+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Problematic resident-patient relationships: the patient' s perspective



Problematic resident-patient relationships: the patient' s perspective



Journal of General Internal Medicine 16(11): 750-754



The objectives of the study were to identify the characteristics of a problematic doctor-patient relationship from the perspective of primary care patients who are cared for by medical residents and to determine whether patients' perception of the relationship is a function of their demographic, clinical, or social attributes. Cross-sectional survey. An adult primary care practice in an academic medical center. One hundred fifty-one patients whose primary care physicians were senior internal medicine residents. Patients completed a questionnaire addressing several aspects of their doctor-patient relationship, the general health perception item on the SF-12, and items on social support from the Duke Social Support and Stress Scale. By design of the study, approximately half of the patients had been identified by their physicians as being in problematic relationships (n = 74) and half as being in satisfying relationships (n = 77). Among patients in relationships described as satisfying by their resident, 10% viewed the relationship as problematic. Of the patients involved in relationships described as problematic by the resident, 23% viewed their relationship as problematic (P = .03). Patients who rated the relationship as problematic were much more likely to also report low social support compared to patients involved in relationships described as satisfying (76% vs 16%; P < .001). Compared to residents involved in relationships described as satisfying by their patients, residents in problematic relationships were more likely to be described as being less accessible and less capable of handling medical complaints (P < . 001). Patients were more likely to describe the doctor-patient relationship as problematic if they felt that the resident was less accessible or less capable of handling medical complaints, or if they had low self-perceived social support.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 047080680

Download citation: RISBibTeXText

PMID: 11722689


Related references

Do resident work-hour regulations really increase patient safety? A resident's perspective. Family Medicine 37(10): 688-689, 2005

Evaluation of an Academic Resident Aesthetic Clinic from Perspective of Patient and Resident. Plastic and Reconstructive Surgery 136(4 Suppl.): 122-123, 2015

Long-term doctor-patient relationships: patient perspective from online reviews. Journal of Medical Internet Research 15(7): E131, 2013

Long-Term Doctor-Patient Relationships Patient Perspective From Online Reviews. 2013

Patient abandonment: from a legal perspective--a new series on physician-patient relationships. Urban Health 14(2): 34-39, 1985

Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. Academic Medicine 88(6): 795-801, 2013

The resident and the borderline in-patient: a supervisor's perspective. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 26(3): 155-158, 1981

The benefits of the patient experience: one dermatology resident's perspective. British Journal of Dermatology 174(3): 681, 2017

Postmortem management of patient affairs: the resident's perspective. American Journal of Medicine 92(1): 82-84, 1992

From the patient's perspective: the impact of training on resident physician's obesity counseling. Journal of General Internal Medicine 25(5): 415-422, 2010

Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. Journal of Clinical Oncology 30(15): 1784-1790, 2012

Reconciling the good patient persona with problematic and non-problematic humour: a grounded theory. International Journal of Nursing Studies 46(8): 1079-1091, 2009

'The problem with…': a new series on problematic improvements and problematic problems in healthcare quality and patient safety. Bmj Quality and Safety 24(4): 246-249, 2015

The perspective of the vascular surgery trainee on new ACGME regulations, fatigue, resident training, and patient safety. Vascular and Endovascular Surgery 45(8): 697-702, 2012

Perspective: call to action: it is time for academic institutions to appoint a resident quality and patient safety officer. Academic Medicine 86(7): 826-828, 2011