In search of the biopsychosocial perspective: an experiment with beginning medical students

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Abstract
The clinical thinking of medical students before, during and after their 1st extensive in-hospital learning experience and exposure to physician role models were assessed. Most (> 90%) of the student''s requests for additional data in response to videotaped simulated patient interviews were for biologic information; .apprx. 66% of all respondents in 6 separate trials failed to request a single psychological or social item concerning the patient. The pervasiveness of the biomedical rather than the biopsychosocial mentality and its implications for medical education as well as clinical teaching, decision making and practice are discussed.

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