Biomedical subjects

Auguste H Fortin

Publications and source records attributed to Auguste H Fortin.

3 recordsLinked to original sources

PubMed2002

Teaching pre-clinical medical students an integrated approach to medical interviewing: half-day workshops using actors.

Teaching medical students to integrate patient-centered skills into the medical interview is challenging. Longitudinal training requires significant curricular and faculty time. Unsupervised students risk harm if they uncover and inappropriately manage psychosocial issues in actual patients. They fear saying the wrong thing in emotionally charged situations. Two half-day workshops for pre-clinical students integrate patient- and physician-centered interviewing. The first occurs early in the first year. The second, late in the second year, presents interview challenges (e.g., breaking bad news). Ten professional actors portray standardized patients (SPs). Groups of 10 to 15 students interview an SP, each eliciting a part of the patient's story. Qualitative evaluation revealed that, for many students, SPs afford the opportunity to experiment without harming real patients. Students view the workshops as effective (mean score for first-year students, 6.6 [standard deviation (SD), 1.0], second-year students, 7.1 [SD, 0.7] on a Likert-type scale: 1 = not at all effective to 8 = very effective).

Curriculum↗

PubMed2002

Developing an Internet-based communication system for residency training programs.

Administrative communication is increasingly challenging for residency programs as the number of training sites expands. The Internet provides a cost-effective opportunity to address these needs. Using the World Wide Web, we developed a single, reliable, accurate, and accessible source of administrative information for residents, faculty, and staff in a multisite internal medicine residency at reduced costs. Evaluation of the effectiveness of the website was determined by tracking website use, materials and personnel costs, and resident, staff, and faculty satisfaction. Office supply and personnel costs were reduced by 89% and personnel effort by 85%. All users were highly satisfied with the web communication tool and all reported increased knowledge of program information and a greater sense of "connectedness." We conclude that an internet-based communication system that provides a single, reliable, accurate, and accessible source of information for residents, faculty, and staff can be developed with minimum resources and reduced costs.

Adult↗

PubMed2002

Communication skills to improve patient satisfaction and quality of care.

While clinicians face increasing time pressure in caring for patients, communication with the patient can suffer. Communication is especially important in caring for the increasingly culturally diverse patient population in the United States. Different values, beliefs, and attitudes about health, illness, and health care can affect illness outcomes. These are best understood through dialogue. Patient-centered communication skills are associated with improved health outcomes, improved patient and clinician satisfaction, and less risk of malpractice suits. This paper reviews techniques to efficiently incorporate patient-centered communication into the medical encounter, with emphasis on interacting with patients of different cultures.

Attitude to Health↗