PEARLS for open communication

P: The clinician should acknowledge that this is a PARTNERSHIP and they are in it together.

E: The clinician should express understanding and EMPATHY.

A: The clinician should address any unmet expectation with an APOLOGY.

R: The clinician should acknowledge any patient suffering or dissatisfaction with RESPECT/REFLECTION.

L: The clinician should LEGITIMIZE the patient's concerns and feelings.

S: The clinician should SUPPORT the patient and emphasize that they will continue to work with the patient.

Acronym to help clinicians demonstrate empathy and facilitate open communication when taking a history.

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