Addressing health literacy through clear health communication: A training program for internal medicine residents

2014 ◽  
Vol 95 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Jamie A. Green ◽  
Alda Maria Gonzaga ◽  
Elan D. Cohen ◽  
Carla L. Spagnoletti
Keyword(s):  
Internal Medicine ◽  
Health Literacy ◽  
Health Communication ◽  
Training Program ◽  
Internal Medicine Residents

scholarly journals Addressing Transition to Practice: Assessing Perceived Effectiveness of a Competency Based Change to On-Call Responsibilities of Senior Cardiology Residents

2021 ◽  
Author(s):  
Andrew James Caddell ◽  
Edwin Moses Bamwoya ◽  
Andrew Donald Moeller
Keyword(s):  
Internal Medicine ◽  
Training Program ◽  
Senior Resident ◽  
Program Committee ◽  
Gradual Transition ◽  
Transition To Practice ◽  
Call Structure ◽  
Internal Medicine Residents ◽  
Negative Effect ◽  
Competency Based

Abstract Background There has been a paradigm shift in residency training over the last several years wherein Competency by Design (CBD) is being integrated to replace more traditional time-based models of training. The Residency Program Committee (RPC) for the Cardiology training program at Dalhousie University in Halifax, Canada addressed the Transition to Practice stage by approving a trial of adjusting the resident call responsibilities to reflect the transition to CBD curriculum. The goal of this adjustment was three-fold: i. Gradually increase accountability of the senior cardiology resident as they transition to practice; ii. Address a gap in training that allows the senior resident to have a gradual transition to the role of a practicing cardiologist while on call; iii. Allows further evolution of skills and abilities. Methods A survey was administered to the practitioners involved in this competency-based change to the call responsibilities. Surveys were distributed to the final year Cardiology Residents, Staff Cardiologists, and Senior Internal Medicine residents to assess their experience and opinions of the current, competency-based change of the on-call curriculum. The survey consisted of eleven questions, of which, four were assessed on a Likert scale and 3 were yes/no questions. Results Four PGY6 cardiology residents, five senior internal medicine residents and eleven staff cardiologists completed the survey. Amongst those who completed the survey there was agreement that the change to the on-call responsibilities improved cardiology residents’ skills, accountability and preparedness to practice. All groups felt the changes were useful for the cardiology training program. There was mild negative effect of perceived accountability by the internal medicine residents. Conclusion Overall the change in call structure led to improved perceived preparedness to practice amongst the cardiology residents and addressed a gap in the Transition to Practice phase of CBD training. This study provides some evidence to the potential benefit of CBD and specifically in the benefits towards transitioning to practice.

scholarly journals Shared Decision-Making Training in Internal Medicine: A Multisite Intervention Study

2019 ◽  
Vol 11 (4s) ◽  
pp. 146-151 ◽  
Author(s):  
Simon Ritter ◽  
Jerome Stirnemann ◽  
Jan Breckwoldt ◽  
Hans Stocker ◽  
Manuel Fischler ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Decision Making ◽  
Clinical Practice ◽  
Training Program ◽  
Shared Decision Making ◽  
Health Care Providers ◽  
Rating Scale ◽  
Shared Decision ◽  
Care Providers ◽  
Internal Medicine Residents

ABSTRACT Background Research shows that when patients and health care providers share responsibility for clinical decisions, both patient satisfaction and quality of care increase, and resource use decreases. Yet few studies have assessed how to train residents to use shared decision-making (SDM) in their practice. Objective We developed and evaluated a SDM training program in internal medicine. Methods Senior internal medicine residents from 3 hospitals in Switzerland were assessed shortly before and 2 months after completing a program that included a 2-hour workshop and pocket card use in clinical practice. Encounters with standardized patients (SPs) were recorded and SDM performance was assessed using a SDM completeness rating scale (scores ranging from 0 to 100), a self-reported questionnaire, and SPs rating the residents. Results Of 39 eligible residents, 27 (69%) participated. The mean (SD) score improved from 65 (SD 13) to 71 (SD 12; effect size [ES] 0.53; P = .011). After training, participants were more comfortable with their SDM-related knowledge (ES 1.42, P < .001) and skills (ES 0.91, P < .001), and with practicing SDM (ES 0.96, P < .001). Physicians applied SDM concepts more often in practice (ES 0.71, P = .001), and SPs felt more comfortable with how participants discussed their care (ES 0.44, P = .031). Conclusions The SDM training program improved the competencies of internal medicine residents and promoted the use of SDM in clinical practice. The approach may be of interest for teaching SDM to residents in other disciplines and to medical students.

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