Evidence map›Paper›PMID 38504289›Full record

Observational studyBMC medical education2024

Objective structured clinical examination to teach competency in planetary health care and management - a prospective observational study.

Ulf Teichgräber, Maja Ingwersen, Max-Johann Sturm, Jan Giesecke, Manuel Allwang, Ida Herzog, Frederike von Gierke, Paul Schellong, Matthias Kolleg, Kathleen Lange and 12 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC medical education, 2024. 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
2.2field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Current status and challenges of planetary health education: a scoping review.Environmental health and preventive medicine · 2026
    Article
  2. Article
  3. 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

22 authors at 3 institutions in 1 country.

Ulf TeichgräberOffice of the Dean, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany. ulf.teichgraeber@med.uni-jena.de.
Maja IngwersenDepartment of Radiology, Department of Diagnostic and Interventional Radiology, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
Max-Johann SturmStudent Representatives, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Jan GieseckeStudent Representatives, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Manuel AllwangStudent Representatives, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Ida HerzogStudent Representatives, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Frederike von GierkeKLUG-Deutsche Allianz Für Klimawandel Und Gesundheit E.V., Berlin, Germany.
Paul SchellongInstitute of Infection Medicine and Hospital Hygiene, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Matthias KollegDepartment of Internal Medicine IV, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Kathleen LangeDepartment of Internal Medicine IV, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Daniel WünschClinic of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Katrin GugelClinic of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Anne WünschDepartment of Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Janine ZöllkauDepartment of Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Inga PetruschkeInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Kristin Häseler-OuartDepartment of Internal Medicine II, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Bianca BesteherDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Swetlana PhilippDepartment of Psychosocial Medicine, Psychotherapy, and Psychooncology, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Urte MilleSkillsLab Jena, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Dominique OuartOffice of the Dean, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Jana JüngerInstitute for Communication and Assessment Research, Heidelberg, Germany.
Jena Planetary Health Collaboration Group
Friedrich Schiller University Jena · DEJena University Hospital · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth professionals are increasingly called upon and willing to engage in planetary health care and management. However, so far, this topic is rarely covered in medical curricula. As the need for professional communication is particularly high in this subject area, this study aimed to evaluate whether the objective structured clinical examination (OSCE) could be used as an accompanying teaching tool.

methodsDuring the winter semester 2022/2023, 20 third- and fifth-year medical students voluntarily participated in a self-directed online course, three workshops, and a formal eight-station OSCE on planetary health care and management. Each examinee was also charged alternatingly as a shadower with the role of providing feedback. Experienced examiners rated students' performance using a scoring system supported by tablet computers. Examiners and shadowers provided timely feedback on candidates` performance in the OSCE. Immediately after the OSCE, students were asked about their experience using a nine-point Likert-scale survey and a videotaped group interview. Quantitative analysis included the presentation of the proportional distribution of student responses to the survey and of box plots showing percentages of maximum scores for the OSCE performance. The student group interview was analyzed qualitatively.

resultsDepending on the sub-theme, 60% -100% of students rated the subject of planetary health as likely to be useful in their professional lives. Similar proportions (57%-100%) were in favour of integrating planetary health into required courses. Students perceived learning success from OSCE experience and feedback as higher compared to that from online courses and workshops. Even shadowers learned from observation and feedback discussions. Examiners assessed students' OSCE performance at a median of 80% (interquartile range: 83%-77%) of the maximum score.

conclusionsOSCE can be used as an accompanying teaching tool for advanced students on the topic of planetary health care and management. It supports learning outcomes, particularly in terms of communication skills to sensitise and empower dialogue partners, and to initiate adaptation steps at the level of individual patients and local communities.

Indexed as

Physical ExaminationStudents, MedicalClinical CompetenceCurriculumDelivery of Health CareEducational MeasurementHumansClimate changeCommunicationCurriculumFeedbackObjective structured clinical examinationPlanetary health

Identifiers

PMID38504289
PMCPMC10953132
OpenAlexW4392949555

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.