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Acquisition of clinical skills

Published online by Cambridge University Press:  02 January 2018

Linda Gask
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“No-one except you and the patient really know what happens when you take him for an interview. You learn from your own mistakes behind the closed door” (Adams & Cook, 1984).

Clinical skills in psychiatry are not best acquired in unsupervised practice or in learning by apprenticeship. In the past, it was reported that during the course of their clinical training, students' interviewing skills actually deteriorated rather than improved (Helfer, 1970; Maguire & Rutter, 1976), although recent research suggests that improved training is now having an impact (Davis & Nicholaou, 1992). The methods described below may be employed at both undergraduate and postgraduate level. Traditionally, psychiatrists have been actively involved, along with general practitioners, in the provision of communication skills training to undergraduates. In the future, this training will become a continuous process carried out alongside and within other teaching in all specialities (Gushing, 1996). One of the biggest challenges facing medical schools is how to engage and train clinical teachers from a range of specialities in facilitating students in the acquisition of clinical interpersonal skills.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 5 , Issue 4 , July 1999 , pp. 311 - 316
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Adams, G. & Cook, M. A. (1984) Beginning psychiatry. Psychiatric Bulletin, 8, 53–54.CrossRefGoogle Scholar
Bird, J. & Cohen-Cole, S. A. (1990) The three-function model of the medical interview: an educational device. Advances in Psychosomatic Medicine, 20, 65–88.Google Scholar
Bird, J., Hall, A., Maguire, P. et al (1993) Workshops for consultants on the teaching of clinical communication skills. Medical Education, 27, 181–185.Google Scholar
Cushing, A. (1996) Communication skills. Medical Education, 30, 316–318.Google Scholar
Davis, H. & Nicholaou, T. (1992) A comparison of the interviewing skills of first- and final-year medical students. Medical Education, 26, 441–447.Google Scholar
Gask, L. (1998a) Small group interactive techniques utilizing videofeedback. International Journal of Psychiatry in Medicine, 28, 97–113.CrossRefGoogle ScholarPubMed
Gask, L. (1998b) Psychiatric interviewing. In Companion to Psychiatric Studies (6th edn) (eds Zealley, A., Freeman, C. & Johnstone, E.) pp. 233–247. Edinburgh: Churchill Livingstone.Google Scholar
Gask, L., Goldberg, D., Lesser, A. et al (1988) Improving the psychiatric skills of the general practice trainee; an evaluation of a group training course. Medical Education, 22, 132–138.Google Scholar
Gask, L., Goldberg, D., Boardman, A. P. et al (1991) Training general practitioners to teach psychiatric interviewing skills: an evaluation of group training. Medical Education, 25, 444–451.CrossRefGoogle ScholarPubMed
Gask, L., Usherwood, T. & Standart, S. (1992) Training teachers to teach communication skills: a problem-based approach. Postgraduate Education for General Practice, 3, 92–99.Google Scholar
Harrison, J. & Goldberg, D. (1993) Improving the interview skills of psychiatry trainees. European Journal of Psychiatry, 7, 31–40.Google Scholar
Heifer, R. E. (1970) An objective comparison of the interviewing skill of freshmen and senior medical students. Paediatrics, 4, 623–627.Google Scholar
Maguire, G. P., Goldberg, D., Hobson, R. F. et al (1984) Evaluating the teaching of a method of psychotherapy. British Journal of Psychiatry, 144, 575–580.Google Scholar
Maguire, G. P., Fairburn, S. & Fletcher, C. (1986). Consultation skills of young doctors: I. Benefits of feedback training in interviewing as students persist: II. Most young doctors are bad at giving information. British Medical Journal, 292, 1537–1578.Google Scholar
Maguire, G. P. & Rutter, D. R. (1976) History taking by medical students: 1. Deficiencies in performance. 2. Evaluation of training programme. Lancet, ii, 556–60.Google Scholar
Maguire, G. P., Roe, P., Goldberg, D. et al (1978) The value of feedback in teaching interviewing skills to medical students. Psychological Medicine, 8, 697–704.Google Scholar
Meadow, R. & Hewitt, C. (1972) Teaching communication skills with the help of actresses and videotape simulation. British Journal of Medical Education, 6, 317–322.Google Scholar
Naji, S. A., Maguire, G. P., Fairburn, S. A. et al (1986) Training clinical teachers in psychiatry to teach interviewing skills to medical students. Medical Education, 20, 140–147.Google Scholar
Pendleton, D., Schofield, T., Tate, P. et al (1983) The Consultation: An Approach to Learning and Teaching. Oxford: Oxford University Press.Google Scholar
Usherwood, T. (1993) Subjective and behavioural evaluation of the teaching of patient interviewing skills. Medical Education, 27, 21–27.Google Scholar
Whewell, P. J., Gore, V. A. & Leach, C. (1988) Training general practitioners to improve their recognition of emotional disturbance in the consultation. Journal of the Royal College of General Practitioners, 38, 259–262.Google Scholar
Whitehouse, C., Morris, P. & Marks, B. (1984) The role of actors in teaching communication. Medical Education, 18, 262–268.Google Scholar
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