| Characteristics of patient encounters that challenge medical students' provision of patient-centered care. | |
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MedLine Citation:
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PMID: 19907392 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Medical educators need to effectively engage and teach medical students to provide patient-centered care (PCC). There is limited appreciation for the issues that clinical students identify as challenges in providing PCC. METHOD: As part of a required half-day PCC workshop in 2007, medical students authored critical incident scenarios on patient encounters where PCC was difficult. The authors analyzed 131 scenarios using qualitative memo technique to identify features associated with these encounters. Categories and themes were identified using constant comparative methodology. RESULTS: Commonly cited PCC challenges were student's/patient's emotional responses (63%/44%), patient's/family's perception of the care plan (54%), conflicting expectations (35%), communication barriers (30%) and patient's social circumstances (29%). Sixty-three percent of incidents identified PCC-appropriate responses to these challenges. CONCLUSIONS: Student-authored critical incidents regarding difficult patient encounters can be analyzed to identify key features that students perceive as challenges to providing PCC and can inform curriculum development. |
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Authors:
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Douglas J Bower; Staci Young; Gunnar Larson; Deborah Simpson; Sajani Tipnis; Tomer Begaz; Travis Webb |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 84 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-11-12 Completed Date: 2010-02-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: S74-8 Citation Subset: AIM; IM |
Affiliation:
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Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA. dbower@mcw.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Education, Medical* Patient-Centered Care* Students, Medical* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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