Robinson E J, Whitfield M J
Fam Pract. 1987 Mar;4(1):5-10. doi: 10.1093/fampra/4.1.5.
Consultations with 494 patients were tape-recorded, transcribed and coded. The sample consisted of 168 patients of six experienced general practitioners from training practices, and 326 patients of six trainee general practitioners. Talk in the consultations of trainees and experienced doctors was similar in many respects, including total quantity of talk per consultation. However, twice as many patients of the trainees than those of the experienced doctors produced questions and comments which followed from something already said by the doctor. In addition, the trainees were more likely than the experienced doctors to ask the patients questions about the suggested treatment, rather than simply to offer instructions and advice. These features of doctors' and patients' behaviour were significantly correlated with each other for both the trainees and the experienced doctors. It is suggested that the strategy of engaging patients in discussion about treatment, used more by the trainees, encouraged patients to think of queries which otherwise might not have occurred to them during the consultation.
对494名患者的会诊进行了录音、转录和编码。样本包括来自培训诊所的6名经验丰富的全科医生的168名患者，以及6名实习全科医生的326名患者。实习医生和经验丰富的医生在会诊中的谈话在许多方面都相似，包括每次会诊的谈话总量。然而，实习医生的患者提出的问题和评论是医生之前所说内容引发的，其数量是经验丰富的医生的患者的两倍。此外，与经验丰富的医生相比，实习医生更有可能询问患者关于建议治疗的问题，而不是简单地提供指示和建议。对于实习医生和经验丰富的医生来说，医生和患者行为的这些特征彼此之间存在显著相关性。有人认为，实习医生更多采用的让患者参与治疗讨论的策略，鼓励患者思考在会诊期间否则可能不会想到的问题。
