Evidence map›Paper›PMID 38956512›Full record

ArticleBMC medical education2024

Trainees' perspectives on sickle cell education: a qualitative needs assessment.

Elizabeth J Prince, Katherine J Feder, Cecelia Calhoun, Alfred I Lee, C Patrick Carroll, Valentina Restrepo, Layla Van Doren

Abstract read
In one paragraph

Article 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 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. 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

7 authors.

Elizabeth J PrinceDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N. Wolfe St. - Meyer 112, Baltimore, MD, 21287, USA.
Katherine J FederDepartment of Medicine, Yale School of Medicine, 333 Cedar Street - Room WW201, New Haven, 06520, CT, USA.
Cecelia CalhounDepartment of Medicine, Yale School of Medicine, 333 Cedar Street - Room WW201, New Haven, 06520, CT, USA.
Alfred I LeeDepartment of Medicine, Yale School of Medicine, 333 Cedar Street - Room WW201, New Haven, 06520, CT, USA.
C Patrick CarrollDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N. Wolfe St. - Meyer 112, Baltimore, MD, 21287, USA.
Valentina RestrepoDepartment of Medicine, Yale School of Medicine, 333 Cedar Street - Room WW201, New Haven, 06520, CT, USA.
Layla Van DorenDepartment of Medicine, Yale School of Medicine, 333 Cedar Street - Room WW201, New Haven, 06520, CT, USA. Layla.vandoren@yale.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) exemplifies many of the social, racial, and healthcare equity issues in the United States. Despite its high morbidity, mortality, and cost of care, SCD has not been prioritized in research and clinical teaching, resulting in under-trained clinicians and a poor evidence base for managing complications of the disease. This study aimed to perform a needs assessment, examining the perspectives of medical trainees pursuing hematology/oncology subspecialty training regarding SCD-focused education and clinical care.

methodInductive, iterative thematic analysis was used to explore qualitative interviews of subspecialty hematology-oncology trainees' attitudes and preferences for education on the management of patients with SCD. Fifteen trainees from six programs in the United States participated in 4 focus groups between April and May 2023.

resultsThematic analysis resulted in 3 themes: 1. Discomfort caring for patients with SCD. 2. Challenges managing complications of SCD, and 3. Desire for SCD specific education. Patient care challenges included the complexity of managing SCD complications, limited evidence to guide practice, and healthcare bias. Skill-building challenges included lack of longitudinal exposure, access to expert clinicians, and didactics.

conclusionsVariations in exposure, limited formal didactics, and a lack of national standardization for SCD education during training contributes to trainees' discomfort and challenges in managing SCD, which in turn, contribute to decreased interest in entering the SCD workforce. The findings underscore the need for ACGME competency amendments, dedicated SCD rotations, and standardized didactics to address the gaps in SCD education.

Indexed as

Anemia, Sickle CellFocus GroupsNeeds AssessmentQualitative ResearchAdultAttitude of Health PersonnelClinical CompetenceEducation, Medical, GraduateFemaleHematologyHumansMaleMedical OncologyUnited StatesAmerican College of Graduate Medical Education (ACGME)Hematology & oncology fellowshipMedical educationSickle cell disease

Identifiers

PMID38956512
PMCPMC11220977

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LicenceCC BY
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Registered trials

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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.