Evidence map›Paper›PMID 29946384›Full record

ArticleJournal of graduate medical education2018

Assessing Residents' Veteran-Centered Care Skills in the Clinical Setting.

Paula T Ross, James T Fitzgerald, Divy Ravindranath, Paul N Pfeiffer, Mamta K Singh, Saul J Weiner, Deborah M Rooney, Stacie Buckler, Laurie Whitman, Brook Watts and 3 more

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Paula T Ross
James T Fitzgerald
Divy Ravindranath
Paul N Pfeiffer
Mamta K Singh
Saul J Weiner
Deborah M Rooney
Stacie Buckler
Laurie Whitman
Brook Watts
Dorian Jones
Adam S Tremblay
Monica L Lypson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite their placement in Veterans Health Administration centers nationwide, residents' training and assessment in veteran-centered care is variable and often insufficient.

objectiveWe assessed residents' ability to recognize and address mental health issues that affect US military veterans.

methodsTwo unannounced standardized patient (SP) cases were used to assess internal medicine residents' veteran-centered care skills from September 2014 to March 2016. Residents were assessed on 7 domains: military history taking, communication skills, assessment skills, mental health screening, triage, and professionalism, using a 36-item checklist. After each encounter, residents completed a questionnaire to assess their ability to recognize knowledge deficits. Residents' mean scores were compared across training levels, between the 2 cases, and by SP gender. We conducted analysis of variance (ANOVA) tests to analyze mean performance differences across training levels and descriptive statistics to analyze self-assessment questionnaire results.

resultsNinety-eight residents from 2 internal medicine programs completed the encounter and 53 completed the self-assessment questionnaire. Residents performed best on professionalism (0.92 ± 0.20, percentage of the maximal score) and triage (0.87 ± 0.17), and they scored lowest on posttraumatic stress disorder (0.52 ± 0.30) and military sexual trauma (0.33 ± 0.39). Few residents reported that they sought out training to enhance their knowledge and skills in the provision of services and support to military and veteran groups beyond their core curriculum.

conclusionsThis study suggests that additional education and assessment in veteran-centered care may be needed, particularly in the areas of posttraumatic stress disorder and military sexual trauma.

Indexed as

Internship and ResidencyClinical CompetenceFemaleHospitals, VeteransHumansInternal MedicineMaleMental DisordersPatient-Centered CarePatient SimulationPhysician-Patient RelationsSelf-AssessmentSurveys and QuestionnairesVeterans

Identifiers

PMID29946384
PMCPMC6008020

What OpenQuestion holds

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Registered trials

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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.