Description versus evaluation of medical interviews

Stiles, William B.

doi:10.1017/s1121189x00005789

Cited by 11 publications

(14 citation statements)

References 30 publications

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“…In another study, active listening was shown to be an essential interview technique for physicians because the majority of patients express their concerns and expectations indirectly through verbal or behavioral cues (Lang, Floyd, & Beine, 2000), which are often culturally coded. Most importantly, research into physician responsiveness, defined as continual change in behavior in response to shifts in context and perceptions (Stiles, Honos-Webb, & Surko, 1998), shows that emerging characteristics of the physician–patient interaction cannot be addressed by scripted communication (Stiles, 2002). A study of scripted behavioral counseling on safety habits showed that the scripted communication failed to respond to individual needs that might influence behavioral change (Leverence et al, 2005).…”

Section: Patient and Provider Communicationmentioning

confidence: 99%

Considering Culture in Physician— Patient Communication During Colorectal Cancer Screening

et al. 2009

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Racial and ethnic disparities exist in both incidence and stage detection of colorectal cancer (CRC). We hypothesized that cultural practices (i.e., communication norms and expectations) influence patients’ and their physicians’ understanding and talk about CRC screening. We examined 44 videotaped observations of clinic visits that included a CRC screening recommendation and transcripts from semistructured interviews that doctors and patients separately completed following the visit. We found that interpersonal relationship themes such as power distance, trust, directness/indirectness, and an ability to listen, as well as personal health beliefs, emerged as affecting patients’ definitions of provider–patient effective communication. In addition, we found that in discordant physician–patient interactions (when each is from a different ethnic group), physicians did not solicit or address cultural barriers to CRC screening and patients did not volunteer culture-related concerns regarding CRC screening.

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Section: Patient and Provider Communicationmentioning

confidence: 99%

Considering Culture in Physician— Patient Communication During Colorectal Cancer Screening

et al. 2009

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“…The content and process emerge as the interview proceeds and may not be defined in advance (Stiles, 2002). The complexity is related to the participants' continuous adjustment to each other in a dynamic relationship which involves a bi-directional influence.…”

Section: Introductionmentioning

confidence: 99%

Patient cues and medical interviewing in general practice: examples of the application of sequential analysis

Zimmermann

Piccolo

Mazzi

2003

Epidemiol Psichiatr Soc

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SUMMARYAims – To illustrate how sequence analysis may be applied to the medical interview to: 1. explore how physicians without formal training in communication skills elicit and respond to patient cues and expression of expectations and opinions; and 2. test the hypothesis that physicians' closed ended questions determine the use of subsequent closed ended questions. Methods – 238 consultations in primary care, coded with the Verona Medical Interview Classification System, were analysed. Lag 1 analysis was applied to study which physician behaviour precedes and follows patient cues. Pattern recognition analysis for five lag sequences was performed to test the occurrence of predefined specific code chains, where a closed and an open ended question were followed either by two closed-ended questions or by two patient facilitating interventions Results – Patients' cue offers were most likely after facilitative interventions, but not after open-ended questions; physicians were most likely to respond to these expressions with facilitation. Physicians' tendency to use closed ended questions increased after previous closed questions and decreased after an open-ended question. Conclusions – Lag sequential analysis and pattern recognition analysis are useful methods to study exploratory and theory driven hypotheses and allow an initial approach to validate the supposed appropriateness of specific physician interventions.Declaration of Interest: none.

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“…Some of these are mainly descriptive in nature [16,19,20], some are evaluative [21] while others combine these two elements [22]. Having carefully analysed video recordings of 16 randomly chosen students we decided to create the evaluation model described in Methods.…”

Section: Discussionmentioning

confidence: 99%

Comparison of communication skills between medical students admitted after interviews or on academic merits

et al. 2012

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BackgroundSelection of the best medical students among applicants is debated and many different methods are used. Academic merits predict good academic performance, but students admitted by other pathways need not be less successful. The aim of this study, was to compare communication skills between students admitted to medical school through interviews or on academic merits, respectively.MethodsA retrospective cohort study. Communication skills at a surgical OSCE in 2008 were assessed independently by two observers using an evaluative rating scale. Correlations, t-tests and multivariate analyses by logistic regressions were employed. Academic merits were defined as upper secondary school grade point average (GPA) or scores from the Swedish Scholastic Assessment Test (SweSAT).ResultsThe risk of showing unsatisfactory communicative performance was significantly lower among the students selected by interviews (OR 0.32, CI95 0.12-0.83), compared to those selected on the basis of academic merits. However, there was no significant difference in communication skills scores between the different admission groups; neither did the proportion of high performers differ. No difference in the result of the written examination was seen between groups.ConclusionsOur results confirm previous experience from many medical schools that students selected in different ways achieve comparable results during the clinical semesters. However, selection through interview seems to reduce the number of students who demonstrate inferior communication skills at 4th year of medical school.

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Description versus evaluation of medical interviews

Cited by 11 publications

References 30 publications

Considering Culture in Physician— Patient Communication During Colorectal Cancer Screening

Considering Culture in Physician— Patient Communication During Colorectal Cancer Screening

Patient cues and medical interviewing in general practice: examples of the application of sequential analysis

Comparison of communication skills between medical students admitted after interviews or on academic merits

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