Meetings Between Experts: An Approach to Sharing Ideas in Medical Consultations

Brown, Phil; Tuckett, David; Boulton, Mary; Olson, Coral; Williams, Anthony

doi:10.2307/2071607

Cited by 52 publications

(1 citation statement)

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“…The physician is an expert on the medical knowledge required to treat a disease, while the patient is an expert on their symptoms and their preferences for a treatment plan. 5,6 Generally, it is believed that the ED does constitute an environment that requires immediate display and operation of medical knowledge to execute a care plan that addresses the acute medical concerns of an incapacitated patient. Thus, the ED environment implicitly promotes a paternalistic clinician-patient relationship, in which the clinician is actively involved in making the care plan, while the patient is relegated to a spectator of his or her care.…”

Section: Introductionmentioning

confidence: 99%

A patient’s decision aid for vascular access placement in the emergency department

2019

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Background: Vascular access device placement is one of the most routinely performed procedures in the emergency department. Despite its high usage, most patients have limited knowledge about vascular access device placement. Patient decision aids have been utilized heavily in non-emergency department settings to provide basic clinical information regarding a patient’s medical care options. In this study, we investigated whether exposure to a patient decision aid on vascular access devices and patients’ experiences with vascular access devices would influence their vascular access device preference during an acute care episode. Methods: Patients in this institutional review board–approved study were enrolled prospectively in the emergency department at a busy level 1 trauma institution. A patient decision aid on vascular access device was constructed using criteria developed by the International Patient Decision Aid Standards. All participants were exposed to the patient decision aid and were asked to complete two questionnaires, and two tests. Results: Fifty subjects (50) were enrolled prospectively in the emergency department. The mean pretest score was 17.2% (95% confidence interval, 0.54–1.18), while the mean post-test score was 72.4% (95% confidence interval, 3.15–4.09). We found that patients who were exposed to the patient decision aid preferred landmark-based peripheral intravenous lines over ultrasound-guided peripheral intravenous lines in this data set. Conclusion: The result from this analysis indicated that most patients visiting the emergency department are not knowledgeable about their options related to vascular access device placement. The observed increase in the average correct responses on the post-test indicates that a patient decision aid can be an effective educational tool in the emergency department.

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Section: Introductionmentioning

confidence: 99%

A patient’s decision aid for vascular access placement in the emergency department

2019

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1998

JAMA

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Effect of Communications Training on Medical Student Performance

Yedidia¹

2003

JAMA

428

240

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ESPITE WIDESPREAD ACknowledgment of the importance of improved patientphysician communication, 1,2 teaching of communications skills has not been systematically integrated into most medical school curricula 3,4 and has not been subjected to evaluation across different schools. 5 Furthermore, few standardized assessment instruments specifically measure students' communications performance. [6][7][8] METHODS InterventionThree medical schools-New York University, University of Massachusetts, and Case Western Reserve Universityinitiated a curriculum in 2000-2001 to teach a common set of communications competencies during the third clerkship year, based on an established educational model. Although implementation at the 3 schools reflected differences in their culture, history, and curricular organization, the interventions shared 4 common characteristics. First, they used a documented model for teaching communications skills 9,10 that relies on experiential teaching modes;

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Meetings Between Experts: An Approach to Sharing Ideas in Medical Consultations

Cited by 52 publications

References 0 publications

A patient’s decision aid for vascular access placement in the emergency department

A patient’s decision aid for vascular access placement in the emergency department

Obituary Listing

Effect of Communications Training on Medical Student Performance

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