Evidence map›Paper›PMID 26990439›Full record

ArticleHealth services research2017

Has Interprofessional Education Changed Learning Preferences? A National Perspective.

T Michael Kashner, Debbie L Hettler, Robert A Zeiss, David C Aron, David S Bernett, Judy L Brannen, John M Byrne, Grant W Cannon, Barbara K Chang, Mary B Dougherty and 5 more

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Beyond the Lamppost: A Proposal for a Fourth Wave of Education for Collaboration.Academic medicine : journal of the Association of American Medical Colleges · 2018
    Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

T Michael KashnerDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Debbie L HettlerDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Robert A ZeissDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
David C AronLouis Stokes Cleveland DVA Medical Center, Cleveland, OH.
David S BernettVA Medical Center, Office of Academic Affiliations, St. Louis, MO.
Judy L BrannenDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
John M ByrneLoma Linda University Medical School, Loma Linda, CA.
Grant W CannonGeorge E. Wahlen VA Medical Center, Salt Lake City, UT.
Barbara K ChangDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Mary B DoughertyDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Stuart C GilmanDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Gloria J HollandDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Catherine P KaminetzkyCenter for Education and Development, VA Puget Sound Health Care System, Seattle, WA.
Annie B WickerDepartment of Veterans Affairs, Office of Academic Affiliations, Washington, DC.
Sheri A KeitzDepartment of Medicine, UMass-Memorial Medical Center at the University of Massachusetts, Worcester, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess how changes in curriculum, accreditation standards, and certification and licensure competencies impacted how medical students and physician residents value interprofessional team and patient-centered care. PRIMARY DATA SOURCE: The Department of Veterans Affairs Learners' Perceptions Survey (2003-2013). The nationally administered survey asked a representative sample of 56,569 U.S. medical students and physician residents, with a comparison group of 78,038 nonphysician trainees, to rate satisfaction with 28 elements, in two overall domains, describing their clinical learning experiences at VA medical centers. STUDY

designValue preferences were scored as independent adjusted associations between an element (interprofessional team, patient-centered preceptor) and the respective overall domain (clinical learning environment, faculty, and preceptors) relative to a referent element (quality of clinical care, quality of preceptor). PRINCIPAL

findingsPhysician trainees valued interprofessional (14 percent vs. 37 percent, p < .001) and patient-centered learning (21 percent vs. 36 percent, p < .001) less than their nonphysician counterparts. Physician preferences for interprofessional learning showed modest increases over time (2.5 percent/year, p < .001), driven mostly by internal medicine and surgery residents. Preferences did not increase with trainees' academic progress.

conclusionsDespite changes in medical education, physician trainees continue to lag behind their nonphysician counterparts in valuing experience with interprofessional team and patient-centered care.

Indexed as

Education, MedicalPatient Care TeamPatient-Centered CareAccreditationAttitude of Health PersonnelCurriculumFemaleHumansInternship and ResidencyMaleStudents, MedicalSurveys and QuestionnairesHealth workforce traininginterprofessional carepatient-centered caresurvey research and questionnaire designVA health care system

Identifiers

PMID26990439
PMCPMC5264109

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.