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Shared decision making: skill acquisition for year III medical students
Cathleen E Morrow1, Virginia A Reed, M Scottie Eliassen
1Department of Community and Family Medicine, Dartmouth Medical School, USA.
Family Medicine
|November 15, 2011
Summary
Medical students gained confidence in shared decision-making (SDM) through a new curriculum. However, they noted a gap between training and real-world practice, highlighting challenges in teaching complex communication skills.
Area of Science:
- Medical Education
- Patient-Centered Care
- Health Communication
Background:
- Patient-centered Medical Homes (PCMH) emphasize respecting patient values and preferences.
- Shared decision-making (SDM) integrates medical data with patient values for informed choices.
- SDM principles are increasingly integrated into healthcare definitions and policy.
Purpose of the Study:
- To develop and evaluate a curriculum on Shared Decision-Making (SDM) for third-year medical students.
- To assess student learning and confidence in applying SDM principles.
- To identify challenges in teaching SDM within a Family Medicine Clerkship.
Main Methods:
- A blended curriculum (experiential, classroom, online) was implemented.
- Students participated in simulated patient encounters.
- Student feedback and reflections were collected and analyzed.
Main Results:
- Students reported increased confidence and competence in using SDM.
- A disconnect was observed between curriculum content and clinical preceptorship experiences.
- Challenges exist in teaching sophisticated communication skills to students focused on clinical fundamentals.
Conclusions:
- Teaching SDM to medical students presents both benefits and challenges.
- Reinforcement of SDM principles in practice is crucial for effective learning.
- Curriculum development requires addressing the gap between academic training and clinical application.
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