Learning to listen: Effects of using conversational transcripts to help medical students improve their use of open questions in soliciting patient problems.
OBJECTIVE: This study reports effects of a 'bottom-up' pedagogy using doctor-patient conversation transcripts to improve medical students' use of open questions in soliciting patient problems. METHODS: We implemented an innovative approach involving students reviewing transcripts of medical intervie...
| Publicado en: | Patient Education & Counseling Vol. 93; no. 1; pp. 48 - 56 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104091932&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104091932 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: Oct2013 vid: 93 iid: 1 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104091932 2012245262 10.1016/j.pec.2013.03.022 NLM23683340 104091932 ppf: 48 ppct: 8 formats: tig: atl: Learning to listen: Effects of using conversational transcripts to help medical students improve their use of open questions in soliciting patient problems. aug: au: Tsai, Mei-Hui Lu, Feng-Hwa Frankel, Richard M affil: Department of Foreign Languages and Literature, National Cheng Kung University, Tainan City, Taiwan, ROC. Electronic address: tsaim@mail.ncku.edu.tw. sug: subj: Communication Education, Medical Students, Medical Psychosocial Factors Adult Clinical Competence Educational Measurement Female Human Learning Male Patient History Taking Methods Patient Simulation Physician-Patient Relations Adult: 19-44 years Female Male ab: OBJECTIVE: This study reports effects of a 'bottom-up' pedagogy using doctor-patient conversation transcripts to improve medical students' use of open questions in soliciting patient problems. METHODS: We implemented an innovative approach involving students reviewing transcripts of medical interviews, skills practice using role-play and standardized patients (SPs), and reflection on these practices. We analyzed three open question categories (general, biomedical, and psychosocial) used by 27 Taiwanese medical students from two SP interviews, conducted before and after training. RESULTS: Across the full encounter, use of general and psychosocial open questions increased significantly after training (from 27 to 92 general questions and 15 to 33 psychosocial questions). The high rates of narrowly focused opening questions (52% of initial position questions, 74% of second position questions, and 85% of third position questions) prior to training were reduced to 11%, 15%, and 15% respectively after training. Students also shifted from a micro (narrow) to a macro (broad) pattern of questioning. CONCLUSION: The 'bottom-up' approach facilitated by using conversation transcripts is effective in improving communication skills. PRACTICE IMPLICATIONS: By carefully reviewing transcripts of their own performance as part of an overall communication training package, beginning medical students can become more patient-centered in soliciting patient problems. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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