The Doctor-Patient Relationship During Medical Internship: The Evolution of Dissatisfaction
Sparr, Landy F.
Gordon, Geoffrey H.
Hickam, David H.
Girard, Donald E.
Social Science and Medicine. 1988; 26(11): 1095-1101.
We prospectively examined perceptions of the doctor patient relationship among interns in two different internal medicine training programs five times during the internship year. All 59 interns in the University of California, Irvine-Long Beach and the Oregon Health Sciences University Medical Programs participated in the study during the 1982-83 internship year. We serially administered a questionnaire that contained four major items: (1) a choice of one of six empirically developed role paradigms of the doctor patient relationship; (2) a checklist of positive and negative aspects of internship; (3) a measure of level of satisfaction with the decision to become a physician; and (4) a rating list of mood descriptors...At the beginning of the year, the interns were quite positive about the doctor patient relationship...As the year progressed, they endorsed significantly fewer positive and more negative models....
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