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Handbook of Health Behavior Research IV pp 25–42Cite as

Health Behavior Research and Medical Training

A New Paradigm

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Abstract

Despite rapid advances in the technology of the health sciences and in understanding of the basic biology of diseases at the molecular level, most of the disease processes that in the postantibiotic age cause disability and death have behavioral roots. The statistics concerning behavioral risk factors noted in youth are particularly alarming. For example, among American high school students, 73.9% indicated that they had tried smoking by their senior year, while 24.7% admitted to smoking daily over the past month. Furthermore, 48% indicated that they had had at least one alcoholic drink within the past month. With regard to sex, 70% responded that they had had sexual intercourse by their senior year, with 18.5% reporting having had four or more sexual partners. As for suicide, 24% indicated that they had given serious consideration to the thought of suicide over the past year. Finally, 22% indicated that they had carried a weapon in the past month (Kann et al., 1995).

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References

  • American Medical Student Association. (1995). The AMSA Paul R. Wright Excellence in Medical Education Award, Washington DC.

    Google Scholar 

  • Anderson, L. A., & Sharpe, P. A. (1991). Improving patient and provider communication: A synthesis and review of communication interventions, Patient Education and Counseling, 17, 99–134.

    Article  Google Scholar 

  • Association for the Behavioral Sciences and Medical Education. (1994). Behavioral sciences curriculum guide. Unpublished. Rochester, NY: ABSME.

    Google Scholar 

  • Bandura, A. (1978). The self system in reciprocal determinism, American Psychologist, 33, 344–358.

    Article  Google Scholar 

  • Bartlett, E. E., Grayson, M., Barker, R., Levine, D. M., Golden, A., & Libber, S. (1984). The effects of physician communications skills on patient satisfaction, recall, and adherence. Journal of Chronic Diseases, 37 (9/10), 755–764.

    Article  PubMed  CAS  Google Scholar 

  • Barzansky, B., Jonas, S., & Etzel, I. (1995). Educational programs in U.S. medical schools, Journal of the American Medical Association, 274, 716–722.

    Article  PubMed  CAS  Google Scholar 

  • Baumgart, A. J., & Costello, E. A. (1988). Health behavior research and the training of health professions. In D. S. Gochman (Ed.), Health behavior: Emerging research perspectives (pp. 363–379). New York: Plenum Press.

    Google Scholar 

  • Bloom, S. W. (1988). Structure and ideology in medical education: An analysis of resistance to change, Journal of Health and Social Behavior, 29, 294–306.

    Article  PubMed  CAS  Google Scholar 

  • Boelen, C. (1995, July). Prospects for change in medical education in the twenty-first century. Academic Medicine, 70(Supplement), 21–28.

    Article  Google Scholar 

  • Boyer, M. H., Madoff, M. A., Bennett, A. J., Dean, D. H., Hyde, J. N., Minihan, P. M., & Barbeau, E. M. (1992). Tuft’s four year combined M.D.-M.P.H. program: A training model for population-based medicine, Academic Medicine, 67(6), 363–365.

    Article  PubMed  CAS  Google Scholar 

  • Calvin, J. (1852). Commentaries on the Book of the Prophet Daniel. Edinburgh: Calvin Translation Society.

    Google Scholar 

  • Christakis, N. (1995). The similarity and frequency of proposals to reform U.S. medical education, Journal of the American Medical Association, 274, 706–711.

    Article  PubMed  CAS  Google Scholar 

  • Cooper, H., & Hedges, L. V. (Eds.) (1994). Handbook of research synthesis. New York: Russell Sage Foundation.

    Google Scholar 

  • Craig, J. L. (1992). Retention of interviewing skills learned by first-year medical students: A longitudinal study, Medical Education, 26, 276–281.

    Article  PubMed  CAS  Google Scholar 

  • Druckman, D., & Bjork, R. A. (Eds.). (1994). Learning, remembering, believing: Enhancing human performance. Washington, DC: National Academy Press.

    Google Scholar 

  • Eckenfels, E. (1992). A brief summary of the history and purpose of the Rush Community Service Initiatives Program. Unpublished correspondence with E. Eckenfels, Director, Rush Community Service Initiatives Program, Head, Section of Community and Family Medicine, Rush Medical School.

    Google Scholar 

  • Epstein, R. M., Campbell, T. L., Cohen-Cole, S. A., McWhinney, I. R., & Smilkstein, G. (1993). Perspectives on patient-doctor communication, Journal of Family Practice, 37(4), 377–387.

    PubMed  CAS  Google Scholar 

  • Evans, B. J., Stanley, R. O., & Burrows, G. D. (1992). Communication skills training and patients’ satisfaction, Health Communication, 4(2), 155–170.

    Article  Google Scholar 

  • Evans, B. J., Stanley, R. O., & Burrows, G. D. (1993). Measuring medical students’ empathy skills. British Journal of Medical Psychology, 66, 121–133.

    Article  PubMed  Google Scholar 

  • Evans, J. (1992). The health of the public approach to medical education, Academic Medicine, 67, 719–723.

    Article  PubMed  CAS  Google Scholar 

  • Fisher, R. A. (1935). The design of experiments. Edinburgh and London: Oliver and Boyd.

    Google Scholar 

  • Flexner, A. (1910). Medical education in the United States and Canada. New York: Carnegie Foundation for the Advancement of Teaching.

    Google Scholar 

  • Forman, S. (1994). Social responsibility and the academic medical center: Building community based systems for the nation’s health, Academic Medicine, 69, 97–101.

    Article  Google Scholar 

  • Funkenstein, D. H. (1968). The learning and personal development of medical students and the recent changes in universities and medical schools, Journal of Medical Education, 43, 883–897.

    PubMed  CAS  Google Scholar 

  • Ganem, J., Beran, J., & Krakower, J. (1995). Review of U.S. medical school finances, 1993–1994, Journal of the American Medical Association, 274, 723–730.

    Article  PubMed  CAS  Google Scholar 

  • Glass, G. V., McGaw, B., & Smith, M. L. (1981). Meta-analysis in social research. Beverly Hills: Sage.

    Google Scholar 

  • Gochman, D. S. (Ed.). (1988). Health behavior: Emerging research perspectives. New York: Plenum Press.

    Google Scholar 

  • Godkin, M., & Quirk, M. (1991). Why students chose family medicine: State schools graduating the most family physicians, Family Medicine, 23(7), 521–526.

    PubMed  CAS  Google Scholar 

  • Golden, G. (1994). The role of evaluation in behavioral science training. Discussant: M. Moore-West, Annals of Behavioral Science and Medical Education, 1, 19–25.

    Google Scholar 

  • Gunderman, R. (1995). Rethinking our basic concepts of health and disease, Academic Medicine, 70, 676–683.

    Article  PubMed  CAS  Google Scholar 

  • Hamilton, J. (1995, July). Establishing standards and measurement methods for medical education. Academic Medicine, 70(Supplement), 51–56.

    Article  Google Scholar 

  • Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. New York: Academic Press.

    Google Scholar 

  • Helfer, R. E. (1970). An objective comparison of the pediatric interviewing skills of freshman and senior medical students, Pediatrics, 45(4), 623–627.

    PubMed  CAS  Google Scholar 

  • Hojat, M., Gonnella, J., Erdmann, J., Veloski, J., & Xu, G. (1995, January). Primary care and non primary care physicians: A longitudinal study of their similarities, differences, and correlates before, during and after medical school. Academic Medicine, 70(Supplement), 17–27.

    Article  Google Scholar 

  • Holmes-Rovner, M., Alexander, E., O’Kelly, B., Rome, W., Wu, S., Lovell, K., & Alfano, M. (1994). Compensation equity between men and women in academic medicine: Methods and implications, Academic Medicine, 69, 131–137.

    Article  PubMed  CAS  Google Scholar 

  • Hunter, J. E., & Schmidt, F. L. (1990). Methods of meta-analysis: Correcting error and bias in research findings. Newbury Park, CA: Sage.

    Google Scholar 

  • Jernstedt, G. C., & Chow, W. K. (1980). Lectures and textual materials as sources of information for learning, Psychological Reports, 46, 1327–1339.

    Article  Google Scholar 

  • Jernstedt, G. C., & Reed, V. A. (1995a, October). A model for the longitudinal, comprehensive assessment of medical education. Paper presented at the Research in Medical Education Conference at the Annual Meeting of the American Association of Medical Colleges, Washington, DC.

    Google Scholar 

  • Jernstedt, G. C., & Reed, V. A. (1995b). The C. Everett Koop Institute—Medical Education Assessment Program. Hanover, NH: Department of Psychology, Dartmouth College.

    Google Scholar 

  • Johnson, H. M. (1940). Pre-experimental assumptions as determiners of experimental results, Psychological Review, 47, 338–346.

    Article  Google Scholar 

  • Kann, L., Warren, C. W., Harris, W. A., Collins, J. L., Douglas, K. A., Collins, M. E., Williams, B. I., Ross, J. G., & Kolbe, L. J. (1995). Youth Risk Behavior Surveillance—United States. Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Journal of School Health, 65, 163–171.

    Article  PubMed  CAS  Google Scholar 

  • Kuhn, T. (1970). The structure of scientific revolutions. Chicago: University of Chicago Press.

    Google Scholar 

  • Lewis, C. C., Pantell, R. H., & Sharp, L. (1991). Increasing patient knowledge, satisfaction, and involvement: Randomized trial of a communication intervention, Pediatrics, 88(2), 351–358.

    PubMed  CAS  Google Scholar 

  • Little, D. R. (1992). Health education programs in U.S. medical schools, Academic Medicine, 67(9), 596–598.

    Article  PubMed  CAS  Google Scholar 

  • Lomas, J. (1994, July). Medicine in context: A neglected perspective in medical education. Academic Medicine, 69 (Supplement), 95–100.

    Article  Google Scholar 

  • Moore-West, M., & O’Donnell, M. (1985). Program evaluation. In A. Kaufman (Ed.), Implementing problem based medical education: Lessons from successful innovations (pp. 180–206). New York: Springer.

    Google Scholar 

  • Moore-West, M., Regan-Smith, M., Dietrich, A., & Kollisch, D. (1990). Enhancing humanism through the educational process. In H. Hendrie & C. Lloyd (Eds.), Educating competent and humane physicians (pp. 128–174). Bloomington: Indiana University Press.

    Google Scholar 

  • Muller, S. (Chairman). (1984). Physicians for the twenty-first century: Report of the project panel on the general professional education of the physician and college preparation for medicine. Journal of Medical Education, 59, Part 2.

    Google Scholar 

  • Novack, D. H., Volk, G., Drossman, D. A., & Iipkin, M. (1993). Medical interviewing and interpersonal skills teaching in U.S. medical schools: Progress, problems, and promise, Journal of the American Medical Association, 269(16), 2101–2105.

    Article  PubMed  CAS  Google Scholar 

  • O’Donnell, J. (1992). Annual report to Charles E. Culpeper Foundation. Hanover, NH: Dartmouth Medical School.

    Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change, Journal of Consulting and Clinical Psychology, 51, 390–395.

    Article  PubMed  CAS  Google Scholar 

  • Rabinowitz, H. K. (1988). Evaluation of a selective medical school admissions policy to increase the number of family physicians in rural and underserved areas, New England Journal of Medicine, 319(8), 480–486.

    Article  PubMed  CAS  Google Scholar 

  • Rabinowitz, H. K. (1990). The change in specialty preference by medical students over time: An analysis of students who prefer family medicine, Family Medicine, 22(1), 62–63.

    PubMed  CAS  Google Scholar 

  • Rappeleye, W. C. (1932). Medical education: Final report of the commission on medical education. New York: Association of American Medical Colleges.

    Google Scholar 

  • Reed, V. A., &Jernstedt, G. C. (1994, October). Meta-analytic assessment of the acquisition and retention of communication skills in medical education. Poster presented at the Research in Medical Education Conference at the Annual Meeting of the American Association of Medical Colleges, Boston.

    Google Scholar 

  • Reed, V. A., & Jernstedt, G. C. (1995, November). Multidimensional assessment of medical student attributes and their changes over time. Poster presented at the Research in Medical Education Conference at the Annual Meeting of the American Association of Medical Colleges, Washington, DC.

    Google Scholar 

  • Reynolds, C., Adler, S., Kanter, S., Horn, J., Harvey, J., & Bernier, G. (1995). The undergraduate medical curriculum: Centralized vs. departmentalized, Academic Medicine, 70, 671–675.

    Article  PubMed  Google Scholar 

  • Rivo, M., Mays, H., Katzoff, J., & King, D. (1995). Managed health care: Implications for the physician workforce and medical education, Journal of the American Medical Association, 274, 712–715.

    Article  PubMed  CAS  Google Scholar 

  • Rosenthal, R. (1991). Meta-analytic procedures for social research. Newbury Park, CA: Sage.

    Google Scholar 

  • Rosnow, R. L., & Rosenthal, R. (1989). Statistical procedures and the justification of knowledge in psychological science, American Psychologist, 44(10), 1276–1284.

    Article  Google Scholar 

  • Schmidt, F. L. (1992). What do data really mean? Research findings, meta-analysis, and cumulative knowledge in psychology, American Psychologist, 47(10), 1173–1181.

    Article  Google Scholar 

  • Schon, D. (1984). The crisis of professional knowledge and the pursuit of an epistemology of practice. Paper presented at the President and Fellows of Harvard College for the Harvard Business School 75th Anniversary Colloquium on Teaching the Case Method, Cambridge, MA.

    Google Scholar 

  • Schon, D. (1987). Educating the reflective practitioner. San Francisco: Jossey-Bass.

    Google Scholar 

  • Smith, S. (1994). An educational blueprint for the Brown University School of Medicine competency based curriculum. Providence, RI: Brown University Press.

    Google Scholar 

  • Smith, S., Balint, J., Krause, K., Moore-West, M., & Viles, P. (1994). Performance based assessment of moral reasoning and ethical judgment among medical students, Academic Medicine, 69, 381–385.

    Article  PubMed  CAS  Google Scholar 

  • Sox, H., Blatt, M., Higgins, M., & Marton, K. (1988). Medical decision making. Stoneham, MA: Butterworth.

    Google Scholar 

  • Stillman, P. L., Burpeau-DiGregorio, M. Y., Nicholson, G. I., Sabers, D. L., & Stillman, A. E. (1983). Six years of experience using patient instructors to teach interviewing skills, Journal of Medical Education, 58, 941–946.

    PubMed  CAS  Google Scholar 

  • Stillman, P. L., Sabers, D. L., & Redfield, D. L. (1977). Use of trained mothers to teach interviewing skills to first-year medical students: A follow-up study, Pediatrics, 60(2), 165–169.

    PubMed  CAS  Google Scholar 

  • Straus, R. (1994). Departments and disciplines: Stasis and change, Annals of the Association of Behavioral Sciences and Medical Education, 1, 14–18.

    Google Scholar 

  • Swanson, A., & Anderson, B. (1993, June). Educating medical students: Assessing change in medical education—The road to implementation. Academic Medicine, 68(Supplement), S1–46.

    Article  PubMed  CAS  Google Scholar 

  • Tarallo-Falk, J. (1995). The socialization of medical students in a preventive health community service learning experience. Unpublished doctoral thesis. Cambridge, MA: Harvard Graduate School of Education.

    Google Scholar 

  • Tarlov, A. R. (1992). The coming influence of social sciences perspective on medical education, Academic Medicine, 67(11), 724–731.

    Article  PubMed  CAS  Google Scholar 

  • Tresolini, C., Shugars, D., & Lee, S. (1995). Teaching an integrated approach to health care: Lessons from five schools, Academic Medicine, 70, 665–670.

    Article  PubMed  CAS  Google Scholar 

  • U.S. Preventive Services Task Force. (1989). Guide to clinical preventive services: An assessment of the effectiveness of 169 interventions. Report of the U.S. Preventive Services Task Force. Baltimore: Williams & Wilkins.

    Google Scholar 

  • Walsh, J., Stevens, M., & Moore-West, M. (1994). Glaxo pre med survey. Unpublished manuscript. Hanover, NH: Dartmouth Medical School.

    Google Scholar 

  • Wennberg, J. E. (1990). Outcomes research, cost containment, and the fear of health care rationing, New England Journal of Medicine, 323, 1202–1204.

    Article  PubMed  CAS  Google Scholar 

  • Winett, R. A. (1995). A framework for health promotion and disease prevention programs, American Psychologist, 50(5), 341–350.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychology, Dartmouth College, Hanover, New Hampshire, 03755, USA

    Virginia A. Reed

  2. Department of Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, 03755, USA

    Maggie L. Moore-West

  3. Department of Psychology and C. Everett Koop Institute, Dartmouth College, Hanover, New Hampshire, 03755, USA

    G. Christian Jernstedt

  4. Department of Medicine, Dartmouth Medical School, Hanover, New Hampshire, 03755, USA

    Joseph F. O’Donnell

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  1. Virginia A. Reed
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  2. Maggie L. Moore-West
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  3. G. Christian Jernstedt
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  4. Joseph F. O’Donnell
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Editor information

Editors and Affiliations

  1. Kent School of Social Work, University of Louisville, Louisville, Kentucky, 40292, USA

    David S. Gochman

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Reed, V.A., Moore-West, M.L., Jernstedt, G.C., O’Donnell, J.F. (1997). Health Behavior Research and Medical Training. In: Gochman, D.S. (eds) Handbook of Health Behavior Research IV. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0484-3_2

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