Health Literacy Awareness Among Orthopaedic Surgery Residents

Introduction:. Musculoskeletal health literacy (HL) is an emerging concept in orthopaedic patient care. Estimated rates of low musculoskeletal HL in patients surpass those of general HL. Studies in other specialties suggest that medical trainees are ill equipped to interact with low HL patients, oft...

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Main Authors: Elaine Z. Shing, MD, PhD, Meghan K. Wally, PhD, Rachel B. Seymour, PhD, Joshua C. Patt, MD, MPH, FAOA, Brian P. Scannell, MD, FAOA
Format: Article
Language:English
Published: Wolters Kluwer 2023-09-01
Series:JBJS Open Access
Online Access:http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00027
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author Elaine Z. Shing, MD, PhD
Meghan K. Wally, PhD
Rachel B. Seymour, PhD
Joshua C. Patt, MD, MPH, FAOA
Brian P. Scannell, MD, FAOA
author_facet Elaine Z. Shing, MD, PhD
Meghan K. Wally, PhD
Rachel B. Seymour, PhD
Joshua C. Patt, MD, MPH, FAOA
Brian P. Scannell, MD, FAOA
author_sort Elaine Z. Shing, MD, PhD
collection DOAJ
description Introduction:. Musculoskeletal health literacy (HL) is an emerging concept in orthopaedic patient care. Estimated rates of low musculoskeletal HL in patients surpass those of general HL. Studies in other specialties suggest that medical trainees are ill equipped to interact with low HL patients, often with detrimental patient outcomes. The purpose of this study was to (1) establish the current state of HL awareness among orthopaedic surgery trainees, (2) characterize the current state of HL training in orthopaedic surgery programs, and (3) evaluate the desire for formalized HL training among orthopaedic surgery trainees. Methods:. This study was endorsed by the Collaborative Orthopaedic Education Research Group board. A 17-item questionnaire was administered anonymously to orthopaedic residents through a secure online platform in the 2020 to 2021 academic year. All participation was voluntary. Results:. One hundred ninety-two residents (42%) from 19 orthopaedic programs completed the survey. Most residents felt “somewhat comfortable” with issues related to HL. Most residents reported no specific training in HL issues during residency (77.5%). Of the 43 residents (22.3%) who did receive formal training, most of these individuals felt that the training is effective (N = 42, 97.7%). Role playing/standardized patient encounters were reported as the most effective form of HL training. Residents felt it was somewhat important to receive formal HL training in residency (median = 4.0, interquartile range = 3.0-5.0), and there was a modest desire for formalized training (39%). Discussion:. This study is the first to characterize orthopaedic resident perceptions of HL issues in practice and training. Residents were somewhat confident in their understanding of HL concepts, and those who received formal training felt it was effective. However, there remains a low rate of formal orthopaedic resident training in HL issues, which may be an area for improvement in orthopaedic training paradigms.
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spelling doaj.art-4ad739d413f645808656d3b2bab7a4322023-07-28T09:30:06ZengWolters KluwerJBJS Open Access2472-72452023-09-018310.2106/JBJS.OA.23.00027JBJSOA2300027Health Literacy Awareness Among Orthopaedic Surgery ResidentsElaine Z. Shing, MD, PhD0Meghan K. Wally, PhD1Rachel B. Seymour, PhD2Joshua C. Patt, MD, MPH, FAOA3Brian P. Scannell, MD, FAOA41 Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina1 Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina1 Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina1 Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina1 Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North CarolinaIntroduction:. Musculoskeletal health literacy (HL) is an emerging concept in orthopaedic patient care. Estimated rates of low musculoskeletal HL in patients surpass those of general HL. Studies in other specialties suggest that medical trainees are ill equipped to interact with low HL patients, often with detrimental patient outcomes. The purpose of this study was to (1) establish the current state of HL awareness among orthopaedic surgery trainees, (2) characterize the current state of HL training in orthopaedic surgery programs, and (3) evaluate the desire for formalized HL training among orthopaedic surgery trainees. Methods:. This study was endorsed by the Collaborative Orthopaedic Education Research Group board. A 17-item questionnaire was administered anonymously to orthopaedic residents through a secure online platform in the 2020 to 2021 academic year. All participation was voluntary. Results:. One hundred ninety-two residents (42%) from 19 orthopaedic programs completed the survey. Most residents felt “somewhat comfortable” with issues related to HL. Most residents reported no specific training in HL issues during residency (77.5%). Of the 43 residents (22.3%) who did receive formal training, most of these individuals felt that the training is effective (N = 42, 97.7%). Role playing/standardized patient encounters were reported as the most effective form of HL training. Residents felt it was somewhat important to receive formal HL training in residency (median = 4.0, interquartile range = 3.0-5.0), and there was a modest desire for formalized training (39%). Discussion:. This study is the first to characterize orthopaedic resident perceptions of HL issues in practice and training. Residents were somewhat confident in their understanding of HL concepts, and those who received formal training felt it was effective. However, there remains a low rate of formal orthopaedic resident training in HL issues, which may be an area for improvement in orthopaedic training paradigms.http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00027
spellingShingle Elaine Z. Shing, MD, PhD
Meghan K. Wally, PhD
Rachel B. Seymour, PhD
Joshua C. Patt, MD, MPH, FAOA
Brian P. Scannell, MD, FAOA
Health Literacy Awareness Among Orthopaedic Surgery Residents
JBJS Open Access
title Health Literacy Awareness Among Orthopaedic Surgery Residents
title_full Health Literacy Awareness Among Orthopaedic Surgery Residents
title_fullStr Health Literacy Awareness Among Orthopaedic Surgery Residents
title_full_unstemmed Health Literacy Awareness Among Orthopaedic Surgery Residents
title_short Health Literacy Awareness Among Orthopaedic Surgery Residents
title_sort health literacy awareness among orthopaedic surgery residents
url http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.23.00027
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