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71.
Comparison of Bilateral vs. Staged Unilateral Deep Brain Stimulation (DBS) in Parkinson's Disease in Patients Under 70 Years of Age
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Analysis of IN.PACT DEEP trial on the association between changes in perfusion from pre‐ to postrevascularization and clinical outcomes in critical limb ischemia
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Dr. Robert C. Smith MD Jennifer A. Mettler MA Bertram E. Stöffelmayr PhD Judith S. Lyles MA Alicia A. Marshall PhD Lawrence F. Van Egeren PhD Gerald G. Osborn DO Valerie Shebroe PhD 《Journal of general internal medicine》1995,10(6):315-320
OBJECTIVE: To evaluate an intensive training program’s effects on residents’ confidence in their ability in, anticipation of positive
outcomes from, and personal commitment to psychosocial behaviors.
DESIGN: Controlled randomized study.
SETTING: A university- and community-based primary care residency training program.
PARTICIPANTS: 26 first-year residents in internal medicine and family practice.
INTERVENTION: The residents were randomly assigned to a control group or to one-month intensive training centered on psychosocial skills
needed in primary care.
MEASUREMENTS: Questionnaires measuring knowledge of psychosocial medicine, and self-confidence in, anticipation of positive outcomes from,
and personal commitment to five skill areas: psychological sensitivity, emotional sensitivity, management of somatization,
and directive and nondirective facilitation of patient communication.
RESULTS: The trained residents expressed higher self-confidence in all five areas of psychosocial skill (p<0.03 for all tests), anticipated
more positive outcomes for emotional sensitivity (p=0.05), managing somatization (p=0.03), and nondirectively facilitating
patient communication (p=0.02), and were more strongly committed to being emotionally sensitive (p=0.055) and managing somatization
(p=0.056), compared with the untrained residents. The trained residents also evidenced more knowledge of psychosocial medicine
than did the untrained residents (p<0.001).
CONCLUSIONS: Intensive psychosocial training improves residents’ self-confidence in their ability regarding key psychosocial behaviors
and increases their knowledge of psychosocial medicine. Training also increases anticipation of positive outcomes from and
personal commitment to some, but not all, psychosocial skills.
Presented at the annual meeting of the Society of General Internal Medicine, Washington, DC, April 27–29, 1994.
Supported by the Fetzer Institute in Kalamazoo, MI. 相似文献
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Successful hematopoietic cell transplantation in a patient with X‐linked agammaglobulinemia and acute myeloid leukemia
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