The purpose of this quantitative, comparative, descriptive study was to examine and compare the self-assessments of interprofessional collaborative competence of graduating nursing students (GNS) to the assessments of the preceptors at the end of their preceptorship rotation in Las Vegas, Nevada. The participants' demographic variables including…

There has been increased attention to and emphasis on competency-based medical education and the transformation from highly supervised medical students towards independent, entrustable physicians. We explored how program directors (PDs) justify decisions about whether they would trust finishing Post Graduate Year 1 (PGY1) residents to care for the…

Perceived psychosocial abilities (i.e., competence in addressing the psychosocial aspects of patient care) and low frustration tolerance (LFT) (i.e., intolerance of physical or emotional discomfort) have been established as significant attributes of experienced medical professionals. We aimed to expand our understanding of the role motivation…

To examine the relationship between the different perceptions of medical teams and their patients of the cultural competence of physicians, and the influence of this relationship on the conflict between them. Physicians' cultural competence (Noble A. Linguistic and cultural mediation of social services. Cultural competence of health care.…

This study builds upon existing protocols for breaking bad news (BBN), and offers an interaction-based approach to communicating comfort to patients and their families. The goal was to analyze medical students' (N = 21) videotaped standardized patient BBN interactions after completing an instructional unit on a commonly used BBN protocol, commonly…

Narratives convey feelings and communicate ideas that the listener needs to hear. As such, they make powerful tools in all endeavors of human interaction. The use of narratives has been especially successful in educational settings. The time has come for the patient narrative to take back its rightful place after having been displaced in the name…

Leadership is a multifaceted construct. It requires mentoring as a lifelong experience. Leadership is not an isolated phenomenon, but an activity completely interrelated with those one leads. It can never be separated from its essential community or organizational context. This makes the experience of mentoring all the more critical. Adding yet to…

Objective: The authors aim to determine whether pediatric residents used DSM-IV criteria to diagnose major depressive disorder and how this related to residents' confidence in diagnosis and treatment skills before and after clinical training with depressed adolescents. Methods: Pediatric residents evaluated two different standardized patients…

Objectives: The authors reviewed medical student encounters during 3 years of a required psychiatry clerkship that were recorded on a web-based system of six broad competency domains (similar to ACGME-recommended domains). These were used to determine diagnoses of patients seen, clinical skills practiced, and experiences in interpersonal and…

Dr. Pete Anderson, a clinician and professor at the University of Texas MD Anderson Cancer Center, entered the life of Anna and her family two years ago. Anna was referred to him because of his clinical research and expertise in pediatric oncology and multimodality therapies. Anna had been diagnosed with metastatic Ewing's Sarcoma, a form of bone…

Objective: To develop medical students' skills in interacting with individuals who have limited health literacy. Methods: Described are 2 novel approaches to health literacy curriculum design. Efforts at both schools have been implemented to improve medical student awareness of health literacy, as well as specific skills in clear communication and…

The three reviews of the Major Contribution in this issue of The Counseling Psychologist provide thought-provoking critiques of counseling psychology's role in patient-centered culturally sensitive health care. In this rejoinder, the authors situate these critiques within the historical context of enduring paradoxes and barriers confronting…

The aim of the current article is to review the peer-reviewed research literature on cues and concerns published between 1975 and 2006. To be included, articles had to report observational studies based on patient-physician consultations and report findings on patient expressions of cues and/or concerns. Quantitative and qualitative studies from…

Indicates that perceived rational communication between physicians and patients is strongly related to affective, cognitive, and behavioral satisfaction. Also indicates more expressions of receptivity, immediacy, composure, similarity, and formality and less dominance by the physician are associated with greater patient satisfaction. (NKA)

The program and research staff of the Child Health Associate Program at the University of Colorado Health Sciences Center modified the Barrett-Lennard Relationship Inventory to evaluate trainees' interaction with parents of pediatric patients. The following qualities were measured: empathic understanding, congruence, and level of regard.…