Evidence map›Paper›PMID 31428272›Full record

ArticleJournal of graduate medical education2019

Shared Decision-Making Training in Internal Medicine: A Multisite Intervention Study.

Simon Ritter, Jerome Stirnemann, Jan Breckwoldt, Hans Stocker, Manuel Fischler, Sarah Mauler, Valérie Fuhrer-Soulier, Christoph A Meier, Mathieu Nendaz

Abstract readMulticenter Study
In one paragraph

Article in Journal of graduate medical education, 2019. 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. Trial
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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

9 authors.

Simon Ritter
Jerome Stirnemann
Jan Breckwoldt
Hans Stocker
Manuel Fischler
Sarah Mauler
Valérie Fuhrer-Soulier
Christoph A Meier
Mathieu Nendaz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch 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.

objectiveWe developed and evaluated a SDM training program in internal medicine.

methodsSenior 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.

resultsOf 39 eligible residents, 27 (69%) participated. The mean (SD) score improved from 65 (SD 13) to 71 (SD 12; effect size [ES] 0.53;

conclusionsThe 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.

Indexed as

Decision Making, SharedInternship and ResidencyPatient SimulationAdultEducational MeasurementFemaleHumansInternal MedicineMalePatient ParticipationPhysiciansSelf ReportSurveys and Questionnaires

Identifiers

PMID31428272
PMCPMC6697303

What OpenQuestion holds

Textmetadata
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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.