Evidence-based guidelines for teaching patient-centered interviewing.
In a rare study of effectiveness of an interviewing method, we previously reported a randomized controlled trial demonstrating that training in a step-by-step patient-centered interviewing method improved residents' knowledge, attitudes, and skills and had a consistently positive effect on trained residents' patients. For those who wish to use this evidence-based patient-centered method as a template for their own teaching, we describe here for the first time our training program--and propose that the training can be adapted for students, physicians, nurse practitioners, physician assistants, and other new learners as well. Training was skills-oriented and experiential, fostered positive attitudes towards patient-centered interviewing, and used a learner-centered approach which paid special attention to the teacher-resident relationship and to the resident's self-awareness. Skills training was guided by a newly identified patient-centered interviewing method that described the step-by-step use of specific behaviors.
Smith
R C
RC
Department of Medicine, Michigan State University, East Lansing 48824, USA. smithrr@pilot.msu.edu
Marshall-Dorsey
A A
AA
Osborn
G G
GG
Shebroe
V
V
Lyles
J S
JS
Stoffelmayr
B E
BE
Van Egeren
L F
LF
Mettler
J
J
Maduschke
K
K
Stanley
J M
JM
Gardiner
J C
JC
D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic / Q000379:methods*; D018802:Patient-Centered Care / Q000458:organization & administration*; D010817:Physician-Patient Relations; D015397:Program Evaluation; D013663:Teaching / Q000379:methods*