The role of Balint group training in the professional and personal development of family medicine residents
| Autor: | Clive D. Brock, Marty S. Player, C. Carolyn Thiedke, Alan H. Johnson, John R. Freedy, Vanessa A. Diaz, Alexander W. Chessman |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Balint group South Carolina education Graduate medical education Grounded theory Interviews as Topic 03 medical and health sciences 0302 clinical medicine Physicians medicine Humans 030212 general & internal medicine Physician-Patient Relations business.industry Communication Internship and Residency humanities Group Processes 030227 psychiatry Personal development Psychiatry and Mental health Family medicine Doctor–patient relationship Female Clinical Competence Communication skills Family Practice business Psychology |
| Zdroj: | The International Journal of Psychiatry in Medicine. 53:24-38 |
| ISSN: | 1541-3527 0091-2174 |
| DOI: | 10.1177/0091217417745289 |
| Popis: | This paper presents a study based on the participation of PGY2 and PGY3 family medicine residents in Balint seminars that occurred twice monthly for 24 months. Balint groups were cofacilitated by leader pairs experienced with the Balint method. Prior to residency graduation, 18 of 19 eligible resident physicians (94.5%) completed 30- to 60-min semistructured interviews conducted by a research assistant. Resident physicians were told that these individual interviews concerned “…how we teach communication in residency.” The deidentified transcripts from these interviews formed the raw data that were coded for positive (n = 9) and negative (n = 3) valence themes by four faculty coders utilizing an iterative process based on grounded theory. The consensus positive themes included several elements that have previously been discussed in published literature concerning the nature of Balint groups (e.g., being the doctor that the patient needs, reflection, empathy, blind spots, bonding, venting, acceptance, perspective taking, and developing appreciation for individual experiences). The negative themes pointed to ways of possibly improving future Balint offerings in the residency setting ( repetitive, uneasiness, uncertain impact). These findings appear to have consistency with seminal writings of both Michael and Enid Balint regarding the complex nature of intrapsychic and interpersonal skills required to effectively manage troubling doctor–patient relationships. The implications of findings for medical education (curriculum) development as well as future research efforts are discussed. |
| Databáze: | OpenAIRE |
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