Steven R. Feldman, MD

Biography

Dr. Steven R. Feldman is 58 years old. He received his MD and PhD degrees from Duke University in Durham, NC, in 1985, following which he completed his dermatology residency at the University of North Carolina at Chapel Hill and his dermatopathology residency at the Medical University of South Carolina, in Charleston. He is a professor of Dermatology, Pathology, and Public Health Sciences and the Director of the Psoriasis Treatment Center at Wake Forest University Baptist Medical Center in Winston-Salem, NC.

Dr. Feldman leads the Center for Dermatology Research, a health services research center whose mission is to improve the care of patients with skin disease. Dr. Feldman’s chief clinical interest is psoriasis, a chronic, physically & psychosocially disabling condition. His passion is to help guide how patients with psoriasis are treated. He has served on the Medical Board of the National Psoriasis Foundation and directed psoriasis education programs for the American Academy of Dermatology. Feldman has also done ground breaking work on addiction to tanning beds and on patients’ adherence to their medication treatment regimens.

Feldman’s work in psoriasis led him to an interest in patient satisfaction. Feldman created the www.DrScore.com doctor rating/patient satisfaction website. He analyzes data from that website to better inform doctors on how to enhance their care of their patients.

Dr. Feldman’s work has been published in over 800 articles in peer-reviewed journals, including top-flight dermatology and managed care journals. Feldman serves as the editor of the Journal of Dermatology and Dermatological Surgery (the journal of the Saudi Society of Dermatology and Dermatologic Surgery), as an editor of the Journal of Dermatological Treatment, and as chief medical editor of The Dermatologist.

Abstract

Topic: How to Have a Better Experience at Your Doctor Visit

People with chronic diseases desperately need informed, caring physicians. Too often, patients find their physician lacking. The lack of trust is associated with poor use of medications (objectively observed with electronic monitoring of medication use) and bad treatment outcomes, bad for patients and bad for the physician. There are ways for patients and physicians to partner better. Based on data that patients provided to a doctor rating website, physicians need to make clear how much they care about their patients. Patients should recognize that physicians do care (even if it doesn’t seem that way). The Golden Rule is a very good rule; we should treat people the way we want to be treated. Challenging or denigrating people’s knowledge is likely to create conflict and bad feelings, irrespective of who is doing it. Good communication is essential. Being willing to give constructive feedback and being open to feedback is important for both parties in a physician-patient partnership. Framing feedback in a positive way strengthens relationships and avoids needlessly destructive conflict. Sticking with one doctor and building a strong, trusting relationship may be a more effective way to get satisfying care and optimal treatment results.