Improving the psychiatric skills of established general practitioners: evaluation of group teaching

Ll, Gask; McGrath, Graeme; Goldberg, David; Millar, Tim

doi:10.1111/j.1365-2923.1987.tb00377.x

Cited by 101 publications

(80 citation statements)

References 15 publications

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“…It leads them to feel more confident -at least in the short term -in their ability to deal with the challenges posed by non-adherence to treatment in people with SMI. The efficacy of similar additional training given to general practitioners (Gask et al, 1987) and psychiatric nurses (Gournay & Birley, 1998) is well established although it has seldom been evaluated in psychiatrists. Informal feedback from participants has suggested that the training is best done when an individual has had some experience in grappling with the problems of compliance.…”

Section: Discussionmentioning

confidence: 99%

Teaching psychiatric trainees ‘compliance therapy’

Surguladze¹,

Timms

David

2002

Psychiatr. bull.

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Aims and MethodTraining workshops were organised to teach junior psychiatrists ‘compliance therapy’. A questionnaire was administered to 19 trainees before and after participation in the workshop. Data from 54 non-participating psychiatrists from the same NHS trust were also obtained for comparison.ResultsThose receiving training were similar to the comparison group except for having less confidence in dealing with non-compliant patients. After training, participants showed a broader awareness of the potential causes and costs of non-compliance and an increased confidence empathising with patients. Beliefs concerning management did not change significantly.Clinical ImplicationsA brief training programme is capable of changing trainee psychiatrists' attitudes towards patient non-compliance in the desired direction.

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Section: Discussionmentioning

confidence: 99%

Teaching psychiatric trainees ‘compliance therapy’

Surguladze¹,

Timms

David

2002

Psychiatr. bull.

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“…27 This has been shown to improve patient satisfaction and clinical outcomes. 28,29 It is wellestablished that a positive therapeutic relationship in which patients feel free to discuss emotional problems and work towards their resolution is related to improved outcomes from psychological treatment, particularly in primary care. 30,31 Thus, it is of particular concern that many of our interviewees believed that relatively little listening occurs.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Johnston

Kumar²,

Kendall³

et al. 2007

Br J Gen Pract

107

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“…Others showed that communication skills can be effectively taught, leading to greater patient disclosure of sensitive psychosocial information (Gask et al 1978;Bensing & Sluijs 1985;Levinson & Roter 1993;Maguire & Pitceathly 2002) and better detection of emotional distress by physicians (Levinson & Roter 1993), although not all studies showed positive results (Marks et al 1979). In one of the studies, two four-hour interactive workshops were shown to be effective in changing primary care physicians' behaviour and communication skills in diagnosing and managing depression (Gerrity et al 1999).…”

Section: Introductionmentioning

confidence: 99%

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

et al. 2007

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Background: Studies regarding the effectiveness of CME programmes on physicians' behaviour and communication skills showed inconsistent results. Few randomized controlled trials have been conducted in Asia. Methods: To evaluate the effectiveness of a 4 2-hour education programme to improve GP interviewing behaviours, 16 general practitioners were randomized to the intervention and control groups, respectively. Physicians assigned to the intervention group received 8 hours of training emphasizing interviewing behaviours in the diagnosis and treatment of depression and generalized anxiety disorders (GDS). Those assigned to the control group did not receive any training until the completion of study. Standardized patients were used to evaluate the performance of physicians. Two consultations before and after enrolling in the education programme were videotaped. Independent evaluations of consultations were made by a trained clinical psychologist and a social worker blinded to the study status of physicians. The rating schedule for the videotapes was based on the tasks listed on the Calgary Cambridge Observation Guide. Results: The change of score between the intervention and control physicians was significantly different in 'active listening and facilitating patients' response' (p ¼ 0.011) with the intervention physicians having improvement of score. For 'non-verbals', 'understanding patient's perspective' and 'negotiating mutual plan of action', positive change of score in the intervention physicians were seen when compared to that of the control, although the difference did not reach statistical significance (p ¼ 0.06, p ¼ 0.05, p ¼ 0.06, respectively). However, for 'opening', 'structuring the consultation', 'explanation and planning' and 'closure', there were no statistical significant differences between control and intervention group. Conclusions: Our results showed that only certain communication skills, such as active listening and facilitating patient's response, can be taught in the management of depression and generalized anxiety disorder (GAD) in Chinese primary care physicians.

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Improving the psychiatric skills of established general practitioners: evaluation of group teaching

Cited by 101 publications

References 15 publications

Teaching psychiatric trainees ‘compliance therapy’

Teaching psychiatric trainees ‘compliance therapy’

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Improving general practitioners’ interviewing skills in managing patients with depression and anxiety: a randomized controlled clinical trial

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