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The effectiveness of intensive training for residents in interviewing. A randomized, controlled study
Annals of Internal Medicine
|January 24, 1998
Summary
A 1-month intensive training program significantly improved medical residents' interviewing skills and knowledge. While patient outcomes showed positive trends, the effects were too small to be meaningful.
Area of Science:
- Medical Education
- Communication Skills Training
- Physician-Patient Relationship
Background:
- Physician-patient communication and interviewing are vital in healthcare.
- Residency programs offer limited formal training in these essential skills.
Purpose of the Study:
- To evaluate the impact of a structured interviewing training program on residents.
- To assess changes in residents' attitudes and skills in patient interviewing.
- To determine the program's effect on patient well-being and satisfaction.
Main Methods:
- A randomized controlled study involving 63 first-year primary care residents.
- A 1-month full-time rotation focused on interviewing and psychosocial topics.
- Pre- and post-rotation assessments of resident knowledge, attitudes, and skills; patient-reported outcomes and satisfaction.
Main Results:
- Trained residents demonstrated superior knowledge, confidence, and interviewing skills compared to controls.
- Improvements were noted in managing somatization and in data gathering during simulated interviews.
- Patient satisfaction and well-being showed positive but not statistically significant improvements.
Conclusions:
- A 1-month intensive interviewing rotation enhances residents' knowledge, attitudes, and practical skills.
- Further research may be needed to optimize training for measurable patient-centered outcomes.
