Residency Training in Interviewing Skills and the Psychosocial Domain of Medical Practice

Journal of General Internal Medicine, Mar 1990

David E. Kern, Marsha Grayson, Lee Randol Barker, Robert P. Roca, Karan A. Cole, Debra Roter, Archie S. Golden

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Residency Training in Interviewing Skills and the Psychosocial Domain of Medical Practice

JOURNALOFGENERALINTERNALMEDICINE REFERENCES 0 1987;107:392-8. 3. Health Resource and Services Administration. Final report: assessment of the development and support of primary care residency training. HRSA, Department of Health and Human Services. Government Printing Office 201-597-92540, 1987. 4. Hanft RS. The impact of changes in federal policy on academic health centers. Health Aft. 1:1982. 5. Schroeder SA, Showstack JA , Gerbert B. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:554-61. 6. McCarty DJ. Why are today's medical students choosing high technology specialties over internal medicine? N Engl J Med. 1987;317:567-9. 7. Wallace EZ. Service vs education in internal medicine residency. Arch Intern Med. 1988; 148:1296. 8. Schroeder SA. The making of a medical generalist. Health Aft. (Millwood). 1985;4:22-46. 9. Health Resources Administration. Summary report of the Graduate Medical Education National Advisory Committee to the Secretary, Department of Health and Human Services. Hyattsville, MD: Health Resources Administration, Department of Health and Human Services , 1980; DHHS publication no. (HRA) 81:656. 10. Goodson JD, Goroll AH, Barsky AJ, Treadway KK, Thibault GE , Stoeckle JD. The training of physicians outside the hospital. Arch Intern Med. 1986;146:1805-9. 11. Branch WT. Expanded medical education in primary c a r e - - I s this the next step? J Gen Intern Med. 1986;1:269-70. 12. Graettinger JS. Internal medicine in the National Resident Matching Program 1 9 7 8 - 1 9 8 9 . Ann Intern Med. 1989; 110:682 1 1. KosecoffJ, Fink A, Brook RH, et al. General medical care and the education of internists in university hospitals: an evaluation of the teaching hospital general medicine group practice plan. Ann Intern Med. 1985;102:250-7. 2. Brook RH, Fink A, Kosecoff J , et al. Educating physicians and treating patients in the ambulatory setting. Where are we going and how will we know when we arrive? Ann Intern Med - b e a n a c h i e v a b l e t a r g e t f o r m a n y i n t e r n a l m e d i c i n e t r a i n i n g p r o g r a m s . 3. M o r e t i m e s p e n t i n a m b u l a t o r y s e t t i n g s , as o p p o s e d t o i n p a t i e n t s e r v i c e s , is a l o g i c a l a l t e r n a t i v e i n m e e t i n g t h e p r o p o s e d r e c o m m e n d a t i o n s b y t h e C o u n c i l o n G r a d u a t e M e d i c a l E d u c a t i o n f o r r e d u c e d w o r k i n g h o u r s f o r r e s i d e n t s b y 1 9 9 0 . T h i s r e f o r m i n t h e s e r v i c e r e s p o n s i b i l i t i e s o f r e s i d e n t s m a y b e t h e final p u s h n e c e s s a r y t o r e f o r m t h e e d u c a t i o n a l m o d e l . The authors thank Ms. G. Denise Bradley for her technical assistance in the production of the manuscript. ERRATA T h e r e w e r e t h r e e t y p o g r a p h i c a l errors in t h e a r t i c l e by Kern et al., " R e s i d e n c y Training in I n t e r v i e w ing Skills and t h e Psychosocial D o m a i n o f Medical Practice',' that a p p e a r e d in t h e S e p t e m b e r / O c t o b e r issue ( J G e n Intern Med 1 9 8 9 ; 4 : 4 2 1 - 3 1 ) . In t h e first p a r a g r a p h u n d e r P r o g r a m Evaluation o n p a g e 4 2 6 , t h e s e n t e n c e that c u r r e n t l y reads " S i x t y - t h r e e p e r c e n t o f t h e r e s p o n d e n t s w o u l d h a v e r e c o m m e n d e d t h e Med-Psych rotation to others as an ' o u t s t a n d i n g ' e x p e r i e n c e on average, t h e o t h e r r e c o m m e n d a t i o n s w o u l d have b e e n r e c o m m e n d e d so h i g h l y by o n l y 28% o f r e s p o n d e n t s . " s h o u l d read, " S i x t y - t h r e e p e r c e n t o f t h e r e s p o n d e n t s w o u l d have r e c o m m e n d e d the Med-Psych r o t a t i o n to o t h e r s as an ' o u t s t a n d i n g ' e x p e r i e n c e ; o n average, t h e o t h e r rotations w o u l d have b e e n r e c o m m e n d e d so h i g h l y by o n l y 28% o f r e s p o n d e n t s . " A s e m i c o l o n s h o u l d b e i n s e r t e d after e x p e r i e n c e , and t h e first " r e c o m m e n d a t i o n s " s h o u l d read " r o t a t i o n s . " O n p a g e 4 2 2 in t h e s e c o n d s e n t e n c e u n d e r Effectiveness of Training, " c h a n g e d " s h o u l d r e a d " c h a n g e s . " In t h e last s e n t e n c e o n p a g e 4 2 3 , " a n d des c r i b e d " s h o u l d read " a r e d e s c r i b e d . " T h e p u b l i s h e r a p o l o g i z e s for this oversight. T h e s e errors w e r e f o u n d by t h e a u t h o r at g a l l e y stage b u t n o t c o r r e c t e d .


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David E. Kern, Marsha Grayson, Lee Randol Barker, Robert P. Roca, Karan A. Cole, Debra Roter, Archie S. Golden. Residency Training in Interviewing Skills and the Psychosocial Domain of Medical Practice, Journal of General Internal Medicine, 1990, 169-169, DOI: 10.1007/BF02600520