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  1. Article ; Online: 'Person-centred care': an overhyped cliché or a practicable health delivery model?

    Ng, Isaac K S / Goh, Wilson G W / Lin, Norman H Y / Teo, Desmond B

    Internal medicine journal

    2024  

    Language English
    Publishing date 2024-04-24
    Publishing country Australia
    Document type Editorial
    ZDB-ID 2045436-3
    ISSN 1445-5994 ; 1444-0903
    ISSN (online) 1445-5994
    ISSN 1444-0903
    DOI 10.1111/imj.16358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: 'Insight' in medical training: what, why, and how?

    Ng, Isaac K S / Lin, Norman H Y / Goh, Wilson G W / Teo, Desmond B / Tan, Li Feng / Ban, Kenneth H K

    Postgraduate medical journal

    2024  Volume 100, Issue 1181, Page(s) 196–202

    Abstract: The term 'insight' is generically defined in English language as the ability to perceive deeper truths about people and situations. In clinical practice, patient insight is known to have important implications in treatment compliance and clinical ... ...

    Abstract The term 'insight' is generically defined in English language as the ability to perceive deeper truths about people and situations. In clinical practice, patient insight is known to have important implications in treatment compliance and clinical outcomes, and can be assessed clinically by looking for the presence of illness awareness, correct attribution of symptoms to underlying condition, and acceptance of treatment. In this article, we suggest that cultivating insight is actually a highly important, yet often overlooked, component of medical training, which may explain why some consistently learn well, communicate effectively, and quickly attain clinical competency, while others struggle throughout their clinical training and may even be difficult to remediate. We herein define 'insight' in the context of medical training as having an astute perception of personal cognitive processes, motivations, emotions, and ability (strengths, weaknesses, and limitations) that should drive self-improvement and effective behavioural regulation. We then describe the utility of cultivating 'insight' in medical training through three lenses of (i) promoting self-regulated, lifelong clinical learning, (ii) improving clinical competencies and person-centred care, and (iii) enhancing physician mental health and well-being. In addition, we review educational pedagogies that are helpful to create a medical eco-system that promotes the cultivation of insight among its trainees and practitioners. Finally, we highlight several tell-tale signs of poor insight and discuss psychological and non-psychological interventions that may help those severely lacking in insight to become more amenable to change and remediation.
    MeSH term(s) Humans ; Clinical Competence ; Education, Medical ; Learning ; Mental Health ; Patient-Centered Care
    Language English
    Publishing date 2024-01-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgad115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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