PMID: 9441572Jan 24, 1998Paper

The effectiveness of intensive training for residents in interviewing. A randomized, controlled study

Annals of Internal Medicine
R C SmithR B Greenbaum

Abstract

Interviewing and the physician-patient relationship are crucial elements of medical care, but residencies provide little formal instruction in these areas. To determine the effects of a training program in interviewing on 1) residents' attitudes toward and skills in interviewing and 2) patients' physical and psychosocial well-being and satisfaction with care. Randomized, controlled study. Two university-based primary care residencies. 63 primary care residents in postgraduate year 1. A 1-month, full-time rotation in interviewing and related psychosocial topics. Residents and their patients were assessed before and after the 1-month rotation. Questionnaires were used to assess residents' commitment to interviewing and psychosocial medicine, estimate of the importance of such care, and confidence in their ability to provide such care. Knowledge of interviewing and psychosocial medicine was assessed with a multiple-choice test. Audiotaped interviews with real patients and videotaped interviews with simulated patients were rated for specific interviewing behaviors. Patients' anxiety, depression, and social dysfunction; role limitations; somatic symptom status; and levels of satisfaction with medical visits were assessed by question...Continue Reading

Citations

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