ArticleJournal of general internal medicine2011
Assessment of medical students' shared decision-making in standardized patient encounters.
Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Clinical decisions presented to patients in hospital encounters: a cross-sectional study using a novel taxonomy.BMJ open · 2018Trial
- Brief training of student clinicians in shared decision making: a single-blind randomized controlled trial.Journal of general internal medicine · 2014Trial
- The Formation Mechanism of Trust in Patient from Healthcare Professional's Perspective: A Conditional Process Model.Journal of clinical psychology in medical settings · 2022Article
- A best-worst scaling survey of medical students' perspective on implementing shared decision-making in China.BMC medical education · 2020Article
- Article
- Teaching Shared Decision Making to Family Medicine Residents: A Descriptive Study of a Web-Based Tutorial.JMIR medical education · 2016Article
- Measurement challenges in shared decision making: putting the 'patient' in patient-reported measures.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- What is a medical decision? A taxonomy based on physician statements in hospital encounters: a qualitative study.BMJ open · 2016Article
- Medical student self-efficacy, knowledge and communication in adolescent medicine.International journal of medical education · 2014Article
- The psychometric properties of CollaboRATE: a fast and frugal patient-reported measure of the shared decision-making process.Journal of medical Internet research · 2014Article
- Patient trust in physicians and shared decision-making among African-Americans with diabetes.Health communication · 2013Article
- Shared decision making: a model for clinical practice.Journal of general internal medicine · 2012Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision-making, in which physicians and patients openly explore beliefs, exchange information, and reach explicit closure, may represent optimal physician-patient communication. There are currently no universally accepted methods to assess medical students' competence in shared decision-making.
objectiveTo characterize medical students' shared decision-making with standardized patients (SPs) and determine if students' use of shared decision-making correlates with SP ratings of their communication.
designRetrospective study of medical students' performance with four SPs.
participantsSixty fourth-year medical students. MEASUREMENTS: Objective blinded coding of shared decision-making quantified as decision moments (exploration/articulation of perspective, information sharing, explicit closure for a particular decision); SP scoring of communication skills using a validated checklist.
resultsOf 779 decision moments generated in 240 encounters, 312 (40%) met criteria for shared decision-making. All students engaged in shared decision-making in at least two of the four cases, although in two cases 5% and 12% of students engaged in no shared decision-making. The most commonly discussed decision moment topics were medications (n = 98, 31%), follow-up visits (71, 23%), and diagnostic testing (44, 14%). Correlations between the number of decision moments in a case and students' communication scores were low (rho = 0.07 to 0.37).
conclusionsAlthough all students engaged in some shared decision-making, particularly regarding medical interventions, there was no correlation between shared decision-making and overall communication competence rated by the SPs. These findings suggest that SP ratings of students' communication skill cannot be used to infer students' use of shared decision-making. Tools to determine students' skill in shared decision-making are needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.