The Growing Health Literacy Gap and Graduate Medical Education

Sullivan, Gail M.

doi:10.4300/jgme-d-17-00216.1

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Nevertheless, we recognize that like many skills in medicine, the strategies for improving patient health literacy do not often come automatically to physicians and require training, particularly in ED encounters where physician-patient interaction time is limited. 2 , 20 Resources like the Agency for Healthcare Research and Quality’s Health Literacy Universal Precautions Toolkit can be implemented in curricula at the medical student and resident level to aid in bolstering educational efforts in this area. 10 There is also an opportunity to practice health literacy skills in simulation-based education delivered as part of didactics.…”

Section: Introductionmentioning

confidence: 99%

Universal Precautions Plus: Physician-Directed Strategies for Improving Patient Health Literacy in the Emergency Department

Nwanaji‐Enwerem

Smith-Wilkerson

Gordon

et al. 2022

WestJEM

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Working on the frontlines with safety-net populations, emergency physicians are uniquely positioned to take on a greater role in addressing the current health literacy crisis and specific barriers that may exist. Here, we review the concept of universal health literacy precautions and explore the application of these universal precautions in conjunction with other patient-centered strategies. More specifically, to improve patient understanding and outcomes, emergency physicians can pair universal health literacy precautions with strategies including multiple learning techniques, dual-code theory, empowerment counseling, family buy-in, and hands-on practice. We provide two examples of emergency department encounters where this combined approach was used differently yet successfully and efficiently. Ultimately, we aim to highlight the value of emergency physicians being equipped with basic skills in health literacy educational strategies.

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Section: Introductionmentioning

confidence: 99%

Universal Precautions Plus: Physician-Directed Strategies for Improving Patient Health Literacy in the Emergency Department

Nwanaji‐Enwerem

Smith-Wilkerson

Gordon

et al. 2022

WestJEM

View full text Add to dashboard Cite

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Improving Health Equity Through Health Literacy Education

Nepps,

Lake,

Fox

et al. 2023

HLRP: Health Literacy Research and Practice

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Health literacy is the ability to understand and use health information. More than one-third of adults living in the United States have limited health literacy, which is associated with adverse health outcomes. Physicians need education about how to communicate effectively across the range of health literacy levels, but residency programs often fail to provide it. We aimed to develop and evaluate a curriculum to establish evidence-based recommendations for training family medicine resident physicians to communicate effectively across the range of health literacy levels. We developed and implemented a 6-month curriculum about health literacy and best practices for communication and collected three pre-/post-measures: patient surveys, videos of residents' patient encounters, and resident self-surveys of knowledge, attitudes, and use of communication techniques. Training of 39 residents included conferences, videotape reviews, written feedback, targeted supervision, and environmental cues. All knowledge/attitude questions on the resident survey improved significantly, as did the use of 4 of 6 communication techniques. Video observation also showed significant improvement in the residents' use of three techniques and a decrease in jargon use and an increase in “plain language” explanations of terms. Multimodal interventions improved residents' knowledge and attitudes about health literacy and use of health literacy precautions. [ HLRP: Health Literacy Research and Practice . 2023;7(2):e99–e104. ]

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The Growing Health Literacy Gap and Graduate Medical Education

Cited by 2 publications

References 6 publications

Universal Precautions Plus: Physician-Directed Strategies for Improving Patient Health Literacy in the Emergency Department

Universal Precautions Plus: Physician-Directed Strategies for Improving Patient Health Literacy in the Emergency Department

Improving Health Equity Through Health Literacy Education

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