Himmel, Wolfgang

[["dc.bibliographiccitation.artnumber","e159"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Journal of medical Internet research"],["dc.bibliographiccitation.lastpage","e1"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Weibezahl, Lara"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Makedonski, Filip Dobrinov"],["dc.contributor.author","Grabowski, Jens"],["dc.date.accessioned","2019-07-09T11:42:34Z"],["dc.date.available","2019-07-09T11:42:34Z"],["dc.date.issued","2015"],["dc.description.abstract","BACKGROUND: The vascular hypothesis of multiple sclerosis (MS), called chronic cerebrospinal venous insufficiency (CCSVI), and its treatment (known as liberation therapy) was immediately rejected by experts but enthusiastically gripped by patients who shared their experiences with other patients worldwide by use of social media, such as patient online forums. Contradictions between scientific information and lay experiences may be a source of distress for MS patients, but we do not know how patients perceive and deal with these contradictions. OBJECTIVE: We aimed to understand whether scientific and experiential knowledge were experienced as contradictory in MS patient online forums and, if so, how these contradictions were resolved and how patients tried to reconcile the CCSVI debate with their own illness history and experience. METHODS: By using critical discourse analysis, we studied CCSVI-related posts in the patient online forum of the German MS Society in a chronological order from the first post mentioning CCSVI to the time point when saturation was reached. For that time period, a total of 117 CCSVI-related threads containing 1907 posts were identified. We analyzed the interaction and communication practices of and between individuals, looked for the relation between concrete subtopics to identify more abstract discourse strands, and tried to reveal discourse positions explaining how users took part in the CCSVI discussion. RESULTS: There was an emotionally charged debate about CCSVI which could be generalized to 2 discourse strands: (1) the \"downfall of the professional knowledge providers\" and (2) the \"rise of the nonprofessional treasure trove of experience.\" The discourse strands indicated that the discussion moved away from the question whether scientific or experiential knowledge had more evidentiary value. Rather, the question whom to trust (ie, scientists, fellow sufferers, or no one at all) was of fundamental significance. Four discourse positions could be identified by arranging them into the dimensions \"trust in evidence-based knowledge,\" \"trust in experience-based knowledge,\" and \"subjectivity\" (ie, the emotional character of contributions manifested by the use of popular rhetoric that seemed to mask a deep personal involvement). CONCLUSIONS: By critical discourse analysis of the CCSVI discussion in a patient online forum, we reconstruct a lay discourse about the evidentiary value of knowledge. We detected evidence criteria in this lay discourse that are different from those in the expert discourse. But we should be cautious to interpret this dissociation as a sign of an intellectual incapability to understand scientific evidence or a naïve trust in experiential knowledge. Instead, it might be an indication of cognitive dissonance reduction to protect oneself against contradictory information."],["dc.identifier.doi","10.2196/jmir.4103"],["dc.identifier.fs","618834"],["dc.identifier.pmid","26133525"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13579"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58698"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1438-8871"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.subject.mesh","Chronic Disease"],["dc.subject.mesh","Evidence-Based Medicine"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Internet"],["dc.subject.mesh","Multiple Sclerosis"],["dc.subject.mesh","Patient Satisfaction"],["dc.subject.mesh","Social Media"],["dc.subject.mesh","Spinal Cord"],["dc.subject.mesh","Venous Insufficiency"],["dc.title","Scientific Versus Experiential Evidence: Discourse Analysis of the Chronic Cerebrospinal Venous Insufficiency Debate in a Multiple Sclerosis Forum."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","Doc55"],["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.lastpage","12"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Gágyor, Ildikó"],["dc.contributor.author","Hilbert, Nadine"],["dc.contributor.author","Chenot, Jean-François"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Ortner, Tuulia"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Wedeken, Sven"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:54:39Z"],["dc.date.available","2019-07-09T11:54:39Z"],["dc.date.issued","2012"],["dc.description.abstract","AIMS: Negative experiences during the course of medical education have been reported in many countries, but little is known about the perceived severity of these experiences. We studied for the first time how often students at a medical university in Germany have had negative experiences, and how severe they perceive these to be. METHOD: We asked medical students in an online survey whether they felt adequately appreciated, had experienced peer rivalry, verbal abuse by their mentors, physical abuse or mistreatment, sexual harassment, racial or ethnic discrimination, or any other kind of mistreatment. RESULTS: Of 391 students, 56% stated that they felt insufficiently appreciated, 51% had experienced rivalry, and 34% had suffered verbal abuse. Fifty-nine percent of the students felt highly aggrieved because of verbal abuse, while 46% were aggrieved by the ongoing rivalry and 32% by the lack of appreciation. Significantly fewer students felt upset because they were passed over or ignored (21%). Generally, female students felt more often aggrieved by these negative experiences than their male colleagues. CONCLUSION: Of the possible negative experiences, the less prominent ones such as lack of appreciation or verbal abuse are not only frequent, they are also perceived as very upsetting. Medical teachers should reflect this more in their day-to-day dealings with students and aim to improve on their contact with the students accordingly."],["dc.identifier.doi","10.3205/zma000825"],["dc.identifier.fs","592279"],["dc.identifier.pmid","22916081"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9541"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60705"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC-ND 3.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Adult"],["dc.subject.mesh","Attitude of Health Personnel"],["dc.subject.mesh","Data Collection"],["dc.subject.mesh","Education, Medical"],["dc.subject.mesh","Female"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Human Rights Abuses"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Interpersonal Relations"],["dc.subject.mesh","Male"],["dc.subject.mesh","Mentors"],["dc.subject.mesh","Peer Group"],["dc.subject.mesh","Prejudice"],["dc.subject.mesh","Questionnaires"],["dc.subject.mesh","Sexual Harassment"],["dc.subject.mesh","Students, Medical"],["dc.title","Wie häufig und belastend sind negative Erfahrungen im Medizinstudium?"],["dc.title.alternative","Frequency and perceived severity of negative experiences during medical education in Germany--results of an online-survery of medical students"],["dc.title.subtitle","Ergebnisse einer Online-Befragung von Medizinstudierenden"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","212"],["dc.bibliographiccitation.journal","International Journal of Medical Education"],["dc.bibliographiccitation.lastpage","218"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Nolte, Catharina"],["dc.contributor.author","Fischer, Thomas"],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2019-07-09T11:41:30Z"],["dc.date.available","2019-07-09T11:41:30Z"],["dc.date.issued","2014"],["dc.description.abstract","OBJECTIVE: The aim of this study was to analyse the psychometric properties of the short version of the Calgary Cambridge Guides and to decide whether it can be recommended for use in the assessment of communications skills in young undergraduate medical students. METHODS: Using a translated version of the Guide, 30 members from the Department of General Practice rated 5 videotaped encounters between students and simulated patients twice. Item analysis should detect possible floor and/or ceiling effects. The construct validity was investigated using exploratory factor analysis. Intra-rater reliability was measured in an interval of 3 months, inter-rater reliability was assessed by the intraclass correlation coefficient. RESULTS: The score distribution of the items showed no ceiling or floor effects. Four of the five factors extracted from the factor analysis represented important constructs of doctor-patient communication The ratings for the first and second round of assessing the videos correlated at 0.75 (p<0.0001). Intraclass correlation coefficients for each item ranged were moderate and ranged from 0.05 to 0.57. CONCLUSIONS: Reasonable score distributions of most items without ceiling or floor effects as well as a good test-retest reliability and construct validity recommend the C-CG as an instrument for assessing communication skills in undergraduate medical students. Some deficiencies in inter-rater reliability are a clear indication that raters need a thorough instruction before using the C-CG."],["dc.identifier.doi","10.5116/ijme.5454.c665"],["dc.identifier.fs","608012"],["dc.identifier.pmid","25480988"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12155"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58447"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","2042-6372"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/3.0"],["dc.subject.mesh","Clinical Competence"],["dc.subject.mesh","Communication"],["dc.subject.mesh","Education, Medical, Undergraduate"],["dc.subject.mesh","Educational Measurement"],["dc.subject.mesh","Factor Analysis, Statistical"],["dc.subject.mesh","Female"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Male"],["dc.subject.mesh","Observer Variation"],["dc.subject.mesh","Psychometrics"],["dc.subject.mesh","Reproducibility of Results"],["dc.subject.mesh","Students, Medical"],["dc.title","Psychometric properties of the Calgary Cambridge guides to assess communication skills of undergraduate medical students."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]