Shared decision making in senior medical students: Results from a national survey

Claudia Zeballos-Palacios, Renato Quispe, Nicole Mongilardi, Carlos Diaz-Arocutipa, Carlos Mendez-Davalos, Natalia Lizarraga, Aldo Paz, Victor Manuel Montori, German Malaga

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)533-538
Number of pages6
JournalMedical Decision Making
Volume35
Issue number4
DOIs
StatePublished - May 10 2015

Keywords

  • decision making
  • medical education
  • patient-centered care
  • Peru
  • students

ASJC Scopus subject areas

  • Health Policy

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