Evidence map›Paper›PMID 30783879›Full record

ArticleJournal of general internal medicine2019

Developing a Professional Identity as a Change Agent Early in Medical School: the Students' Voice.

Catherine McDermott, Kaitlyn Shank, Caleb Shervinskie, Jed D Gonzalo

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  13. Tackling Some Wicked Problems in Medical Education.Journal of general internal medicine · 2019
    Article
  14. Workforce Development in Integrated Care: A Scoping Review.International journal of integrated care
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Catherine McDermottPenn State College of Medicine, Hershey, PA, USA.
Kaitlyn ShankPenn State College of Medicine, Hershey, PA, USA.
Caleb ShervinskiePenn State College of Medicine, Hershey, PA, USA.
Jed D GonzaloMedicine and Public Health Sciences and Health Systems Education, Penn State College of Medicine, Hershey, PA, USA. jgonzalo@pennstatehealth.psu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As health systems are adapting to increased accountability for quality outcomes, population health, and collaborative care, medical schools are adapting curricula to better prepare physicians to function in health systems. Two components of this educational transformation are (1) increasing physician competence in Health Systems Science, including quality, population health, social determinants of health, and interprofessional collaboration, and (2) providing roles for students to act as change agents while adding value to the health system. The authors, three medical students who served as patient navigators during their first year of medical school, provide perspectives regarding their clinical systems learning roles, which spanned the levels of individual patients, clinic operations, and the health system. Specifically, authors describe working with a struggling patient, developing an intake assessment tool to aid clinical operations, and creating a directory of community-based resources. Authors discuss educational benefits, including understanding social determinants of health, barriers to care, and inefficiencies within the healthcare system. Several challenges are explored, including the importance of student initiative and concerns about traditional curricular outcomes. Through early experiences, students describe developing a professional identity as a change agent, while also learning key competencies required for clinical practice.

Indexed as

Change ManagementStudents, MedicalCurriculumFemaleHumansPatient NavigationSchools, Medical

Identifiers

PMID30783879
PMCPMC6502914

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.