What do medical trainees think is so difficult about communicating with patients?

Patient Education and Counseling

Volumn 85, Issue 2, 2011, Pages

  Peters, Sarah ^a   Young, Kathryn ^b   McCracken, Cherie ^b  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF LIVERPOOL   (United Kingdom)

Author keywords

Communication; Emotion; Medical education

Indexed keywords

ARTICLE; COMMUNICATION SKILL; DOCTOR PATIENT RELATION; EMOTION; FEMALE; HUMAN; HUMAN RELATION; MALE; MEDICAL EDUCATION; MEDICAL INFORMATION; MEDICAL STUDENT; PRIORITY JOURNAL; STUDENT ATTITUDE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHI-SQUARE DISTRIBUTION; CLINICAL COMPETENCE; COMMUNICATION; EDUCATION, MEDICAL, UNDERGRADUATE; EMOTIONS; ENGLAND; FACTOR ANALYSIS, STATISTICAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PHYSICIAN-PATIENT RELATIONS;

EID: 80053992964     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2011.01.026     Document Type: Article

References (33)

1. Ong L.M.L., de Haes J.C.J.M., Hoos A.M., Lammes F.B. Doctor-patient communication: a review of the literature. Soc Sci Med 1995, 40:903-918.
2. Street R.L., Makoul G., Arora N.K., Epstein R.M. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns 2009, 74:295-301.
3. Brown J. How clinical communication has become a core part of medical education in the UK. Med Educ 2008, 42:271-278.
4. Yedidia M.J., Gillespie C.C., Kachur E., Schwartz M.D., Ockene J., Chepatis A.E., et al. Effect of communication training on medical student performance. J Amer Med Assoc 2003, 290:1157-1165.
5. von Fragstein M., Silverman J., Cushing A., Quilligan S., Sailsbury H., Wiskin C. UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ 2008, 42:110-1107.
6. Egnew T.R., Wilson H.J. Faculty and medical students' perceptions of teaching and learning about the doctor-patient relationship. Patient Educ Couns 2010, 79:199-206.
7. Dornan T., Bundy C. What can experience add to early medical education? Consensus survey. Brit Med J 2004, 329:834-837.
8. Littlewood S., Ypinazar V., Margolis S.A., Scherpbier A., Spencer J. Early practical experience and the social responsiveness of clinical education: systematic review. Brit Med J 2005, 331:387-391.
9. Korthagen D.A.K., Kessels J., Koster B., Lagerwerf B., Wubbels T. Linking theory and practice: the pedagogy of realistic teacher education 2001, Lawrence Erlbaum Associates, Mahwah, NH.
10. Teunissen P.W., Scheele F., Scherpbier A.J.J.A., van der Vleuten C.P.M., Boor K., van Diemen-Steenvoorde J.A.M.M. How residents learn: qualitative evidence for the pivotal role of clinical activities. Med Educ 2006, 40:379-388.
11. Buckley S., Coleman J., Davison I., Khan K.S., Zamora J., Malick S., et al. The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 11. Med Teach 2009, 31:282-298.
12. General Medical Council Revalidating doctors: ensuring standards, securing the future 2000, GMC, London.
13. Branch W.T. The road to professionalism: reflective practice and reflective learning. Patient Educ Couns 2010, 80:327-332.
14. Silverman J., Kurtz S.M., Draper J. Skills for communicating with patients 2005, Radcliffe Medical Press Ltd., Oxford. 2nd ed.
15. Humphris G.M., Kaney S. The Liverpool brief assessment system for communication skills in the making of doctors. Adv Health Sci Educ 2001, 6:69-80.
16. Kurtz S., Silverman J., Benson J., Draper J. Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides. Acad Med 2003, 78:802-809.
17. Everitt B.S., Dunn G. Applied multivariate data analysis 1991, Edward Arnold, London.
18. de Haes H., Bensing J. Endpoints in medical communication research, proposing a framework of functions and outcomes. Patient Educ Couns 2009, 74:287-294.
19. Zimmerman C., Del Piccolo L., Finset A. Cues and concerns by patients in medical consultations: a literature review. Psychol Bull 2007, 133:438-463.
20. Stead M.L., Fallowfield L., Brown J.M., Selby P. Communication about sexual problems and sexual concerns in ovarian cancer: qualitative study. Brit Med J 2001, 323:837-839.
21. Peters S., Rogers A., Salmon P., Gask L., Towey M., Clifford R., et al. What do patients choose to tell their doctors? Qualitative analysis of potential barriers for managing unexplained symptoms. J Gen Intern Med 2009, 24:443-449.
22. Roter D.L., Hall J.A., Kern D.E., Barker L.R., Cole K.A., Roca R.P. Improving physicians interviewing skills and reducing patients' emotional distress-a randomized clinical trial. Arch Intern Med 1995, 155:1877-1884.
23. Levinson W., Gorawara-Bhat R., Lamb J. A study of patient clues and physician responses in primary care and surgical settings. J Amer Med Assoc 2000, 284:1021-1027.
24. Zick A., Granieri M., Makoul G. First-year medical students' assessment of their own communication skills: a video-based, open-ended approach. Patient Educ Couns 2007, 68:161-166.
25. Davis D.A., Mazmanian P.E., Fordis M., Van Harrison R., Thorpe K.E., Perrier L. Accuracy of physician self-assessment compared with observed measures of competence-a systematic review. J Amer Med Assoc 2006, 296:1094-1102.
26. Kruger J., Dunning D. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. J Pers Soc Psychol 1999, 77:1121-1134.
27. Satterfield J.M., Hughes E. Emotion skills training for medical students: a systematic review. Med Educ 2007, 41:935-941.
28. Litva A., Peters S. Exploring barriers to teaching behavioural and social sciences in medical education. Med Educ 2008, 42:309-314.
29. Salmon P., Peters S., Clifford R., Iredale W., Gask L., Rogers A., et al. Why do general practitioners decline training to improve management of medically unexplained symptoms?. J Gen Intern Med 2007, 22:565-571.
30. Bowlby J. The making and breaking of affectional bonds 1998, Routledge, London.
31. Ciechanowski P., Russo J., Katon W.J., Lin E.H.B., Ludman E., Heckbert S., et al. Diabetes Care 2010, 33:539-544.
32. Salmon P., Wissow L., Carroll J., Ring A., Humphris G.M., Davies J.C., et al. Doctors' attachment style and their inclination to propose somatic interventions for medically unexplained symptoms. Gen Hosp Psychiat 2008, 30:104-111.
33. Adshead G. Becoming a caregiver: attachment theory and poorly performing doctors. Med Educ 2010, 44:125-131.