Universidad Peruana Cayetano Heredia

Shared decision making in senior medical students: results from a national survey

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dc.contributor.author Zeballos-Palacios, Claudia
dc.contributor.author Quispe, Renato
dc.contributor.author Mongilardi, Nicole
dc.contributor.author Diaz-Arocutipa, Carlos
dc.contributor.author Mendez-Davalos, Carlos
dc.contributor.author Lizarraga, Natalia
dc.contributor.author Paz, Aldo
dc.contributor.author Montori, Victor M.
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.date.accessioned 2019-02-06T14:59:07Z
dc.date.available 2019-02-06T14:59:07Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5538
dc.description.abstract PURPOSE: To explore perceptions and experiences of Peruvian medical students about observed, preferred, and feasible decision-making approaches. METHODS: We surveyed senior medical students from 19 teaching hospitals in 4 major cities in Peru. The self-administered questionnaire collected demographic information, current approach, exposure to role models for and training in shared decision making, and perceptions of the pertinence and feasibility of the different decision-making approaches in general as well as in challenging scenarios. RESULTS: A total of 327 senior medical students (51% female) were included. The mean age was 25 years. Among all respondents, 2% reported receiving both theoretical and practical training in shared decision making. While 46% of students identified their current decision-making approach as clinician-as-perfect-agent, 50% of students identified their teachers with the paternalistic approach. Remarkably, 53% of students thought shared decision making should be the preferred approach and 50% considered it feasible in Peru. Among the 10 challenging scenarios, shared decision making reached a plurality (40%) in only one scenario (terminally ill patients). CONCLUSION: Despite limited exposure and training, Peruvian medical students aspire to practice shared decision making but their current attitude reflects the less participatory approaches they see role modeled by their teachers. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartofseries Medical Decision Making
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Peru en_US
dc.subject Attitude of Health Personnel en_US
dc.subject Pilot Projects en_US
dc.subject Health Surveys en_US
dc.subject Decision Making en_US
dc.subject Physician-Patient Relations en_US
dc.subject decision making en_US
dc.subject Interpersonal Relations en_US
dc.subject medical education en_US
dc.subject patient-centered care en_US
dc.subject students en_US
dc.subject Faculty en_US
dc.subject Hospitals, Teaching en_US
dc.subject Students, Medical/psychology en_US
dc.title Shared decision making in senior medical students: results from a national survey en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/0272989X15573746
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.relation.issn 1552-681X


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