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DRAI²Ned Q and A: A Comprehensive Approach to Patient Counseling.

Gabrielle Aluisio1, Alison Schultz1, Tom Lindsey2

  • 1Medicine, Edward Via College of Osteopathic Medicine (VCOM) - Carolinas, Spartanburg, USA.

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|August 27, 2025
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Summary

The DRAI²Ned Q&A mnemonic improves medical student communication skills during standardized patient encounters. This structured approach enhances patient-centered care, fostering better understanding and satisfaction.

Keywords:
holistic patient carehumanismpatient-centred caresimulation centersimulation in medical educationstandardized patient

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Patient-Centered Care

Background:

  • Effective communication is crucial in healthcare but often declines during medical training.
  • Standardized patient (SP) encounters present unique challenges for developing these skills.

Purpose of the Study:

  • To introduce and evaluate the DRAI²Ned Q&A mnemonic for enhancing patient-centered communication in medical education.
  • To provide a systematic framework for students during SP encounters.

Main Methods:

  • Development of the DRAI²Ned Q&A mnemonic, a structured guide for communication.
  • Application of the mnemonic in simulated patient encounters (SP encounters).

Main Results:

  • The mnemonic systematically guides students through diagnosis explanation, reasoning, patient knowledge assessment, shared decision-making, and question addressing.
  • It uniquely incorporates steps for clarifying misconceptions, addressing emotions, and gaining agreement on care plans.

Conclusions:

  • The DRAI²Ned Q&A mnemonic has the potential to improve SP performance and patient satisfaction.
  • Further validation may establish it as a key component in medical curricula for essential physician communication skills.