Shared decision making embedded in the undergraduate medical curriculum: A scoping review.

<h4>Objective</h4>Shared decision making (SDM) training is shown to be effective and is increasingly embedded in continuing medical education. There is little evidence, however, about undergraduate medical education for SDM. The aim of this scoping review was to identify existing SDM tra...

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Main Authors: Marie-Anne Durand, Peter R DiMilia, Julia Song, Renata W Yen, Paul J Barr
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0207012&type=printable
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author Marie-Anne Durand
Peter R DiMilia
Julia Song
Renata W Yen
Paul J Barr
author_facet Marie-Anne Durand
Peter R DiMilia
Julia Song
Renata W Yen
Paul J Barr
author_sort Marie-Anne Durand
collection DOAJ
description <h4>Objective</h4>Shared decision making (SDM) training is shown to be effective and is increasingly embedded in continuing medical education. There is little evidence, however, about undergraduate medical education for SDM. The aim of this scoping review was to identify existing SDM training embedded in the undergraduate medical curriculum and analyze their impact.<h4>Methods</h4>The authors systematically searched the extant literature for peer reviewed articles, hand searched key journals and reference lists of key articles, and contacted relevant stakeholders as part of a key informant analysis.<h4>Results</h4>Included in the qualitative synthesis were 12 studies evaluating 11 SDM courses in medical education across six countries. Most courses integrated SDM training in clinical clerkship and varied in length from one to seven hours. The majority of studies assessed course impact on students' skills in SDM. Most studies suggested that students' skills and confidence in SDM significantly increased post-training, but three studies reported no significant improvement in SDM. Ten courses continue to be taught routinely.<h4>Conclusion</h4>Overall, studies suggested a positive impact on medical students' skills, confidence, and attitudes regarding SDM. Embedding SDM training in undergraduate medical education may be a practical and effective solution for current barriers to the widespread adoption of SDM.
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spelling doaj-art-ba940446c7564d7482429e0c277736c02025-02-05T05:33:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011311e020701210.1371/journal.pone.0207012Shared decision making embedded in the undergraduate medical curriculum: A scoping review.Marie-Anne DurandPeter R DiMiliaJulia SongRenata W YenPaul J Barr<h4>Objective</h4>Shared decision making (SDM) training is shown to be effective and is increasingly embedded in continuing medical education. There is little evidence, however, about undergraduate medical education for SDM. The aim of this scoping review was to identify existing SDM training embedded in the undergraduate medical curriculum and analyze their impact.<h4>Methods</h4>The authors systematically searched the extant literature for peer reviewed articles, hand searched key journals and reference lists of key articles, and contacted relevant stakeholders as part of a key informant analysis.<h4>Results</h4>Included in the qualitative synthesis were 12 studies evaluating 11 SDM courses in medical education across six countries. Most courses integrated SDM training in clinical clerkship and varied in length from one to seven hours. The majority of studies assessed course impact on students' skills in SDM. Most studies suggested that students' skills and confidence in SDM significantly increased post-training, but three studies reported no significant improvement in SDM. Ten courses continue to be taught routinely.<h4>Conclusion</h4>Overall, studies suggested a positive impact on medical students' skills, confidence, and attitudes regarding SDM. Embedding SDM training in undergraduate medical education may be a practical and effective solution for current barriers to the widespread adoption of SDM.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0207012&type=printable
spellingShingle Marie-Anne Durand
Peter R DiMilia
Julia Song
Renata W Yen
Paul J Barr
Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
PLoS ONE
title Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
title_full Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
title_fullStr Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
title_full_unstemmed Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
title_short Shared decision making embedded in the undergraduate medical curriculum: A scoping review.
title_sort shared decision making embedded in the undergraduate medical curriculum a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0207012&type=printable
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