Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
Abstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities....
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| Format: | Article |
| Language: | Portuguese |
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Associção Brasileira de Educação Médica
2020-07-01
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| Series: | Revista Brasileira de Educação Médica |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000300212&tlng=en |
| _version_ | 1818743783107330048 |
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| author | Dilton Rodrigues Mendonça Carolina Villa Nova Aguiar Liliane Lins-Kusterer Luis Cláudio Lemos Correia Adriane Veloso Andrade Vieira Marta Silva Menezes |
| author_facet | Dilton Rodrigues Mendonça Carolina Villa Nova Aguiar Liliane Lins-Kusterer Luis Cláudio Lemos Correia Adriane Veloso Andrade Vieira Marta Silva Menezes |
| author_sort | Dilton Rodrigues Mendonça |
| collection | DOAJ |
| description | Abstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities. Using the Delphi technique, teachers identified three unnecessary situations that commonly occur in practice. The recommendations were grouped by frequency and subject, adapted to the CW format. A Likert scale was used to classify the specialists’ opinion aiming to obtain the final list of recommendations. Before the introduction of the CW campaign, we conducted an Objective Structured Clinical Examination (OSCE). Two groups of students were compared: one group that underwent the same OSCE evaluation before the implementation of the CW campaign (110), and another group that participated of all educational actions (n = 98). The CW campaign was implemented by developing educational actions using the recommendations during workshops, banners, and theoretical evaluation, in addition to an Objective Structured Clinical Examination (OSCE). Results: after grouping the recommendations, 24 items remained. The specialists selected eight recommendations by frequency, addressing unnecessary behaviors such as requesting multiple exams, overuse of non-hormonal anti-inflammatory drugs, the indication of digestive endoscopy in younger patients with dyspepsia, excessive chest X-rays in intensive care unit, prescribing antibiotic prophylaxis for longer than recommended, routine indication of allergic tests, inadequate initial screening for thyroid assessment, and spirometry in asymptomatic patients. The educational actions resulted in a process of awareness and discussion among the participants, evidenced by theoretical evaluation (> 95%), as well as in the OSCE, where the level of successes was higher in the exposed group when compared to the nonexposed group (p = 0.001). Conclusion: the implementation of the CW campaign improved the clinical skills of medical clinic internship students and allowed positive discussions about cost-consciousness in health. |
| first_indexed | 2024-12-18T02:33:54Z |
| format | Article |
| id | doaj.art-21fb47d8842c45ffa84b9dab2b368c2e |
| institution | Directory Open Access Journal |
| issn | 1981-5271 |
| language | Portuguese |
| last_indexed | 2024-12-18T02:33:54Z |
| publishDate | 2020-07-01 |
| publisher | Associção Brasileira de Educação Médica |
| record_format | Article |
| series | Revista Brasileira de Educação Médica |
| spelling | doaj.art-21fb47d8842c45ffa84b9dab2b368c2e2022-12-21T21:23:50ZporAssocição Brasileira de Educação MédicaRevista Brasileira de Educação Médica1981-52712020-07-0144310.1590/1981-5271v44.3-20190277.ingImplementation of the Choosing Wisely Campaign at a Medical Clinic InternshipDilton Rodrigues Mendonçahttps://orcid.org/0000-0002-2761-7794Carolina Villa Nova Aguiarhttps://orcid.org/0000-0002-8213-3100Liliane Lins-Kustererhttps://orcid.org/0000-0003-3736-0002Luis Cláudio Lemos Correiahttps://orcid.org/0000-0002-6910-1366Adriane Veloso Andrade Vieirahttps://orcid.org/0000-0002-9612-3560Marta Silva Menezeshttps://orcid.org/0000-0001-7713-518XAbstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities. Using the Delphi technique, teachers identified three unnecessary situations that commonly occur in practice. The recommendations were grouped by frequency and subject, adapted to the CW format. A Likert scale was used to classify the specialists’ opinion aiming to obtain the final list of recommendations. Before the introduction of the CW campaign, we conducted an Objective Structured Clinical Examination (OSCE). Two groups of students were compared: one group that underwent the same OSCE evaluation before the implementation of the CW campaign (110), and another group that participated of all educational actions (n = 98). The CW campaign was implemented by developing educational actions using the recommendations during workshops, banners, and theoretical evaluation, in addition to an Objective Structured Clinical Examination (OSCE). Results: after grouping the recommendations, 24 items remained. The specialists selected eight recommendations by frequency, addressing unnecessary behaviors such as requesting multiple exams, overuse of non-hormonal anti-inflammatory drugs, the indication of digestive endoscopy in younger patients with dyspepsia, excessive chest X-rays in intensive care unit, prescribing antibiotic prophylaxis for longer than recommended, routine indication of allergic tests, inadequate initial screening for thyroid assessment, and spirometry in asymptomatic patients. The educational actions resulted in a process of awareness and discussion among the participants, evidenced by theoretical evaluation (> 95%), as well as in the OSCE, where the level of successes was higher in the exposed group when compared to the nonexposed group (p = 0.001). Conclusion: the implementation of the CW campaign improved the clinical skills of medical clinic internship students and allowed positive discussions about cost-consciousness in health.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000300212&tlng=enMedical EducationInternship and ResidencyGeneral PracticeHealth Care Costs |
| spellingShingle | Dilton Rodrigues Mendonça Carolina Villa Nova Aguiar Liliane Lins-Kusterer Luis Cláudio Lemos Correia Adriane Veloso Andrade Vieira Marta Silva Menezes Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship Revista Brasileira de Educação Médica Medical Education Internship and Residency General Practice Health Care Costs |
| title | Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship |
| title_full | Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship |
| title_fullStr | Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship |
| title_full_unstemmed | Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship |
| title_short | Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship |
| title_sort | implementation of the choosing wisely campaign at a medical clinic internship |
| topic | Medical Education Internship and Residency General Practice Health Care Costs |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000300212&tlng=en |
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