Ronald Mark Epstein

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Copyright © 2007 Massachusetts Medical Society. A s an attending physician working with a student for a week, you receive a form that asks you to evaluate the student’s fund of knowledge, procedural skills, professionalism, interest in learning, and “systems-based practice.” You wonder which of these attributes you can reliably assess and how the data you(More)
CONTEXT Primary care physicians report high levels of distress, which is linked to burnout, attrition, and poorer quality of care. Programs to reduce burnout before it results in impairment are rare; data on these programs are scarce. OBJECTIVE To determine whether an intensive educational program in mindfulness, communication, and self-awareness is(More)
The goal of patient-centered communication (PCC) is to help practitioners provide care that is concordant with the patient's values, needs and preferences, and that allows patients to provide input and participate actively in decisions regarding their health and health care. PCC is widely endorsed as a central component of high-quality health care, but it(More)
OBJECTIVE Although prior research indicates that features of clinician-patient communication can predict health outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient(More)
BACKGROUND The assessment of communication competence has become a major priority of medical educational, policy, and licensing organizations in the United States and Canada. Multiple tools are available to assess communication competence, but there are few studies that compare the tools. METHODS A consensus panel of six family medicine educators(More)
We explored conceptualizations of health promotion and experiences with preventive health services among African refugee women. We asked 34 resettled Somali refugee women about their beliefs and experiences regarding health promotion and common preventive health care services in the United States. Interviews were audiotaped, transcribed, and analyzed using(More)
1. Ronald M. Epstein, MD1,2⇓ and 2. Richard L. Street Jr, PhD3,4 +Author Affiliations 1. 1 Departments of Family Medicine, Psychiatry, Oncology, and Nursing, University of Rochester Medical Center, Rochester, New York 2. 2 Center for Communication and Disparities Research, University of Rochester Medical Center, Rochester, New York 3. 3 Department of(More)
The phrase "patient-centered care" is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care(More)
Growing enthusiasm about patient-centered medical homes, fueled by the Patient Protection and Affordable Care Act's emphasis on improved primary care, has intensified interest in how to deliver patient-centered care. Essential to the delivery of such care are patient-centered communication skills. These skills have a positive impact on patient satisfaction,(More)