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1- Kurtz S, JSJD. Teaching and learning communication skills in medicine. Oxford, Radcliffe Medical Press.
2005; 145-163.
2- Pendleton D. The New consultation: developing doctor-patient communication. Oxford, Oxford University Press; 2003; 175-185.
3- Smith RC, Greenbaum DS, Vancouver JB, et al. Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome. Gastroenterology. 1990; 98: 293-301.
4- Little P, Everitt H, Williamson I, et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ . 2001; 323: 908-911.
5- Roter DL, Hall JA, Katz NR. Relations between physicians' behaviors and analogue patients' satisfaction, recall, and impressions. Med Care. 1987; 25: 437-451.
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6- Mead N, Bower P. Patient-centred consultations and outcomes in primary care: a review of the literature.
Patient Educ Couns. 2002; 48: 51-61.
7- Anderson LA, Zimmerman M. Patient and Physician Perceptions of their Relationship and Patient Satisfaction: A Study of Chronic Disease Management. Patient Educ Couns. 1993; 20: 7-36.
8- Evans BJ, Stanley RO, Mestrovic R, Rose L. Effects of communication skills training on students' diagnostic efficiency. Med Educ.1991; 25: 517-526.
9- Roter DL, Hall JA, Kern DE, Barker LR, Cole KA, Roca RP. Improving physicians' interviewing skills and reducing patients' emotional distress. A randomized clinical trial. Arch Intern Med. 1995; 155: 1877- 1884.
10- DiMatteo MR, Sherbourne CD, Hays RD, et al. Physicians' characteristics influence patients' adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol. 1993; 12: 93-102.
11- Kempainen RR, Migeon MB, Wolf FM: Understanding our mistakes: a primer on errors in clinical reasoning. Med Teach. 2003; 25: 177-181.
12- Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician- patient interactions on the outcomes of chronic disease. Med Care. 1989; 27: S110-S27.
13- Street RL, Kimberly JO, Cooper L, Haidet P. Understanding Concordance in Patient-Physician Relationships: Personal and Ethnic Dimensions of Shared Identity. Annals of Family Medicine, 2008; 6(3):
198-203.
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15- Moss F, Paice E, Heard S. How important are role models in making good doctors? British Medical J.
2010; 707-8.
16- Kitzman R. Improving education on doctor-patient relationships and communication: lessons from doctors who become patients. Acad Med. 2006; 81: 447-53.
17- Haidet P, Dains J, Paterniti D, et al. Medical student attitudes toward the doctor–patient relationship.
Article first published online. Med Edu. 2002; 36: 568-74.
18- Sparr L, Gordon G, Hickam D, Girard D. The doctor-patient relationship during medical internship: The evolution of dissatisfaction. Social Science & Medicine Elsevier Ltd. 1998; 11: 1095-101.
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20 Côté L, Leclère H. How clinical teachers perceive the doctor-patient relationship and themselves as role models. Acad Med. 2000; 75: 1117-24.
21 Farajzadeh S, Noohi E, Mortazavi H. Study of status of physicians-patient communication among Medical Interns. Med Edu. 2006; 2: 89-96.
22 Lee KH, Seow A, Luo N, Koh D. Attitudes towards the doctor-patient relationship: a prospective JNMA J Nepal Med Assoc. 2006; 45: 196-203.
23 Moria A. Effective physician_patient communication and health outcomes. Can Med Assoc J. 1995; 9:
152-9.
24 Thomas HG, Levinson W. A Prescription for protecting the doctor-patient rRelationship. Am J Manag Care. 2004; 10: 61-8.
25 Wamsley MA, Dubowitz N, Kohli P, Cooke M, O'Brien BC. Continuity in a longitudinal out-patient attachment for Year 3 medical students. Med Educ. 2009; 43: 895-906.
26 Shankar PR, Piryani RM. Medical education and medical educators in South Asia--a set of challenges. J Coll Physicians Surg Pak. 2009; 19: 52-6.
27 Egnew TR, Wilson HJ. Faculty and medical students' perceptions of teaching and learning about the doctor-patient relationship. Patient Educ Couns. 2010; 79: 199-206.
28 Caldicott CV, Danis M. Medical ethics contributes to clinical management: teaching medical students to engage patients as moral agents. Med Edu. 2009; 43: 283-9.
29 Nogueira-Martins MCF, Nogueira-Martins LA, Turato ER. Medical students’ perceptions of their learning about the doctor-patient relationship: a qualitative study. Med Edu. 2006; 40: 322-8.
30 Shankar PR. Attitudes of first-year medical students towards the doctor patient relationship. J Nepal Med Assoc. 2006; 45: 196-203.
31 ShankarPR, Dudey AK, Subish P, Deshpande VY. Attitudes of first-year medical students towards the doctor patient relationship. study in an Asian medical school. Med Edu. 2008; 42: 1092-9.
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