Evidence map›Paper›PMID 39477869›Full record

ArticleJournal of general internal medicine2025

Empowering Medical Students to Address Patient-Initiated Mistreatment at the Transition to Residency: An Education Quality Improvement Study.

Luke Fraley, Virginia Sheffield, Helen K Morgan, James T Fitzgerald, Nathan Houchens

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Luke FraleyUniversity of Michigan Medical School, 1500 E. Medical Center Drive, C369 Med Inn Building, SPC 5848, Ann Arbor, MI, 48109, USA. fraleylu@med.umich.edu.ORCID 0009-0009-9548-4362
Virginia SheffieldDepartment of Internal Medicine, University of Michigan Medical School and VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Helen K MorganDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
James T FitzgeraldMedical School Geriatrics Center, University of Michigan Medical School, Ann Arbor, MI, USA.
Nathan HouchensDepartment of Internal Medicine, University of Michigan Medical School and Associate Chief of Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Funding

Josiah Macy Jr. Foundation #B23-10
6 · The paper itself

Abstract

backgroundMistreatment from patients is prevalent and has far-reaching negative consequences.

aimTo develop a practice-based curriculum on patient-initiated mistreatment and examine participant perceptions before and after the curriculum.

settingSingle medical school in the United States.

participants306 senior medical students from classes 2022 and 2023. PROGRAM DESCRIPTION: A single patient-initiated mistreatment session delivered during specialty-specific residency preparation courses (RPCs) featuring a literature discussion, a response framework, and patient-actor skills practice. PROGRAM EVALUATION: Between February 2022 and October 2023, 22 sessions occurred. Electronic surveys were delivered before, following, and approximately eight months after each session. A total of 257 (84.0%) and 174 (56.9%) participants completed pre- and post-session surveys, respectively. Significant increases in mean scores were noted for confidence in recognizing mistreatment (pre-session 4.25, post-session 4.68; p < 0.001) and comfort in addressing mistreatment personally (pre-session 2.86, post-session 4.30; p < 0.001) and as a bystander (pre-session 2.98, post-session 4.27; p < 0.001). In the follow-up survey, participants noted that the session was useful in preparing them for residency. DISCUSSION: A novel patient-initiated mistreatment curriculum empowered students, resulting in enhanced confidence in responding and sustained skill usage. Medical schools may consider including this training for all graduating students.

Indexed as

Internship and ResidencyPhysician-Patient RelationsQuality ImprovementStudents, MedicalAdultCurriculumEducation, Medical, UndergraduateFemaleHumansMaleSurveys and Questionnaires

Identifiers

PMID39477869
PMCPMC11802998

What OpenQuestion holds

Textmetadata
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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.