Evidence map›Paper›PMID 32380347›Full record

ArticleThe Journal of surgical research2020

Implementation of a Surgical Oncology Disparities Curriculum for Preclinical Medical Students.

Kristen E Rhodin, Cierra S Hong, Lindsey A Olivere, Elizabeth P Howell, Vinay K Giri, Kurren A Mehta, Taofik Oyekunle, Randall P Scheri, Betty C Tong, Julie A Sosa and 1 more

Abstract read
In one paragraph

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Principles of oncology taught in a one-week course.Journal of cancer research and clinical oncology · 2023
    Article
  2. 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

11 authors.

Kristen E RhodinDepartment of Surgery, Duke University Medical Center, Durham, North Carolina.
Cierra S HongDuke University School of Medicine, Durham, North Carolina.
Lindsey A OlivereDuke University School of Medicine, Durham, North Carolina.
Elizabeth P HowellDuke University School of Medicine, Durham, North Carolina.
Vinay K GiriDuke University School of Medicine, Durham, North Carolina.
Kurren A MehtaDuke University School of Medicine, Durham, North Carolina.
Taofik OyekunleBiostatistics Shared Resource, Duke Cancer Institute, Durham, North Carolina.
Randall P ScheriDepartment of Surgery, Duke University Medical Center, Durham, North Carolina.
Betty C TongDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University School of Medicine, Durham, North Carolina.
Julie A SosaDepartment of Surgery, University of California, San Francisco (UCSF), San Francisco, California.
Oluwadamilola M FayanjuDepartment of Surgery, Duke University Medical Center, Durham, North Carolina; Women's Cancer Program, Duke Cancer Institute, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina; Duke Forge, Duke University, Durham, North Carolina; Department of Surgery, Durham VA Medical Center, Durham, North Carolina. Electronic address: lola.fayanju@duke.edu.

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
Using Modifiable Risk Factors to Predict Inferior Care and Survival after Breast Cancer Diagnosis: A Novel Approach to Addressing Health DisparitiesK08CA241390 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAYANJU, OLUWADAMILOLA M. · 2019 to 2023
$1.1M
NCI NIH HHS K08 CA241390NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

backgroundUnderinsured and uninsured surgical-oncology patients are at higher risk of perioperative morbidity and mortality. Curricular innovation is needed to train medical students to work with this vulnerable population. We describe the implementation of and early educational outcomes from a student-initiated pilot program aimed at improving medical student insight into health disparities in surgery. MATERIALS/

methodsFirst-year medical students participated in a dual didactic and perioperative-liaison experience over a 10-month period. Didactic sessions included surgical-skills training and faculty-led lectures on financial toxicity and management of surgical-oncology patients. Students were partnered with uninsured and Medicaid patients receiving surgical-oncology care and worked with these patients by providing appointment reminders, clarifying perioperative instructions, and accompanying patients to surgery and clinic appointments. Students' interest in surgery and self-reported comfort in 15 Association of American Medical Colleges core competencies were assessed with preparticipation and postparticipation surveys using a 5-point Likert scale.

resultsTwenty-four first-year students were paired with 14 surgical-oncology patients during the 2017-2018 academic year. Sixteen students (66.7%) completed both preprogram and postprogram surveys. Five students (31.3%) became "More Interested" in surgery, whereas 11 (68.8%) reported "Similar Interest or No Change." Half of the students (n = 8) felt more prepared for their surgery clerkship after participating. Median self-reported comfort improved in 7/15 competencies including Oral Communication and Ethical Responsibility. All students reported being "Somewhat" or "Extremely Satisfied" with the program.

conclusionsWe demonstrate that an innovative program to expose preclinical medical students to challenges faced by financially and socially vulnerable surgical-oncology patients is feasible and may increase students' clinical preparedness and interest in surgery.

Indexed as

CurriculumEducation, Medical, UndergraduateFemaleHealthcare DisparitiesHumansMaleNeoplasmsPilot ProjectsProgram DevelopmentProgram EvaluationSocioeconomic FactorsStudents, MedicalSurgical OncologySurveys and QuestionnairesVulnerable PopulationsHealth disparitiesInsurance statusSurgical oncologyUndergraduate medical education

Identifiers

PMID32380347
PMCPMC7384959

What OpenQuestion holds

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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.