内容正文:
L1
Part1 Intensive Reading
Can ChatGPT Help Deliver Bad News?
As an oncologist(肿瘤科医生),I've delivered bad news countless times. It's always hard to find the right words.
One memory stays with me to this day. I was one of the trainees at a communication skills program. Professional actors came to us at various stages of their “illness." In small groups, we learned how to deliver bad news to them.
On the final day, there was an exam. My “patient” was a middle-aged man with terminal cancer(晚期癌).He had tried many different treatments, but nothing had worked. “I got this," I thought. Break the news gently but honestly to avoid confusion. Pause and look at him. “I can see that this must be difficult for you," I began. “I, too,wish things were different."
Above all, don ’t be clever. Just be honest and kind. The man started crying. My pulse (脉) quickened.
“I'm sorry.“ But I have so much to live for ...”We could try other treatments elsewhere. Stop, I can't say that.Silence. Complete silence.“And the holiday with my grand kids ...”Take this opportunity. Give him hope. Ask what he might do on the holiday.
The learning was there, but I was stuck for words. Thank God, l thought, the man wasn’t really sick.The feedback (反馈意见) was terrible. From the moment he met me, my “patient”felt bad because of my uneasiness (优虑不安).“How easy it is to destroy the human spirit (精神)!" I thought. Good communication is key to patient satisfaction. However, it’s surprising how little time is spent teaching doctors how to do it well.Training programs are rare.
But now we have ChatGPT. Will it help? To find out, I did a little experiment. “I'm an oncologist. Help me deliver bad news,” I typed in. “ What can I get wrong with my communication? I need tips on how to support my patients who are receiving bad news.” The answers were detailed and helpful. But my favorite line was, “Before we go on, I want to make sure you're comfortable having this conversation now. Make sure to stop me. We can take this