Evidence map›Paper›PMID 35178469›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2022

I Don't Have a Diagnosis for You: Preparing Medical Students to Communicate Diagnostic Uncertainty in the Emergency Department.

Maria Poluch, Jordan Feingold-Link, Nethra Ankam, Jared Kilpatrick, Kenzie Cameron, Shruti Chandra, Amanda Doty, Matthew Klein, Danielle McCarthy, Kristin Rising and 3 more

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  4. Identifying Facilitators and Inhibitors of Shared Understanding: An Ethnography of Diagnosis Communication in Acute Medical Settings.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

13 authors.

Maria PoluchMedical Student, Sidney Kimmel Medical College at Thomas Jefferson University.ORCID 0000-0002-0947-3395
Jordan Feingold-LinkMedical Student, Sidney Kimmel Medical College at Thomas Jefferson University.
Nethra AnkamAssociate Professor, Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University.ORCID 0000-0003-1619-0200
Jared KilpatrickMedical Education Fellow, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University.
Kenzie CameronResearch Professor, Division of General Internal Medicine and Geriatrics, Department of Medicine and Department of Medical Education, Northwestern University Feinberg School of Medicine.
Shruti ChandraAssociate Professor, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University.
Amanda DotyResearch Coordinator, Department of Emergency Medicine, Thomas Jefferson University.
Matthew KleinAssistant Professor, Department of Emergency Medicine, Northwestern University Feinberg School of Medicine.
Danielle McCarthyAssociate Professor, Department of Emergency Medicine, Northwestern University Feinberg School of Medicine.
Kristin RisingAssociate Professor and Director of Acute Care Transitions, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University.ORCID 0000-0003-3882-4956
David SalzmanAssociate Professor, Department of Emergency Medicine and Department of Medical Education, Northwestern University Feinberg School of Medicine.
Deborah ZiringClinical Associate Professor, Department of Medicine, and Senior Associate Dean for Academic Affairs, Sidney Kimmel Medical College at Thomas Jefferson University.ORCID 0000-0001-5909-3457
Dimitrios PapanagnouProfessor and Vice Chair for Education, Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University; Macy Faculty Scholar, Josiah Macy Jr. Foundation.ORCID 0000-0003-3682-8371

Funding

AHRQ HHS R18 HS025651
6 · The paper itself

Abstract

introductionDiagnostic uncertainty abounds in medicine, and communication of that uncertainty is critical to the delivery of high-quality patient care. While there has been training in communicating diagnostic uncertainty directed towards residents, a gap remains in preparing medical students to understand and communicate diagnostic uncertainty. We developed a session to introduce medical students to diagnostic uncertainty and to practice communicating uncertainty using a checklist during role-play patient conversations.

methodsThis virtual session was conducted for third-year medical students at the conclusion of their core clerkships. It consisted of prework, didactic lecture, peer role-play, and debriefing. The prework included reflection prompts and an interactive online module. The role-play featured a patient complaining of abdominal pain being discharged from the emergency department without a confirmed diagnosis. Students participated in the role of patient, provider, or observer.

resultsData from an anonymous postsession survey (76% response rate; 202 of 265 students) indicated that most students (82%; 152 of 185) felt more comfortable communicating diagnostic uncertainty after the session. A majority (83%; 166 of 201) indicated the session was useful, and most (81%; 149 of 184) indicated it should be included in the curriculum. DISCUSSION: This virtual session requires few facilitators; has peer role-play, eliminating the need for standardized patients; and is adaptable for in-person teaching. As its goal was to introduce an approach to communicating diagnostic uncertainty, not achieve mastery, students were not individually assessed for proficiency using the Uncertainty Communication Checklist. Students felt the session intervention was valuable.

Indexed as

Students, MedicalCommunicationCurriculumEmergency Service, HospitalHumansUncertaintyCommunication SkillsDiagnostic UncertaintyFlipped ClassroomRole-PlayVirtual Learning

Identifiers

PMID35178469
PMCPMC8814030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.