Do medical trainees feel confident communicating with low health literacy patients?

Background: Medical trainees infrequently use health literacy (HL) skills and overestimate their use of plain language and teach back skills. The aim of this study is to assess if level of training impacts the perception of medical trainees around HL knowledge and skills. Methods: A structured quest...

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Main Authors: Nadia K. Ali, Robert P. Ferguson, Sharmin Mitha, Alexandra Hanlon
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2014-04-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/download/22893/pdf_1
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author Nadia K. Ali
Robert P. Ferguson
Sharmin Mitha
Alexandra Hanlon
author_facet Nadia K. Ali
Robert P. Ferguson
Sharmin Mitha
Alexandra Hanlon
author_sort Nadia K. Ali
collection DOAJ
description Background: Medical trainees infrequently use health literacy (HL) skills and overestimate their use of plain language and teach back skills. The aim of this study is to assess if level of training impacts the perception of medical trainees around HL knowledge and skills. Methods: A structured questionnaire consisting of 5 questions assessing the respondents’ perception of their confidence in their HL knowledge, ability to identify and communicate with low HL patients, and use of relevant resources was completed by medical students and residents of 2 community-based internal medicine programs in Pennsylvania and Maryland between July 2012 and January 2013. Results: The response rate was 100% (40) for the PA program and 42% (17) for the MD residency program. All rotating medical students (17) completed the questionnaire. Out of 74 participants, less than 10% were confident of their HL knowledge and ability to identify and communicate with low HL patients. Only 1.4% (1) were confident of their ability to identify appropriate resources. There was no significant difference in communication skills (P=0.305) and ability to identify appropriate resources (P=0.143) across all participants irrespective of their training level. A significant improvement in HL knowledge was observed during the progression from first-year to third-year medical school (P=0.0126) and from internship to second year of residency (P=0.0496). Conclusion: Medical trainees perceive that they do not receive adequate training on HL knowledge and skills required to feel confident in identifying and communicating with low HL patients and identifying appropriate resources. There is a need for addressing these deficiencies via medical school and residency curricula.
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spelling doaj.art-eae1fd019ae54b5cbd3b045e574f2d322023-01-02T20:50:13ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662014-04-01401510.3402/jchimp.v4.2289322893Do medical trainees feel confident communicating with low health literacy patients?Nadia K. Ali0Robert P. Ferguson1Sharmin Mitha2Alexandra Hanlon3 Department of Medicine, School of Medicine of Temple University, Philadelphia, PA Department of Medicine, University of Maryland, Baltimore, MD Department of Medicine, Crozer Chester Medical Center, Upland, PA University of Pennsylvania School of Nursing, Philadelphia, PABackground: Medical trainees infrequently use health literacy (HL) skills and overestimate their use of plain language and teach back skills. The aim of this study is to assess if level of training impacts the perception of medical trainees around HL knowledge and skills. Methods: A structured questionnaire consisting of 5 questions assessing the respondents’ perception of their confidence in their HL knowledge, ability to identify and communicate with low HL patients, and use of relevant resources was completed by medical students and residents of 2 community-based internal medicine programs in Pennsylvania and Maryland between July 2012 and January 2013. Results: The response rate was 100% (40) for the PA program and 42% (17) for the MD residency program. All rotating medical students (17) completed the questionnaire. Out of 74 participants, less than 10% were confident of their HL knowledge and ability to identify and communicate with low HL patients. Only 1.4% (1) were confident of their ability to identify appropriate resources. There was no significant difference in communication skills (P=0.305) and ability to identify appropriate resources (P=0.143) across all participants irrespective of their training level. A significant improvement in HL knowledge was observed during the progression from first-year to third-year medical school (P=0.0126) and from internship to second year of residency (P=0.0496). Conclusion: Medical trainees perceive that they do not receive adequate training on HL knowledge and skills required to feel confident in identifying and communicating with low HL patients and identifying appropriate resources. There is a need for addressing these deficiencies via medical school and residency curricula.http://www.jchimp.net/index.php/jchimp/article/download/22893/pdf_1health literacypatient–provider communicationmedical education
spellingShingle Nadia K. Ali
Robert P. Ferguson
Sharmin Mitha
Alexandra Hanlon
Do medical trainees feel confident communicating with low health literacy patients?
Journal of Community Hospital Internal Medicine Perspectives
health literacy
patient–provider communication
medical education
title Do medical trainees feel confident communicating with low health literacy patients?
title_full Do medical trainees feel confident communicating with low health literacy patients?
title_fullStr Do medical trainees feel confident communicating with low health literacy patients?
title_full_unstemmed Do medical trainees feel confident communicating with low health literacy patients?
title_short Do medical trainees feel confident communicating with low health literacy patients?
title_sort do medical trainees feel confident communicating with low health literacy patients
topic health literacy
patient–provider communication
medical education
url http://www.jchimp.net/index.php/jchimp/article/download/22893/pdf_1
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AT robertpferguson domedicaltraineesfeelconfidentcommunicatingwithlowhealthliteracypatients
AT sharminmitha domedicaltraineesfeelconfidentcommunicatingwithlowhealthliteracypatients
AT alexandrahanlon domedicaltraineesfeelconfidentcommunicatingwithlowhealthliteracypatients