Background: Shared decision making (SDM) is considered fundamental to person-centred care. However, applying SDM may be a challenge for residents in general practice, since it is a complex competence that requires the integration of knowledge and skills from several competency domains.
Objective: To support learning of SDM during medical residency, we aimed to gain insight in Dutch residents' observed and perceived SDM performance in general practice.
Methods: We evaluated residents' SDM performance from an observer, resident, and patient perspective. Consultations of first- and third-year residents were recorded. Trained observers used the validated Observing Patient Involvement (OPTION5) scale to assess observed SDM performance of residents in 98 actual recorded consultations. Perceived SDM performance was evaluated by residents and patients completing validated SDM questionnaires, supplemented with questions about (the context of) the consultation and perceived relevance of SDM immediately after the consultation. The data were analysed using descriptive statistics (mean, SD, minimums, and maximums) and explorative bivariate analyses.
Results: The residents' observed mean SDM performance was 19.1 (range, 0-100, SD = 10.9), mean resident self-reported SDM performance was 56.9 (range, 0-100, SD = 18.5), and mean patient-reported SDM performance was 73.3 (range, 0-100, SD = 26.8). We found a significant and positive correlation between observed SDM performance and residents' perceived relevance of SDM for the consultation (t = 4.571, P ≤ 0.001) and the duration of the consultation (r = 0.390, P ≤ 0.001).
Conclusions: This study showed that there is room for increasing awareness of the potential incongruence between observed and perceived SDM performance during medical residency, in order to facilitate the implementation of SDM in clinical practice.
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http://dx.doi.org/10.1093/fampra/cmad125 | DOI Listing |
Int J Surg Case Rep
December 2024
Department of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Wardha, India. Electronic address:
Introduction And Importance: Xanthogranulomatous inflammation of the female genital tract is a rare condition involving ovarian tubes characterized by chronic inflammation and destruction of pelvic organs, often mimicking pelvic malignancy.
Case Presentation: A 37-year-old female with a history of chronic kidney disease, hypertension, and treated pulmonary tuberculosis, presented with lower abdominal fullness, pain, and irregular menstrual cycles.
Clinical Discussion: Radiological investigations revealed a significant left adnexal mass, suggesting a tubo-ovarian abscess or neoplastic lesion.
Micromachines (Basel)
December 2024
Department of Process Engineering, Faculty of Manufacturing Technologies with the Seat in Presov, Technical University of Kosice, Sturova 31, 080 01 Presov, Slovakia.
The integrity of the machined surface in precision wire electrical discharge machining (WEDM) of electrically conductive materials is one of the most important quality indicators. The integrity parameters of the machined surface are primarily monitored in terms of micro and macro geometry parameters. This paper presents the results obtained as a part of experimental research aimed at evaluating surface crack density (SCD) when machining EN HS6-5-2C using WEDM technology.
View Article and Find Full Text PDFSci Rep
January 2025
School of Spatial Planning and Design, Hangzhou City University, Hangzhou, 310015, China.
Analysis of the spatiotemporal trends of urban scale and urban vitality on ecosystem services balance provides an essential basis for regional sustainable development. This study employs the Spatial Durbin Model (SDM), Spatial Autoregressive Model (SAR), and Geographically and Temporally Weighted Regression (GTWR) to effectively capture spatiotemporal associations between urban scale, urban vitality, and ecosystem services supply-demand balance, providing a detailed view of regional variations. The integrated framework combines spatiotemporal analysis, predictive scenario simulation, and importance-performance analysis to quantify and strategize urban impacts on ESs.
View Article and Find Full Text PDFSci Rep
January 2025
THz-Photonics Group, Institut für Hochfrequenztechnik, Technische Universität Braunschweig, 38106, Braunschweig, Germany.
Space division multiplexing (SDM) with Hermite Gaussian (HG) modes, for instance, can significantly boost the transmission link capacity. However, SDM is not suitable in existing single mode fiber networks, and in long-distance wireless, microwave, THz or optical links, the far-field beam distribution may present a problem. Recently it has been demonstrated, that time domain HG modes can be employed to enhance the link capacity.
View Article and Find Full Text PDFJ Affect Disord
December 2024
Anxiety, Obsessions and Compulsions Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; D'Or Institute for Research and Education, Rio de Janeiro, Brazil; Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Mindfulness-based interventions (MBIs) effectively treat anxiety symptoms across different anxiety and related disorders (ARDs), including panic disorder, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. In this systematic review and meta-analysis, we investigate whether MBIs also lead to improvements in the quality of life (QoL) of patients with ARDs. A systematic review was performed through electronic search in PUBMED, PsycINFO, Embase, Web of Science, and Clinical Trials databases.
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