A review of 287 patient visits to a teaching hospital polyclinic shows that most patients had multiple problems that required the help of subspecialists. However, the patients' needs for accessibility, comprehensiveness, coordination, and continuity are as great as those of patients receiving primary care. Implications for academic internal…

Forty-four University of Kansas medical residents and nine associated community family physicians recorded their impressions of each patient's truthfulness and related issues after half-day patient care sessions. Analysis indicated residents doubted patients in 19.5% of encounters, senior physicians in 8.7%. Both groups had more negative than…

With appropriate techniques, physicians interested in sports medicine can use their brief contacts with adolescents to address issues of violent behavior. Seizing the moment to gauge involvement and counsel appropriately can be done on any brief visit. The paper presents specific strategies for such teen violence prevention. (SM)

This study investigated changes in students attitudes toward issues related to contact with AIDS (Acquired Immune Deficiency Syndrome) patients. Dental students remained consistently more anxious and more restrictive in their attitudes toward treating patients with AIDS than did their medical student counterparts and became more conservative in…

A study of house officers' performance of a complete medical history assessed interview content, questioning technique, and interview style. Frequent deficiencies included inadequate social, psychiatric, and drug reaction histories and an overly direct style. Use of detailed checklist for student evaluation is recommended to provide feedback and…

Clinical trials and access to therapeutic drugs pose dilemmas for researchers, physicians, and AIDS patients. The National Institute of Allergy and Infectious Diseases, recognizing the need for greater access to drugs by a broader spectrum of the infected population, is establishing the Community Programs for Clinical Research on AIDS. (Author/MLW)

A study with about 280 Southern Illinois University senior medical students found that standardized patients felt male and female examinees generally performed equally well with respect to interpersonal and communication skills, except for female examinees' higher performance in personal manner. Patient gender was not an influence. (Author/MSE)

Carolinas Medical Center (North Carolina) initiated a behavioral training program for general practice dental residents to develop skills in handling patient anxiety/stress, obesity, and depression. The program includes monthly seminars, a clinical rotation in behavioral medicine with additional related seminars, and a month-long clinical rotation…

The Temple University (Pennsylvania) advanced general dentistry program includes seminars and clinical rotations in social work, to help students gain an appreciation and working knowledge of social workers' function in health care provision, to improve interpersonal skills, to interact with social workers, to address diversity issues, and to…

A survey of 423 medical students assessed (1) authoritarianism, self-esteem, locus of control, self-blame, belief in efficacy of high-tech medicine, and depression; and (2) attributional styles toward patients with psychological or emotional problems. A variety of findings and directions for research are discussed. (MSE)

Objective: The author examines one aspect of the psychopharmacology curriculum: the psychology of psychopharmacology. Method: Drawing from his experience teaching this subject to trainees at many different levels and from an emerging evidence base suggesting that psychosocial factors in the doctor-patient relationship may be crucial for medication…

Communication difficulties in multicultural clinical settings can be exacerbated by translators, but their actual impact on medical decisions has not been systematically evaluated. This study sought to determine the influence of translators participating in clinical encounters in which English-speaking clinicians offered amniocentesis to…

A study investigated the role of the interpreter in doctor-patient communication by analyzing four complete medical interviews at a large urban hospital, each involving one of two Russian interpreters on staff. Both interpreters were native Russian speakers recently immigrated to the United States. Patients were middle-aged and elderly immigrants…

Eighteen works, including summaries, are cited in this bibliography. Topics include the nature of medical encounters; power, gender, and discourse change in physician-patient interviews; women's language in the medical interview; nurses' communication with physicians; and language patterns in therapeutic change. (JP)

In the context of a move toward physician participation in counseling patients to reduce risk factors and promote healthy lifestyles, a study was done of whether medical students perceive themselves to be self-efficacious in educating patients for health promotion and of how various educational experiences help to develop self-efficacy. The study…