Abstract
My first encounter with a patient made me doubt whether I had chosen the right profession. It was during the preclinical course on physical examination in the fourth of the 6-year program of my medical school. I introduced myself, asked my first question, and dried up. The patient was a kind lady of about 50. Perceiving my embarrassment, she tried to fill the void by asking questions about myself. I suspect that by the end of the encounter she knew more about me than I did about her.
Previous versions of parts of this chapter were published in: Benbassat J, Baumal R. Teaching doctor patient interviewing skills using an integrated learner and teacher-centered approach. Am J Med Sci. 2001;322:349–357. With permission by Wolters Kluwer. Baumal R, Benbassat J. Current trends in the educational approach for teaching interviewing skills to medical students. Isr Med Ass J. 2008;10:552–555. With permission of the Israel Medical Association; Benbassat J, Baumal R. A proposal for overcoming problems in teaching interviewing skills to medical students. Adv Health Sci Educ. 2009;14:441–450. With permission by Springer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Morgan WL, Engel GL, editors. The clinical approach to the patient. Philadelphia: WB Saunders Co; 1969. pp. 197–204.
Holmboe ES. Faculty and the observation of trainees’ clinical skills: problems and opportunities. Acad Med. 2004;79:16–22.
Langille DB, Kaufman DM, Laidlaw TA, Sargeant J, MacLeod H. Faculty attitudes towards medical communication and their perceptions of students’ communication skills training at Dalhousie University. Med Educ. 2001;35:548–54.
Fallowfield L, Jenkins V. Current concepts of communication skills training in oncology. Recent Results Cancer Res. 2006;168:105–12.
Mueller PS, Barrier PA, Call TG, Duncan AK, Hurley DL, Multari A, Rabatin JT, Li JT. Views of new internal medicine faculty of their preparedness and competence in physician-patient communication. BMC Med Educ. 2006;6:30.
Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;51:1087–110.
Beck RS, Daughtridge R, Plilip D, Sloane PD. Physician-patient communication in the primary CaRE office: a systematic review. J Am Board Fam Pract. 2002;15:25–38.
Swenson SL, Zettler P, Lo B. ‘She gave it her best shot right away’: patient experiences of biomedical and patient-centered communication. Patient Educ Couns. 2006;61:200–11.
Lewin SA, Skea ZC, Entwistle V, Zwarenstein M, Dick J Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Data base Syst Rev. 2001;4:CD003267.
Smith S, Hanson JL, Tewksbury LR, Christy C, Talib NJ, Harris MA, Beck GL, Wolf FM. Teaching patient communication skills to medical students: a review of randomized controlled trials. Eval Health Prof. 2007;30:3–21.
Haskard Zolnierek KB, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009;47:826–34.
Harrington J, Noble LM, Newman SP. Improving patients’ communication with doctors: a systematic review of intervention studies. Patient Educ Couns. 2004;52:7–16.
Bachmann C, Abramovitch H, Barbu CG, Cavaco AM, Elorza RD, Haak R, Loureiro E, Ratajska A, Silverman J, Winterburn S, Rosenbaum M. A European consensus on learning objectives for a core communication curriculum in health care professions. Patient Educ Couns. 2013;93:18–26.
Bombeke KS, van Roosbroeck SB, de Winter BL, Debaene L, Schol SG, van Hal G. Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ Couns. 2011;84:310–8.
Lumma-Sellenthin A. Talking with patients and peers: medical students’ difficulties with learning communication skills. Med Teach. 2009;31:528–34.
Rees CE, Sheard CE, McPherson AC. A qualitative study to explore undergraduate medical students attitudes towards interviewing skills learning. Med Teach. 2002;24:289–93.
Haidet P, Kelly PA, Chou C. Characterizing the patient-centeredness of hidden curricula in medical schools: development and validation of a new measure. Acad Med. 2005;80:44–50.
Buyck D, Lang F. Teaching medical communication skills: a call for greater uniformity. Fam Med. 2002;34:337–43.
Benbassat J, Baumal R. Teaching doctor patient interviewing skills using an integrated learner and teacher-centered approach. Am J Med Sci. 2001;322:349–57.
Macdonald G. Transformative unlearning: safety, discernment and communities of learning. Nurs Inq. 2002;9:170–8.
Engel GL. Sounding board. The biopsychosocial model and medical education. Who are to be the teachers? New Engl J Med, 1982;306(13):802–5.
Pelgrim EAM, Kramer AWM, Mokkink HGA, van der Elsen L, Grol RPTM, van der Vleuten CPM. In-training assessment using direct observation of single-patient encounters: a literature review. Adv Health Sci Educ. 2011;16:131–42.
Junger J, Schafer S, Roth C, Schellberg D, Friedman Ben-David M, Nikendei C. Effects of basic clinical skills training on objective structured clinical examination performance. Med Educ. 2005;39:1015–20.
Smith RC, Marshall-Dorsey AA, Osborn GG, Shebroe V, Lyles JS, Stoffelmayr BE, Van Egeren LF, Mettler J, Maduschke KM, Stanley JM, Gardiner JC. Evidence based guidelines for teaching patient-centered interviewing. Patient Educ Couns. 2000;39:27–36.
Rothman AI, Cusimano M. A Comparison of Physician Examiners’, Standardized Patients’, and Communication Experts’ Ratings of International Medical Graduates’ English Proficiency. Acad Med. 2000;75:1206–11.
Lang F, McCord R, Harvill L, Anderson DS. Communication assessment using the common ground instrument: psychometric properties. Fam Med. 2004;36:189–98.
Martin D. Martin’s map: a conceptual framework for teaching and learning the medical interview using a patient-centered approach. Med Ed. 2003;37:1145–53.
Spencer JA, Jordan RK. Learner centered approaches in medical education. BMJ. 1999;318:1280–3.
Knowles M. The adult learner: a neglected species. Houston: Gulf; 1990.
McKeatchie WJ, Pintrich PR, Lin Y, Smith DA, Sharma R Teaching and learning in the college classroom. 2nd ed. Ann Arbor MI: Regents of the University of Michigan; 1990.
Barrows HS. Problem-based learning in medicine and beyond: a brief overview. New Dir Teach Learn. 1996;68:3–12.
Royston V. How do medical students learn to communicate with patients? A study of fourth-year medical students’ attitudes to doctor-patient communication. Med Teach. 1997;19:257–62.
Srinivasan M, Wilkes M, Stevenson F, Nguyen T, Slavin S. Comparing problem-based learning with case-based learning: effects of a major curricular shift at two institutions. Acad Med. 2007;82:74–82.
Brookfield SD. Understanding and facilitating adult learning. London: Jossey-Bass; 1988. pp. 9–11.
Schmidt HG, Rotgans JI, Yew EHJ. The process of problem-based learning: what works and why. Med Ed. 2011;45:792–806.
Frederickson L, Bull P. An appraisal of the current status of interviewing skills training in British medical schools. Soc Sci Med. 1992;34:515–22.
Whitehouse CR. The teaching of interviewing skills in UK medical schools. Med Ed. 1991;25:311–8.
Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011;84:152–62.
Maguire P, Pitcealthy C. Key communication skills and how to acquire them. BMJ. 2002;325:697–700.
McNeil HP, Hughes CS, Toohey SM, Downton SB. An innovative outcomes-based medical education program built on adult learning principles. Med Teach. 2006;28:527–34.
Epstein RM. Making communication research matter: what do patients notice, what do patients want, and what do patients need? Patient Educ Couns. 2006;60:272–8.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Benbassat, J. (2015). Difficulties in Learning and Teaching Patient Interviewing. In: Teaching Professional Attitudes and Basic Clinical Skills to Medical Students. Springer, Cham. https://doi.org/10.1007/978-3-319-20089-7_4
Download citation
DOI: https://doi.org/10.1007/978-3-319-20089-7_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-20088-0
Online ISBN: 978-3-319-20089-7
eBook Packages: MedicineMedicine (R0)