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  Vol. 167 No. 20, November 12, 2007 TABLE OF CONTENTS
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  Editor's Correspondence
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COMMENTS AND OPINIONS
A Partial Solution to a Big Problem—Reply

Anthony Back, MD; Robert Arnold, MD; James Tulsky, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

Kaushik and Pothier raise 2 important issues. First, how should researchers assess communication skills training? We think that assessment should occur at 2 levels: (A) Does the training change physician communication behaviors? and (B) Do the changes improve patient-level outcomes? Our study was designed to address question A. Our study design using standardized patients to answer this question has strengths and weaknesses. A weakness of using standardized patients is that physicians in real life may behave differently than in a simulated situation. Clearly, an important next step would be to examine trained physicians in their own clinics, as was done by Fallowfield et al,1 who showed that physicians given a similar type of training (small groups with trained facilitators) in fact used their new skills in real settings at statistically significant levels. An important strength of using standardized patients . . . [Full Text of this Article]


AUTHOR INFORMATION

RELATED LETTER

A Partial Solution to a Big Problem
Allen R. Last
Arch Intern Med. 2007;167(20):2261-2262.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Efficacy of Communication Skills Training for Giving Bad News and Discussing Transitions to Palliative Care
Anthony L. Back, Robert M. Arnold, Walter F. Baile, Kelly A. Fryer-Edwards, Stewart C. Alexander, Gwyn E. Barley, Ted A. Gooley, and James A. Tulsky
Arch Intern Med. 2007;167(5):453-460.
ABSTRACT | FULL TEXT  


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