{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:19:47Z","timestamp":1755793187281,"version":"3.44.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"2930","license":[{"start":{"date-parts":[[2012,7,15]],"date-time":"2012-07-15T00:00:00Z","timestamp":1342310400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>OBJECTIVE: To assess and compare  clinical observations and interpretations by physicians trained in biopsychosocial  internal medicine (group A) and a control group (C) of physicians with no such special training.\n        METHODS: A verbatim  first-interview of a 36-year old woman, seen for consultation by RHA, was  presented to both groups (A, trained physicians: n = 30, and C, controls: n =  29). The\u00a0patient\u2019s symptoms included: shaky knees, strange sensations in the  abdomen and chest, insecurity and dizziness. The symptoms had begun before her  final nursing- exam and exacerbated on her mother\u2019s 60th birthday two months  later. The patient\u2019s mother is the sole caretaker for the patient\u2019s sister, who  also attended the birthday party. The patient\u2019s sister is 19 and had been  diagnosed with storage disease and is wheelchair-bound. The doctors were asked  to record their observations and interpretations while reviewing the case  report.\n        RESULTS: Group A-physicians  mentioned and interpreted the physician-patient relationship and the patient\u2019s  body language as described in the case report more often (p = 0.002, Wilcoxon-Mann-Whitney rank sum test (RS)), mentioned  physical symptoms more often (p = 0.0099,  Fisher\u2019s exact test (FE)) and more often interpreted illness settings with  respect to the patient\u2019s fear and guilt (Fisher\u2019s exact test, p = 0.007 and p = 0.015). A precise integrative diagnosis (life events leading to  stress, the latter evoking fear and guilt, leading to symptoms of the  fight-flight reaction) was suggested by 7 of group A and 4 of group C.  Extensive laboratory work-up and requests for consultations were more  frequently asked for by the C group (p = 0.048, RS).\n        CONCLUSION: Residency training in  biopsychosocial medicine in an Internal Medicine Department increased sensitivity  to and interpretation of biological and psychosocial data many years after the  training and decreased the extent of work-up and consultation costs. However it  only tended to enhance psychosomatic conceptualisation with respect to anxiety\/guilt\/hyperventilation  and conversion symptoms.<\/jats:p>","DOI":"10.4414\/smw.2012.13649","type":"journal-article","created":{"date-parts":[[2012,9,3]],"date-time":"2012-09-03T14:22:36Z","timestamp":1346682156000},"page":"w13649","source":"Crossref","is-referenced-by-count":0,"title":["Clinical competence of biopsychosocially trained  physicians and controls"],"prefix":"10.57187","volume":"142","author":[{"given":"Rolf H.","family":"Adler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph\u00a0E.","family":"Minder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36756","published-online":{"date-parts":[[2012,7,15]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1538\/1960","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1538\/1961","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1538\/1960","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T03:57:50Z","timestamp":1755230270000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,15]]},"references-count":0,"journal-issue":{"issue":"2930","published-online":{"date-parts":[[2012,7,16]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2012.13649","relation":{},"ISSN":["1424-3997"],"issn-type":[{"type":"electronic","value":"1424-3997"}],"subject":[],"published":{"date-parts":[[2012,7,15]]}}}