career Attending to, and Teaching About, the Patient-Doctor Relationship
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