Adapting an Effective Counseling Model from Patient-centered Care to Improve Motivation in Clinical Training Programs.

نویسندگان

  • Hisayuki Hamada
  • Dawn Martin
  • Helen P Batty
چکیده

The value of establishing a patient-centered relationship within the context of the clinical encounter is well documented. The learner-centered method of medical education parallels the patient-centered clinical method; therefore, it should be explored as a method for teaching in the context of the learning encounter. In Japan and other Asian countries, rotations through services not related to the learner's chosen medical specialty are mandatory parts of the medical internship. Participation and effort in these rotations are often met with resistance from learners and are a common problem for medical educators. We adapted the counseling method for patients based on patient-centered methods such as motivational interviewing and solution-focused therapy to address this common problem. We show one case of a medical resident who lost his motivation to learn during his training. A resident has many kinds of mental and physical stress. One such problem arises from the gap between what they want to do and what they have to do. Strategies from motivational interviewing and solution-focused therapy were adapted to successfully resolve a common teaching problem in Japan. A physician teacher (preceptor) helped this resident solve the issue for himself instead of arguing in favor of change. The positive aspects of the counseling method were based on patient-centered medicine and proved useful and effective in counseling for medical residents. We may take the lessons learned from using patient-centered counseling methods to further develop a clear and systematic process of counseling methods for residents to conduct learner-centered medical education.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Maternal Stress and Sleep of Hospitalized Children: The Effects of a Using Video Call Intervention to Improve Family-Centered Care

Introduction: Stress and anxiety in the parents and caregivers can prevent the mother from adapting to the hospital environment and supporting her child. In fact, any disturbance in the behavior of parents, including the mother, can have a negative effect on their child's sleep. The aim of this study was to investigate the effect of using video call intervention on improving family-centered car...

متن کامل

Patient-centered Fertility Care: From Theory to Practice

Background & aim: Healthcare areas, especially fertility care (commonly accompanied with high emotions, as well as long-term and recurring treatment periods) could exclusively benefit from patient-centered care (PCC). Despite evident advantages of PCC, this approach has not been practiced as a routine procedure in current clinical environments yet, even in western developed countries. Therefore...

متن کامل

Effects of Training Health Workers in Integrated Management of Childhood Illness on Quality of Care for Under-5 Children in Primary Healthcare Facilities in Afghanistan

Background Training courses in integrated management of childhood illness (IMCI) have been conducted for health workers for nearly one and half decades in Afghanistan. The objective of the training courses is to improve quality of care in terms of health workers communication skills and clinical performance when they provide health services for under-5 children in public healthcare facili...

متن کامل

Comparing the Effect of Patient-Centered and Family-Centered Education on Quality of life and HBA1C Levels in Patients with Type 2 Diabetes

 Background and purpose: Low quality of life and complications of high blood sugar are among the problems of patients with diabetes. This study aimed to compare the effect of patient-centered education and family-centered education on quality of life and HBA1C in patients with type 2 diabetes. Materials and methods: A clinical trial was performed in diabetic patients in Rafsanjan Diabetes Clin...

متن کامل

Comparison of the Effect of Two Educational Methods on the Frequency of Hospitalization and Clinical Symptoms of Patients after Acute Myocardial Infarction

Introduction: Patient training can be effective in preventing and controlling disease complications. Providing patient and family trainings is particularly important for improving compliance with a treatment diet. Objective: The present study aimed at “determining the effect of two training methods (family-centered and patient-centered) on the frequency of hospitalization and clinical sy...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Medical education online

دوره 11 1  شماره 

صفحات  -

تاریخ انتشار 2006