دورية أكاديمية
أعرض في EDS

The impact of patient skin colour on diagnostic ability and confidence of medical students.

التفاصيل البيبلوغرافية
العنوان: The impact of patient skin colour on diagnostic ability and confidence of medical students.
المؤلفون: Dodd RV; Imperial College School of Medicine, Imperial College London, London, United Kingdom., Rafi D; Imperial College School of Medicine, Imperial College London, London, United Kingdom., Stackhouse AA; Imperial College School of Medicine, Imperial College London, London, United Kingdom., Brown CA; Warwick Medical School, University of Warwick, Coventry, United Kingdom., Westacott RJ; Birmingham Medical School, University of Birmingham, Birmingham, United Kingdom., Meeran K; Imperial College School of Medicine, Imperial College London, London, United Kingdom., Hughes E; Health Education England, London, United Kingdom., Wilkinson P; School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom., Gurnell M; School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom., Swales C; Oxford University Medical School, University of Oxford, Oxford, United Kingdom., Sam AH; Imperial College School of Medicine, Imperial College London, London, United Kingdom. a.sam@imperial.ac.uk.
المصدر: Advances in health sciences education : theory and practice [Adv Health Sci Educ Theory Pract] 2023 Oct; Vol. 28 (4), pp. 1171-1189. Date of Electronic Publication: 2023 Mar 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9612021 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-1677 (Electronic) Linking ISSN: 13824996 NLM ISO Abbreviation: Adv Health Sci Educ Theory Pract Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- > : [Dordrecht] : Springer Netherlands
Original Publication: Dordrecht ; Boston : Kluwer Academic Publishers, c1996-
مواضيع طبية MeSH: Students, Medical*/psychology , Eczema* , Herpes Zoster* , Lyme Disease* , Meningococcal Infections*, Humans ; Skin Pigmentation ; Cellulitis ; Clinical Competence
مستخلص: Previous literature has explored unconscious racial biases in clinical education and medicine, finding that people with darker skin tones can be underrepresented in learning resources and managed differently in a clinical setting. This study aimed to examine whether patient skin colour can affect the diagnostic ability and confidence of medical students, and their cognitive reasoning processes. We presented students with 12 different clinical presentations on both white skin (WS) and non-white skin (NWS). A think aloud (TA) study was conducted to explore students' cognitive reasoning processes (n = 8). An online quiz was also conducted where students submitted a diagnosis and confidence level for each clinical presentation (n = 185). In the TA interviews, students used similar levels of information gathering and analytical reasoning for each skin type but appeared to display increased uncertainty and reduced non-analytical reasoning methods for the NWS images compared to the WS images. In the online quiz, students were significantly more likely to accurately diagnose five of the 12 clinical presentations (shingles, cellulitis, Lyme disease, eczema and meningococcal disease) on WS compared to NWS (p < 0.01). With regards to students' confidence, they were significantly more confident diagnosing eight of the 12 clinical presentations (shingles, cellulitis, Lyme disease, eczema, meningococcal disease, urticaria, chickenpox and Kawasaki disease) on WS when compared to NWS (p < 0.01). These findings highlight the need to improve teaching resources to include a greater diversity of skin colours exhibiting clinical signs, to improve students' knowledge and confidence, and ultimately, to avoid patients being misdiagnosed due to the colour of their skin.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Cognitive processing methods; Diagnostic ability; Diagnostic confidence; Educational resources; Medical education; Mixed methods; Racial bias; Think aloud
تواريخ الأحداث: Date Created: 20230301 Date Completed: 20231106 Latest Revision: 20231109
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9977083
DOI: 10.1007/s10459-022-10196-6
PMID: 36859731
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-1677
DOI:10.1007/s10459-022-10196-6