Achim Mortsiefer

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OBJECTIVE To evaluate the summative assessment (OSCE) of a communication training programme for dealing with challenging doctor-patient encounters in the 4th study year. METHODS Our OSCE consists of 4 stations (breaking bad news, guilt and shame, aggressive patients, shared decision making), using a 4-item global rating (GR) instrument. We calculated(More)
INTRODUCTION Implementation of a longitudinal curriculum for training in advanced communications skills represents an unmet need in most German medical faculties, especially in the 4rth and 5th years of medical studies. The CoMeD project (communication in medical education Düsseldorf) attempted to establish an interdisciplinary program to teach and to(More)
BACKGROUND For preventive interventions in general practice to succeed, patients' points of view must be taken into account in addition to those of GPs. OBJECTIVE To explore patients' views and beliefs about the importance of lifestyle and preventive interventions, to assess their readiness to make changes to their lifestyle and their willingness to(More)
BACKGROUND This study investigates the efficacy of a complex multifaceted intervention aiming at increasing the quality of care of GPs for patients with multimorbidity. In its core, the intervention aims at enhancing the doctor-patient-dialogue and identifying the patient's agenda and needs. Also, a medication check is embedded. Our primary hypothesis is(More)
Eine Patientenverfügung (PV) ist nach dem sog. Patientenverfügungsgesetz vom 01.09.2009 unter bestimmten Bedingungen – auch für ärztliche und nichtärztliche Mitarbeiter des Rettungsdienstes – formal rechtlich bindend. Doch sind diese Bedingungen in Notfallsituationen derzeit nur selten erfüllt, sodass das Rettungspersonal auch bei Vorliegen einer PV meist(More)
BACKGROUND From 2010 onward, a new leaflet about mammography screening for breast cancer, more informative than the preceding version, has been sent to women in Germany aged 50 to 69 with the invitation to undergo screening. The purpose of this study was to determine the effect of different informational content on the decision whether or not to be(More)
OBJECTIVE To compare a cardiovascular risk (CVR)-adjusted with the traditional blood pressure (BP) control rate for assessing BP control and consequent target populations for intensified treatment. METHODS Model calculation using cross-sectional data retrieved from 89 German general practices; a random sample of 3355 patients with known hypertension was(More)
BACKGROUND Recent guidelines for the management of hypertension focus on treating patients according to their global cardiovascular risk (CVR), rather than strictly keeping blood pressure, or other risk factors, below set limit values. The objective of this study is to compare the effect of a simple versus a complex educational intervention implementing(More)
BACKGROUND The aim of the EUROPREVIEW study was to explore patients' beliefs about primary care prevention, to assess their needs to make changes in lifestyle and their willingness to receive support from GPs. METHODS A cross-sectional survey was undertaken in 22 European countries with 10 practices each that consecutively included 40 patients between 30(More)
OBJECTIVE To identify inter-individual examiner factors associated with interrater reliability in a summative communication OSCE in the 4th study year. METHODS The OSCE consists of 4 stations assessed with a 4-item 5-point global rating instrument. A bivariate secondary analysis of interrater reliability in relation to 4 examiner factors (gender,(More)