scholarly journals Weight Management Counseling (WMC)p07 During Primary Care Clerkships: Preceptors Perceived Skills, Attitudes and Frequency of Modeling WMC to Students (P07-001-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Karen Ashe ◽  
Melissa Clark ◽  
Sybil Crawford ◽  
Lori Pbert ◽  
Tom Guck ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Weight Management ◽  
Task Force ◽  
Work Force ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Funding Sources ◽  
Weight Management Counseling

Abstract Objectives The United States Preventive Services Task Force (USPSTF) 2018 guideline for the management of adults with obesity continues to support screening and offering or referring patients with obesity to intensive multi-component behavioral intervention. Training the primary care work force is important for implementation of guidelines. It is unclear to what degree medical school preceptors provide weight management counseling (WMC) training during primary care core clerkships. This study seeks to describe preceptors’ perceived skills and attitudes towards providing WMC to patients and the frequency of preceptors modeling WMC to medical students. Methods Primary care preceptors (family/community medicine and ambulatory internal medicine) from medical schools participating in a larger multi-modal curriculum intervention were recruited to participate in an anonymous 10-minute cross-sectional survey on their perceived skills, attitudes, and modeling WMC to medical students. Results The survey was completed by 77 eligible preceptors (response rate of 33%). Preceptors perceived themselves to be moderately skilled in WMC, with a perceived WMC skills mean of 2.8, sd 0.56 (range 1–4). Their mean attitudes score was 2.1, sd 0.5 (range 1–4). Preceptors agree they have a responsibility to provide WMC and can be effective with patients. Preceptors report sometimes modeling WMC behaviors to medical students, the mean was 3.26, sd 0.48 (range 1–5). Of those preceptors who never/rarely model referrals, the most common reason was lack of resources followed by patient cost barriers. Conclusions Preceptors do not consistently model WMC for medical students during primary care core clerkships. Skill perception and resource availability may contribute. Funding Sources Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under award number TL1-TR001454. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Are Future Doctors Prepared to Address Patients’ Nutritional Needs? Cooking and Nutritional Knowledge and Habits in Medical Students

2021 ◽  
pp. 155982762110181
Author(s):  
Sam Sugimoto ◽  
Drew Recker ◽  
Elizabeth E. Halvorson ◽  
Joseph A. Skelton
Keyword(s):  
Medical Students ◽  
Prior Knowledge ◽  
The United States ◽  
First Year ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutritional Needs ◽  
Second Year ◽  
First Year Medical Students

Background. Many diseases are linked to lifestyle in the United States, yet physicians receive little training in nutrition. Medical students’ prior knowledge of nutrition and cooking is unknown. Objective. To determine incoming medical students’ prior nutrition knowledge, culinary skills, and nutrition habits. Methods. A dual-methods study of first-year medical students. Cross-sectional survey assessing prior knowledge, self-efficacy, and previous education of cooking and nutrition. Interviews of second-year medical students explored cooking and nutrition in greater depth. Results. A total of 142 first-year medical students participated; 16% had taken a nutrition course, with majority (66%) learning outside classroom settings. Students had a mean score of 87% on the Nutritional Knowledge Questionnaire versus comparison group (64.9%). Mean cooking and food skills score were lower than comparison scores. Overall, students did not meet guidelines for fiber, fruit, vegetables, and whole grains. Interviews with second-year students revealed most learned to cook from their families; all believed it important for physicians to have this knowledge. Conclusions. Medical students were knowledgeable about nutrition, but typically self-taught. They were not as confident or skilled in cooking, and mostly learned from their family. They expressed interest in learning more about nutrition and cooking.

scholarly journals Effects of the COVID-19 Pandemic on Medical Students: A Multicenter Quantitative Study

2020 ◽  
Author(s):  
Aaron Harries ◽  
Carmen Lee ◽  
Lee Jones ◽  
Robert M. Rodriguez ◽  
John Davis ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Clinical Training ◽  
The United States ◽  
Antibody Testing ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Rotations ◽  
Medical Education System ◽  
National Recommendation

Abstract Background: The COVID-19 pandemic disrupted the United States (US) medical education system with the necessary, yet unprecedented Association of American Medical Colleges (AAMC) national recommendation to pause all student clinical rotations with in-person patient care. This study is a quantitative analysis investigating the educational and psychological effects of the pandemic on US medical students and their reactions to the AAMC recommendation in order to inform medical education policy.Methods: The authors sent a cross-sectional survey via email to medical students in their clinical training years at six medical schools during the initial peak phase of the COVID-19 pandemic. Survey questions aimed to evaluate students' perceptions of COVID-19's impact on medical education; ethical obligations during a pandemic; infection risk; anxiety and burnout; willingness and needed preparations to return to clinical rotations. Results: 741 (29.5%) students responded. Nearly all students (93.7%) were not involved in clinical rotations with in-person patient contact at the time the study was conducted. Reactions to being removed were mixed, with 75.8% feeling this was appropriate, 34.7% guilty, 33.5% disappointed, and 27.0% relieved.Most students (74.7%) agreed the pandemic had significantly disrupted their medical education, and believed they should continue with normal clinical rotations during this pandemic (61.3%). When asked if they would accept the risk of infection with COVID-19 if they returned to the clinical setting, 83.4% agreed. Students reported the pandemic had moderate effects on their stress and anxiety levels with 84.1% of respondents feeling at least somewhat anxious. Adequate personal protective equipment (PPE) (53.5%) was the most important factor to feel safe returning to clinical rotations, followed by adequate testing for infection (19.3%) and antibody testing (16.2%). Conclusions: The COVID-19 pandemic disrupted the education of US medical students in their clinical training years. The majority of students wanted to return to clinical rotations and were willing to accept the risk of COVID-19 infection. Students were most concerned with having enough PPE if allowed to return to clinical activities.

scholarly journals Perceptions of the Podiatric Medicine Profession: A Survey of Medical Students in Philadelphia, Pennsylvania

2020 ◽  
Vol 110 (5) ◽  
Author(s):  
Samantha A. Miner ◽  
Tracey C. Vlahovic
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Online Survey ◽  
Medical Training ◽  
Interprofessional Relations ◽  
The United States ◽  
Scope Of Practice ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background Medical students (MSs) in allopathic and osteopathic medical programs may not be adequately exposed to the role of podiatric physicians and surgeons in health care. We explored perceptions of the specialty field of podiatric medicine from the perspective of MSs in the Philadelphia, Pennsylvania, area. Methods In this cross-sectional survey study, responses regarding podiatric education and scope of practice were collected via a 16-question, self-reported, anonymous online survey distributed to MSs at one osteopathic and three allopathic medical schools in the Philadelphia area. Inferences and conclusions were drawn from the percentages of respondents. Statistical analyses for school of attendance, year of study, and physician relative subgroups were performed. Results The 129 survey responses obtained revealed misunderstandings regarding podiatric education and training. Only 45.7% correctly answered that podiatric medical students do not take the United States Medical Licensing Examination. The results also showed the perception of podiatry in a positive light, with approximately 80% of respondents agreeing that the term doctor is applicable when referring to a podiatrist. Respondents with a physician relative were more likely to rate podiatry's role in health care higher on a scale from 0 (inessential) to 5 (equivalent to MDs/DOs) than those without a physician relative. Conclusions The results of this preliminary survey were generally positive and optimistic while also identifying some misconceptions regarding MS perceptions of podiatric medical training and scope of practice. Further studies are needed to evaluate perceptions of podiatry from the perspective of other members of the health-care team to improve interprofessional relations and understanding.

scholarly journals Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey

2017 ◽  
Vol 50 (3) ◽  
pp. 177-187 ◽  
Author(s):  
Grayson W. Armstrong ◽  
Giacomo Veronese ◽  
Paul F. George ◽  
Isacco Montroni ◽  
Giampaolo Ugolini
Keyword(s):  
United States ◽  
Medical Students ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Providers’ Involvement of Parents, Families, and Family Dynamics in Youth Weight Management Programs

2018 ◽  
Vol 5 ◽  
pp. 2333794X1881713
Author(s):  
Keeley J. Pratt ◽  
Joseph A. Skelton ◽  
Ihuoma Eneli ◽  
David N. Coliler ◽  
Suzanne Lazorick
Keyword(s):  
Medical History ◽  
Weight Management ◽  
Family Involvement ◽  
Family Dynamics ◽  
Family Members ◽  
The United States ◽  
Health Providers ◽  
Current Standard ◽  
Cross Sectional Survey ◽  
Cross Sectional

Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada. Analyses included descriptive statistics at the participant (N = 71) and clinic/center (N = 47) levels. Providers indicated that they assessed patients and parents’ perspectives, not other family members, motivation, weight/medical history, dietary and activity behaviors, goals, and barriers. Providers also reported that they asked patients’ perspectives about their parents’ aforementioned behaviors, and siblings’ dietary, activity, and sedentary/screen time behaviors, and weight/medical history. Providers reported that the balance between the patient and parent changed as children aged, with more focus given to the child, and less to the parent, as the child grew older. The most frequent barrier to involving family members in treatment included challenging family dynamics. The most challenging family dynamics were divorce/separation and parent-child conflicts. Providers often refer to and rely on mental/behavioral health providers to address barriers to family involvement and challenging family dynamics. Further research is needed to determine adequate provider training and comfort in dealing with family dynamics in treatment, and ways to mitigate barriers to involving families in PWM.

scholarly journals The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel M. Saman ◽  
Ella A. Chrenka ◽  
Melissa L. Harry ◽  
Clayton I. Allen ◽  
Laura A. Freitag ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Support ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Weight Management ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

Abstract Background Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient’s perceptions on cancer screening or prevention. Methods We mailed surveys (10/2018–1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents’ answers by study arm: usual care; CDS; or CDS + SDMT. Results Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001). Conclusions Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period. Trial registration clinicaltrials.gov, NCT02986230, December 6, 2016.

scholarly journals The Self-Perception and Usage of Medical Apps amongst Medical Students in the United States: A Cross-Sectional Survey

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Cara Quant ◽  
Lisa Altieri ◽  
Juan Torres ◽  
Noah Craft
Keyword(s):  
Medical Students ◽  
Clinical Decision Making ◽  
Point Of Care ◽  
Univariate Analysis ◽  
Clinical Decision ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Apps ◽  
Medical Software

Background. Mobile medical software applications (apps) are used for clinical decision-making at the point of care.Objectives. To determine (1) the usage, reliability, and popularity of mobile medical apps and (2) medical students’ perceptions of app usage effect on the quality of patient-provider interaction in healthcare settings.Methods. An anonymous web-based survey was distributed to medical students. Frequency of use, type of app used, and perceptions of reliability were assessed via univariate analysis.Results. Seven hundred thirty-one medical students responded, equating to a response rate of 29%. The majority (90%) of participants thought that medical apps enhance clinical knowledge, and 61% said that medical apps are as reliable as textbooks. While students thought that medical apps save time, improve the care of their patients, and improve diagnostic accuracy, 53% of participants believed that mobile device use in front of colleagues and patients makes one appear less competent.Conclusion. While medical students believe in the utility and reliability of medical apps, they were hesitant to use them out of fear of appearing less engaged. Higher levels of training correlated with a greater degree of comfort when using medical apps in front of patients.

scholarly journals Intention Matters: Future medical student practice intentions vary by cohort

2020 ◽  
Author(s):  
Amy Clithero-Eridon ◽  
Cameron Crandall ◽  
Andrew Ross
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Family Medicine ◽  
Underserved Populations ◽  
Personal Characteristics ◽  
Local Context ◽  
Cross Sectional Survey ◽  
Community Size ◽  
Cross Sectional ◽  
Selection Of

Abstract Background: Primary care is a broad spectrum specialty that can serve both urban and rural populations. It is important to examine the specialties students are selecting to enter, future community size they intend to practice in as well as whether they intend to remain in the communities in which they trained.Aim: The goals of this study were to characterize the background and career aspirations of medical students. Objectives were to (1) explore whether there are points in time during training that may affect career goals and (2) assess how students’ background and stated motivations for choosing medicine as a career related to intended professional practice.Setting: The setting for this study was the Nelson R. Mandela School of Medicine, located in Durban, South Africa.Methods: We conducted a cross-sectional survey of 597 NRMSM medical students in their first, fourth, or sixth-year studies during the 2017 academic year.Results: Our findings show a noticeable lack of interest in primary care, and in particular, family medicine amongst graduating students. Altruism is not as motivating a factor for practicing medicine as it was among students beginning their education.Conclusion: Selection of students into medical school should consider personal characteristics such as background and career motivation. Once students are selected, local context matters for training to sustain motivation. Selection of students most likely to practice primary care, then emphasizing family medicine and community immersion with underserved populations, can assist in building health workforce capacity.

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