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Biomedical subjects

Jason Frank

Publications and source records attributed to Jason Frank.

2 recordsLinked to original sources

Evaluating "ED STAT!": a novel and effective faculty development program to improve emergency department teaching.

OBJECTIVES: Effective clinical teaching in emergency departments (EDs) presents unique challenges. No validated approaches to enhancing ED teaching have been reported. The authors evaluated the effectiveness of a novel one-day evidence-based, skills-oriented faculty development course tailored to ED teachers (ED STAT!). METHODS: The authors invited all inaugural course registrants to participate in this program evaluation study. The authors assessed participants' knowledge change and perceived change in teaching behavior using a multiple-choice and short-answer question examination, a teaching behaviors questionnaire, and a survey for satisfaction. Data were gathered before, immediately after, and one month after the course. Mean scores were compared using the Wilcoxon signed rank test, and qualitative results were analyzed via a grounded theory approach. RESULTS: Thirty-one individuals from a variety of academic and community EDs completed the May 2005 course; 28 participated in the pre-evaluation and postevaluation, and 22 participated in the one-month postevaluation. Multiple-choice scores increased from pre-evaluation to one-month postcourse by 15.1% (p < 0.001, effect size large: d = 1.53). Short-answer scores increased by 17.2% (p = 0.001, effect size large: d = 0.90). After one month, 55% of participants reported an increased amount of teaching, 86% perceived this teaching to be of a greater quality, and 82% had shared new strategies with colleagues. The course would be recommended to a colleague by 96.3% of respondents. CONCLUSIONS: ED STAT! improves participants' knowledge about ED-specific teaching strategies, and this improvement is maintained at one month. Participants reported high satisfaction and a positive effect on teaching behavior.

Consumer Behavior↗

Informed consent in interventional spine procedures: how much do patients understand?

BACKGROUND: One of the most important issues that interventional physicians address during treatment is informing patients of their treatment options. Prior to beginning treatment, patients are given this information and allowed the opportunity to ask questions. Minimal qualitative information exists as to how much of this material patients retain and understand. OBJECTIVE: To determine the understanding and satisfaction patients have with the information provided through the informed consent process for interventional spine procedures. DESIGN: Prospective qualitative interview study. SETTING: University-based multidisciplinary spine practice. PARTICIPANTS: Twenty-five consecutive patients undergoing spinal procedures who agreed to be interviewed about the informed consent process. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Domains of concern for patients undergoing spinal procedures were determined through a qualitative interview. RESULTS: Primary areas of concern for patients with the informed consent process centered on their desire for more information on the procedure and its risks, expectations of the procedure and benefits, and what treatments patients feel are effective. Patients had difficulty recalling the potential risks and alternatives to the procedure. The majority of patients had tried physical therapy and medications, without benefit. The most common suggestion patients gave for improving the process was to produce a video of the procedure. Common themes encountered during the interview are reviewed, with common phrases presented for each theme. CONCLUSIONS: Despite discussion in the office, handouts, and pre-procedure instructions, patients felt that additional sources of information would be useful to fully understand the procedure and its risks, benefits, and alternatives. Moreover, informing patients' family members may enhance comprehension of all aspects of information provided within the informed consent process about interventional spine procedures.

Journal Article↗