Effectiveness of the Adolescent Medicine Rotation in Improving Pediatric Residents Self-Assessed Skill and Confidence Caring for Youth

Ruedinger, Emily; Carlin, Kristen; Inwards-Breland, David J.; McCarty, Carolyn A.

doi:10.1016/j.jadohealth.2018.10.007

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…relies on other evaluation-based outcomes (e.g., self-perceived competence or skill) in different populations (e.g., healthcare professionals). For example, Ruedinger et al [67] chose a different approach in an accreditation study for the adolescent medicine training program. They compared a didactic curriculum intervention group with a clinical rotation-only group at one point in time following these interventions.…”

Section: Meso-level Of Decision-makingmentioning

confidence: 99%

Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

et al. 2021

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Purpose Results of patient-reported outcome measures (PROMs) are increasingly used to inform healthcare decision-making. Research has shown that response shift can impact PROM results. As part of an international collaboration, our goal is to provide a framework regarding the implications of response shift at the level of patient care (micro), healthcare institute (meso), and healthcare policy (macro). Methods Empirical evidence of response shift that can influence patients’ self-reported health and preferences provided the foundation for development of the framework. Measurement validity theory, hermeneutic philosophy, and micro-, meso-, and macro-level healthcare decision-making informed our theoretical analysis. Results At the micro-level, patients’ self-reported health needs to be interpreted via dialogue with the clinician to avoid misinterpretation of PROM data due to response shift. It is also important to consider the potential impact of response shift on study results, when these are used to support decisions. At the meso-level, individual-level data should be examined for response shift before aggregating PROM data for decision-making related to quality improvement, performance monitoring, and accreditation. At the macro-level, critical reflection on the conceptualization of health is required to know whether response shift needs to be controlled for when PROM data are used to inform healthcare coverage. Conclusion Given empirical evidence of response shift, there is a critical need for guidelines and knowledge translation to avoid potential misinterpretations of PROM results and consequential biases in decision-making. Our framework with guiding questions provides a structure for developing strategies to address potential impacts of response shift at micro-, meso-, and macro-levels.

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Section: Meso-level Of Decision-makingmentioning

confidence: 99%

Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

et al. 2021

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“…Research has shown that healthcare professionals with training in addressing NSSI report feeling greater competence, empathy, and positive attitudes toward those who self-injure [14]. Relatedly, pediatric residency programs responding to calls for action to provide training in mental health care [15] and suicide risk [16,17] have demonstrated significant increases in resident skill acquisition, confidence, and knowledge in addressing adolescent mental health and safety assessment [18][19][20].…”

mentioning

confidence: 99%

Effectiveness of a Curriculum for Pediatric Residents to Address Adolescent Nonsuicidal Self-Injury

2022

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The Journal of Adolescent Health: Four Decades of Evolution Through Growth and Innovation

Berg

Irwin

2019

Journal of Adolescent Health

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Effectiveness of the Adolescent Medicine Rotation in Improving Pediatric Residents Self-Assessed Skill and Confidence Caring for Youth

Cited by 5 publications

References 25 publications

Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

Effectiveness of a Curriculum for Pediatric Residents to Address Adolescent Nonsuicidal Self-Injury

The Journal of Adolescent Health: Four Decades of Evolution Through Growth and Innovation

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