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Bedside manner

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By J Edward B. Maddela, MD Clinical Assistant Professor and Assistant Director of the Doctoring Curriculum at the University of Arizona College of Medicine - Phoenix Biomedical Campus
Michael Stolberg
In his personal notebooks, the little known Bohemian physician Georg Handsch (1529-c. 1578) recorded, among other things, hundreds of vernacular phrases and expressions he and other physicians used in their oral interaction with patients and families. Based primarily on this extraordinary source, this paper traces the terms, concepts and images to which sixteenth-century physicians resorted when they explained the nature of a patient's disease and justified their treatment. At the bedside and in the consultation room, Handsch and his fellow physicians attributed most diseases to a local accumulation of impure, putrid or otherwise pathological humours...
January 2015: Medical History
Jeffrey Tully, Christian Dameff, Susan Kaib, Maricela Moffitt
PROBLEM: Medical education today frequently includes standardized patient (SP) encounters to teach history-taking, physical exam, and communication skills. However, traditional wall-mounted cameras, used to record video for faculty and student feedback and evaluation, provide a limited view of key nonverbal communication behaviors during clinical encounters. APPROACH: In 2013, 30 second-year medical students participated in an end-of-life module that included SP encounters in which the SPs used Google Glass to record their first-person perspective...
March 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Howard Silverman, Yun-Xian Ho, Susan Kaib, Wendy Danto Ellis, MarĂ­cela P Moffitt, Qingxia Chen, Hui Nian, Cynthia S Gadd
PROBLEM: How can physicians incorporate the electronic health record (EHR) into clinical practice in a relationship-enhancing fashion ("EHR ergonomics")? APPROACH: Three convenience samples of 40 second-year medical students with varying levels of EHR ergonomic training were compared in the 2012 spring semester. All participants first received basic EHR training and completed a presurvey. Two study groups were then instructed to use the EHR during the standardized patient (SP) encounter in each of four regularly scheduled Doctoring (clinical skills) course sessions...
September 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Barry D Silverman
No abstract text is available yet for this article.
January 2012: Proceedings of the Baylor University Medical Center
Peter F Weissmann, William T Branch, Catherine F Gracey, Paul Haidet, Richard M Frankel
PURPOSE: Humanistic care is regarded as important by patients and professional accrediting agencies, but little is known about how attitudes and behaviors in this domain are taught in clinical settings. To answer this question, the authors studied how excellent clinical teachers impart the behaviors and attitudes consistent with humanistic care to their learners. METHOD: Using an observational, qualitative methodology, the authors studied 12 clinical faculty identified by the medical residents enrolled from 2003 to 2004 as excellent teachers of humanistic care on the inpatient medical services at four medical universities in the United States (University of Minnesota Medical School, Emory University, University of Rochester School of Medicine, and Baylor College of Medicine)...
July 2006: Academic Medicine: Journal of the Association of American Medical Colleges
Suzanne Gordon
No abstract text is available yet for this article.
September 2014: Journal of Interprofessional Care
Kathlyn E Fletcher, Scott L Furney, David T Stern
BACKGROUND: Although it may take up relatively little time, hospitalized patients' interactions with their physicians are important elements of their hospital experience. PURPOSE: We conducted a qualitative study to explore what is important to patients about bedside interactions with their physician teams. METHODS: We interviewed medical inpatients and used grounded theory methodology to analyze interview transcripts. RESULTS: We recruited 17 patients from an academic medical center including a university hospital and a Veterans Administration (VA) hospital...
2007: Teaching and Learning in Medicine
Abraham Verghese, Erika Brady, Cari Costanzo Kapur, Ralph I Horwitz
The bedside evaluation, consisting of the history and physical examination, was once the primary means of diagnosis and clinical monitoring. The recent explosion of imaging and laboratory testing has inverted the diagnostic paradigm. Physicians often bypass the bedside evaluation for immediate testing and therefore encounter an image of the patient before seeing the patient in the flesh. In addition to risking delayed or missed diagnosis of readily recognizable disease, physicians who forgo or circumvent the bedside evaluation risk the loss of an important ritual that can enhance the physician-patient relationship...
October 18, 2011: Annals of Internal Medicine
N A Hung
No abstract text is available yet for this article.
April 2013: BJOG: An International Journal of Obstetrics and Gynaecology
Michael McCarthy
No abstract text is available yet for this article.
July 28, 2014: BMJ: British Medical Journal
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