Evidence map›Paper›PMID 36197349›Full record

Trial reportSao Paulo medical journal = Revista paulista de medicina2022

Effectiveness of a SNAPPS in psychiatric residents assessed using objective structured teaching encounters: a case-control study.

Lorena Pinho Feijó, Guilherme Abreu Pereira, Vitor Maia Teles Ruffini, Fernando Salvetti Valente, Renato Antunes Dos Santos, Saadallah Azor Fakhouri Filho, Maria do Patrocínio Tenório Nunes, Kristopherson Lustosa Augusto

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sao Paulo medical journal = Revista paulista de medicina, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

8 authors at 5 institutions in 2 countries.

Lorena Pinho FeijóMSc. Physician and Assistant Professor, Department of Social Department, Centro Universitário Unichristus, Fortaleza (CE), Brazil.ORCID 0000-0001-9638-1992
Guilherme Abreu PereiraMD. Attending Physician, Department of Internal Medicine, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0002-5879-382X
Vitor Maia Teles RuffiniMD. Physician and Associate Professor, Department of Internal Medicine, Universidade Santo Amaro (UNISA), São Paulo (SP), Brazil; and Fellow of Hospital Medicine, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0001-7508-0138
Fernando Salvetti ValenteMD. Physician and Assistant Professor, Department of Internal Medicine, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0001-6948-2448
Renato Antunes Dos SantosPhD. Physician and Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Canada. And Adjunct Professor, Department of Psychiatry, McMaster University, Ontario, Canada.ORCID 0000-0001-7718-394X
Saadallah Azor Fakhouri FilhoPhD. Physician and Professor, Department of Internal Medicine, Universidade Federal de Uberlândia (UFU), Uberlândia (MG), Brazil.ORCID 0000-0001-8413-0619
Maria do Patrocínio Tenório NunesPhD. Physician and Associate Professor, Department of Internal Medicine, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID 0000-0003-3616-515X
Kristopherson Lustosa AugustoPhD. Physician and Assistant Professor, Department of Internal Medicine, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR), Fortaleza (CE), Brazil; Postgraduate Professor at master's level, Centro Universitário Christus-Unichristus Fortaleza (CE), Brazil; and Assistant Professor, Department of Internal Medicine, Faculdade de Medicina da Universidade Federal do Ceará (UFC), Fortaleza (CE), Brazil.ORCID 0000-0001-9254-9129
Universidade de São Paulo · BRUnichristus · BRUniversidade Federal de Uberlândia · BRUniversidade Federal do Ceará · BRUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidents play the role of teachers in almost one-quarter of their activities in residency programs.

objectiveTo evaluate whether a 45-minute class using summarize, narrow, analyze, probe, plan, and select (SNAPPS) could improve psychiatry residents' case discussion skills in diverse practical learning settings. DESIGN AND

settingThis case-control, randomized, blinded study was conducted in a psychiatry hospital at Fortaleza-Ceará.

methodsUsing "resident as teacher" (RaT), objective structured teaching encounters (OSTEs), and SNAPPS, we conducted a study with 26 psychiatry residents. We analyzed video footage of psychiatric cases in three settings: outpatient, nursing, and emergency. An intervention was held two months later with the residents, who were then assigned to two groups: group A (lecture on SNAPPS) and group B (lecture on a topics in psychiatry). Shortly after the lectures, they were video recorded while discussing the same cases. Three blinded examiners analyzed the videos using an instrument based on the Stanford Faculty Development Program (SFDP-26).

resultsWe found high internal consistency among external examiners and an interaction effect, group effect, and moment effect (P < 0.05). The residents who received the SNAPPS lecture scored significantly higher than their counterparts who received a traditional case presentation.

conclusionThis study indicates the efficacy of SNAPPS over traditional case presentation in all three settings as assessed by OSTEs and supports its implementation to improve the teaching of clinical reasoning.

Indexed as

Clinical CompetenceInternship and ResidencyCase-Control StudiesHumansLearningTeaching

Identifiers

PMID36197349
PMCPMC10065108
OpenAlexW4300772998

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.