title: [Evaluation of a two year curriculum in psychosocial and psychosomatic medicine--handling emotions and communicating in a patient centred manner].
abstract: Psychosomatic Medicine is aiming at a comprehensive understanding of patient's requests. This requires patient-centred communication. During the two-year course for "Psychosomatic Medicine"of the Lower-Austrian Medical Chamber at the Danube-University Krems relevant techniques are trained. This paper reports on the analysis of 120 video-consultations with simulated patients (30 participants, two per participant before and after the training) using a modified version of the Roter Interaction Analysis System (RIAS). Results show a considerable increase in participant's ability to respond to emotional utterances and to use techniques of patient-centred communication: percentage of appropriate utterances related to the sum of all utterances: from 9.78 ± 3.5 to 13.56 ± 4.7 (ANOVA with repeated measures: p<0.001). Furthermore, participants allow patients longer stretches of uninterrupted speech: increase from 1.76 ± 1.4 to 2.47 ± 2.3 utterances (p<0.001) helping them into a narrative style of conversation.
authors.affiliation: Universitätsspital Basel, Psychosomatische Medizin, Basel, Schweiz. wlangewitz@uhbs.ch
authors.forename: Wolf A
authors.initials: WA
authors.lastname: Langewitz
authors.forename: Hans-Peter
authors.initials: HP
authors.lastname: Edlhaimb
authors.forename: Claudia
authors.initials: C
authors.lastname: Höfner
authors.forename: Alexandra
authors.initials: A
authors.lastname: Koschier
authors.forename: Matthias
authors.initials: M
authors.lastname: Nübling
authors.forename: Anton
authors.initials: A
authors.lastname: Leitner
mesh_terms: D003142:Communication; D003479:Curriculum; D004644:Emotions; D006801:Humans; D033262:Narration; D016544:Patient Simulation; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D011369:Professional-Patient Relations; D011611:Psychosomatic Medicine / Q000193:education*; D012944:Social Support