The consultation involves a technical clinical dimension (knowledge of disease, diagnosis, and treatment) and a human dimension (e.g. witnessing suffering, compassion, and the therapeutic alliance). In this presentation I will suggest attending to the human dimension is an integral part of the consultation and requires valuing patient lived experience, development of curiosity and epistemic humility. Beyond this, the human dimension calls us to consider patient trauma, poverty and injustice as relevant to health.
Although the human dimension is central to person-centred care, curricular reforms for the human dimension fail in the face of the hidden curriculum where future doctors are assimilated into a culture of objectivity and face increasingly neoliberal and market driven workplaces.