�UroToday.com - A report in the Journal of General Internal Medicine by Dr. Lindsay Deuster and colleagues evaluates the ability of residents to communicate with patients about cancer screening - and specifically the enjoyment of jargon language during these guidance sessions. Jargon is defined by the authors as "specialized language of a trade, profession, or similar group" that is non easily understood by others. The authors used a communication quality indicator and methods from corpus philology in holy Order to measure jargon usage.
Transcripts of conversations 'tween internal practice of medicine residents and standardized patients, portrayed to have a question around screening for prostate or breast cancer, were abstracted. These transcripts were made from tapes collected during four workshops in a primary caution internal practice of medicine residency program. Residents were asked to give informed consent and patients began with a short speech, patterned afterward an example they were given, to inquire about prostate or breast crab screening. The final sample distribution for analysis consisted of 86 transcripts (41 prostate gland cancer and 45 bosom cancer). A structured 7-step protocol was used to abstract jargon word lists and valuate transcripts for explanations of these argot words.
Patient interviews averaged 10.1 minutes and inter-abstractor dependability was very high. Across 86 transcripts, 350 unique jargon words were identified, with an average of 19.6 unique jargon words per transcript. Most words were used more than than in one case, for an average of 53.6 jargon words used per transcript. No difference was found in jargon word usage, either by occupier gender of year in residency. On average, 4.5 explanations per transcript were establish. More explanations were institute in prostate gland cancer screening transcripts (5.9) compared to breast cancer (3.2). The average explanation ratio was 0.15, meaning that 85% of jargon was not explained. The 5 most ordinarily used prostate screening jargoon words were prostate, cRT screen, symptom, rectal, and biopsy. The results suggest that the employment of jargon words is high in cancer screening, and the prevalence of jargon explanations are downcast.
Deuster L, Christopher S, Donovan J, Farrell M
J Gen Intern Med. 2008 Aug 1. Epub onwards of print.
Reported by UroToday.com Contributing Editor Christopher P. Evans, MD, FACS
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