History-taking and Preventive Medicine Skills among Primary Care Physicians: An Assessment Using Standardized Patients

Ramsey, Paul G.; Curtis, J. Randall; Paauw, Douglas S.; Carline, Jan D.; Wenrich, Marjorie D.

doi:10.1016/s0002-9343(97)00310-0

Cited by 86 publications

(64 citation statements)

References 10 publications

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“…Standardized patients have been used previously to assess physician performance (Colliver & Swartz 1997;McLeod et al 1997;Ramsey et al 1998), including physician's communication skills (Finlay et al 1995;Ramsey et al 1998). The accuracy and reliability of this methodology has been demonstrated in several studies (Badger et al 1995;Cohen et al 1996;De Champlain et al 1997) and one study supports the reliability of such method for portraying patients with major depression in particular (Badger et al 1995).…”

Section: Assessmentsmentioning

confidence: 99%

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

et al. 2007

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Background: Studies regarding the effectiveness of CME programmes on physicians' behaviour and communication skills showed inconsistent results. Few randomized controlled trials have been conducted in Asia. Methods: To evaluate the effectiveness of a 4 2-hour education programme to improve GP interviewing behaviours, 16 general practitioners were randomized to the intervention and control groups, respectively. Physicians assigned to the intervention group received 8 hours of training emphasizing interviewing behaviours in the diagnosis and treatment of depression and generalized anxiety disorders (GDS). Those assigned to the control group did not receive any training until the completion of study. Standardized patients were used to evaluate the performance of physicians. Two consultations before and after enrolling in the education programme were videotaped. Independent evaluations of consultations were made by a trained clinical psychologist and a social worker blinded to the study status of physicians. The rating schedule for the videotapes was based on the tasks listed on the Calgary Cambridge Observation Guide. Results: The change of score between the intervention and control physicians was significantly different in 'active listening and facilitating patients' response' (p ¼ 0.011) with the intervention physicians having improvement of score. For 'non-verbals', 'understanding patient's perspective' and 'negotiating mutual plan of action', positive change of score in the intervention physicians were seen when compared to that of the control, although the difference did not reach statistical significance (p ¼ 0.06, p ¼ 0.05, p ¼ 0.06, respectively). However, for 'opening', 'structuring the consultation', 'explanation and planning' and 'closure', there were no statistical significant differences between control and intervention group. Conclusions: Our results showed that only certain communication skills, such as active listening and facilitating patient's response, can be taught in the management of depression and generalized anxiety disorder (GAD) in Chinese primary care physicians.

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Section: Assessmentsmentioning

confidence: 99%

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

et al. 2007

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“…In general, clinicians do ask about family history in the context of routine physical examinations, 13 but they need to do a better job collecting an initial family history [14][15][16][17] and updating the history annually. 18,19 Clinicians use family history for a variety of purposes: to establish patterns of inheritance, assist with medical diagnoses, identify risk, provide appropriate screening, target education and preventive efforts, and inform counseling for preconception health care.…”

Section: Current Practicesmentioning

confidence: 99%

Family History in Pediatric Primary Care

Trotter

Martin

2007

Pediatrics

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The family history is a critical element in pediatric medicine and represents the gateway to the molecular age of medicine for both pediatric clinicians and their patients. The pediatric clinician has several opportunities to obtain a family history and multiple clinical and educational uses for that information. Available methods include paper and digital forms, classical pedigrees, online programs, and focused family history at the time of a new diagnosis or problem. Numerous barriers impede the application of family history information to primary pediatric practice. The most common barrier is the limited amount of time the typical primary care encounter allows for its collection. The family history can be used in many facets of pediatric practice: (1) as a diagnostic tool and guide to testing and evaluation; (2) to identify patterns of inheritance; and (3) as a patient-education tool. The most exciting future use of family history is as a tool for public health and preventive medicine. More accurately identifying children at risk for common chronic conditions such as diabetes, asthma, and cardiovascular disease could change the primary care clinician's approach to pediatric medicine.www.pediatrics.org/cgi

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“…Besides being easy to administer they do not require significant chairside time. [5] They also pave the way for the clinician to a starting point to perform more in-depth medical queries. Unfortunately, these questionnaires are limited to the questions chosen on the form and are hence limited in scope.…”

Section: Introductionmentioning

confidence: 99%

“…They do not acknowledge the amount of information the dentist needs to know or are reluctant to reveal certain specific medical information. [5] Furthermore, experience in the dental practice has shown that communication between medical and dental practitioners is often inadequate, even when a patient is known to be attending both. Some medical practitioners may feel that confidentiality of patient records could be at risk from inter-professional consultations.…”

Section: Introductionmentioning

confidence: 99%

Determination of medical conditions afflicting patients visiting dental clinics: A population-based survey study

Shetty¹,

Nagaraj²,

Santosh³

et al. 2015

JCRI

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Introduction:The evaluation of medical history questionnaire in dental clinics is essential to formulate a proper treatment plan in medically complex patients. Besides, it is also a source of information for future correspondence. The percentage of people suffering from chronic medical illness has been steadily increasing. Thus, it is imperative that the dentist will encounter patients with chronic illness in routine practice. Pre-administered questionnaires are the most commonly used and reliable method of evaluating medical health of the visiting patient. The intent of the question pertaining to medical health must be modulated based on the dental treatment requirement. This study intends to evaluate such a similar questionnaire and derive percentages of chronic illness afflicting patients visiting the dental college in a span of 3 months. Materials and Methods: A total of 725 patients were evaluated in the period of 3 months. The randomization of the sample was quantified by using a Tippets randomization table. A pre-tested questionnaire comprising of a list of medical ailments was used. A list of 16 ailments was included, and the answers were sought in monosyllables of yes or no. Besides, adverse habits were also evaluated as these are risk factors for the underlying systemic disease. The results were calculated by deriving simple percentage and then tabulated. Results: A total of 725 subjects were evaluated. Majority of the respondents were in the older age group. The most common chronic illness afflicting the respondents was hypertension, followed by Diabetes. Conclusion: Thorough evaluation of medical history is essential before beginning to start dental treatment. The analysis of the questionnaire in this study indicates toward the varied medical problems afflicting patients visiting the dental clinics. The dentist must be well conversant with the common diseases such as hypertension and diabetes in order to institute the correct treatment without affecting the general health of the patient.

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History-taking and Preventive Medicine Skills among Primary Care Physicians: An Assessment Using Standardized Patients

Cited by 86 publications

References 10 publications

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

Family History in Pediatric Primary Care

Determination of medical conditions afflicting patients visiting dental clinics: A population-based survey study

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