Abstract:
OBJECTIVE:Studies of physicians' professional development highlight the important effect that the learning environment has in shaping student attitudes, behaviors, and values. The objective of this study was to better understand the interplay among relationships and experiences in mediating the effects of the learning environment. METHODS:We randomly recruited 2nd- and 4th-year students from among volunteers at each of five medical schools. One interviewer at each school conducted a face-to-face, open-ended, semi-structured interview with each student. The interviewers used a method called 'life-circle diagramming' to direct the student to draw a picture of all of the relationships in his/her life that had an influence on the sort of doctor that each student saw him/herself becoming. Interviews lasted between 60 and 120 min. Using a narrative framework that focuses on elements of students' stories (e.g., setting, characters, plot), we analyzed transcripts through an iterative process of individual reading and group discussion to derive themes and relationships among themes. RESULTS:Twenty students completed interviews. These students are embedded in complex webs of relationships with colleagues, friends, family, role models, patients, and others. Most students entered medical school with formed notions of what they wanted to 'be like' as physicians. While students generally gravitated toward relationships with like-minded people, their experiences varied, and some students could sense themselves changing as they moved through school. Such changes were often related to important events or issues. The relationships that students found themselves in during the context of these events had an important effect on students' beliefs about what kinds of behaviors and attitudes were possible and desirable in their future practice. CONCLUSIONS:Students proceed through medical school embedded in complex webs of relationships that exert a powerful influence (both positive and negative) on their formation as physicians. PRACTICE IMPLICATIONS:Educational interventions that foster adoption of professional values need to acknowledge the influence of relationships, and assist students to harness and shape relational effects on their growth and development. The life-circle diagramming activity holds potential to promote reflection and self-knowledge, and to provide a foundation for professional growth.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Haidet P,Hatem DS,Fecile ML,Stein HF,Haley HL,Kimmel B,Mossbarger DL,Inui TSdoi
10.1016/j.pec.2008.05.016subject
Has Abstractpub_date
2008-09-01 00:00:00pages
382-7issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(08)00262-0journal_volume
72pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To determine the literacy skill sets of patients in the context of graphical interpretation of interactive dashboards. METHODS:We assessed literacy characteristics of prostate cancer patients and assessed comprehension of quality of life dashboards. Health literacy, numeracy and graph literacy were assessed ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.09.009
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.04.008
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To introduce a method for quantifying clinicians' use of assessment of understanding (AU) questions, and to examine medicine residents' AU usage during counseling of standardized patients about prostate or breast cancer screening. METHODS:Explicit-criteria abstraction was done on 86 transcripts, using a data...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.03.013
更新日期:2009-10-01 00:00:00
abstract::One way to reduce the need and demand for hospital services is via health promotion initiatives. A prenatal instructors' education module preventing the learning of violence as acceptable behaviour by children in their first year of life was developed by a health promoting hospital in partnership with its community. C...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(01)00190-2
更新日期:2001-12-15 00:00:00
abstract:OBJECTIVE:The European Association of Communication in Healthcare (EACH) Early Career Researchers Network (ECRN) aims are to (1) promote international collaboration among young investigators and (2) provide a support network for future innovative communication research projects. In October 2009, Miami, USA at a worksho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.020
更新日期:2010-09-01 00:00:00
abstract::This article describes a study of the feasibility and value of using daily diary measures to assess coping, adjustment and symptoms in patients participating in phase I clinical trials of new anticancer drugs. Ten patients (six women, four men) with advanced metastatic cancer were studied during a four-week phase I tr...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章
doi:10.1016/s0738-3991(99)00047-6
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:Develop a system of practice tools and procedures to prompt shared decision making in primary care. SDM-GRIP (Shared Decision Making Guidance Reminders in Practice) was developed for suspected stable coronary artery disease (CAD), prior to the percutaneous coronary intervention (PCI) decision. METHODS:Progra...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.12.028
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:Surgeons and psychiatrists have been described as two contrary groups, the one healing by hands and the other by words. Empathy is needed in every physician-patient relationship. We tested whether (1) surgeons and psychiatrists show different levels of cognitive and emotional empathy; (2) measurements of cogn...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.01.013
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:Working alongside specialized palliative care nurses brings about learning opportunities for general practitioners. The views of these nurses toward their role as facilitator of learning is unknown. The aim of this study is to clarify the views and preferences of these nurses toward their role as facilitator ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.06.004
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Our objective was to evaluate the utility of an educational program consisting of a workshop based on the Take the HEAT communication strategy, designed specifically for addressing patients who are angry, using a novel tool to evaluate residents' skills in employing this method. METHODS:33 first-year pediatr...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.12.012
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:This integrative literature review investigates the factors influencing patient education in Shared Medical Appointments. METHODS:Following template analysis method, we used key concepts of the Social Cognitive Theory (SCT) and Social Constructivism as a priori themes. After detailed analysis of the included...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2020.03.006
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:Attachment style and emotional intelligence (EI) have been highlighted as potential factors influencing the variation in medical students' and doctors' patient-provider communication (PPC), particularly in relation to emotive issues. The objective of this review is to systematically review and synthesise the ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.05.010
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:This study explored patient recall of clinician presentation of information about prescription medication, looking specifically for communication patterns and differences by patient individual characteristics and by medication availability type. METHODS:A cross sectional survey collected information about 21...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.002
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of including a social support intervention ('buddy system') in a group treatment programme to aid smoking cessation. METHODS:Five hundred and sixty-three smokers attended groups at a smokers' clinic. These groups were randomized either to be (a) groups in which smokers were paired...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2006.02.008
更新日期:2006-12-01 00:00:00
abstract::American practitioners were surveyed about the role of self-care materials in the management of cardiology patients. Respondents indicated their patients commonly use self-care materials and seek recommendation of appropriate readings. Over half those responding had reviewed 'some' popular works, but few had been able...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(94)90029-9
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVES:High adherence is needed to maintain antiretroviral therapy efficacy. Few attempts at therapeutic patient education (TPE) have been made in sub-Saharan Africa. We describe patients' achievements before intervention and identified needs, TPE programme implementation and evaluation, and patients' satisfaction....
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.01.021
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVES:When a physician believes that the troubles of caring for a patient outweigh the rewards, he or she can move--"turf", the unwanted patient from his or her own to another physician's territory. Physicians receiving such patients can feel burdened by, and resentful about, caring for those who are "turfed" to t...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2003.12.014
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To analyze large-scale data obtained from telephone cancer consultations and clarify sex differences in the information sought by callers to guide future cancer survivor support. METHODS:We qualitatively analyzed 10,534 cases of telephone consultations with cancer patients. The relationships between callers'...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.05.012
更新日期:2020-05-16 00:00:00
abstract:OBJECTIVE:This study aimed to assess the inter-rater and intra-rater reliability of the English translation of the original Italian version of the VR-MICS and to evaluate its sensitivity by comparing the coding of English and Italian general practice consultations with emotionally distressed and non-distressed patients...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.01.001
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:Clinicians worldwide seek to educate and support heart failure patients to engage in self-care. We aimed to describe self-care behaviors of patients from 15 countries across three continents. METHODS:Data on self-care were pooled from 5964 heart failure patients from the United States, Europe, Australasia an...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.02.017
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS:Data from four exemplars in a range of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.05.006
更新日期:2016-10-01 00:00:00
abstract::This reflective piece tells the story of an impactful patient interaction that shaped the practice of a medical student. The essay focuses on the power of shared time and the development of meaningful relationships as a form of adjunctive therapy for patients, regardless of diagnosis or prognosis. Fostering an appreci...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.08.035
更新日期:2019-01-01 00:00:00
abstract::The effect of an intervention programme to improve health education leaflet uptake in community pharmacies was conducted with a small convenience sample of 12 community pharmacies in North Staffordshire, UK. The intervention consisted of four different modes of leaflet provision. Modes 1 and 2 (without and with overt ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(02)00034-4
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Female breast cancer patients carrying a BRCA1/2-mutation have an increased risk of second primary breast and ovarian tumors. Little is known about the psychological impact and treatment consequences of rapid genetic counseling and testing offered between breast cancer diagnosis and surgery. METHODS:Female b...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.03.019
更新日期:2012-10-01 00:00:00
abstract::Patients with diabetes are ultimately responsible for their disease management, but many patients with diabetes do not have the necessary knowledge or skill. Recently developed National Standards for diabetes care include patient education. A nonprobability, convenience sample of 50 patients and 50 staff nurses was se...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(90)90074-u
更新日期:1990-12-01 00:00:00
abstract::Patient-clinician communication that promotes patient engagement enhances health care quality. Yet, disseminating effective communication interventions to practicing clinicians remains challenging. Current methods do not have large and sustainable effects. In this paper, we argue that both top-down approaches (mandate...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.05.015
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:Despite numerous benefits of consuming a healthy diet and receiving regular physical activity, engagement in these behaviors is suboptimal. Since primary care visits are influential in promoting healthy behaviors, we sought to describe whether and how diet and physical activity are discussed during older adul...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.03.020
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To determine the impact of the Chronic Disease Self-Management Course (CDSMC) on people with multiple sclerosis (MS). METHODS:2-group, randomised, controlled trial with Intervention Group (IG) and Waiting-List Control Group (WLCG). Additional data were collected from a Comparison Group (CG) who chose not to ...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2009.02.009
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to review and evaluate the evidence related to psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS) that was developed and tested to measure health maintenance behaviours of heart failure (HF) patients and translated into several languages. METHO...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.02.005
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To examine the information seeking behavior and health literacy of caregivers of individuals living with spinal cord injury in Switzerland and their impact on the caregiving experience. METHODS:Nationwide survey of family caregivers of people with spinal cord injury (N = 717). Caregivers aged 18+ who assiste...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.02.024
更新日期:2020-08-01 00:00:00