Evidence map›Paper›PMID 39725970›Full record

ArticleBMC medical education2024

Teaching therapy decision-making to medical students: a prospective mixed-methods evaluation of a curricular innovation.

Diego Garcia-Huidobro, Joaquín Fernandez, Pilar Espinosa, Nicole Lustig, Ignacio Perez, Luz M Letelier

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

6 authors.

Diego Garcia-HuidobroPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile. diego.garciahuidobro@uc.cl.
Joaquín FernandezPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile.
Pilar EspinosaPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile.
Nicole LustigPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile.
Ignacio PerezPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile.
Luz M LetelierPontificia Universidad Catolica de Chile, Vicuña Mackenna, Macul, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapy decision-making (TDM) is an essential medical skill. However, teaching therapeutic reasoning poses significant challenges. We present a comprehensive TDM course for medical students and report on student satisfaction with the educational strategies, their perceived importance of various TDM domains, and their self-efficacy in incorporating these elements into clinical decisions.

methodsThree student cohorts participated in a 16-week TDM course, which included self-instruction modules, application assignments, faculty symposia, and application seminars as educational strategies. The course focused on TDM and emphasized how factors such as the patient's diagnosis, needs and preferences, treatment options, physicians' viewpoints, the patient-physician relationship, and contexts of medical practice impact TDM. After the course, students completed a before-and-after survey assessing their satisfaction with the educational strategies, their perceived importance of ten TDM domains, and their ability to incorporate these domains into patient management. Scores ranged from 1 to 10. Students from the first two cohorts completed a 1- and 2-year follow-ups.

resultsA total of 387 students completed the course. All educational strategies were well-received, with self-instruction modules and faculty symposia yielding the highest satisfaction rates (94.8% and 88.6% respectively). Before-and-after evaluations indicated that students` perceived importance of the TDM domains increased from an average of 8.0 ± 2.4 at baseline to 9.9 ± 1.0 after the course. Additionally, their perceived ability to integrate TDM domains into practice rose from an average of 5.2 ± 3.2 to 9.4 ± 1.5 by the end of the course. Follow-up results showed a decrease in these outcomes over time.

conclusionThis course serves as a successful model for systematically teaching TDM to medical students.

Indexed as

CurriculumEducation, Medical, UndergraduateStudents, MedicalClinical CompetenceClinical Decision-MakingFemaleHumansMaleProgram EvaluationProspective StudiesSelf EfficacyTeachingMedical educationMedical schoolMedical studentsMedicineTherapeutic reasoningTherapy decision-making

Identifiers

PMID39725970
PMCPMC11670388

What OpenQuestion holds

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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.