Group items tagged

"Routine adoption of smartphones by residents appeared to improve efficiency over the use of pagers for physicians, nurses, and allied health professionals. This was balanced by negative communication issues of increased interruptions, a gap in perceived urgency, weakened interprofessional relationships, and unprofessional behavior. Further communication interventions are required that balance efficiency and interruptions while maintaining or even improving interprofessional relationships and professionalism."

"The authors review the initiation and cultivation of a mentoring relationship from the perspective of a mentee at any stage (student through junior faculty), and they propose specific strategies for mentee success."

"Approximately one-third of pediatric clerkship directors currently use SNS, with use less likely with increasing age. Fewer have SNS relationships with students than with residents. Perceptions of appropriateness of faculty SNS behaviors and students' postings varied. These perceptions by medical education leaders can stimulate discussion to inform consensus guidelines on professional SNS use."

"Most people instinctively avoid conflict, but as Margaret Heffernan shows us, good disagreement is central to progress. She illustrates (sometimes counterintuitively) how the best partners aren't echo chambers -- and how great research teams, relationships and businesses allow people to deeply disagree."

"This study's findings indicate that rural physicians are routinely confronted with professional boundary issues in everyday situations, and these circumstances do not always reflect those of their urban colleagues. Given the increase in longitudinal immersion clinical clerkship programs to nurture student interest in future rural practice, acknowledgment and acceptance of the nuances of dual relationships and boundary setting in different clinical learning contexts are vital to help students identify their personal needs for privacy and be better prepared to negotiate the realities of rural practice. These findings may inform future medical education initiatives on professional boundary setting as an aspect of professionalism."

"The home is an outstanding setting for education of medical students, providing wonderful opportunities to enrich students' appreciation of the patient-physician relationship; of interdisciplinary care; and of the challenging biomedical, psychosocial, and spiritual aspects of care."

The authors provide a conceptual analysis of the issues and language related to a broader focus on understanding the relationship between the development of competency and the formation of identities during medical training.

"In this blog, we discussed diagnostic tests and their relationship with likelihood ratios as well as heuristics and cognitive errors."

VideoMD was created by physicians, for physicians and their patients. Our mission is to strengthen the relationship between doctors and their patients. Using contemporary technology to help physicians fully educate patients on their specific healthcare concerns, the bond between doctor and patient will be changed forever.

Learning effective communication techniques-and using them-may help you build more satisfying relationships with older patients and become even more skilled at managing their care.

Admissions and personnel decisions rely on stable predictor-criterion relationships. The authors studied the validity of Big Five personality factors and their facets for predicting academic performance in medical school across multiple years, investigating whether criterion-related validities change over time. In this longitudinal investigation, an entire European country's 1997 cohort of medical students was studied throughout their medical school career

"For more than 30 years, the American Academy on Communication in Healthcare (AACH) has been in the forefront of research and teaching relationship-centered healthcare communication. If you are looking for ways to improve patient safety, interdisciplinary teamwork, patient satisfaction scores, or just want to work on individual communication skills, AACH can help."

"We are sometimes unconscious of the hidden curriculum, but even when conscious of it we are silent or reluctant to act. We need a frank dialogue with students, residents, and each other about the lived experience of a career in medicine as the struggle it often is; about the challenges of living up to our profession's stated ideals; about the dangers of technological expertise without caring human relationships; about conflicts of interest and the difficult professional challenges of dealing with unprofessional colleagues; and about behaviour that imperils patients. We need to add "Above all be not silent" (Primum non tacere)17 to "First do no harm" as tenets to live by, and we must emphasize to students that what they are like as physicians is just as important as what they know. Thus will we build resistance to the hidden curriculum and reclaim our authenticity as trusted generalists whose knowledge is attached to values we truly uphold, model, and reproduce. "

"Students receiving the professional development training showed significant improvements in certain communication skills, but students in both cohorts improved over time. The lack of a relationship between observed communication skills and patient-centred attitudes may be a reflection of students' inexperience in working with patients, resulting in 'patient-centredness' being an abstract concept. Students in the early years of their medical course may benefit from further opportunities to practise basic communication skills on a one-to-one basis with patients. "

"Diagnostic accuracy was moderately associated with higher certainty only when clinical data were consistent. This correlation disappeared when incon sistent data were provided, possi bly reflecting changes in reasoning strategies among diagnostically success ful trainees. The relationship between certainty and diagnostic accuracy is context dependent. Certainty is an unreliable surrogate for diagnostic accuracy."

Doctors with good communication less likely to be sued

"Both HFS and LFS learning resulted in consistent improvements in performance in comparisons with no-intervention control groups. However, nearly all the studies showed no significant advantage of HFS over LFS, with average differences ranging from 1% to 2%."

"Both HFS and LFS learning resulted in consistent improvements in performance in comparisons with no-intervention control groups. However, nearly all the studies showed no significant advantage of HFS over LFS, with average differences ranging from 1% to 2%."

"Resilience was associated with a personality trait pattern that is mature, responsible, optimistic, persevering, and cooperative. Findings support the inclusion of resilience as a component of optimal functioning and well being in doctors. Strategies for enhancing resilience should consider the key traits that drive or impair it."