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Choosing Wisely in Pediatric Internship.

Dilton Rodrigues Mendonça1, Carolina Vila Nova Aguiar1, Liliane Lins-Kusterer2

  • 1Escola Bahiana de Medicina e Saude Publica, Salvador, Bahia, Brazil.

Global Pediatric Health
|June 18, 2019
PubMed
Summary
This summary is machine-generated.

The Choosing Wisely (CW) campaign improved pediatric intern clinical skills. Students exposed to the campaign showed higher success rates in Objective Structured Clinical Examinations (OSCEs).

Keywords:
clinical decision-makingcost-effectiveness analysisinternshippatient-centered carepediatrics

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Area of Science:

  • Medical Education
  • Pediatrics
  • Healthcare Quality Improvement

Background:

  • The Choosing Wisely (CW) campaign aims to promote safety and quality in medical practice by identifying and reducing unnecessary medical tests and procedures.
  • Evaluating the impact of such campaigns on medical trainees is crucial for effective implementation in healthcare settings.

Purpose of the Study:

  • To assess the effectiveness of a Choosing Wisely (CW) campaign intervention among pediatric internship students.
  • To determine if participation in the CW campaign influences the clinical skills of future pediatricians.

Main Methods:

  • An interventionist study utilizing the Delphi technique with medical educators and pediatric interns.
  • Online questionnaires were used to identify common, unnecessary clinical practices.
  • Objective Structured Clinical Examination (OSCE) model was employed to compare skill levels between students exposed to the CW campaign and a control group.

Main Results:

  • The majority of students found the CW campaign content to be excellent (64%) or very good (31.6%).
  • Students who participated in the educational interventions demonstrated significantly higher success rates in OSCE evaluations compared to the non-exposed group (P = .001).

Conclusions:

  • The Choosing Wisely (CW) campaign effectively enhanced the clinical skills of pediatric internship students.
  • The CW campaign is a valuable tool for improving medical education and clinical practice in pediatrics.