scholarly journals Boosting nonverbal physician-patient communication in medical education

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Emiliana dos Santos Valadares ◽  
Renata Rodrigues Catani ◽  
Julianni Bernardelli Lacombe ◽  
Tânia Maria da Silva Mendonça ◽  
Carlos Henrique Martins Silva ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Nonverbal Communication ◽  
Physician Patient Relationship ◽  
Brazilian Version ◽  
Back Translation ◽  
Valid Instrument ◽  
Independent Review ◽  
Nonverbal Skills ◽  
Physician Patient

Abstract: Introduction: Nonverbal communication is an important part of the medical interview. However, nonverbal skills are still underestimated in medical education and instruments for their teaching and assessing in medical schools are scarce. Objective: We aimed to translate and culturally adapt the Relational Communication Scale for Observational measurement of doctor-patient interactions (RCS-O) to Brazilian Portuguese. Methods: We translated the RCS-O in seven stages: initial translation, reconciliation, back translation, review by the author, independent review, consensus version through the Delphi technique, review by a language coordinator, and pre-test. We used video recordings of four medical consultations performed by medical students and residents to pre-test the instrument. During this phase, three independent observers assessed the medical students and residents’ performance in real health care scenarios through the use of the recordings. Results: Most of the difficulties regarding the translation and cultural adaptation were related to the polysemic meaning of some items. Words and expressions such as “stimulating”, “warmth”, “desire”, “relaxed”, “conversation to a deeper level”, “deeper relationship”, “casual”, and “intensely” required adaptation in order to remove the potential sexual connotation that could arise from overintimacy in the physician-patient relationship. Conclusion: The Brazilian version of the RCS-O is a culturally, conceptually, semantically and operationally valid instrument. It may represent an important advance for the strengthening of learning and assessing nonverbal communication in medical education. We hope this study may encourage health educators to invest in the teaching and assessment of nonverbal communication skills in other countries.

scholarly journals Cross-cultural adaptation of the Four Habits Coding Scheme (4HCS) for teaching and assessing patient-centered communication skills in Brazil

2018 ◽  
Vol 34 (11) ◽  
Author(s):  
Renata Rodrigues Catani ◽  
Emiliana dos Santos Valadares ◽  
Julianni Bernardelli Lacombe ◽  
Tânia Maria da Silva Mendonça ◽  
Carlos Henrique Martins da Silva ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Cultural Issues ◽  
Physician Patient Relationship ◽  
Patient Centered ◽  
Coding Scheme ◽  
Person Centered Care ◽  
Back Translation ◽  
Care Approach ◽  
Centered Care

Abstract: Brazilian educational guidelines reinforce patient-centered care communication skills as an important competence for medical students. The Four Habits Coding Scheme (4HCS) is an instrument used for teaching and assessing clinicians’ communication skills in a person-centered care approach. We aimed to translate and culturally adapt the 4HCS into Brazilian Portuguese. The translation process was accomplished in seven stages: initial translation, reconciliation, back translation, review by the author, independent review, consensus version through Delphi technique, review by a language coordinator, and pretest. During pretest, three independent observers assessed four medical consultations, which were performed by medical students and residents, that had been recorded in a real healthcare scenario. Reviewers had difficulty in reaching consensus on expressions referring to understanding the person as a whole, such as “Engage in small talk”, “Expansion of concerns”, “Elicit full agenda”, “Use patient’s frame of reference”, and “Explore plan acceptability”. They also had difficulty in reaching consensus on the translation of the word “clinician”, which was first translated as “physician”. Historical and cultural issues in the physician-patient relationship may have influenced this result. The Brazilian 4HCS is a culturally, conceptually, semantically and operationally sound instrument. It may represent an important advance for strengthening the person-centered care model in Brazil.

scholarly journals Hippocrates Revisited

2016 ◽  
Vol 21 (1) ◽  
pp. 33
Author(s):  
Gary Schwartz
Keyword(s):  
United States ◽  
Medical Students ◽  
Medical Schools ◽  
Fundamental Principle ◽  
Hippocratic Oath ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Latin Language ◽  
Do No Harm ◽  
Physician Patient

A fundamental principle upon which the physician-patient relationship has come to rest is that of “primum non nocere,” translated from Latin to “first, do no harm.” It is often erroneously attributed to the Hippocratic Oath that graduating medical students swear by at more than 60% of United States medical schools (Tung and Organ, 2000), which actually lacks that phrasing, although it certainly acknowledges the principle of non-maleficence. Some sources attribute the Latin language of “primum non nocere” to the Roman physician Galen, c. 129–200 C.E. (Weitzel, 1996). 

scholarly journals Perspectives and Values of Dental Medicine Students Regarding Domestic Violence

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 780
Author(s):  
Oana-Maria Isailă ◽  
Sorin Hostiuc ◽  
George-Cristian Curcă
Keyword(s):  
Domestic Violence ◽  
Medical Students ◽  
Ethical Issues ◽  
Physical Violence ◽  
Fundamental Problem ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Learning Platform ◽  
E Learning ◽  
Physician Patient

Background and Objectives: The purpose of this study is to evaluate dental medical students’ opinions concerning domestic violence from a social and medical standpoint and from the perspective of the moral values of the physician–patient relationship. Materials and Methods: We performed an observational study with 4- and 5-year dental medical students at the UMF “Carol Davila” in Bucharest from October 2020–May 2021, using a questionnaire containing 20 items on domestic violence (DV). The questionnaire was uploaded online on the e-learning platform where the students have access. To collect the data, we used Microsoft Excel 365, and the statistical analysis was performed using Jamovi. Results: Of the 600 students enrolled, 415 answered the questionnaire, the answering rate being 69.16%. A total of 215 (53.1%) personally knew victims of DV, 4 (1.0%) considered that violence within a couple is necessary for certain situations, 401 (99.0%) considered that domestic violence is a fundamental problem in today’s society, and 170 (41.5%) felt that in domestic violence situations, the blame lies solely with the partner who resorts to physical violence. Regarding the role of the physician, 220 (56%) considered that the physician should breach confidentiality and report cases when patients state they are a victim of DV, 337 (88.2%) thought that free medical treatment should be provided for DV victims who have a dire financial situation, and 212 (56.7%) considered that victims of DV are non-compliant patients. Conclusions: Domestic violence is a phenomenon well-known to stomatology students, which creates the premise of an excellent physician–patient relationship with them, aiding in proper management of ethical issues such as a potential need to breach confidentiality or evaluate the potential conflicts between autonomy and beneficence.

The Involvement of the Behavioral Sciences in American Medicine: A Historical Perspective

1981 ◽  
Vol 11 (4) ◽  
pp. 583-596 ◽  
Author(s):  
Elianne Riska ◽  
Peter Vinten-Johansen
Keyword(s):  
Medical Education ◽  
Behavioral Science ◽  
Care Delivery ◽  
Medical Profession ◽  
The United States ◽  
Theory And Practice ◽  
Physician Patient Relationship ◽  
American Medicine ◽  
Physician Patient ◽  
Existing Structure

This paper discusses the medical profession's underlying motivations in initiating recent changes in medical education in the United States. The first part briefly examines the transition from a holistic to a scientific theory and practice in American medicine. The second part of the paper analyzes and interprets the increasing incorporation of behavioral scientists into medical education in recent decades. A review of the debate on reforms in medical education, appearing in The Journal of the American Medical Association since the 1940s, indicates that the primary function of these behavioral scientists is to provide future physicians with techniques for managing problems in the physician-patient relationship. The concluding interpretation is that behavioral science expertise is actually used to strengthen and legitimize the traditional status of the medical profession in the existing structure of health care delivery.

Simulation-Based Training of Communication and Emotional Competence for the Improvement of Physician-Patient Relationship

2006 ◽  
Author(s):  
Luigi Anolli ◽  
Fabrizia Mantovani ◽  
Alessia Agliati ◽  
Olivia Realdon ◽  
Valentino Zurloni ◽  
...  
Keyword(s):  
Emotional Competence ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Simulation Based ◽  
Physician Patient

Patient consent to medical students in general practice

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697229
Author(s):  
Matthew Webb ◽  
Sarah Thirlwall ◽  
Bob McKinley
Keyword(s):  
Medical Education ◽  
General Practice ◽  
Medical Students ◽  
Medical School ◽  
Undergraduate Students ◽  
Teaching Quality ◽  
School Students ◽  
Patient Journey ◽  
Patient Consent ◽  
High Level

BackgroundInformed consent is required for active participation of patients in medical education. At Keele Medical School, we require practices to advertise that they teach undergraduate students and to obtain appropriate patient consent at various stages of the patient journey.AimThe study aimed to explore patients’ experience of consent to involvement in undergraduate medical education in general practice.MethodDuring the final year at Keele University Medical School, students undertake a patient satisfaction survey. A questionnaire was attached to the reverse of this survey during the academic year 2016–2017. The questionnaire explored the stage of the patient journey consent was obtained, whether they were offered an alternative appointment and how comfortable they were with medical students being involved in their care.ResultsA total of 489 questionnaires were completed covering 62 GP practices. 97% of patients reported that consent was obtained at least once during their encounter and the majority reported that this occurred at booking. 98% of patients were comfortable or very comfortable with a medical student leading their consultation. However, 28% of those surveyed stated that they were either not given the option of not seeing the student or there was no other alternative appointment available.ConclusionThe results indicate that in the vast majority of cases patient consent is obtained at least once during their attendance. Patients expressed a high level of satisfaction with medical students’ involvement in their care. Further work is required to evaluate the role of the data as a marker of individual practice teaching quality.

The Duties of Doctors In Medical Education: A Letter To The Editor (Preprint)

2019 ◽  
Author(s):  
Sneha Barai
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Role Models ◽  
Role Model ◽  
General Medical Council ◽  
Future Generations ◽  
Medical Council ◽  
Positive Role ◽  
The Uk ◽  
And Training

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

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