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Training Medical Students in Behavioural and Cognitive Strategies

Published online by Cambridge University Press:  06 October 2014

Margot J. Schofield ,
Raoul A. Walsh  and
Robert W. Sanson-Fisher
Margot J. Schofield*
Affiliation:
University of Newcastle
Raoul A. Walsh*
Affiliation:
University of Newcastle
Robert W. Sanson-Fisher*
Affiliation:
University of Newcastle
*
Discipline of Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, Locked Bag No 10, Wallsend NSW 2287, Australia
Discipline of Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, Locked Bag No 10, Wallsend NSW 2287, Australia
Discipline of Behavioural Science in Relation to Medicine, Faculty of Medicine, University of Newcastle, Locked Bag No 10, Wallsend NSW 2287, Australia
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Abstract

It is argued that psychologists have an important role in ensuring appropriate training of medical students in behavioural and cognitive strategies. This paper outlines the innovative medical curriculum at the University of Newcastle and describes the contribution of cognitive psychology to the problem-solving method which underlies the curriculum. It also describes the medical school's approach to training students in interactional skills. One focus of the interactional skills training is to provide practical skills which incorporate behavioural and cognitive strategies to address common, preventable health problems, such as excessive alcohol consumption.

Type
Research Article
Information
Behaviour Change , Volume 11 , Issue 1: Special Issue: Training in Cognitive and Behavioural Intervention , March 1994 , pp. 6 - 18
Copyright
Copyright © The Author(s) 1994

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References

REFERENCES

Australian Bureau of Statistics. (1983). Australian Health Survey 1983: Health related actions taken by Australians. (ABS Catalogue No. 4358.0). Canberra: AGPS.Google Scholar
Australian Institute of Health and Welfare. (1992). Australia's Health 1992: The third biennial report of the Australian Institute of Health and Welfare. Canberra: AGPS.Google Scholar
Barrows, H. S. (1986). A taxonomy of problem-based learning methods. Medical Education, 20, 481–486.Google Scholar
Barrows, H. S., & Tamblyn, R. M. (1980). Problem-based learning. New York: Springer.Google Scholar
Berkson, L. (1993). Problem-based learning: Have the expectations been met? Academic Medicine, 68, S79–S88.CrossRefGoogle ScholarPubMed
Blumberg, P., & Michael, J.A. (1991). The development of self-directed learning behaviours in a partially teacher-centred, problem-based learning curriculum. Teaching & Learning in Medicine, 4, 3–8.Google Scholar
Bransford, J.D., & Johnson, M. K. (1972). Contextual prerequisites for understanding: Some investigations of comprehension and recall. Journal of Verbal Learning & Verbal Behaviour, 11, 717–726.Google Scholar
Brown, R.L. (1988). Evaluation of a continuing medical education programme for primary care physicians on the management of alcoholism. Journal of Medical Education, 63, 482–484.Google Scholar
Brown, R.L., Carter, W.B., & Gordon, M.J. (1987). Diagnosis of alcoholism in a simulated patient encounter by primary care physicians. Journal of Family Practice, 25, 259–264.Google Scholar
Bruner, J.S. (1961). The act of discovery. Harvard Educational Review, 31, 21–32.Google Scholar
Carney, S.L., Mitchell, K.R., Brinsmead, M.W., Sanson-Fisher, R.W., & Floate, D.A. (1985). The way we teach medical students professional skills. Medical Teacher, 7, 37–44.Google Scholar
Catrambone, R., & Holyoak, K.J. (1989). Overcoming contextual limitations on problem-solving transfer. Experimental Psychology: Learning, Memory & Cognition, 15, 1147–1156.Google Scholar
Clarke, R. M. (1979). Design and implementation of the curriculum in a new medical school. Programmed Learning & Educational Technology, 16, 288–295.Google Scholar
Coates, T. J. (1990). Strategies for modifying sexual behaviour for primary and secondary prevention of HIV disease. Journal of Consulting & Clinical Psychology, 58, 57–69.Google Scholar
Cockburn, J., Gibberd, R.W., Reid, A.L., & Sanson-Fisher, R.W. (1987). Determinants of non-compliance with short-term antibiotic regimes. British Medical Journal, 295, 814–818.CrossRefGoogle Scholar
Cockburn, J., Redman, S., & Sanson-Fisher, R.W. (1988). Compliance aiding strategies: a guide for the busy practitioner. Australian Prescriber, 11, 52–54.Google Scholar
Cockburn, J., Reid, A.L.A., Bowman, J.A., & Sanson-Fisher, R.W. (1987). Effects of intervention on antibiotic compliance in patients in general practice. Medical Journal of Australia, 147, 324–328.Google Scholar
Coggan, P.G., Davis, A.K., & Hadac, R. (1984). Alcoholism curriculum development: An examination of the process. Journal of Family Practice, 19, 527–532.Google ScholarPubMed
Eisenstaedt, R.S., Barry, W.E., & Glanz, K. (1990). Problem-based learning: Cognitive retention and cohort traits of randomly selected participants and decliners. In Anderson, M. Brownell, (compiler), Research in medical education: Proceedings of the twenty-ninth annual conference, S11–S12. Washington, DC: Association of American Medical Colleges.Google Scholar
Engler, C.M., Saltzman, G.A., Walker, M.L., & Wolf, F.M. (1981). Medical student acquisition and retention of communication and interviewing skills. Journal of Medical Education, 56, 572–579.Google Scholar
Fairbairn, S., Maguire, P., Chambers, C., & Sanson-Fisher, R.W. (1983). The teaching of interviewing skills: Comparison of experienced and novice trainers. Medical Education, 17, 296–299.Google Scholar
Flaherty, J.A., & Flaherty, E.G. (1983). Medical students' performance in reporting alcohol-related problems. Journal of Studies on Alcohol, 44, 1083–1087.Google Scholar
Foy, A. (1986). Management of alcoholism. Medical Journal of Australia, 144, 689–693.CrossRefGoogle ScholarPubMed
Glasgow, R.E., & Lichtenstein, E. (1987). Long-term effects of behavioural smoking cessation interventions. Behavior Therapy, 13, 297–324.CrossRefGoogle Scholar
Godden, D.R., & Baddeley, A.D. (1975). Context-dependent memory in two natural environments: On land and underwater. British Journal of Psychology, 66, 325–332.CrossRefGoogle Scholar
Gordon, J.J., Saunders, N.A., & Sanson-Fisher, R.W. (1989). Evaluating interns' performance using simulated patients in a casualty department. Medical Journal of Australia, 151, 18–21.CrossRefGoogle Scholar
Hamilton, J.D. (1992). A community and population-oriented medical school: Newcastle, Australia. In White, K.L.., & Connelly, J.E. (Eds.), The medical school's mission and the population's health: Medical education in Canada, the United Kingdom, the United States and Australia (pp. 164–207). New York: Springer-Verlag.Google Scholar
Hoppe, R.B., Farquhar, L.J., Henry, R.C., Snoffelmayr, B.E., & Helfer, M.E. (1988). A course component to teach interviewing skills in informing and motivating patients. Journal of Medical Education, 3, 176–181.Google Scholar
Horne, D. de L., & King, N.J. (1986). Preparation for surgery. In King, N.J. & Remenyi, A. (Eds.), Health care: A behavioural approach (pp. 167–173). Sydney: Grune & Stratton.Google Scholar
Johnson, D. W., & Johnson, R.T. (1979). Conflict in the classroom: Effects of controversy on learning. Review of Educational Research, 49, 51–69.CrossRefGoogle Scholar
Korsch, B., Gozzi, E., & Francis, C. (1986). Gaps in doctor-patient communication. Paediatrics, 62, 855–871.Google Scholar
Kramer, D., Ber, R., & Moore, M. (1987). Impact of workshops on students' and physicians' rejecting behaviours in patient interviews. Journal of Medical Education 62, 904–910.Google Scholar
Kristenson, H., Ohlin, H., Hulten-Nosslin, M., Trell, E., & Hood, B. (1983). Identification and intervention of heavy drinking in middle-aged men: Results and follow-up of 24–60 months of long term study with randomised controls. Alcoholism: Clinical & Experimental Research 7, 203–209.Google Scholar
Lepper, M.D., & Greene, D. (1975). Turning play into work; Effects of adult surveillance and extrinsic rewards on children's intrinsic motivation. Journal of Personality & Social Psychology 31, 479–486.CrossRefGoogle Scholar
Ley, P. (1983). Giving information to patients. In Eiser, J.R. (Ed.), Social psychology and behavioral medicine (pp. 339–374). London: John Wiley.Google Scholar
Maguire, P., Fairbairn, S., & Fletcher, C. (1986). Consultation skills of young doctors: I - Benefits of feedback training in interviewing as students persist. British Medical Journal, 292, 1573–1576.CrossRefGoogle ScholarPubMed
Maguire, G.P., & Rutter, D.R. (1976). History-taking for medical students: I. Deficiencies in performance. Lancet ii, 556–558.CrossRefGoogle Scholar
Marlatt, G.A. (1979). Alcohol use and problem drinking: A cognitive-behavioral analysis. In Kendall, P.C. & Hollon, S.D. (Eds.), Cognitive-behavioral interventions: Theory, research and procedures, (pp. 319–355). New York: Academic Press.CrossRefGoogle Scholar
Marlatt, G.A., & Gordon, J.R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviours. New York: Guilford Press.Google Scholar
Martensen, D., Eriksson, H., & Ingelman-Sundberg, M. (1985). Medical chemistry: Evaluation of active and problem-oriented teaching methods. Medical Education, 19, 34–42.Google Scholar
McAvoy, B.R. (1988). Teaching clinical skills to medical students: The use of simulated patients and videotaping in general practice. Medical Education, 22, 193–199.CrossRefGoogle ScholarPubMed
Mumford, E., Schlesinger, H.J., & Glass, G.V. (1982). The effects of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature. American Journal of Public Health, 72, 141–151.CrossRefGoogle ScholarPubMed
Needham, D.R., & Begg, I.M. (1991). Problem-oriented training promotes spontaneous analogical transfer: Memory-oriented training promotes memory for training. Memory & Cognition, 19, 543–557.CrossRefGoogle ScholarPubMed
Norman, G.R., & Schmidt, H.G. (1992). The psychological basis of problem–based learning: A review of the evidence. Academic Medicine, 67, 557–565.Google Scholar
Pollak, B.A. (1978). A two-year study of alcoholics in general practice. British Journal of Alcohol & Alcoholism, 13, 24–35.Google Scholar
Pols, R.G., & Hawks, D.V. (1992). Is there a safe level of daily consumption of alcohol for men and women? Recommendations regarding responsible drinking behaviour. (2nd Ed.) Prepared at the request of the National Health & Medical Research Council for the Health Care Committee. Canberra: AGPS.Google Scholar
Pomerleau, O.F., & Pomerleau, C.S. (1977). Break the smoking habit. Champaign, Ill: Research Press Company.Google Scholar
Poole, A.D., & Sanson-Fisher, R.W. (1980). Long-term effects of empathy training on the interview skills of medical students. Patient Counselling & Health Education, 2, 125–127.Google Scholar
Redman, S., Sanson-Fisher, R.W., Wilkinson, C., & Fahey, P.P. (1987). The agreement between two measures of alcohol consumption. Journal of Alcohol Studies, 48, 104–108.CrossRefGoogle ScholarPubMed
Reid, A.L.A., Webb, G., Hennrikus, D., Fahey, P.P., & Sanson-Fisher, R.W. (1986). Detection of patients with high alcohol intake by general practitioners. British Medical Journal, 293, 735–737.Google Scholar
Rohman, M.E., Cleary, P.D., Warburg, M., Delbanco, T.L., & Aronson, M.D. (1987). The response of primary care physicians to problem drinkers. American Journal of Drug & Alcohol Abuse, 13, 199–209.Google Scholar
Royal College of General Practitioners. (1986). Alcohol — A balanced view. Reports from General Practice, 24. London: Author.Google Scholar
Rutter, D.R., & Maguire, G.P. (1976). History-taking for medical students: II. Evaluation of a training programme. Lancet ii, 558–560.CrossRefGoogle Scholar
Sanson-Fisher, R.W., Redman, S., Walsh, R., Mitchell, K., Reid, A.L.A., & Perkins, J.J. (1991). Training medical practitioners in information transfer skills: The new challenge. Medical Education, 25, 322–333.Google Scholar
Saunders, J.B., Wodak, A.D., & Williams, R. (1985). Past experiences of advice and treatment for drinking problems of patients with alcoholic liver disease. British Journal of Addiction, 80, 51–56.CrossRefGoogle ScholarPubMed
Saunders, J.B., McIntosh, J., Prince, R.I., Feletti, G.I., Engel, C.E., Lawrence, J.R., Pitney, W.R., Hughes, J.L., Marshall, J.R., & members of the Programme Evaluation Committee. (1987). Comparison of performance of final-year students from three Australian medical schools. Medical Journal of Australia, 147, 385–388.Google Scholar
Shin, J.H., Haynes, R.B., & Johnston, M.E. (1993). The effect of problem-based self-directed undergraduate education on life-long learning. Canadian Medical Association Journal, 148, 969–976.Google Scholar
Siamecki, N., & Graf, P. (1978). The generation effect: Delineation of a phenomenon. Experimental Psychology: Human Learning & Memory, 4, 592–604.Google Scholar
Skinner, H.A. (1986). Early intervention for alcohol and drug problems: Core issues for medical education. Australian Drug and Alcohol Review, 5, 69–74.Google Scholar
Slama, K., Redman, S., Cockburn, J., & Sanson-Fisher, R.W. (1989). Community views about the role of general practitioners in disease prevention. Family Practice, 6, 203–209.CrossRefGoogle ScholarPubMed
Slama, K., Redman, S., Perkins, J., Reid, A.L.A., & Sanson-Fisher, R.W. (1990). The effectiveness of two smoking cessation programmes for use in general practice: A randomised clinical trial. British Medical Journal, 300, 1707–1709.Google Scholar
Spilich, G. J., Vesonder, G. T., Chiesi, H. L., & Voss, J. F. (1972). Text processing of domain-related information for individuals with high and low domain knowledge. Verbal Learning & Verbal Behaviour, 18, 352–373.Google Scholar
Stunkard, A.J. (1985). Behavioural management of obesity. Medical Journal of Australia, 142, 513–520.CrossRefGoogle ScholarPubMed
Stunkard, A.J., Craighead, L.W., & O'Brien, R. (1980). The treatment of obesity: A controlled trial of behaviour therapy, pharmacotherapy and their combination. Lancet, i, 1045–1047.CrossRefGoogle Scholar
Tanner, L.A., & Silverman, G. (1981). A teachers' guide to teaching medical interviewing. Medical Education, 15, 100–103.Google Scholar
Vernon, D.T.A., & Blake, R.L. (1993). Does problem-based learning work? A meta-analysis of evaluative research. Academic Medicine, 68, 550–563.Google Scholar
Wallace, P., Cutler, S., & Haines, A. (1988). Randomised controlled trial of general practitioner intervention with patients with excessive alcohol consumption. British Medical Journal, 297, 663–668.Google Scholar
Wechsler, H., & Rohman, M. (1988). Evaluation of a continuing medical education programme for primary care physicians on the management of alcoholism. Journal of Medical Education, 63, 482–484.Google Scholar
Weschler, H., Levine, S., Idelson, R.K., Rohman, M., & Taylor, J.O. (1983). The physician's role in health promotion — a survey of primary care practitioners. New England Journal of Medicine, 308, 97–100.Google Scholar
World Health Organization. (1993). Increasing the relevance of education for health professionals: Report of the WHO study group on problem-solving education for the health profession. WHO Technical Report Series No 838. Geneva: Author.Google Scholar