Evidence map›Paper›PMID 31460934›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2019

Looking to the Future: Medical Students' Views on Health Care Reform and Professional Responsibility.

Jordan M Rook, Tyler N A Winkelman, Jacob A Fox, Jacob B Pierce, Antoinette R Oot, James R Blum, Alec M Feuerbach, Andi Shahu, Max L Goldman, Zoe Kopp and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Today's Students, Tomorrow's Physicians: Opinions on Enacted and Prospective Health Care Policies.International journal of health services : planning, administration, evaluation · 2020
    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.

Jordan M RookJ.M. Rook is a fourth-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. T.N.A. Winkelman is a clinician-investigator, Hennepin Healthcare, Minneapolis, Minnesota. J.A. Fox is a fourth-year medical student, University of Colorado School of Medicine, Denver, Colorado. J.B. Pierce is a third-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. A.R. Oot is a third-year medical student, Northwestern University Feinberg School of Medicine, Chicago, Illinois. J.R. Blum is a third-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York. A.M. Feuerbach is a fourth-year medical student, Icahn School of Medicine at Mount Sinai, New York, New York. A. Shahu is a first-year resident in internal medicine, Johns Hopkins Hospital, Baltimore, Maryland. M.L. Goldman is a first-year resident in internal medicine, University of California, San Francisco, San Francisco, California. Z. Kopp is a first-year resident in internal medicine, University of California, San Francisco, San Francisco, California. E. Duffy is a first-year resident in internal medicine, Johns Hopkins Hospital, Baltimore, Maryland. T. Robledo-Gil is a first-year resident in internal medicine and urban health, Johns Hopkins Hospital, Baltimore, Maryland. N. Tran is a first-year resident in family medicine, University of California, San Francisco, San Francisco, California. C.S. Davey is biostatistician, University of Minnesota Clinical and Translational Science Institute, Minneapolis, Minnesota. B.L. Henschen is assistant professor, Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Tyler N A Winkelman
Jacob A Fox
Jacob B Pierce
Antoinette R Oot
James R Blum
Alec M Feuerbach
Andi Shahu
Max L Goldman
Zoe Kopp
Eamon Duffy
Talia Robledo-Gil
Nhi Tran
Cynthia S Davey
Bruce L Henschen

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
NCATS NIH HHS UL1 TR002494
6 · The paper itself

Abstract

purposeAlthough medical students will influence the future U.S. health care system, their opinions on the Patient Protection and Affordable Care Act (ACA) have not been assessed since the 2016 presidential election and elimination of key ACA provisions. Understanding medical students' views on health care policy and professional obligations can provide insight into issues that will be shaped by the next generation of physicians.

methodFrom October 2017 to November 2017, the authors conducted an electronic survey of medical students from seven U.S. institutions to elicit opinions regarding the ACA and their professional responsibility to address health policy. Participant demographics and responses were tabulated, and multiple logistic regression models were used to assess the associations of demographic characteristics with student opinions.

resultsCompleted surveys were returned by 1,660/4,503 (36.9%) eligible medical students. Respondent demographics were similar to national estimates. In total, 89.1% (1,475/1,660) supported the ACA, and 82.0% (1,362/1,660) reported that they understood the health care law. Knowledge of the law's provisions was positively associated with support for the ACA (P < .001). Most students (85.8%; 1,423/1,660) reported addressing health policy to be a professional responsibility. Political affiliation was consistently associated with student opinions.

conclusionsMost medical students support the ACA, with greater levels of support among medical students who demonstrated higher levels of objective knowledge about the law. Furthermore, students indicated a professional responsibility to engage in health policy, suggesting that tomorrow's physicians are likely to participate in future health care reform efforts.

Indexed as

Attitude of Health PersonnelHealth Care ReformHealth PolicyPoliticsAdultFemaleHumansMaleMiddle AgedPatient Protection and Affordable Care ActProfessional RoleStudents, MedicalSurveys and QuestionnairesUnited StatesYoung Adult

Identifiers

PMID31460934
PMCPMC6663659

What OpenQuestion holds

Textmetadata
LicenceTDM
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.