Literature DB >> 17714907

Evidence based management of acute bronchitis; sustained competence of enhanced communication skills acquisition in general practice.

Jochen W L Cals1, Nicole A M Scheppers, Rogier M Hopstaken, Kerenza Hood, Geert-Jan Dinant, Henk Goettsch, Christopher C Butler.   

Abstract

OBJECTIVE: To determine if a communication skills training program for general practitioners involving context-rich learning experiences and 'peer review' of consultation transcripts results in communication skills acquisition and maintenance, while preserving time-efficiency in consultations.
METHODS: A pre-test-post-test evaluation of training 20 general practitioners (GPs) in enhanced communication skills. Audio taped consultations with simulated patients in routine practice conducted before, within 2 weeks and again 6 months after communication skills training were analysed and consultation length measured. Transcripts were scored for specific skills to determine differences in short and longer-term competence of GPs for the communication skills.
RESULTS: There was good evidence that GPs acquired key communication skills after training and that these were maintained over 6 months. Consultations remained within normal consultation length in primary care.
CONCLUSION: Specific communication skills for acute bronchitis can be successfully acquired by GPs through context-rich communication training with peer review of transcripts with simulated patients, without making consultation length unfeasible. PRACTICE IMPLICATIONS: This approach to skill acquisition is useful for enhancing communication skills competence in general medical practice.

Entities:  

Mesh:

Year:  2007        PMID: 17714907     DOI: 10.1016/j.pec.2007.06.014

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


  17 in total

Review 1.  Antimicrobial resistance: risk associated with antibiotic overuse and initiatives to reduce the problem.

Authors:  Carl Llor; Lars Bjerrum
Journal:  Ther Adv Drug Saf       Date:  2014-12

2.  Age-adjusted incidence rates of hip fractures between 2006 and 2009 in Rabat, Morocco.

Authors:  A El Maghraoui; A R Ngbanda; N Bensaoud; M Bensaoud; A Rezqi; M A Tazi
Journal:  Osteoporos Int       Date:  2012-06-27       Impact factor: 4.507

3.  Managing expectations of antibiotics for upper respiratory tract infections: a qualitative study.

Authors:  Mohammed Mustafa; Fiona Wood; Christopher C Butler; Glyn Elwyn
Journal:  Ann Fam Med       Date:  2014 Jan-Feb       Impact factor: 5.166

4.  Infectious disease management in primary care: perceptions of GPs.

Authors:  Ingeborg Björkman; Mats Erntell; Marta Röing; Cecilia Stålsby Lundborg
Journal:  BMC Fam Pract       Date:  2011-01-11       Impact factor: 2.497

5.  Enhanced communication skills and C-reactive protein point-of-care testing for respiratory tract infection: 3.5-year follow-up of a cluster randomized trial.

Authors:  Jochen W L Cals; Leon de Bock; Pieter-Jan H W Beckers; Nick A Francis; Rogier M Hopstaken; Kerenza Hood; Eefje G P M de Bont; Christopher C Butler; Geert-Jan Dinant
Journal:  Ann Fam Med       Date:  2013 Mar-Apr       Impact factor: 5.166

6.  Effectiveness of multifaceted educational programme to reduce antibiotic dispensing in primary care: practice based randomised controlled trial.

Authors:  Christopher C Butler; Sharon A Simpson; Frank Dunstan; Stephen Rollnick; David Cohen; David Gillespie; Meirion R Evans; M Fasihul Alam; Marie-Jet Bekkers; John Evans; Laurence Moore; Robin Howe; Jamie Hayes; Monika Hare; Kerenza Hood
Journal:  BMJ       Date:  2012-02-02

7.  Identifying context factors explaining physician's low performance in communication assessment: an explorative study in general practice.

Authors:  Geurt Essers; Sandra van Dulmen; Chris van Weel; Cees van der Vleuten; Anneke Kramer
Journal:  BMC Fam Pract       Date:  2011-12-13       Impact factor: 2.497

8.  'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice.

Authors:  Jochen W L Cals; Christopher C Butler; Geert-Jan Dinant
Journal:  Implement Sci       Date:  2009-09-08       Impact factor: 7.327

9.  Effect of point of care testing for C reactive protein and training in communication skills on antibiotic use in lower respiratory tract infections: cluster randomised trial.

Authors:  Jochen W L Cals; Christopher C Butler; Rogier M Hopstaken; Kerenza Hood; Geert-Jan Dinant
Journal:  BMJ       Date:  2009-05-05

10.  Understanding variation in primary medical care: a nine-country qualitative study of clinicians' accounts of the non-clinical factors that shape antibiotic prescribing decisions for lower respiratory tract infection.

Authors:  Lucy Brookes-Howell; Kerenza Hood; Lucy Cooper; Paul Little; Theo Verheij; Samuel Coenen; Maciek Godycki-Cwirko; Hasse Melbye; Alicia Borras-Santos; Patricia Worby; Kristin Jakobsen; Herman Goossens; Christopher C Butler
Journal:  BMJ Open       Date:  2012-08-22       Impact factor: 2.692

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