Are Video Recordings in General Medicine Consultations Useful in Training?

Vannotti, Marco

Are Video Recordings in General Medicine Consultations Useful in Training? - 2010.


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This paper discusses the supervision of ambulatory consultations in general medical practice recorded by video. Viewing these videos is considered as an efficient means for studying the structure of interviews and to acquire communication skills. However, can it serve other purposes and raise other questions? (1) Are we justified in claiming that psychiatric or psychotherapeutic insight is useful in the training of general practitioners? (2) Can it be a means of discussing with general practitioners how to deal with relational issues in psychotherapy? (3) Is the structure of the interview necessarily articulated around the attribution of meaning to its content? (4) Do doctors perceive the difficulties of living, the opaque fear of death, the onerous commerce in the chronicity of their patients? The experience of supervision at the intersection of psychiatry and the field of general medicine appears to be a way to reflect on the global care of patients and the work of medical practitioners. The answer to our questions can be summarized thus: doctors use their own person to encounter patients almost without knowing it. Understanding the meaning of the encounter seems to escape them on a cognitive level of elaboration, but not on its subjective realization.

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