PMID: 3747876Jul 1, 1986Paper

Attitudinal educational objectives at therapeutic consultation: measures of performance, educational approach and evaluation

Medical Education
D A SiderisS D Moulopoulos

Abstract

The study aims at measuring doctors' performance while giving therapeutic instructions and testing the effectiveness of an educational technique for affective objectives. For this purpose doctors' performance was analysed into nine components. Twenty-five trainees in internal medicine were observed and rated regarding the nine components, while instructing 40 patients with a chronic disease. Both doctors and patients were then questioned regarding the verbal components of the doctors' performance and the answers were compared to assess the degree of concordance. One to 3 months later the patients were interviewed to assess whether they complied with the instructions or not. Eighteen months later a 4-hour seminar on affective objectives was held, involving listening and small-group discussion on tape-recorded doctor-patient consultations. After completion of the seminar, 25 doctors instructed 39 patients and were assessed as above. The findings suggest that the doctors' performance regarding the nine components did not predict patient compliance. However, sufficient doctor-patient concordance regarding the verbal components of the behaviour significantly predicted patient compliance. Following the seminar, significant improvemen...Continue Reading

References

Sep 1, 1978·Medical Education·S Bourne, E Lewis
Jan 1, 1979·Journal of Medical Education·G S KahnH Jason
Jan 1, 1977·Community Mental Health Journal·A Hersh, G A Brown
Nov 1, 1976·Psychological Medicine·P LeyC E Skilbeck
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Jan 1, 1971·The Cleft Palate Journal·H Graff, A Arenowitz
Jan 1, 1981·Medical Education·G G KentD Dalrymple-Smith

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Citations

Mar 1, 1996·Journal of General Internal Medicine·S K JoosL H Baker
Jan 1, 1990·Medical Education·D A SiderisS D Moulopoulos
Jan 1, 1999·Language, Speech, and Hearing Services in Schools·Judith G Farber, Evelyn R Klein

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