Pedro Santos-Moreno, Gabriel-Santiago Rodríguez-Vargas, Fernando Rodríguez-Florido, Jaime-Andrés Rubio-Rubio, Pedro A Rodríguez, Adriana Rojas-Villarraga
Comparison and Influence of a Multicomponent Educational Program on the Patient-Reported Outcomes of a Group of Patients With Rheumatoid Arthritis
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases
goal study examine impact subjective physiological stress responses medical students diagnostic reasoning communication skills prospective randomized quantitative study undertaken looking ambulatory consultations internal medicine first day baseline day volunteer year 6 students n 41 participated simulated ambulatory consultation standardized patients sps second day study day one week later randomly assigned two groups low stress n 20 high stress n 21 simulated ambulatory consultation stress measured using validated questionnaires salivary cortisol sps assessed students reasoning communication students completed assessments clinical reasoning consultations although stress measures significantly higher highstress condition p 005 differences found diagnostic accuracy justification scores however correlational analyses revealed negative correlation multiplestress measures students ability generate arguments differential diagnoses stress associated impairments clinical reasoning nature typically suggestive premature closure