TY - JOUR
KW - Adult
KW - Clinical Competence/statistics & numerical data
KW - Communication
KW - Female
KW - Humans
KW - Internship and Residency/methods
KW - Interview, Psychological/methods
KW - Male
KW - Patient Simulation
KW - Patient-Centered Care/methods
KW - Physician-Patient Relations
KW - Psychiatry/education/methods
AU - M. Rimondini
AU - L. Del Piccolo
AU - C. Goss
AU - M. Mazzi
AU - M. Paccaloni
AU - C. Zimmermann
A1 - 
AB - BACKGROUND: Communication skills are considered 'core skills' in the curriculum of psychiatry but studies evaluating the effectiveness of a time-limited training course in interviewing skills in psychiatry have remained rare. The aim was to assess the effectiveness of training in patient-centred interviewing on the interview performance of psychiatric residents. METHOD: Psychiatric residents (n=10) each interviewed 12 different anonymized standardized patients (SPs), eight before and another four after training. SPs simulated psychiatric out-patients who attended for a first visit to the psychiatric out-patient clinic. The consultations were videotaped, transcribed and coded with a classification scheme developed for psychiatric consultations from which an interview performance index was derived. An interrupted time-series design and a segmented regression analysis with multilevel analysis explored the performance trend within the series of consultations. RESULTS: The regression model evidenced a horizontal slope at pre- and post-training, with a significant level change. These findings excluded the presence of a practice effect and indicated a significant effect of training. Performance variability between and within residents over the series of consultations increased at post-training. CONCLUSIONS: The training improved patient-centred interviewing performance. More post-training exercise time and supervised practice are necessary to establish consistent performance patterns at a higher skill level.
BT - Psychological medicine
C5 - Education & Workforce
CP - 3
CY - England
DO - 10.1017/S0033291709990730
IS - 3
JF - Psychological medicine
N2 - BACKGROUND: Communication skills are considered 'core skills' in the curriculum of psychiatry but studies evaluating the effectiveness of a time-limited training course in interviewing skills in psychiatry have remained rare. The aim was to assess the effectiveness of training in patient-centred interviewing on the interview performance of psychiatric residents. METHOD: Psychiatric residents (n=10) each interviewed 12 different anonymized standardized patients (SPs), eight before and another four after training. SPs simulated psychiatric out-patients who attended for a first visit to the psychiatric out-patient clinic. The consultations were videotaped, transcribed and coded with a classification scheme developed for psychiatric consultations from which an interview performance index was derived. An interrupted time-series design and a segmented regression analysis with multilevel analysis explored the performance trend within the series of consultations. RESULTS: The regression model evidenced a horizontal slope at pre- and post-training, with a significant level change. These findings excluded the presence of a practice effect and indicated a significant effect of training. Performance variability between and within residents over the series of consultations increased at post-training. CONCLUSIONS: The training improved patient-centred interviewing performance. More post-training exercise time and supervised practice are necessary to establish consistent performance patterns at a higher skill level.
PP - England
PY - 2010
SN - 1469-8978; 0033-2917
SP - 467
EP - 476
EP - 
T1 - The evaluation of training in patient-centred interviewing skills for psychiatric residents
T2 - Psychological medicine
TI - The evaluation of training in patient-centred interviewing skills for psychiatric residents
U1 - Education & Workforce
U2 - 19627648
U3 - 10.1017/S0033291709990730
VL - 40
VO - 1469-8978; 0033-2917
Y1 - 2010
ER -