Teaching the medical interview: An intervention study
Abstract
To study the effects of teaching specific interviewing techniques on verbal behaviors and on health outcomes, internal medicine residents working in a screening clinic were assigned to either an experimental or a control group. The entire clinic visit was audiotaped, transcribed, and coded according to the Verbal Response Mode (VRM) system. Residents in the experimental group were taught interviewing behaviors (patient exposition and physician explanation) that had been found in previous studies to be associated with patient outcomes. Through telephone interviews, patient satisfaction, compliance, and symptom status were determined for all patients. Two hundred and sixty-eight interviews (156 in the experimental group and 112 in the control group) were included in the study. Training did increase patient exposition and physician explanation, but did not affect health outcomes. Residents' attitudes and behaviors during the training are described.
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In studies conducted before 1999, attempts to ensure protection from contamination from the intervention to the control group were reported in one study only.
“In studies conducted before1999, attempts to ensure protection from contamination from the intervention to the control group were reported in one study only (Putnam 1988) in which intervention group physicians were asked not to discuss the intervention with control group physicians.”
From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Putnam 1988
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Interventions for providers to promote a patient-centred approach in clinical consultations
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- Authors
- Putnam, S. M., Stiles, W. B., Jacob, M. C., & James, S. A.
- Affiliations
- Miami University (US)
- VA Connecticut Healthcare System (US)
- University of North Carolina at Chapel Hill (US)
- Venue
- Journal of General Internal Medicine
- Published
- 1988-01
- Volume
- 3
- Issue
- 1
- Pages
- 38-47
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- OpenAlex
- W2312263249
- Cited by
- 70
- References
- 27
- Citations by year
- 2023: 1 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 2 · 2013: 1 · 2012: 2
- FWCI
- 12.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (HS 03040)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- interviewing skills training, internal medicine residents, verbal response modes, patient satisfaction, medication adherence, symptom status, health outcomes, physician attitudes
- MeSH terms
- Communication, Consumer Behavior, Internal Medicine, Internship and Residency, Interviews as Topic, Patient Compliance, Physician-Patient Relations
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