Shared Decision-Making Training in Internal Medicine: A Multisite Intervention Study.
Journal
Journal of graduate medical education
ISSN: 1949-8357
Titre abrégé: J Grad Med Educ
Pays: United States
ID NLM: 101521733
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
05
11
2018
revised:
20
02
2019
accepted:
31
03
2019
entrez:
21
8
2019
pubmed:
21
8
2019
medline:
28
1
2020
Statut:
ppublish
Résumé
Research shows that when patients and health care providers share responsibility for clinical decisions, both patient satisfaction and quality of care increase, and resource use decreases. Yet few studies have assessed how to train residents to use shared decision-making (SDM) in their practice. We developed and evaluated a SDM training program in internal medicine. Senior internal medicine residents from 3 hospitals in Switzerland were assessed shortly before and 2 months after completing a program that included a 2-hour workshop and pocket card use in clinical practice. Encounters with standardized patients (SPs) were recorded and SDM performance was assessed using a SDM completeness rating scale (scores ranging from 0 to 100), a self-reported questionnaire, and SPs rating the residents. Of 39 eligible residents, 27 (69%) participated. The mean (SD) score improved from 65 (SD 13) to 71 (SD 12; effect size [ES] 0.53; The SDM training program improved the competencies of internal medicine residents and promoted the use of SDM in clinical practice. The approach may be of interest for teaching SDM to residents in other disciplines and to medical students.
Sections du résumé
BACKGROUND
BACKGROUND
Research shows that when patients and health care providers share responsibility for clinical decisions, both patient satisfaction and quality of care increase, and resource use decreases. Yet few studies have assessed how to train residents to use shared decision-making (SDM) in their practice.
OBJECTIVE
OBJECTIVE
We developed and evaluated a SDM training program in internal medicine.
METHODS
METHODS
Senior internal medicine residents from 3 hospitals in Switzerland were assessed shortly before and 2 months after completing a program that included a 2-hour workshop and pocket card use in clinical practice. Encounters with standardized patients (SPs) were recorded and SDM performance was assessed using a SDM completeness rating scale (scores ranging from 0 to 100), a self-reported questionnaire, and SPs rating the residents.
RESULTS
RESULTS
Of 39 eligible residents, 27 (69%) participated. The mean (SD) score improved from 65 (SD 13) to 71 (SD 12; effect size [ES] 0.53;
CONCLUSIONS
CONCLUSIONS
The SDM training program improved the competencies of internal medicine residents and promoted the use of SDM in clinical practice. The approach may be of interest for teaching SDM to residents in other disciplines and to medical students.
Identifiants
pubmed: 31428272
doi: 10.4300/JGME-D-18-00849
pii: JGME-D-18-00849R1
pmc: PMC6697303
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
146-151Déclaration de conflit d'intérêts
Conflict of interest: The authors declare they have no competing interests.
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