A shared decision-making communications workshop improves internal medicine resident skill, risk-benefit education, and counseling attitude

Amell, F (通讯作者),Div Hosp Med, 1 Med Ctr Dr, Lebanon, NH 03766 USA.
2022-4
Objective: We assessed the impact of a workshop on first-year medicine residents (PGY1) shared decision-making (SDM) communication skill, risk-benefit education, and attitude.Methods: A SDM skills-focused workshop was integrated into an academic medical center PGY1 ambulatory rotation in 2016-2017. Pre/post recordings of virtual Objective Structured Clinical Examinations (OSCEs) with standardized patients sharing decisions were scored using OPTION5. Risk-benefit education, including decision aid use, was measured. Pre/post surveys assessed SDM practice attitudes and perceived barriers.Results: 31 of 48 (65%) PGY1 workshop attendees completed pre/post OSCEs yielding 62 videos. OPTION5 scores improved from 27/100 pre to 56/100 post (p < 0.001). Pre/post increases in integration of qualitative (15/31 vs 31/31, p < 0.001) and quantitative (3/31 vs 31/31, p < 0.001) risk measures, and decision aids (1/3 vs 31/31, p < 0.001) were observed. Pro-SDM attitude of decisional neutrality increased 16.6% pre to 71.9% post-survey (P < 0.001). Barriers to SDM remain. Conclusion: This PGY1 workshop with virtual OSCEs improved SDM communication skills, the ability to find and provide risk-benefit education, and SDM-facilitating attitude.Practice implications: Residency programs can improve SDM skills, risk-benefit education, and attitudes with a workshop intervention. Perceived time constraints and cognitive biases regarding risk-benefit es-timates should be addressed to ensure quality SDM in practice.(c) 2021 Elsevier B.V. All rights reserved.
PATIENT EDUCATION AND COUNSELING
卷号:105|期号:4|页码:1018-1024
ISSN:0738-3991|收录类别:SCIE
语种
英语
来源机构
Yeshiva University; Albert Einstein College of Medicine; Dartmouth College; Dartmouth College; Stanford University; Jacobi Medical Center
资助机构
National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH)(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Center for Advancing Translational Sciences (NCATS))
资助信息
Tor Tosteson, Sc. D., Professor of Biomedical Data Science, Dartmouth Institute, Lebanon NH supported by UL1TR001086 from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) who reviewed analytic methods. William Burton, Ph.D., Director of Assessment, Evaluation and Quality Improvement Office of Medical Education, Albert Einstein College of Medicine, Bronx NY who reviewed the survey methodology and presentation.
被引频次(WOS)
2
被引频次(其他)
2
180天使用计数
2
2013以来使用计数
4
EISSN
1873-5134
出版年
2022-4
DOI
10.1016/j.pec.2021.07.040
关键词
Shared decision-making Patient communication Patient education Evidence-based medicine Graduate medical education Residency education Risk-benefit
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Interdisciplinary
学科领域
循证公共卫生 循证社会科学-综合