Resident Physicians' Knowledge of Underserved Patients: A Multi-Institutional Survey

August 2010
Mayo Clinic Proceedings;Aug2010, Vol. 85 Issue 8, p728
Academic Journal
OBJECTIVE: To measure actual and perceived resident physician knowledge of underserved patient populations. PARTICIPANTS AND METHODS: Using the existing literature on vulnerable patient populations and interviews with experts in the field, we designed a cross-sectional, multi-institutional survey to assess actual and perceived resident knowledge of topics related to underserved populations. The survey of actual knowledge consisted of 30 multiple-choice questions, and the survey of perceived knowledge consisted of 15 items based on 3-point Likert scales of confidence. RESULTS: A total of 498 surveys were completed at 18 residency programs representing 7 different specialties at 10 US institutions. Assessment of perceived knowledge demonstrated that residents were very confident only 14.0% of the time, somewhat confident 66.4% of the time, and not at all confident 19.6% of the time. Assessment of actual knowledge revealed that the average percent correct across all 30 questions was 38%. Women scored better than men (average score, 40.6% vs 36.0%; P=.01), and African Americans scored higher than members of other racial or ethnic groups (average score, 43.5% vs 38.0%; P=.04). Associations between residents' perceived and actual knowledge were generally high. CONCLUSION: For the US residents surveyed, the actual and perceived knowledge about most topics relating to underserved populations was low, whereas associations between actual and perceived knowledge were high. These findings suggest the need to improve resident education regarding underserved patient populations.


Related Articles

  • Tips for Coaxing Compliance. Abelson, Mark B.; Shapiro, Aron; Maffei, Cierra // Review of Ophthalmology;May2010, Vol. 17 Issue 5, p90 

    The article offers tips on how ensure maximal patient compliance with their prescription in the U.S. It states that one of the most important tool to ensure proper compliance is patient education. Moreover, physicians need to educate patient with the proper installation of eyedrops. Furthermore,...

  • Patient education and counseling for drug samples dispensed at physicians' offices. Aseeri, Mohammed A.; Miller, Donald R. // Journal of the American Pharmacists Association: JAPhA;Sep/Oct2006, Vol. 46 Issue 5, p621 

    The article provides information on a study which analyzed aspects of patient education and counseling when drug samples are dispensed to patients by physicians or nurses at a physician's office. Frequent points of discussion during the counseling are listed. The importance of obtaining drug...

  • Medics as a Channel for Worksite Health Promotion in Remote Global Locations. Bisits Bullen, Piroska A. // American Journal of Health Promotion;Jul/Aug2012, Vol. 26 Issue 6, p352 

    Purpose. In the energy and mining sectors, it is commonfor employees to work in geographically remote locations, often with a medic for emergency response. This study evaluated an intervention to increase the number of medics conducting health promotion in remote worksites. Design. Interviews...

  • Disease Management and the Organization of Physician Practice. Casalino, Lawrence P. // JAMA: Journal of the American Medical Association;1/26/2005, Vol. 293 Issue 4, p485 

    Describes the Center for Medicare & Medicaid Services, a disease management initiative that may impact patient care and the organization of physician practice. Lack of proper treatment for patients with chronic diseases; Description of disease management companies that focus on enabling...

  • Approaches to Identifying and Reducing Asthma Triggers. Mitchell, Tracey // AARC Times;Apr2010, Vol. 34 Issue 4, p18 

    The article outlines several approaches to identify and reduce asthma triggers. It suggests that combining patient education with home-based environmental interventions will reduce health care utilization, increase attendance at schools, and provide higher quality of life. It states that...

  • ARTICLE Physician Health and Patient Care. Frank, Erica // JAMA: Journal of the American Medical Association;2/4/2004, Vol. 291 Issue 5, p637 

    Discusses the evidence that physicians have healthier lifestyles and lower mortality rates than the general public, according to the National Occupational Mortality Surveillance database. How the healthy behaviors of physicians are motivated by their patients; Findings that physicians who...

  • Babel Babble: Physicians' Use of Unclarified Medical Jargon with Patients. Castro, Cesar M.; Wilson, Clifford; Wang, Frances; Schillinger, Dean // American Journal of Health Behavior;Sep/Oct2007 Supplement 1, Vol. 31, pS85 

    Objective To describe physicians use of jargon with diabetes patients with limited health literacy. Methods We audiotaped 74 outpatient encounters and coded unclarified jargon, assigning each term a clinical function. We administered telephone questionnaires to determine if comprehension of...

  • Prescribing activity. D. D. R. // British Columbia Medical Journal;Jun2012, Vol. 54 Issue 5, p221 

    The author reflects on the opportunity facing physicians to make a difference in the lives of their patients. According to the author, there is a need for physicians to talk with their patients about healthy eating and exercise. He urges physicians to adopt a leadership role in encouraging...

  • Patient health literacy and patient–physician information exchange during a visit. Ishikawa, Hirono; Yano, Eiji; Fujimori, Shin; Kinoshita, Makoto; Yamanouchi, Toshikazu; Yoshikawa, Mayuko; Yamazaki, Yoshihiko; Teramoto, Tamio // Family Practice;Dec2009, Vol. 26 Issue 6, p517 

    Background. Health literacy (HL), the capacity of individuals to access, understand and use health information to make informed and appropriate health-related decisions, is recognized as an important concept in patient education and disease management.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics