title: Evidence-based guidelines for teaching patient-centered interviewing.
abstract: 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.
authors.affiliation: Department of Medicine, Michigan State University, East Lansing 48824, USA. smithrr@pilot.msu.edu
authors.forename: R C
authors.initials: RC
authors.lastname: Smith
authors.forename: A A
authors.initials: AA
authors.lastname: Marshall-Dorsey
authors.forename: G G
authors.initials: GG
authors.lastname: Osborn
authors.forename: V
authors.initials: V
authors.lastname: Shebroe
authors.forename: J S
authors.initials: JS
authors.lastname: Lyles
authors.forename: B E
authors.initials: BE
authors.lastname: Stoffelmayr
authors.forename: L F
authors.initials: LF
authors.lastname: Van Egeren
authors.forename: J
authors.initials: J
authors.lastname: Mettler
authors.forename: K
authors.initials: K
authors.lastname: Maduschke
authors.forename: J M
authors.initials: JM
authors.lastname: Stanley
authors.forename: J C
authors.initials: JC
authors.lastname: Gardiner
mesh_terms: 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*