RESUMO
BACKGROUND: By focusing on the biomedical aspects of a disease, physicians often dismiss the emotional effect that patients have on them and the stories that provide meaning to the patients' experience with illness. This approach often leads to strained relationships, medical errors, and dehumanized health care. DESCRIPTION: We describe the Integrative Care Conference, an interdisciplinary format for teaching enhanced communication between residents and their patients. EVALUATION: Three findings emerged: (a) The gap between what the resident knows about the patient and what is relevant to the patient's health care is wide. (b) Despite this gap, patients express great appreciation for their physician. (c) After learning about their patients' life and relationships, residents developed more humanistic approaches to their patient that reshaped treatment. CONCLUSIONS: The Integrative Care Conference provides a powerful format for teaching patient-physician communication.
Assuntos
Comunicação , Prestação Integrada de Cuidados de Saúde/organização & administração , Modelos Teóricos , Relações Médico-Paciente , Humanos , Erros Médicos/prevenção & controleRESUMO
This article describes the state of feminist training in family therapy. Methods of assessment include questionnaires to all programs accredited by COAMFTE in universities and institutes and to leading institutes not accredited; interviews with editors of the Journal of Feminist Family Therapy; interviews with many who pioneered the feminist critique in family therapy; inspection of two major national conferences; and a search of publications. Although most program directors describe their programs as feminist and judge their training to be sufficient, their report contrasts with the perspectives of many of the journal editors and pioneers, with the small amount of training in gender issues at national conferences, and with the small number of publications. The authors offer discussion of the findings and recommendations.
Assuntos
Educação/normas , Terapia Familiar/métodos , Feminismo , Humanos , Editoração/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
"Family Medicine Month," a rotation forfirst-year residents, was developed to clarifyfirst-year residents'new roles as family physicians. The rotation explored the meaning and history of the specialty, as well as teaching core family medicine clinical and behavioral skills. Twenty residents who participated in the rotation in 1999 and 2000 indicated satisfaction with the rotation and endorsed its usefulness. They also reported greater self efficacy in performing family practice skills after the rotation, compared with before the rotation. Results suggest that a curriculum based on the context of family medicine as a specialty enhances resident satisfaction and self efficacy.
