Surgery service learning in preclinical years improves medical student attitudes toward surgery, clinical confidence, and social determinants of health screening

Janeway, Megan G.; Lee, Su Yeon; Caron, Elisa; Sausjord, Isabel; Allee, Lisa; Dechert, Tracey

doi:10.1016/j.amjsurg.2019.11.010

Cited by 10 publications

(10 citation statements)

References 27 publications

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“…The values of Cohen's d in 4 out of 6 questions about learning exceeded 0.5, which is commonly considered as moderate effect size, 22 and interpreted as positive changes in assessing residents' skills and confidence addressing SDoH in a previous study. 20 However, these values did not always mean clinically important outcomes. Further research should be needed to develop a universal questionnaire for assessing competency for addressing SDoH.…”

Section: Ack N Owled G M Entsmentioning

confidence: 94%

“…We assessed participants' immediate reactions to the session using a six‐question questionnaire with a five‐point Likert‐type scale (1: strongly disagree to 5: strongly agree) and a blank space for free comments. This questionnaire was specific to the session and developed drawing on prior literature 19,20 . We distributed this questionnaire by email soon after the session.…”

Section: Methodsmentioning

confidence: 99%

“…This questionnaire was specific to the session and developed drawing on prior literature. 19,20 We distributed this questionnaire by email soon after the session.…”

Section: Evaluating Outcomesmentioning

confidence: 99%

“…The interview was started by sharing some example items from previous studies. 6,19,20 The interviewees were then asked to discuss what participants were expected to learn from the session. They insisted that both understanding of SDoH and acquisition of clinical skills should be underlined.…”

Section: Evaluating Outcomesmentioning

confidence: 99%

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Experience of residents learning about social determinants of health and an assessment tool: Mixed‐methods research

Mizumoto

Son

Izumiya

et al. 2022

J of Gen and Family Med

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Background Educating healthcare professionals about the social determinants of health is important in improving health outcomes of marginalized patients. Residents' experience of learning about the social determinants of health and a clinical assessment tool remains unclear. Methods Residents participated in an online session about the social determinants of health and the assessment tool. Using the New World Kirkpatrick Model, we obtained data about participants' experience from various perspectives. The data were analyzed using a concurrent triangulation mixed‐methods design. Results The study included 20 out of 30 residents. Their response was good, and self‐reported learning scores were increased by the session. They learned when to ask about patients' social conditions, what to ask, and how to coordinate medical care appropriately. Participants reported reflecting on their role as medical professionals and implementing new practices based on their learning, as well as concerns about addressing patients' social conditions. Conclusion Through learning about the social determinants of health, and assessment tools, residents both acquired knowledge and skills, and reflected on their previous practice, accepted patients as they are, understood difficult patients better, and developed interprofessional collaboration. Medical education about the social determinants of health can trigger changes in residents' views.

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Section: Ack N Owled G M Entsmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

“…This questionnaire was specific to the session and developed drawing on prior literature. 19,20 We distributed this questionnaire by email soon after the session.…”

Section: Evaluating Outcomesmentioning

confidence: 99%

Section: Evaluating Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Experience of residents learning about social determinants of health and an assessment tool: Mixed‐methods research

Mizumoto

Son

Izumiya

et al. 2022

J of Gen and Family Med

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“…Mejora del dominio de contenidos, habilidades para solucionar problemas académicos y actitudes hacia el aprendizaje Salam, Iskandar e Ibrahim, 2017) Aumento global de las calificaciones y mejora de la capacidad de conectar los aprendizajes con el entorno (Babcock, 2000) Reducción del absentismo escolar (Shumer,1994) Mejora del compromiso académico (Rodríguez-Izquierdo, 2020) Aumento de la confianza y de la competencia profesional (Janeway et al, 2019;Stewart, Allen y Bai, 2011) Mejora del compromiso cognitivo, emocional y conductual del estudiantado hacia el aprendizaje (Li, Guo, Yao, Wang y Yan, 2016) Desarrollo de mejores niveles en la adquisición y comprensión de conceptos (Dienhart et al 2016;Levkoe, Brail y Daniere, 2014) Aumento de la comprensión de la docencia y la educación (Buchanan, Baldwin y Rudisill, 2002)…”

Section: Dimensión Académica: Aprendizajes De Carácter Académicounclassified

Aprendizaje-Servicio en la Didáctica de la Expresión Corporal: análisis multifactorial de los efectos producidos sobre el futuro profesorado

Vivas¹

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Purpose and objectives of the researchThis thesis presents an investigation on the effects of the application in the university environment of a methodology coherent with the pedagogical demands of the European Higher Education Area. In accordance with the premises that this establishes, not only are academic learnings measured, but also the development of personal, social and civic competencies that the students under investigation have acquired. The methodological application, due to its own idiosyncrasy, implies the exercise of university social responsibility. improvement in the attitudes and civic abilities of the pre-service teachers. Relating this conclusion to the significance of learning, we can say that the acquired learning specifically affected various dimensions necessary for the achievement of meaningful learning. Thus, SL applied in the field of PE seems to be compatible with the LAMPE principles.

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Residents' learning and behavior about tool‐guided clinical assessment of social determinants of health

Mizumoto,

Fujikawa,

Izumiya

et al. 2024

J of Gen and Family Med

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BackgroundThe specific dimensions of learners that have been impacted by educational programs related to social determinants of health (SDoH) remain unknown. This study aims to elucidate how learners are affected by postgraduate education (a single 90‐min educational session) regarding tool‐guided clinical assessment of patients' social backgrounds.MethodsA pretest‐posttest design was utilized in which residents (postgraduate year (PGY) 1 or 2) and fellows in family medicine (PGY over 3) were recruited. Likert‐type questions were developed based on previous qualitative findings. Participants answered these questions before, immediately after, and 1.5 months after the educational session on tool‐guided clinical SDoH assessment. Paired‐sample t‐tests were used, and effect size was measured using Cohen's d.ResultsA total of 114 residents and fellows participated. After the session, participants expressed more interest in knowing their patients' social backgrounds when considering how to address their patients and were more open to embracing a pre‐established assessment framework. Participants also considered clinical skills related to SDoH as learnable and improved their attitude toward patients. They reported that they did not perform specific interventions related to SDoH within 1.5 months after the session. Unlike previous qualitative findings, their concern about the implementation of SDoH‐related practices did not increase significantly.ConclusionAn educational session on tool‐guided SDoH assessment may have a positive impact on learners' attitudes related to addressing patients' social backgrounds without fostering concerns.

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Surgery service learning in preclinical years improves medical student attitudes toward surgery, clinical confidence, and social determinants of health screening

Cited by 10 publications

References 27 publications

Experience of residents learning about social determinants of health and an assessment tool: Mixed‐methods research

Experience of residents learning about social determinants of health and an assessment tool: Mixed‐methods research

Aprendizaje-Servicio en la Didáctica de la Expresión Corporal: análisis multifactorial de los efectos producidos sobre el futuro profesorado

Residents' learning and behavior about tool‐guided clinical assessment of social determinants of health

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