Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam
Objective: to evaluate undergraduate medical students’ clinical decision-making process after a brief intervention lecture on quaternary prevention (P4). Methods: quantitative self-controlled intervention study carried out with fifth-year medical students of Pham Ngoc Thach University, Hochiminh cit...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina de Família e Comunidade
2015-06-01
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| Series: | Revista Brasileira de Medicina de Família e Comunidade |
| Subjects: | |
| Online Access: | https://www.rbmfc.org.br/rbmfc/article/view/1119 |
| _version_ | 1797711506161270784 |
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| author | Thi Hoa Vi Tran Thanh Liem Vo |
| author_facet | Thi Hoa Vi Tran Thanh Liem Vo |
| author_sort | Thi Hoa Vi Tran |
| collection | DOAJ |
| description | Objective: to evaluate undergraduate medical students’ clinical decision-making process after a brief intervention lecture on quaternary prevention (P4). Methods: quantitative self-controlled intervention study carried out with fifth-year medical students of Pham Ngoc Thach University, Hochiminh
city, Vietnam. The medical students were asked to list their eventual interventions based on three different simulated clinical scenarios. The survey was conducted before and after the intervention. Student’s propositions were classified into one of the four groups of prevention, according to Jamoulle’s model. Results: 115 students participated, resulting in 211 answered sheets. The interventions proposed by the students were mostly centered on prevention groups 1, 2 and 3; the three clinical scenarios partially explained student’s intentions of counseling, screening and palliative care. Comparing the data of second phase survey, the intervention was associated with changes in students’ aptitude on clinical decision-making, which was especially more important for prevention group 1 (OR = 7.5) and prevention group 4 (OR = 30.05). There was no statistically significant difference in changing students’ decision for prevention group 2 (OR = 0.95 p = 0.466) and prevention group 3 (OR = 2.29 p = 0.932). Conclusion: introducing quaternary prevention to the undergraduate medical course can help to steer clinical decisions toward primary prevention and to avoid inappropriate medical interventions. |
| first_indexed | 2024-03-12T07:08:05Z |
| format | Article |
| id | doaj.art-5e300c4575d744d5936442c0caa8b6bc |
| institution | Directory Open Access Journal |
| issn | 1809-5909 2179-7994 |
| language | English |
| last_indexed | 2024-03-12T07:08:05Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Medicina de Família e Comunidade |
| record_format | Article |
| series | Revista Brasileira de Medicina de Família e Comunidade |
| spelling | doaj.art-5e300c4575d744d5936442c0caa8b6bc2023-09-02T23:19:09ZengSociedade Brasileira de Medicina de Família e ComunidadeRevista Brasileira de Medicina de Família e Comunidade1809-59092179-79942015-06-01103510.5712/rbmfc10(35)1119588Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from VietnamThi Hoa Vi Tran0Thanh Liem Vo1Lecturer. Family Medicine Department. Pham Ngoc Thach University of Medicine. Hochiminh city,Family Medicine Department. Pham Ngoc Thach University of Medicine. Hochiminh city,Objective: to evaluate undergraduate medical students’ clinical decision-making process after a brief intervention lecture on quaternary prevention (P4). Methods: quantitative self-controlled intervention study carried out with fifth-year medical students of Pham Ngoc Thach University, Hochiminh city, Vietnam. The medical students were asked to list their eventual interventions based on three different simulated clinical scenarios. The survey was conducted before and after the intervention. Student’s propositions were classified into one of the four groups of prevention, according to Jamoulle’s model. Results: 115 students participated, resulting in 211 answered sheets. The interventions proposed by the students were mostly centered on prevention groups 1, 2 and 3; the three clinical scenarios partially explained student’s intentions of counseling, screening and palliative care. Comparing the data of second phase survey, the intervention was associated with changes in students’ aptitude on clinical decision-making, which was especially more important for prevention group 1 (OR = 7.5) and prevention group 4 (OR = 30.05). There was no statistically significant difference in changing students’ decision for prevention group 2 (OR = 0.95 p = 0.466) and prevention group 3 (OR = 2.29 p = 0.932). Conclusion: introducing quaternary prevention to the undergraduate medical course can help to steer clinical decisions toward primary prevention and to avoid inappropriate medical interventions.https://www.rbmfc.org.br/rbmfc/article/view/1119Quaternary PreventionDecision Making EducationMedical VietnamFamily Medicine |
| spellingShingle | Thi Hoa Vi Tran Thanh Liem Vo Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam Revista Brasileira de Medicina de Família e Comunidade Quaternary Prevention Decision Making Education Medical Vietnam Family Medicine |
| title | Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam |
| title_full | Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam |
| title_fullStr | Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam |
| title_full_unstemmed | Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam |
| title_short | Impact of quaternary prevention as a brief intervention in medical students’ clinical decisions: experience from Vietnam |
| title_sort | impact of quaternary prevention as a brief intervention in medical students clinical decisions experience from vietnam |
| topic | Quaternary Prevention Decision Making Education Medical Vietnam Family Medicine |
| url | https://www.rbmfc.org.br/rbmfc/article/view/1119 |
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