Psychosocial Training in U.S. Internal Medicine and Family Practice Residency Programs

Gaufberg, Elizabeth; Joseph, Robert; Pels, Richard J.; Wyshak, Grace; Wieman, Dow A.; Nadelson, Carol C.

doi:10.1097/00001888-200107000-00020

Cited by 19 publications

(21 citation statements)

References 7 publications

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“…FP residency programs devote 3 times as many formal training hours to psychosocial issues and interviewing skills as IM residency programs. 25 The communication patterns of IM and FP have been compared in 2 reports both describing a single set of resident physicians at the University of California Davis Medical Center. Bertakis et al 26,27 used the Davis Observation Code (DOC) to analyze initial and subsequent clinical encounters for patients randomly assigned to the FP or IM resident physician clinics.…”

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confidence: 99%

The Communication Patterns of Internal Medicine and Family Practice Physicians

Paasche‐Orlow

Roter

2003

The Journal of the American Board of Family Medicine

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confidence: 99%

The Communication Patterns of Internal Medicine and Family Practice Physicians

Paasche‐Orlow

Roter

2003

The Journal of the American Board of Family Medicine

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“…Differences were found between FM and IM residents on dimensions of relevance, These might be explained by the fact that the family medicine residency already had a more systematic, comprehensive cross-cultural curriculum in place, reflective of generally stronger psychosocial training in family medicine than in internal medicine (Gaufberg et al, 2001). Although NHW residents found cross-cultural techniques significantly more helpful, the general lack of ethnic differences suggests residents from majority and minority cultural backgrounds regarded cross-cultural issues similarly.…”

Section: Discussionmentioning

confidence: 94%

Self-perceived attitudes and skills of cultural competence: a comparison of family medicine and internal medicine residents

2003

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SUMMARY This study surveyed resident perceptions of competent cross-cultural doctor-patient communication as a step toward developing an integrative primary care cross-cultural curriculum. Respondents were 57 first-, second-and third-year residents in family medicine (FM) and internal medicine (IM) who completed a questionnaire assessing cross-cultural attitudes and skills relevant to clinical practice. As a group, residents endorsed the relevance of culturally competent communication to patient care, perceived themselves to be fairly competent in the use of culturally competent communication techniques, used such techniques frequently, and generally found them to be quite helpful. FM residents rated culturally competent communication as significantly more relevant, themselves as more competent, and culturally competent communication techniques as more helpful than did IM residents. Over half the residents in both specialties tended to identify as serious cross-cultural problems those that focused on perceived patient shortcomings.

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“…Physicians' difficulties and frustrations reflect the expectations and image of medicine that is promoted during their hospital-centered training (Gaufberg et al, 2001). While on the wards they were able to focus on resolving acute, somatic problems, and to refer other problems to psychiatrists and social workers.…”

Section: Discussionmentioning

confidence: 99%

Contextualizing cultural competence training of residents: results of a formative research study in Geneva, Switzerland

Hudelson

2006

Medical Teacher

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Medical training programs need to prepare physicians to provide care to increasingly diverse patient populations. While the general concepts and approaches of clinical cultural competence are broadly relevant across contexts, the content of cultural competence training should reflect and respond to the specific needs and challenges of clinicians in their local reality. In order to better understand and respond to the needs and challenges of residents working with diverse patients in Geneva, Switzerland, depth interviews with physicians and professional medical interpreters and direct observations of consultations were combined. Cross-cultural communication difficulties were intertwined with more general difficulties related to primary care in an outpatient context, and physicians' frustrations reflected the expectations and image of medicine that they developed during their hospital-centered training. Study results point to the need to understand how cross-cultural communication challenges articulate with other aspects of the clinical context.

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Psychosocial Training in U.S. Internal Medicine and Family Practice Residency Programs

Abstract: Residents' competence in psychosocial areas is important to both IM and FP program directors. However, content and time devoted to psychosocial training vary considerably both within and between program types.

Cited by 19 publications

References 7 publications

The Communication Patterns of Internal Medicine and Family Practice Physicians

The Communication Patterns of Internal Medicine and Family Practice Physicians

Self-perceived attitudes and skills of cultural competence: a comparison of family medicine and internal medicine residents

Contextualizing cultural competence training of residents: results of a formative research study in Geneva, Switzerland

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