Journal of General Internal Medicine

, Volume 9, Issue 3, pp 158–161 | Cite as

Communication barriers between attending physicians and residents

  • Jack D. McCue
  • Kathleen J. Beach


General Internal Medicine Ethical Dilemma Resident Physician Acute Hospital Care Critical Care Unit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    McPhee SJ, Lo B, Saika GY, Meltzer R. How good is communication between primary care physicians and subspecialty consultants? Arch Intern Med. 1984;144:1265–8.PubMedCrossRefGoogle Scholar
  2. 2.
    Williams TF, White KL, Fleming WL, et al. The referral process in medical care and the university clinic’s role. J Med Educ. 1961;36:899–907.PubMedGoogle Scholar
  3. 3.
    Kunkle EC. Communication breakdown in referral of the patient. JAMA. 1964;187:663.PubMedGoogle Scholar
  4. 4.
    Metcalfe DHH, Sischy D. Patterns of referral from family practice. N Y State J Med. 1973;73:1690–4.PubMedGoogle Scholar
  5. 5.
    Long A, Atkins JB. Communications between general practitioners and consultants. BMJ. 1974;4:456–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Cummins RO, Smith RW, Inui TS. Communication failure in primary care. JAMA. 1980;243:1650–2.PubMedCrossRefGoogle Scholar
  7. 7.
    Cybulska E, Rucinski J. Communication between doctors. Br J Hosp Med. 1989;41:266–8.PubMedGoogle Scholar
  8. 8.
    Taylor RB. Physician, resident, patient: resolving the conflict. Physician’s Management. 1982;12:163–77.Google Scholar
  9. 9.
    Cassell EJ. Practice versus theory in academic medicine: the conflict between house officers and attending physicians. Bull N Y Acad Med. 1984;60:297–308.PubMedGoogle Scholar
  10. 10.
    Reuler JB. Managerial model of the attending physician. J Gen Intern Med. 1987;2:341–3.PubMedCrossRefGoogle Scholar
  11. 11.
    Greganti MA, Drossman DA, Rogers JF. The role of the attending physician. Arch Intern Med. 1982;142:698–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Frame B. Interaction between house staff and attending physicians. Ann Intern Med. 1982;96:372–3.PubMedGoogle Scholar
  13. 13.
    Farber NJ, Weiner JL, Boyer EG, Robinson EJ. How internal medicine residents resolve conflicts with attending physicians. Acad Med. 1990;65:713–5.PubMedCrossRefGoogle Scholar
  14. 14.
    Black PM. Moral disagreements during residency training. JAMA. 1985;254:3467.PubMedCrossRefGoogle Scholar
  15. 15.
    Spiegel DA, Smolen RC, Jonas CK. Interpersonal conflicts involving students in clinical medical education. J Med Educ. 1985;60:819–299.PubMedGoogle Scholar
  16. 16.
    Brancati FL. The art of pimping. JAMA. 1989;262:89–90.PubMedCrossRefGoogle Scholar
  17. 17.
    Kinston W. Hospital organisation and structure and its effect on inter-professional behavior and the delivery of care. Soc Sci Med. 1983;17:1159–70.PubMedCrossRefGoogle Scholar
  18. 18.
    Feinglass J, Schroeder J, Martin GJ, et al. The relationship of residents’ autonomy and use of teaching hospital’s resources. Acad Med. 1991;66:549–52.PubMedCrossRefGoogle Scholar
  19. 19.
    Winkenwerder W. Ethical dilemmas for house staff physicians. The care of critically ill and dying patients. JAMA. 1985;254:3454–7.PubMedCrossRefGoogle Scholar
  20. 20.
    The American College of Physicians Ad Hoc Committee on Medical Ethics. American College of Physicians ethics manual. Ann Intern Med. 1984;101:129–37.Google Scholar
  21. 21.
    Berger JT. A resident’s view of medical ethics [letter]. Ann Intern Med. 1991;115:750.Google Scholar
  22. 22.
    Orsher SI. Ethical issues in attending physician-resident physician relations. Bull N Y Acad Med. 1979;55:52–6.PubMedGoogle Scholar
  23. 23.
    McCue JD. The distress of internship. N Engl J Med. 1985;312:449–52.PubMedCrossRefGoogle Scholar
  24. 24.
    Quill TE. Recognizing and adjusting to barriers in doctor-patient communication. Ann Intern Med. 1989;111:51–7.PubMedGoogle Scholar

Copyright information

© Society of General Internal Medicine 1994

Authors and Affiliations

  • Jack D. McCue
    • 1
    • 2
  • Kathleen J. Beach
    • 1
    • 3
  1. 1.Tufts University School of MedicineBoston
  2. 2.the General Medicine/Geriatrics DivisionSpringfield
  3. 3.Bay-state Medical CenterSpringfield

Personalised recommendations