Dannelse til lege - Pasientkontakt og profesjonalitet i første fase av medisinstudiet

Schei, Edvin

doi:10.18261/issn.1893-8981-2016-04-07

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Hvorvidt det blir mulig å bruke svaret på spørsmålet «Hva er viktig for deg?» til noe fornuftig i behandlingsøyemed, påvirkes blant annet av behandlerens empatiske evner, opparbeidet tillit og pasientens erfaring med å snakke om sine følelser og behov (13). Det krever justering av legerollen og gode kommunikasjonsferdigheter hos begge parter.…”

Section: Alt Starter Med Et Spørsmålunclassified

Hva vet vi om pasientenes tilfredshet med fastlegeordningen?

Sørensen¹

2018

Tidsskriftet

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Section: Alt Starter Med Et Spørsmålunclassified

Hva vet vi om pasientenes tilfredshet med fastlegeordningen?

Sørensen¹

2018

Tidsskriftet

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“…The doctors educated today enter a socially and culturally diverse and complex society, where knowledge is readily available and fast changing (cf. Brodal, 2016;Schei, 2016), old power structures are changing and the medical landscape is vastly different from just a few years ago (Brodal, 2016).…”

Section: Medical Professionalism and Health Literacy In A Changing Somentioning

confidence: 99%

“…This perspective is supported by Brodal (2016) and Schei (2016), who claimed that for medical education to educate professional doctors, there needs to be a shift in mentality from a pure biomedical pathological perspective to incorporating the phronetic perspective in medical education; otherwise, medical education risks being dehumanising and reducing the patient to a series of symptoms and diagnoses instead of a sentient human being. The students need to understand that each patient has different needs and symptoms and leads a different life.…”

Section: Medical Professionalism and Health Literacy In A Changing Somentioning

confidence: 99%

Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe

Hovdenak

Wiese

2018

Society, Health & Vulnerability

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In international research on medical education the concepts of professionalism and professional development have been increasingly focused. The article problematizes and discusses these concepts in relation to the Aristotelian concepts of episteme, techne and phronesis. Phronesis as a form of knowledge is of fundamental importance regarding professionalism and professional development, and can be regarded as a response to an instrumentalist understanding of medical education. The article reports from an ongoing qualitative study following the revision of the study programme in medicine at the

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Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

2019

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Background: Narrative medicine emphasizes how stories can increase the understanding of patients' experiences and give important insights into how patients interpret and strive to make meaning in the situation they find themselves in.Aim: The aim of this study was to gain insight into the illness narratives of cancer patients, from the day they suspected that something was wrong until living with incurable cancer. Methods and results: Six men and seven women, aged 47 to 79 years, diagnosed with metastatic cancer and undergoing chemotherapy with life-prolonging intent in an oncology outpatient clinic, were asked to tell their illness stories as freely as possible, without guiding questions. Stories were tape recorded, transcribed, and analyzed by a thematic narrative analysis. Encounters with doctors through the disease trajectory were highlighted by all narrators. Several informants described poor communication and consequences in the form of "doctors delay" and substandard psychosocial care. Continuity in follow-up and the physician's ability or inability to break bad news and adapt information to the patient's wishes and preferences were particularly emphasized. Conclusion: A key finding was the importance of the doctor's role throughout the whole trajectory. A good doctor-patient relationship was characterized by continuity of care in follow-up, and trust acquired over time, based on the physician's thorough medical knowledge combined with sensitive communication and empathy. K E Y W O R D S cancer patients, communication, continuity of care, doctor-patient relationship, doctor's delay, illness narratives 1 | INTRODUCTION The last decades have seen an increasing research interest in patients' experiences of living with a cancer disease. 1-3 Doctor-patient communication has also been a central research topic for many years, and many different communication models are recommended, such as the SPIKES model 4,5 and the Four Habits model. 6 Another model is the Turner Social Drama Model. 7 This model emphasizes people's perspectives, values, needs, and experiences contextualized in an illness process. The model pays close attention to people's journeys and how these may dynamically change over time. By taking both biographical and clinical aspects of people's journeys into account, this model could be an alternative to clinical pathway models, with a sharper focus on humanizing care. 7,8 Good doctor-patient communication is

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Dannelse til lege - Pasientkontakt og profesjonalitet i første fase av medisinstudiet

Cited by 3 publications

References 18 publications

Hva vet vi om pasientenes tilfredshet med fastlegeordningen?

Hva vet vi om pasientenes tilfredshet med fastlegeordningen?

Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe

Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

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