TY - JOUR
T1 - Shared decision making in senior medical students
T2 - Results from a national survey
AU - Zeballos-Palacios, Claudia
AU - Quispe, Renato
AU - Mongilardi, Nicole
AU - Diaz-Arocutipa, Carlos
AU - Mendez-Davalos, Carlos
AU - Lizarraga, Natalia
AU - Paz, Aldo
AU - Montori, Victor M.
AU - Malaga, German
N1 - Publisher Copyright:
© The Author(s) 2015.
PY - 2015/5/10
Y1 - 2015/5/10
N2 - Purpose. To explore perceptions and experiences of Peruvian medical students about observed, preferred, and feasible decision-making approaches. Methods. We surveyed senior medical students from 19 teaching hospitals in 4 major cities in Peru. The self-administered questionnaire collected demographic information, current approach, exposure to role models for and training in shared decision making, and perceptions of the pertinence and feasibility of the different decision-making approaches in general as well as in challenging scenarios. Results. A total of 327 senior medical students (51% female) were included. The mean age was 25 years. Among all respondents, 2% reported receiving both theoretical and practical training in shared decision making. While 46% of students identified their current decision-making approach as clinician-as-perfect-agent, 50% of students identified their teachers with the paternalistic approach. Remarkably, 53% of students thought shared decision making should be the preferred approach and 50% considered it feasible in Peru. Among the 10 challenging scenarios, shared decision making reached a plurality (40%) in only one scenario (terminally ill patients). Conclusion. Despite limited exposure and training, Peruvian medical students aspire to practice shared decision making but their current attitude reflects the less participatory approaches they see role modeled by their teachers.
AB - Purpose. To explore perceptions and experiences of Peruvian medical students about observed, preferred, and feasible decision-making approaches. Methods. We surveyed senior medical students from 19 teaching hospitals in 4 major cities in Peru. The self-administered questionnaire collected demographic information, current approach, exposure to role models for and training in shared decision making, and perceptions of the pertinence and feasibility of the different decision-making approaches in general as well as in challenging scenarios. Results. A total of 327 senior medical students (51% female) were included. The mean age was 25 years. Among all respondents, 2% reported receiving both theoretical and practical training in shared decision making. While 46% of students identified their current decision-making approach as clinician-as-perfect-agent, 50% of students identified their teachers with the paternalistic approach. Remarkably, 53% of students thought shared decision making should be the preferred approach and 50% considered it feasible in Peru. Among the 10 challenging scenarios, shared decision making reached a plurality (40%) in only one scenario (terminally ill patients). Conclusion. Despite limited exposure and training, Peruvian medical students aspire to practice shared decision making but their current attitude reflects the less participatory approaches they see role modeled by their teachers.
KW - Peru
KW - decision making
KW - medical education
KW - patient-centered care
KW - students
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U2 - 10.1177/0272989X15573746
DO - 10.1177/0272989X15573746
M3 - Article
C2 - 25732722
AN - SCOPUS:84928988694
SN - 0272-989X
VL - 35
SP - 533
EP - 538
JO - Medical Decision Making
JF - Medical Decision Making
IS - 4
ER -