Transference effects on student physicians' affective interactions and clinical inferences in interviews with standardized patients: an experimental study
van Walsum, Kimberly Lynn
MetadataShow full item record
This study applied Andersen??s social cognitive paradigm for the experimental study of transference to the problem of understanding transference effects on the affective interactions and clinical inferences of student physicians with standardized patients. The investigator designed a 2X2 experimental study in which the independent variables were: source of information for statements about a standardized patient (participant??s own or matched participant??s) and valence of information in statements about the patient (positive or negative). Dependent variables were: affect expressed by a student physician in videotapes of a medical interview with a standardized patient, as measured by a modified version of the Specific Affect ?? 16 code system (SPAFF-16), and clinical inferences by the student physician as measured by the Physician Clinical Inferences Scale (PCIS) developed by the investigator. Covariates included gender, physician verbosity, and intergenerational family relationship variables as measured by the Personal Authority in the Family System Questionnaire ?? Version C (PAFS-QVC). A 2X2 MANCOVA was conducted, along with hierarchical regressions of gender and PAFSQVC variables as predictors of negative and positive affect and clinical inferences (likelihood of treatment success and patient as partner). One sample of undergraduate medical students (n= 71) provided data for the study. Results indicated no statistically significant differences between experimental groups regarding the effect of the experimental manipulation of patient information on student physicians?? affective interactions and clinical inferences with patients when gender, physician verbosity, and related PAFS-QVC variables were controlled. Hierarchical regression analyses of gender and related PAFS-QVC variables onto positive affect, negative affect, clinical inferences (patient as partner) and clinical inferences (likelihood of treatment success) revealed statistically significant effects of intergenerational family relationship and peer relationship variables on student physicians?? affective interactions and clinical inferences with patients.