Help, I'm losing patient-centredness! Experiences of medical students and their teachers

Medical Education

Volumn 44, Issue 7, 2010, Pages 662-673

  Bombeke, Katrien ^a   Symons, Linda ^a   Debaene, Luc ^a   De Winter, Benedicte ^a   Schol, Sandrina ^b   Van Royen, Paul ^a  

^a UNIVERSITY OF ANTWERP   (Belgium)

^b VRIJE UNIVERSITEIT BRUSSEL   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION PROCESSING; INTERPERSONAL COMMUNICATION; MALE; MEDICAL EDUCATION; MEDICAL STUDENT; MIDDLE AGED; PATIENT CARE; PHYSICIAN; PROFESSIONAL COMPETENCE; PSYCHOLOGICAL ASPECT; SELF CONCEPT; SOCIAL ENVIRONMENT; STANDARD;

ADULT; ATTITUDE OF HEALTH PERSONNEL; COMMUNICATION; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; FOCUS GROUPS; HUMANS; MALE; MIDDLE AGED; PATIENT-CENTERED CARE; PHYSICIANS; PROFESSIONAL COMPETENCE; SELF EFFICACY; SOCIAL ENVIRONMENT; STUDENTS, MEDICAL; YOUNG ADULT;

EID: 77953777883     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2010.03627.x     Document Type: Article

References (54)

1. Bensing J. Bridging the gap. The separate worlds of evidence-based medicine and patient-centred medicine. Patient Educ Couns 2000 39 : 17 25.
2. Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000 51 : 1087 1110.
3. Stewart M, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient-Centred Medicine: Transforming the Clinical Method, 2nd edn.
4. Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR. Measuring patient-centred communication in patient-physician consultations: theoretical and practical issues. Soc Sci Med 2005 61 : 1516 1528.
5. Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev 2001 4 : CD003267.
6. Mead N, Bower P. Patient-centred consultations and outcomes in primary care: a review of the literature. Patient Educ Couns 2002 48 : 51 61.
7. Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter? Patient Educ Couns 2003 51 : 197 206.
8. Epstein RM, Franks P, Shields CG, Meldrum SC, Miller KN, Campbell TL, Fiscella K. Patient-centred communication and diagnostic testing. Ann Fam Med 2005 3 : 415 421.
9. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J. The impact of patient-centred care on outcomes. J Fam Pract 2000 49 : 796 804.
10. Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S. Observational study of effect of patient-centredness and positive approach on outcomes of general practice consultations. BMJ 2001 323 : 908 911.
11. Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S. Preferences of patients for a patient-centred approach to consultation in primary care: observational study. BMJ 2001 322 : 468 472.
12. De Haes H. Dilemmas in patient-centredness and shared decision making: a case for vulnerability. Patient Educ Couns 2006 62 : 291 298.
13. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Health Care in America.
14. General Medical Council. Tomorrow's Doctos: outcomes and standards for undergraduate medical education
15. Stewart M. Towards a global definition of patient-centred care. BMJ 2001 322 : 444 445.
16. Branch WT Jr. The ethics of caring and medical education. Acad Med 2000 75 : 127 132.
17. Eron L. The effect of medical education on attitudes: a follow-up study. J Med Educ 1958 33 : 25 33.
18. Diseker RA, Michielutte R. An analysis of empathy in medical students before and following clinical experience. J Med Educ 1981 56 : 1004 1010.
19. Griffith CH, Wilson JF. The loss of student idealism in the 3rd-year clinical clerkships. Eval Health Prof 2001 24 : 61 71.
20. Griffith CH, Wilson JF. The loss of idealism throughout internship. Eval Health Prof 2003 26 : 415 426.
21. Haidet P, Dains JE, Paterniti DA, Hechtel L, Chang T, Tseng E, Rogers JC. Medical student attitudes toward the doctor-patient relationship. Med Educ 2002 36 : 568 574.
22. Rezler AG. Attitude changes during medical school: a review of the literature. J Med Educ 1974 49 : 1023 1030.
23. Rezler AG, Ten Haken JT. Affect and research in medical education. Med Educ 1984 18 : 331 338.
24. Wolf TM, Balson PM, Faucett JM, Randall HM. A retrospective study of attitude change during medical education. Med Educ 1989 23 : 19 23.
25. Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, Magee M. An empirical study of decline in empathy in medical school. Med Educ 2004 38 : 934 941.
26. Hook KM, Pfeiffer CA. Impact of a new curriculum on medical students' interpersonal and interviewing skills. Med Educ 2007 41 : 154 159.
27. Tsimtsiou Z, Kerasidou O, Efstathiou N, Papaharitou S, Hatzimouratidis K, Hatzichristou D. Medical students' attitudes toward patient-centred care: a longitudinal survey. Med Educ 2007 41 : 146 153.
28. Woloschuk W, Harasym PH, Temple W. Attitude change during medical school: a cohort study. Med Educ 2004 38 : 522 534.
29. Spencer J. Decline in empathy in medical education: how can we stop the rot? Med Educ 2004 38 : 916 918.
30. Albanese M. The decline and fall of humanism in medical education. Med Educ 2000 34 : 596 597.
31. Hafferty FW. Beyond curriculum reform: confronting medicine's hidden curriculum. Acad Med 1998 73 : 403 407.
32. Damoiseaux V, Van der Molen H, Kok G. Gezondheidsvoorlichting en gedragsverandering.
33. Eagly A, Chaiken S. The Psychology of Attitudes.
34. Ajzen I. Attitudes, Personality and Behaviour.
35. Pope C, Van Royen P, Baker R. Qualitative methods in research on health care quality. Qual Saf Health Care 2002 11 : 148 152.
36. Strauss AL, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques.
37. Bowen GA. Grounded theory and sensitising concepts. Int J Qual Methods 2006 5 : 12 23.
38. Pope C, Ziebland S, Mays N. Analysing qualitative data. BMJ 2000 320 : 114 116.
39. Williams C, Cantillon P, Cochrane M. The doctor-patient relationship: from undergraduate assumptions to pre-registration reality. Med Educ 2001 35 : 743 747.
40. Levine RB, Haidet P, Kern DE et al. Personal growth during internship: a qualitative analysis of interns' responses to key questions. J Gen Intern Med 2006 21 : 564 569.
41. Wright SM, Levine RB, Beasley B, Haidet P, Gress TW, Caccamese S, Kern DE. Personal growth and its correlates during residency training. Med Educ 2006 40 : 737 745.
42. Harden RM, Sowden S, Dunn WR. Educational strategies in curriculum development: the SPICES model. Med Educ 1984 18 : 284 297.
43. Howe A. Patient-centred medicine through student-centred teaching: a student perspective on the key impacts of community-based learning in undergraduate medical education. Med Educ 2001 35 : 666 672.
44. Krupat E, Pelletier S, Alexander EK, Hirsh D, Ogur B, Schwartzstein R. Can changes in the principal clinical year prevent the erosion of students' patient-centred beliefs? Acad Med 2009 84 : 582 586.
45. Illing J, Van Zwanenberg T, Cunningham WF, Taylor G, O'Halloran C, Prescott R. Pre-registration house officers in general practice: review of evidence. BMJ 2003 326 : 1019 1022.
46. O'Sullivan M, Martin J, Murray E. Students' perceptions of the relative advantages and disadvantages of community-based and hospital-based teaching: a qualitative study. Med Educ 2000 34 : 648 655.
47. Noble LM, Kubacki A, Martin J, Lloyd M. The effect of professional skills training on patient-centredness and confidence in communicating with patients. Med Educ 2007 41 : 432 440.
48. Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors' and nurses' self-efficacy. A randomised controlled trial. Patient Educ Couns 2007 66 : 270 277.
49. Novack DH, Epstein RM, Paulsen RH. Toward creating physician-healers: fostering medical students' self-awareness, personal growth, and well-being. Acad Med 1999 74 : 516 520.
50. Epstein RM. Mindful practice. JAMA 1999 282 : 833 839.
51. Maex E. Mindfulness in de maalstroom van je leven.
52. Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational programme in Mindful Communication with burnout, empathy, and attitudes among primary care physicians. JAMA 2009 302 : 1284 1293.
53. De Vries H, Dijkstra M, Kuhlman P. Self-efficacy: the third factor besides attitude and subjective norm as predictor of behavioral intentions. Health education research 1988 3 : 273 282.
54. Kok GJ, De Vries H, Mudde AN, Strecher VJ. Planned health education and the role of self- efficacy: Dutch research. Health Education Research 1991 6 : 231 238.