Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship

Detalhes bibliográficos
Autor(a) principal: Mendonça,Dilton Rodrigues
Data de Publicação: 2020
Outros Autores: Aguiar,Carolina Villa Nova, Lins-Kusterer,Liliane, Correia,Luis Cláudio Lemos, Vieira,Adriane Veloso Andrade, Menezes,Marta Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Educação Médica (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000300212
Resumo: Abstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities. Using the Delphi technique, teachers identified three unnecessary situations that commonly occur in practice. The recommendations were grouped by frequency and subject, adapted to the CW format. A Likert scale was used to classify the specialists’ opinion aiming to obtain the final list of recommendations. Before the introduction of the CW campaign, we conducted an Objective Structured Clinical Examination (OSCE). Two groups of students were compared: one group that underwent the same OSCE evaluation before the implementation of the CW campaign (110), and another group that participated of all educational actions (n = 98). The CW campaign was implemented by developing educational actions using the recommendations during workshops, banners, and theoretical evaluation, in addition to an Objective Structured Clinical Examination (OSCE). Results: after grouping the recommendations, 24 items remained. The specialists selected eight recommendations by frequency, addressing unnecessary behaviors such as requesting multiple exams, overuse of non-hormonal anti-inflammatory drugs, the indication of digestive endoscopy in younger patients with dyspepsia, excessive chest X-rays in intensive care unit, prescribing antibiotic prophylaxis for longer than recommended, routine indication of allergic tests, inadequate initial screening for thyroid assessment, and spirometry in asymptomatic patients. The educational actions resulted in a process of awareness and discussion among the participants, evidenced by theoretical evaluation (> 95%), as well as in the OSCE, where the level of successes was higher in the exposed group when compared to the nonexposed group (p = 0.001). Conclusion: the implementation of the CW campaign improved the clinical skills of medical clinic internship students and allowed positive discussions about cost-consciousness in health.
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spelling Implementation of the Choosing Wisely Campaign at a Medical Clinic InternshipMedical EducationInternship and ResidencyGeneral PracticeHealth Care CostsAbstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities. Using the Delphi technique, teachers identified three unnecessary situations that commonly occur in practice. The recommendations were grouped by frequency and subject, adapted to the CW format. A Likert scale was used to classify the specialists’ opinion aiming to obtain the final list of recommendations. Before the introduction of the CW campaign, we conducted an Objective Structured Clinical Examination (OSCE). Two groups of students were compared: one group that underwent the same OSCE evaluation before the implementation of the CW campaign (110), and another group that participated of all educational actions (n = 98). The CW campaign was implemented by developing educational actions using the recommendations during workshops, banners, and theoretical evaluation, in addition to an Objective Structured Clinical Examination (OSCE). Results: after grouping the recommendations, 24 items remained. The specialists selected eight recommendations by frequency, addressing unnecessary behaviors such as requesting multiple exams, overuse of non-hormonal anti-inflammatory drugs, the indication of digestive endoscopy in younger patients with dyspepsia, excessive chest X-rays in intensive care unit, prescribing antibiotic prophylaxis for longer than recommended, routine indication of allergic tests, inadequate initial screening for thyroid assessment, and spirometry in asymptomatic patients. The educational actions resulted in a process of awareness and discussion among the participants, evidenced by theoretical evaluation (> 95%), as well as in the OSCE, where the level of successes was higher in the exposed group when compared to the nonexposed group (p = 0.001). Conclusion: the implementation of the CW campaign improved the clinical skills of medical clinic internship students and allowed positive discussions about cost-consciousness in health.Associação Brasileira de Educação Médica2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022020000300212Revista Brasileira de Educação Médica v.44 n.3 2020reponame:Revista Brasileira de Educação Médica (Online)instname:Associação Brasileira de Educação Médica (ABEM)instacron:ABEM10.1590/1981-5271v44.3-20190277.inginfo:eu-repo/semantics/openAccessMendonça,Dilton RodriguesAguiar,Carolina Villa NovaLins-Kusterer,LilianeCorreia,Luis Cláudio LemosVieira,Adriane Veloso AndradeMenezes,Marta Silvaeng2020-07-03T00:00:00Zoai:scielo:S0100-55022020000300212Revistahttp://www.educacaomedica.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@abem-educmed.org.br||revista@educacaomedica.org.br1981-52710100-5502opendoar:2020-07-03T00:00Revista Brasileira de Educação Médica (Online) - Associação Brasileira de Educação Médica (ABEM)false
dc.title.none.fl_str_mv Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
title Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
spellingShingle Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
Mendonça,Dilton Rodrigues
Medical Education
Internship and Residency
General Practice
Health Care Costs
title_short Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
title_full Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
title_fullStr Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
title_full_unstemmed Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
title_sort Implementation of the Choosing Wisely Campaign at a Medical Clinic Internship
author Mendonça,Dilton Rodrigues
author_facet Mendonça,Dilton Rodrigues
Aguiar,Carolina Villa Nova
Lins-Kusterer,Liliane
Correia,Luis Cláudio Lemos
Vieira,Adriane Veloso Andrade
Menezes,Marta Silva
author_role author
author2 Aguiar,Carolina Villa Nova
Lins-Kusterer,Liliane
Correia,Luis Cláudio Lemos
Vieira,Adriane Veloso Andrade
Menezes,Marta Silva
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Mendonça,Dilton Rodrigues
Aguiar,Carolina Villa Nova
Lins-Kusterer,Liliane
Correia,Luis Cláudio Lemos
Vieira,Adriane Veloso Andrade
Menezes,Marta Silva
dc.subject.por.fl_str_mv Medical Education
Internship and Residency
General Practice
Health Care Costs
topic Medical Education
Internship and Residency
General Practice
Health Care Costs
description Abstract: Objective: to evaluate the implementation of the Choosing Wisely (CW) campaign strategies at a medical clinic internship. Methods: This interventional study involved internship teachers and students, using online questionnaires on the SurveyMonkey platform, and face-to-face activities. Using the Delphi technique, teachers identified three unnecessary situations that commonly occur in practice. The recommendations were grouped by frequency and subject, adapted to the CW format. A Likert scale was used to classify the specialists’ opinion aiming to obtain the final list of recommendations. Before the introduction of the CW campaign, we conducted an Objective Structured Clinical Examination (OSCE). Two groups of students were compared: one group that underwent the same OSCE evaluation before the implementation of the CW campaign (110), and another group that participated of all educational actions (n = 98). The CW campaign was implemented by developing educational actions using the recommendations during workshops, banners, and theoretical evaluation, in addition to an Objective Structured Clinical Examination (OSCE). Results: after grouping the recommendations, 24 items remained. The specialists selected eight recommendations by frequency, addressing unnecessary behaviors such as requesting multiple exams, overuse of non-hormonal anti-inflammatory drugs, the indication of digestive endoscopy in younger patients with dyspepsia, excessive chest X-rays in intensive care unit, prescribing antibiotic prophylaxis for longer than recommended, routine indication of allergic tests, inadequate initial screening for thyroid assessment, and spirometry in asymptomatic patients. The educational actions resulted in a process of awareness and discussion among the participants, evidenced by theoretical evaluation (> 95%), as well as in the OSCE, where the level of successes was higher in the exposed group when compared to the nonexposed group (p = 0.001). Conclusion: the implementation of the CW campaign improved the clinical skills of medical clinic internship students and allowed positive discussions about cost-consciousness in health.
publishDate 2020
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