Selecting and supporting contented doctors

Peile, Ed; Carter, Yvonne

doi:10.1136/bmj.330.7486.269

Cited by 9 publications

(13 citation statements)

References 7 publications

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“…As a start, attachment theory provides a framework that can give individual differences a central place so that communication teaching is tailored according to clinicians’ character as well as individual patients’ needs [132].…”

Section: Practice Implications For Enhancing and Assessing Communicationmentioning

confidence: 99%

Dependence and caring in clinical communication: The relevance of attachment and other theories

Salmon

Young

2009

Patient Education and Counseling

103

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ObjectiveClinical relationships are usually asymmetric, being defined by patients’ dependence and practitioners’ care. Our aims are to: (i) identify literature that can contribute to theory for researching and teaching clinical communication from this perspective; (ii) highlight where theoretical development is needed; and (iii) test the utility of the emerging theory by identifying whether it leads to implications for educational practice.MethodsSelective and critical review of research concerned with dependence and caring in clinical and non-clinical relationships.ResultsAttachment theory helps to understand patients’ need to seek safety in relationships with expert and authoritative practitioners but is of limited help in understanding practitioners’ caring. Different theories that formulate practitioners’ care as altruistic, rewarded by personal connection or as a contract indicate the potential importance of practitioners’ emotions, values and sense of role in understanding their clinical communication.ConclusionExtending the theoretical grounding of clinical communication can accommodate patients’ dependence and practitioners’ caring without return to medical paternalism.Practice implicationsA broader theoretical base will help educators to address the inherent subjectivity of clinical relationships, and researchers to distinguish scientific questions about how patients and clinicians are from normative questions about how they should be.

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Section: Practice Implications For Enhancing and Assessing Communicationmentioning

confidence: 99%

Dependence and caring in clinical communication: The relevance of attachment and other theories

Salmon

Young

2009

Patient Education and Counseling

103

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“…While there are individual differences in the propensity to express professional attributes, entering medical students are idealistic and altruistic and highly receptive to professionalism instruction and modeling [20]. Professional transformation reflects what is taught and learned from the formal curriculum and that which is observed in the clinic and hospital environment in what is referred to as informal curriculum [16,17,20]. Professional development is undermined by the perverse influence of the ''hidden curriculum'' [24] while students and residents who have been mistreated are considerably more likely to become depressed, demonstrate unprofessional behavior and make medical errors [20,[25][26][27].…”

Section: Are Professional Attributes Innate or Acquired?mentioning

confidence: 99%

“…Morale has declined and with it the quality of the healing relationship. Medical education is another casualty as the attitudes and behavior of learners often mirror those of their teachers who if dispirited will be unlikely be good role models [16,17]. On both sides of the Atlantic issues of access and affordability of care, patient safety and quality, the ethics of innovative therapies, new models of care and physician reimbursement are being debated.…”

Section: Introductionmentioning

confidence: 99%

Professionalism and academic medicine: the Mayo Clinic program in professionalism

Brennan

2007

Ir J Med Sci

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Public trust in the medical profession has declined and with it physician morale and well being. This has undesirable consequences for patients, physicians and for medical education and training at academic medical centers. The recent upsurge of interest in professionalism may be attributed in part to a desire to regain public trust and restore the image and morale of the profession. The importance of professionalism led to a formal program being established at Mayo clinic that informs clinical practice, conducts educational initiatives and supports novel research into the topic. It may serve as a guide and template for the establishment of similar programs promoting professionalism within academic medical centers.

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“…12 Pilot work by City University, the DH and the Council for Heads of Medical Schools suggested that it would be feasible for graduate entry programmes to work collaboratively in introducing a selection centre process to their admissions cycle. There are advantages to this form of selection, which have been widely used in industry, and also in selecting doctors for competitive training schemes.…”

Section: Selection Of Graduate Entrantsmentioning

confidence: 99%

Graduate entry medicine: high aspirations at birth

Carter

Peile²

2007

Clinical Medicine

Self Cite

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-Four-year fast-track courses for graduates started in the UK in 2000, and are now offered at 14 UK medical schools. Graduate entry medicine (GEM) started five years earlier in Australia, and of course in the USA it has been the norm for students to begin studying medicine after university graduation. This paper reviews the aspirations for GEM and looks at the early evidence on delivery against those aspirations. Particular reference is made to the experience at Warwick Medical School which was one of the two pioneers of GEM in the UK, has the largest GEM intake and continues to admit only graduates.

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Selecting and supporting contented doctors

Cited by 9 publications

References 7 publications

Dependence and caring in clinical communication: The relevance of attachment and other theories

Dependence and caring in clinical communication: The relevance of attachment and other theories

Professionalism and academic medicine: the Mayo Clinic program in professionalism

Graduate entry medicine: high aspirations at birth

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