Exploring assessment of medical students' competencies in pain medicine—A review

Shipton, Elspeth E.; Steketee, Carole; Bate, Frank; Visser, Eric

doi:10.1097/pr9.0000000000000704

Cited by 10 publications

(17 citation statements)

References 105 publications

(363 reference statements)

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“…Lack of training in pain management remains the most significant and fundamental obstacle to effective pain management as an inadequate emphasis on pain education for medical undergraduates may eventually reflect in poor patient care practices following graduation [7][8][9]. Medical students often begin their education in Colleges of Medicine with little or no knowledge of pain and that situation, coupled with very few hours of pain training, results in their lack of confidence in assessing adult and paediatric patients with pain [10]. It is thought that existing prevalent negative attitudes of physicians toward patients with, for example, chronic non-cancer pain begins early in medical school [11].…”

Section: Introductionmentioning

confidence: 99%

Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings

et al. 2020

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Introduction Pain is a very frequent symptom that is reported by patients when they present to health professionals but remains undertreated or untreated, particularly in low-resource settings including Nigeria. Lack of training in pain management remains the most significant obstacle to pain treatment alongside an inadequate emphasis on pain education in undergraduate medical curricula, negatively impacting on subsequent care of patients. This study aimed to determine the effect of a 12-week structured e-Learning course on the knowledge of pain management among Nigerian undergraduate medical students. Methods Prospective, multisite, pre-post study conducted across five medical colleges in Nigeria. Structured modules covering aspects of pain management were delivered on an e-Learning platform. Pre- and post-test self-assessments were carried out in the 12-week duration of the study. User experience questionnaires and qualitative interviews were conducted via instant messaging to evaluate user experiences of the platform. User experience data was analysed using the UEQ Data Analysis Tool and Framework Analysis. Results A total of 216 of 659 eligible students completed all sections of the e-Learning course. Participant mean age was 23.52 years, with a slight female predominance (55.3%). Across all participants, an increase in median pre- and post-test scores occurred, from 40 to 60 (Z = 11.3, p<0.001, effect size = 1.3), suggestive of increased knowledge acquisition relating to pain management. Participants suggested e-Learning is a valuable approach to delivering pain education alongside identifying factors to address in future iterations. Conclusion e-Learning approaches to pain management education can enhance traditional learning methods and may increase students’ knowledge. Future iterations of e-Learning approaches will need to consider facilitating the download of data and content for the platform to increase user uptake and engagement. The platform was piloted as an optional adjunct to existing curricula. Future efforts to advocate and support integration of e-Learning for pain education should be two-fold; both to include pain education in the curricula of medical colleges across Nigeria and the use of e-Learning approaches to enhance teaching where feasible.

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Section: Introductionmentioning

confidence: 99%

Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings

et al. 2020

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“…Specifically, approximately half of the sample equated obesity with a lower likelihood of ordering imaging, while the other half did the opposite. There are known challenges with pediatric pain assessment and management in general (Committee on Psychosocial Aspects of Child and Family Health & Task Force on Pain in Infants, Children, and Adolescents, 2001), and studies show that students pursuing healthcare degrees lack satisfactory knowledge in this area (Shipton et al, 2019; Ung et al, 2016). Such factors may contribute to the variability in responding for this item.…”

Section: Discussionmentioning

confidence: 99%

Assessing the impact of weight status on pediatric decision-making and medical student awareness of its influence.

Basch¹,

Faria²,

Janicke³

2021

Stigma and Health

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The objective was to investigate the influence of pediatric patient and mother weight status on assessment/ treatment decisions of medical students, as well as student reaction to feedback about differential weightbased decision-making. Medical students (n = 120) viewed vignette scenes of a static virtual human pediatric patient presenting to a physician with back pain, accompanied by her mother. Cues of patient and mother weight (healthy, obesity) were manipulated across scenes. Participants provided ratings on likelihood to recommend pain assessment/treatment and perceptions about the dyad. Real-time individual-level analyses determined the influence of weight cues on decisions. Participants were informed about cue influence. Results show that 60% of participants were influenced by weight cues to make decisions, particularly when considering ordering imaging and physical therapy/psychology referrals. Patient obesity was equated with a higher likelihood to refer. Twenty-five percent of participants were influenced by weight cues when forming perceptions; patient and mother obesity was equated with lower anticipated treatment adherence and higher need for follow-up care. Participant awareness of weight cue influence was high and interest in participating in an obesity-related training was moderate. Results suggest that the weight status of pediatric patients and their mothers play a considerable role in medical students' pain-related decision-making. Such patterns in decision-making can be appropriate and contribute to necessary differences in care. They can also be inappropriate, such as inferring adherence based on weight status, and have harmful effects. This underscores need for evidence-based research at the intersection of pediatric obesity and pain and medical education in obesity.

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“…On the other hand, a patient satisfaction survey showed that less than one-third experienced over 30% pain relief [ 2 ]. The diagnostic and management of chronic pain/NeuP should be part of any effective continuing training for general medical practitioners and neurologists [ 72 , 76 , 77 , 78 , 79 ].…”

Section: Discussionmentioning

confidence: 99%

Neuropathic pain in Mali: The current situation, comprehensive hypothesis, which therapeutic strategy for Africa?

Maiga¹,

Sangho

Konipo

et al. 2021

eNeurologicalSci

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Introduction According to the taxonomy of the International Association for the Study of Pain (IASP 2011), neuropathic pain (NeuP) is defined as “ pain caused by a lesion or disease of the somatosensory nervous system ”. NeuP is currently well-defined clinically, despite a high degree of etiological variation, and it has become a significant public health problem. This work aimed to study the situation regarding NeuP in current practice in Mali, as well as to analyze the therapeutic environment of the patients. Methodology This was a retrospective and cross-sectional study, carried out in two phases: (1) compilation of the files of patients according to the ICD-11, over a period of 24 months (2) a second prospective phase regarding the Knowledge, Attitudes, and Practices (KAP) of general practitioners and neurologists in regard to NeuP. The focus of the first phase of the study was the files of the patients who had undergone a consultation at the Gabriel Touré UHC. The second phase of the study focused on the general practitioners (Community Health Centers (comHC) of Bamako) and neurologists (Malian or not). Results Over the period of the study, 7840 patients were seen in consultation in the Department of Neurology, of whom 903 for NeuP, thus amounting to a NeuP frequency of 11.5%. Women accounted for 58.9% (532/903), with a sex ratio of 1.4. Using a comparative normal law, the difference in frequency was statistically significant between males and females ( p < 10 −7 ) and between two age groups (p 〈10 −3 ). The 49–58 years of age group was represented the most. Diabetic NeuP (21%), lumbar radiculopathies (14%), HIV/AIDS NeuP (13%), and post-stroke NeuP (11%) were the most represented. The survey among the carers revealed: a need for training, a low level of compliance with the therapeutic guidelines, and the use of traditional medicine by the patients. Discussion/conclusion This work confirms that NeuP is encountered frequently in current practice, and its optimal management will involve specific training of carers and improvement of access to the medications recommended in this indication. In light of this issue, we revisit the debate regarding the concept of essential medications and the relevance of taking into account effective medications for the treatment of NeuP.

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Exploring assessment of medical students' competencies in pain medicine—A review

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 10 publications

References 105 publications

Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings

Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings

Assessing the impact of weight status on pediatric decision-making and medical student awareness of its influence.

Neuropathic pain in Mali: The current situation, comprehensive hypothesis, which therapeutic strategy for Africa?

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