Document Detail


Placebo medication use in patient care: a survey of medical interns.
MedLine Citation:
PMID:  10063395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of placebo medication, long recognized by clinicians, often has serious practical implications, such as patient deception. Past evidence has suggested that resident physicians tend to misuse placebo medication. Interns from two consecutive years of a residency program were surveyed anonymously to assess their knowledge and use of placebos. Of the 74 interns surveyed, 44 (59%) were familiar with placebo use in patient care. Fifty percent of these interns familiar with placebo use had learned about placebos from another physician. All interns who had learned about placebos during their internships had learned from another physician, whereas interns who had gained their knowledge of placebos as medical students were as likely to have learned from the medical literature as they were to have learned from a physician (P = 0.027). Interns aware of placebo use were more likely to consider placebo administration for suspected, factitious pain (P = 0.022). The present study uncovered no relationship between interns' estimations of placebo efficacy and the utility they attributed to placebos in assessing a complaint of pain. This suggests that conceptual inconsistencies underlie their use of placebos. Interns often learn of placebos as medical students and are influenced by physician-mentors. Placebo use in patient care is an area of attention for medical educators.
Authors:
J T Berger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Western journal of medicine     Volume:  170     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-03-09     Completed Date:  1999-03-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  93-6     Citation Subset:  AIM; E; IM    
Affiliation:
Department of Medicine, Winthrop-University Hospital, Mineola, New York 11501, USA.
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MeSH Terms
Descriptor/Qualifier:
Health Knowledge, Attitudes, Practice*
Humans
Internship and Residency*
Patient Care / methods*
Placebo Effect
Placebos*
Questionnaires
Chemical
Reg. No./Substance:
0/Placebos
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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