The informative process in medical care: A preliminary report with implications for instructional communication

Waitzkin, Howard; Stoeckle, John D.; Beller, Eric; Mons, Carl

doi:10.1007/bf00121641

Cited by 9 publications

(3 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In difficult cases, the patient may be referred for specialist care or further diagnostic testing. This process may be modified in the light of the particular presenting illness, the extent to which the doctor knows the patient's history, or the doctor's particular interests or time limits (Waitzkin et al 1978; Pendleton et al 1984; Tahka 1984).…”

Section: Introductionmentioning

confidence: 99%

Effects of communication skills training on students' diagnostic efficiency

et al. 1991

View full text Add to dashboard Cite

This study evaluates the impact of a training programme in communications skills on subsequent diagnostic efficiency. Videotaped history-taking interviews conducted by groups of specially trained and control groups of students were rated for their diagnostic efficiency by two medical practitioners. Students in the trained group had shown greatly increased skills in interviewing and interpersonal effectiveness as a result of their training. A comparison of ratings given by the two experimentally naive, independent observers revealed that trained students were significantly better at eliciting full, relevant data from patients--they were diagnostically more efficient, but took no longer than their control group counterparts to elicit the information. Further research with the medical interview rating scale will clarify the skills required of medical students in interviewing and diagnosis and facilitate remedial training for students who show poor interview skills.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of communication skills training on students' diagnostic efficiency

et al. 1991

View full text Add to dashboard Cite

show abstract

“…The background understanding for this worry is the fact of a prior heart attack. Having learned that smoking exacerbates heart disease, he expresses distress about inhaling (lines [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Although the doctor changes the subject, the patient's wife returns to the smoking as a major source of the patient's distress .…”

Section: Three Medical Encountersmentioning

confidence: 99%

The Micropolitics of Medicine: A Contextual Analysis

Waitzkin¹

1984

Int J Health Serv

Self Cite

View full text Add to dashboard Cite

Certain features of the doctor-patient encounter "medicalize," and thereby depoliticize, the social structural roots of personal suffering. The critique of medicalization holds that medicine has become an institution of social control, that the health care system helps promulgate the dominant ideologies of a society, and that the doctor-patient relationship is a major site where these developments occur. This paper presents a contextual analysis of medical encounters, drawn from a sample of tape-recorded doctor-patient interaction in medical practice. The doctor-patient relationship manifests problems that arise despite the best conscious intents of well-motivated participants. Conveying the symbolism of scientific medicine, messages of ideology and social control reinforce current relations of economic production and reproduction in work, the family, leisure, pleasure, sexuality, and other areas of social life. Ambiguities within the doctor-patient relationship both reflect and help reproduce broader social contradictions and structures of oppression. The medical encounter is one arena where the dominant ideologies of a society are reinforced and where individuals' acquiescence is sought. A vision of a progressive doctor-patient relationship must include a conception of how that relationship contributes to fundamental social change.

show abstract

“…Rather more readable accounts are to be found in recent works by Benson and Hughes (1983), Heritage (1984) and Sharrock and Anderson (1986). Waitzkin et al (1978) and Cooper et al (1983) both allude to ethnomethodology but neither is concerned with the in situ analysis of activities in the ways I will be here. Waitzkin et al deal with an aspect of "ethnoscience", i.e.…”

Section: Introductionmentioning

confidence: 98%

Student learning work: Grounds for anin situ analysis

Fleming

1987

Instr Sci

View full text Add to dashboard Cite

Abstract. The ethnomethodological programme of "studies of work" is drawn on to provide a general framework within which we might develop ways to undertake the in situ analysis of the competencies which constitute student learning activities. The objective of such research is to describe the locally managed and temporally organised nature of student learning work. Emphasis is placed on the development of methods of investigation which will enable us to describe the "whatness" of the work from within the setting of that work's accomplishment. The twin conceptions of the "visibility" and "sequential order" of student activities are discussed in detail. The implications of this approach for the notion of student "leaming" are also examined.

show abstract

The informative process in medical care: A preliminary report with implications for instructional communication

Cited by 9 publications

References 61 publications

Effects of communication skills training on students' diagnostic efficiency

Effects of communication skills training on students' diagnostic efficiency

The Micropolitics of Medicine: A Contextual Analysis

Student learning work: Grounds for anin situ analysis

Contact Info

Product

Resources

About