Using clinical vignettes to assess doctors’ and medical students’ ability to identify sociocultural factors affecting health and health care

Hudelson, Patricia; Perron, Noëlle Junod; Perneger, Thomas

doi:10.3109/0142159x.2011.602994

Cited by 8 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The experimental vignette method can enable the estimation of unconfounded and context-dependent effects of explanatory vignette factors [ 17 , 18 , 21 , 39 ]. Furthermore, the experimental vignette method is used for the analysis of behaviors or attitudes to some context, and it can be utilized to train EPs to recognize cases wherein ECPR should be administered, if proper guidelines are available [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Analyzing willingness for extracorporeal cardiopulmonary resuscitation in refractory ventricular fibrillation

Kim

Park

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Extracorporeal cardiopulmonary resuscitation (ECPR) for refractory ventricular fibrillation/ventricular tachycardia in out-of-hospital cardiac arrest has recently been recommended for selected patients with favorable prognostic features. We aimed to identify factors affecting the willingness of emergency physicians to implement extracorporeal cardiopulmonary resuscitation (ECPR). We conducted a factorial survey with nine experimental vignettes by combining three different scene time intervals and transportation time intervals. Emergency physicians reported willingness to implement ECPR (1–100 points). Respondent characteristics that could affect the willingness were studied. Multilevel analysis of vignettes and respondent factors was conducted using a mixed-effects regression model. We obtained 486 vignette responses from 54 emergency physicians. In the case of longer scene time intervals, there was a significant difference in the willingness scores at 9 and 12 min transportation time intervals. When the pre-hospital time interval was > 40 min, emergency physicians demonstrated lower willingness to implement ECPR. Clinical experience of 15–19 years showed a significant favorable effect on willingness to implement extracorporeal membrane oxygenation (ECMO). However, the mean willingness scores of EPs for ECMO implementation were more than 75 across all vignettes. In ECPR, the prehospital time interval is an important factor, and the willingness of emergency physicians to implement ECMO could be mutually affected by scene time intervals, transportation time intervals, and total prehospital time.

show abstract

Section: Discussionmentioning

confidence: 99%

Analyzing willingness for extracorporeal cardiopulmonary resuscitation in refractory ventricular fibrillation

Kim

Park

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Although no such review exists for the southeastern United States, as Barton points out, “Medical undergraduate education about cancer leaves many practitioners ill-prepared” [23]. Hudelson, et al [24], suggests, “Methods are needed for assessing clinicians’ cultural knowledge frameworks [25]; that is, their knowledge of social and cultural factors that might affect care in a specific situation and their ability to apply this knowledge during patient assessment [26]. This study suggests that cancer education specific to Latino patients is needed.…”

Section: Discussionmentioning

confidence: 99%

Content, Placement, and Acquisition of Cancer Education for Latino Patient Care: A Qualitative Study of Medical and Nursing Students

et al. 2012

View full text Add to dashboard Cite

A focus group study was conducted with five medical and nursing education programs in the Southeastern United States. Twenty five third and fourth year students were queried about their experiences, beliefs, and attitudes regarding Latino patients and cancer care. A general inductive process using open coding and content comparison to identify emerging themes was used to analyze the qualitative data. Investigators used a process of constant comparison to identify emerging themes. Themes included: 1) importance of cultural specificity and relevance in cancer training; 2) timing and placement of cancer education in the curriculum, including classes and/or clinical rotations; 3) anatomical system specificity of cancer training-studying cancer in the context of a specific body system; and 4) the prevention-focused nature of cancer training. Results of the focus groups have been used to inform a web-based survey of medical and nursing students to identify gaps in cancer education specific to Latino populations.

show abstract

“…Most training programs have simple metrics which focus on self-assessment and or clinical vignettes to test skills and competencies shortly after the training intervention 13 . We went a step further.…”

Section: Introductionmentioning

confidence: 99%

Does behavioral intervention affect intention to quit? : A quasi-experimental study from primary healthcare settings in India

Panda¹,

Persai²,

Mahapatra³

et al. 2021

Tob. Prev. Cessation

View full text Add to dashboard Cite

INTRODUCTION Tobacco is the leading cause of death and disease in India. This study examines the effect of training intervention in behavioral counseling on intention to quit tobacco in primary healthcare settings in India. The intervention included training to improve behavioral counseling practices of primary care physicians (PCPs) based on the 5As approach to increase patients' motivation to quit tobacco. METHODS A quasi-experimental design was used for the study. The intervention consists of training of primary care physicians in the behavioral intervention in tobacco cessation. The intervention was conducted in twelve districts of two states in India (Rajasthan and Odisha) in 2016-2017. Four districts were randomly sampled for the study. A total of 1314 participants (intervention and control) were recruited for the study in the baseline and end-line surveys, respectively. Intention to quit in 30 days was the primary outcome measure. Difference-indifference (DiD) logistic regression models were used separately for smokers and smokeless tobacco users to estimate the odds of intention to quit. Analysis was done in STATA Version 14. RESULTS The intervention and time variable had a significantly positive influence on the intention to quit tobacco among smokers. Smokers in the intervention districts had higher odds of intention to quit (OR=9.82; 95% CI: 1.67-57.72) compared to smokers in the control districts. Smokeless tobacco (SLT) users had higher odds of intention to quit (OR=3.06; 95% CI: 1.35-6.98) in the end-line survey compared to baseline survey. CONCLUSIONS Our findings indicate that building capacity in behavioral intervention in primary care settings can help increase the intention to quit among smokers. The observed difference in intention to quit between smokers and SLT users suggests the need of tailored counseling interventions for SLT users. There is a need for further research to design and evaluate training and behavioral interventions for SLT and dual (smoking and SLT) users in primary care settings in low-and middle-income countries.

show abstract

Using clinical vignettes to assess doctors’ and medical students’ ability to identify sociocultural factors affecting health and health care

Cited by 8 publications

References 28 publications

Analyzing willingness for extracorporeal cardiopulmonary resuscitation in refractory ventricular fibrillation

Analyzing willingness for extracorporeal cardiopulmonary resuscitation in refractory ventricular fibrillation

Content, Placement, and Acquisition of Cancer Education for Latino Patient Care: A Qualitative Study of Medical and Nursing Students

Does behavioral intervention affect intention to quit? : A quasi-experimental study from primary healthcare settings in India

Contact Info

Product

Resources

About