The Patient Experience Debrief Interview: How Conversations With Hospitalized Families Influence Medical Student Learning and Reflection

Academic Medicine : Journal of the Association of American Medical Colleges
Ian S ChuaLaura E Hirshfield

Abstract

To determine the effect of patient debrief interviews on pediatric clerkship student depth of reflection and learning. The authors conducted a multi-institutional, mixed-methods, cluster randomized trial among pediatric clerkship students from May 2016 to February 2017. Intervention students completed a debrief interview with a patient-caregiver, followed by a written reflection on the experience. Control students completed a written reflection on a memorable patient encounter. Three blinded authors scored written reflections according to the 4-level REFLECT rubric to determine depth of reflection. Interrater reliability was examined using kappa. REFLECT scores were analyzed using a chi-square test; essays were analyzed using content analysis. Eighty percent of eligible students participated. One hundred eighty-nine essays (89 control, 100 intervention) were scored. Thirty-seven percent of the control group attained reflection and critical reflection, the 2 highest levels of reflection, compared with 71% of the intervention group; 2% of the control group attained critical reflection, the highest level, compared with 31% of the intervention group (χ(3, N = 189) = 33.9, P < .001). Seven themes were seen across both groups, 3 focu...Continue Reading

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Citations

Aug 1, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Meredith YoungDorene F Balmer
Dec 4, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Yoon Soo ParkAnthony R Artino
Jul 25, 2020·Hospital Pediatrics·Corrie E McDaniel, Christopher J Russell

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