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'I still have no idea why this patient was here': An exploration of the difficulties GP trainees experience when gathering information
- Source :
- Patient Education and Counseling, 98(7), 837-842. Elsevier Ireland Ltd, Patient Education and Counseling, 98, 837-42, Patient Education and Counseling, 98, 7, pp. 837-42
- Publication Year :
- 2015
-
Abstract
- Objective: Collecting information during patient encounters is essential for the delivery of patient-centered care. To obtain insight into areas that require more attention in medical communication training, this study explores what difficulties GP trainees encounter when gathering information.Methods: In this phenomenological study, we observed a morning clinic of 15 GP trainees. To explore trainees' experiences with information-gathering, we held brief interviews after every consultation and a lengthier interview directly after the morning clinic. The resulting data were analyzed using template analysis.Results: From trainees' reflections, we distilled five difficulties that trainees experience when gathering information: (1) Goal conflicts; (2) Ineffectiveness of trained communication skills in specific situations; (3) Trainees' distress hampers open communication; (4) Untrustworthy information; (5) Tunnel vision.Conclusion: Information-gathering is difficult for GP trainees. Current generic communication skills training does not seem to support trainees sufficiently to handle effectively the challenges they encounter during consultations.Practice implications: Medical communication training needs to support trainees in handling their goal-conflicts and feelings that hamper information-gathering, while also providing them with communication strategies adapted to handling specific challenging situations. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
- Subjects :
- Male
Medical education
Doctor-patient communication
media_common.quotation_subject
COMMUNICATION-SKILLS
GUIDELINES
DIAGNOSIS
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Interviews as Topic
CONTEXT FACTORS
Nursing
Patient-Centered Care
Qualitative research
GENERAL-PRACTICE
Tunnel vision
medicine
business.product_line
ComputingMilieux_COMPUTERSANDEDUCATION
Humans
Open communication
Referral and Consultation
Problem Solving
Netherlands
media_common
Physician-Patient Relations
Medical communication
business.industry
Communication
CONSULTATIONS
PRIMARY-CARE
General Medicine
Communication skills training
Information-gathering
PHYSICAL-EXAMINATION
Distress
Feeling
ENCOUNTERS
Education, Medical, Graduate
OF-THE-LITERATURE
Clinical Competence
medicine.symptom
Communication skills
business
General practice
Subjects
Details
- ISSN :
- 07383991
- Database :
- OpenAIRE
- Journal :
- Patient Education and Counseling, 98(7), 837-842. Elsevier Ireland Ltd, Patient Education and Counseling, 98, 837-42, Patient Education and Counseling, 98, 7, pp. 837-42
- Accession number :
- edsair.doi.dedup.....7792b37a6ffa2b39db7eeb93f4049eb9