Cognitive Expertise, Emotional Development, and Reflective Capacity: Clinical Skills for Improved Pain Care

Journal of Pain

Volumn 9, Issue 11, 2008, Pages 975-983

  Murinson, Beth B ^a   Agarwal, Aakash K ^a,b   Haythornthwaite, Jennifer A ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b WESTERN UNIVERSITY OF HEALTH SCIENCES   (United States)

Author keywords

compassion; competence; empathy; medical education; patient physician interaction; Professionalism; psychosocial

Indexed keywords

ARTICLE; CLINICAL FEATURE; COGNITION; DOCTOR PATIENT RELATION; EMOTION; HUMAN; MEDICAL EDUCATION; MEDICAL EXPERT; MEDICAL INFORMATION; MEDICAL STUDENT; PAIN; PATIENT CARE; PROFESSIONAL DEVELOPMENT; PROFESSIONALISM;

CLINICAL COMPETENCE; COGNITION; COMMUNICATION; EDUCATION, MEDICAL, GRADUATE; EMOTIONS; HUMANS; PAIN; PHYSICIAN-PATIENT RELATIONS; QUALITY ASSURANCE, HEALTH CARE;

EID: 54449083069     PISSN: 15265900     EISSN: 15288447     Source Type: Journal    
DOI: 10.1016/j.jpain.2008.07.010     Document Type: Article

References (51)

1. Beach M.C., and Inui T. Relationship-centered care: A constructive reframing. J Gen Intern Med 21 Suppl 1 (2006) S3-S8
2. Bellini L.M., and Shea J.A. Mood change and empathy decline persist during three years of internal medicine training. Acad Med 80 (2005) 164-167
3. Blasco P.G., Moreto G., and Levites M. Teaching humanities through opera: Leading medical students to reflective attitudes. Fam Med 37 (2005) 18-20
4. Bowman D., and Hughes P. Emotional responses of tutors and students in problem-based learning: Lessons for staff development. Med Educ 39 (2005) 145-153
5. Bradley J.G., Zia M.J., and Hamilton N. Patient preferences for control in medical decision making: A scenario-based approach. Fam Med 28 (1996) 496-501
6. Branch Jr. W.T. Supporting the moral development of medical students. J Gen Intern Med 15 (2000) 503-508
7. Bruce S.M., Conaglen H.M., and Conaglen J.V. Burnout in physicians: A case for peer-support. Intern Med J 35 (2005) 272-278
8. Chang R.W., Bordage G., and Connell K.J. The importance of early problem representation during case presentations. Acad Med 73 (1998) S109-S111
9. Charles C., Gafni A., and Whelan T. Decision-making in the physician-patient encounter: Revisiting the shared treatment decision-making model. Soc Sci Med 49 (1999) 651-661
10. Charon R. The patient-physician relationship: Narrative medicine: A model for empathy, reflection, profession, and trust. JAMA 286 (2001) 1897-1902
11. Clark D.C., and Zeldow P.B. Vicissitudes of depressed mood during four years of medical school. JAMA 260 (1988) 2521-2528
12. Coulehan J. Viewpoint: Today's professionalism: Engaging the mind but not the heart. Acad Med 80 (2005) 892-898
13. Dahlin M., Joneborg N., and Runeson B. Stress and depression among medical students: A cross-sectional study. Med Educ 39 (2005) 594-604
14. Degner L.F., and Sloan J.A. Decision making during serious illness: What role do patients really want to play?. J Clin Epidemiol 45 (1992) 941-950
15. Di Blasi Z., Harkness E., Ernst E., Georgiou A., and Kleijnen J. Influence of context effects on health outcomes: A systematic review. Lancet 357 (2001) 757-762
16. Edwards R.R., Bingham C.O., Bathon J.M., and Haythornthwaite J.A. Catastrophizing and pain in arthritis, fibromyalgia and other rheumatic diseases. Arthritis Rheum 55 (2006) 325-332 15
17. Emanuel E.J., and Emanuel L.L. Four models of the physician-patient relationship. JAMA 267 (1992) 2221-2226
18. Epstein R.M., and Hundert E.M. Defining and assessing professional competence. JAMA 287 (2002) 226-235
19. Fins J.J., Gentilesco B.J., Carver A., Lister P., Acres C.A., Payne R., and Storey-Johnson C. Reflective practice and palliative care education: A clerkship responds to the informal and hidden curricula. Acad Med 78 (2003) 307-312
20. Flowers L.K. The missing curriculum: Experience with emotional competence education and training for premedical and medical students. J Natl Med Assoc 97 (2005) 1280-1287
21. Goldstein E.A., Maclaren C.F., Smith S., Mengert T.J., Maestas R.R., Foy H.M., Wenrich M.D., and Ramsey P.G. Promoting fundamental clinical skills: A competency-based college approach at the University of Washington. Acad Med 80 (2005) 423-433
22. Hasnain M., Bordage G., Connell K.J., and Sinacore J.M. History-taking behaviors associated with diagnostic competence of clerks: An exploratory study. Acad Med 76 (2001) S14-S17
23. Hojat M., Gonnella J.S., Mangione S., Nasca T.J., Veloski J.J., Erdmann J.B., Callahan C.A., and Magee M. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ 36 (2002) 522-527
24. Hojat M., Gonnella J.S., Nasca T.J., Mangione S., Vergare M., and Magee M. Physician empathy: Definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry 159 (2002) 1563-1569
25. Hojat M., Mangione S., Nasca T.J., Rattner S., Erdmann J.B., Gonnella J.S., and Magee M. An empirical study of decline in empathy in medical school. Med Educ 38 (2004) 934-941
26. Humphrey G.B., Littlewood J.L., and Kamps W.A. Physician/patient communication: A model considering the interaction of physicians' therapeutic strategy and patients' coping style. J Cancer Educ 7 (1992) 147-152
27. Humphris G.M., and Kaney S. Assessing the development of communication skills in undergraduate medical students. Med Educ 35 (2001) 225-231
28. Jackson P.L., Meltzoff A.N., and Decety J. How do we perceive the pain of others?. A window into the neural processes involved in empathy. Neuroimage 24 (2005) 771-779
29. Mansell D., Poses R.M., Kazis L., and Duefield C.A. Clinical factors that influence patients' desire for participation in decisions about illness. Arch Intern Med 160 (2000) 2991-2996
30. Mayer J.D., DiPaolo M., and Salovey P. Perceiving affective content in ambiguous visual stimuli: A component of emotional intelligence. J Pers Assess 54 (1990) 772-781
31. McNeilly D.P., and Wengel S.P. The "ER" Seminar: Teaching Psychotherapeutic Techniques to Medical Students. Acad Psychiatry 25 (2001) 193-200
32. The American Heritage Dictionary of the English Language. 4th Edition (2004), Houghton Mifflin Company, Boston, MA. http://www.dictionary.com Available at www.dictionary.com. Accessed July 20, 2008
33. Murinson B.B., and Jolkovsky L.A. The Role of Medical Education in Improved Pain Care: A Conceptual Model of the Clinical Pain Encounter (2005), IASP Press, Seattle, WA
34. Nendaz M.R., and Bordage G. Promoting diagnostic problem representation. Med Educ 36 (2002) 760-766
35. Newbury-Birch D., Walshaw D., and Kamali F. Drink and drugs: From medical students to doctors. Drug Alcohol Depend 64 (2001) 265-270
36. Pilowsky I. An outline curriculum on pain for medical schools. Pain 33 (1988) 1-2
37. Jowett B.T. Plato: Laws. Chapter IV (1892), Macmillan, New York, NY
38. Pololi L.P., Frankel R.M., Clay M., and Jobe A.C. One year's experience with a program to facilitate personal and professional development in medical students using reflection groups. Educ Health (Abingdon) 14 (2001) 36-49
39. Rosenthal J.M., and Okie S. White coat, mood indigo: Depression in medical school. N Engl J Med 353 (2005) 1085-1088
40. Rosenzweig S., Reibel D.K., Greeson J.M., Brainard G.C., and Hojat M. Mindfulness-based stress reduction lowers psychological distress in medical students. Teach Learn Med 15 (2003) 88-92
41. Roter D.L., Frankel R.M., Hall J.A., and Sluyter D. The expression of emotion through nonverbal behavior in medical visits: Mechanisms and outcomes. J Gen Intern Med 21 Suppl 1 (2006) S28-S34
42. Satterfield J.M., and Hughes E. Emotion skills training for medical students: A systematic review. Med Educ 41 (2007) 935-941
43. Shanafelt T.D., Bradley K.A., Wipf J.E., and Back A.L. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 136 (2002) 358-367
44. Shapiro J. How do physicians teach empathy in the primary care setting?. Acad Med 77 (2002) 323-328
45. Stecker T. Well-being in an academic environment. Med Educ 38 (2004) 465-478
46. Steinbrook R. Renewing board certification. N Engl J Med 353 (2005) 1994-1997
47. Street Jr. R.L., Gordon H.S., Ward M.M., Krupat E., and Kravitz R.L. Patient participation in medical consultations: Why some patients are more involved than others. Med Care 43 (2005) 960-969
48. USMLE: 2006 USMLE Bulletin. 1, 1-39. 2006. Philadelphia, PA, Federation of State Medical Boards of the United States, Inc and The National Board of Medical Examiners, 2006
49. Viscott D.S. Emotional Resilience: Simple Truths for Dealing with the Unfinished Business of Your Past (1997), Three Rivers Press, New York, NY
50. Walling A.D., Woolley D.C., Molgaard C., and Kallail K.J. Patient satisfaction with migraine management by family physicians. J Am Board Fam Pract 18 (2005) 563-566
51. Warhaft N.J. The Victorian Doctors Health Program: The first 3 years. Med J Aust 181 (2004) 376-379