Medical Student Competence in Eliciting a History for “Chronic Fatigue”

Papp, Klara K.; Erokwu, Bernadette O.; Decker, Michael J.

doi:10.1007/s11325-001-0123-4

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Our study also revealed that 46.3% of the participants classified as unwell with fatigue and 19.9% of those classified as unwell but without fatigue endorsed persistent problems staying awake during the day, which suggests that the perception of sleepiness is discernable from a sense of fatigue. This unanticipated finding diverges from the findings of other studies suggesting that patients and clinicians may not readily distinguish between symptoms of sleepiness and fatigue ( 34 ). We speculate that our methodological approach, detailed questionnaires, and structured telephone interview differed significantly from those used by prior investigators and may have contributed to this finding.…”

Section: Discussioncontrasting

confidence: 85%

Hypersomnolence and Sleep-related Complaints in Metropolitan, Urban, and Rural Georgia

Decker¹,

Lin²,

Tabassum³

et al. 2008

American Journal of Epidemiology

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Persistent daytime hypersomnolence is associated with significant morbidity and mortality, but its prevalence in the population has been poorly documented. This study sought to characterize the prevalence of persistent daytime hypersomnolence, difficulties initiating and maintaining sleep, unrefreshing sleep, snoring, and the presence of physician-diagnosed sleep disorders in metropolitan, urban, and rural US Georgia populations. Between September 2004 and July 2005, a total of 6,530 randomly selected well and unwell adults, identified by screening interviews of 10,837 households (contacted by random digit dialing), completed a detailed phone interview. Sixteen percent reported persistent problems staying awake during the day; 26% reported persistent problems falling asleep at night; 31% experienced problems sleeping through the night; 34% were bothered by unrefreshing sleep; and 33% reported that they snored. In spite of the high occurrence of reported persistent sleep problems, only 10% of the survey participants reported having been diagnosed with a sleep disorder. These study findings highlight the need for increased public and clinician awareness with respect to proactively indentifying signs and symptoms of sleep disorders, a better understanding of their adverse impact upon morbidity and mortality, and their negative impact upon socioeconomic and academic potential.

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Section: Discussioncontrasting

confidence: 85%

Hypersomnolence and Sleep-related Complaints in Metropolitan, Urban, and Rural Georgia

Decker¹,

Lin²,

Tabassum³

et al. 2008

American Journal of Epidemiology

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“…This study indicates that the element of history taking is implemented at a very high level by respondents (97.2%). The result obtained, is contrary to the study by Papp et al (2001). Furthermore, 90.5% of respondent carry out almost all the skills in element of the concrete solution.…”

Section: The Combination Of Doctor-centred and Patient-centred Style And Information Seeking Practicecontrasting

confidence: 83%

A Model of Doctor-Patient Communication and Information Seeking a Study Among Trainee or Junior Doctors in Malaysian Hospital

Yaacob

Yazid

2021

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The purpose of this study is to evaluate the doctors-patients communication style and their information seeking practiced among doctors under training or junior doctors in Malaysian hospital. Two types of communication styles evaluated are doctor centered and patient centered communication. Meanwhile, elements of information seeking practice evaluated are exploration of the reason for encounter, history taking, concrete solutions, structuring the interview, interpersonal skills and communicative skills. These six elements were categorized into interview skills and process skills. This information seeking skills have been derived from meta-analysis conducted by Stewart and Roter (1989). We combined the doctors-patients communication style and information seeking practice to develop a model based on four quadrants namely doctors-interview, doctors-process, patient-interview and patient-process. The subjects for this research are doctors under training or junior doctors in Malaysia. This explorative research distributed a set of questionnaires in order to collect data for analysis. The result show that the doctors under training or junior doctors tend to practice doctor-centered styles compare to patient-centered. Meanwhile, most of them demonstrate all the information seeking practice at a high level. Based on four quadrants developed by researcher, research shows that the doctors mostly categorized in doctor-centered communication style and interview information-seeking skills. We suggested that doctors should be more patient-oriented rather than doctor oriented. We also suggested the model that we developed can be used as a model of communication pattern of the doctors and can be used for future research.

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“…Knowledge is generally tested by written examination, but there is increasing interest in complementary assessments, such as observed patient interactions, simulated patients, structured clinical encounters, or chart review, as outcomes for assessment during training (14). An array of assessment tools is available (16)(17)(18) or new tools can be constructed from the competency objectives. The online supplement provides examples of assessments.…”

Section: Assessment Toolsmentioning

confidence: 99%

Curriculum and Competency Assessment Tools for Sleep Disorders in Pulmonary Fellowship Training Programs

2005

Am J Respir Crit Care Med

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Medical Student Competence in Eliciting a History for “Chronic Fatigue”

Abstract: A majority of students do not adequately cover issues relevant to sleep in contrast to other associated disorders when taking a focused history for chronic fatigue.

Cited by 3 publications

References 8 publications

Hypersomnolence and Sleep-related Complaints in Metropolitan, Urban, and Rural Georgia

Hypersomnolence and Sleep-related Complaints in Metropolitan, Urban, and Rural Georgia

A Model of Doctor-Patient Communication and Information Seeking a Study Among Trainee or Junior Doctors in Malaysian Hospital

Curriculum and Competency Assessment Tools for Sleep Disorders in Pulmonary Fellowship Training Programs

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