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"Being Persistent without Being Pushy": Student Reflections on Vaccine Hesitancy.

Amy E Caruso Brown, Manika Suryadevara, Thomas R Welch

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    Medical students observed provider communication with vaccine-hesitant families. Enhancing medical education on vaccine hesitancy communication is crucial for optimizing patient vaccine uptake.

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    Area of Science:

    • Medical Education
    • Public Health
    • Pediatrics

    Background:

    • Vaccine hesitancy presents a significant challenge to public health.
    • Pediatric educators aim to equip future physicians with effective communication skills for addressing vaccine hesitancy.
    • Medical student reflective narratives offer insights into observed clinical encounters.

    Purpose of the Study:

    • To analyze medical student perceptions of provider-patient communication regarding vaccine hesitancy.
    • To identify key themes related to communication effectiveness, student reactions, physician approaches, and knowledge gaps.

    Main Methods:

    • Content analysis of 304 medical student reflective narratives.
    • Focus on 19 narratives specifically addressing vaccine hesitancy.
    • Identification and categorization of major themes within student observations.

    Main Results:

    • Vaccine hesitancy was a recurring topic in 6.2% of narratives.
    • Students perceived provider-family communication positively in most observed encounters.
    • Despite positive communication perceptions, only 4 of 19 observed vaccine acceptance.

    Conclusions:

    • Medical student observations highlight the need for improved training in vaccine hesitancy communication.
    • Curricula for medical students, residents, and attending physicians require enhancement regarding vaccine information and communication strategies.
    • Optimizing vaccine uptake necessitates strengthening providers' comprehension and ethical communication skills.