3,154
Views
9
CrossRef citations to date
0
Altmetric
Research Article

Towards a medical school curriculum for uncertainty in clinical practice

ORCID Icon, , &
Article: 1972762 | Received 15 Apr 2021, Accepted 23 Aug 2021, Published online: 29 Aug 2021

References

  • Lee C, Hall K, Anakin M, et al. Towards a new understanding of uncertainty in medical education. J Eval Clin Pract. October 2020. DOI:https://doi.org/10.1111/jep.13503.
  • Allison JJ, Kiefe CI, Cook EF, et al. The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO. Med Decis Making. 1998;18(3):320–11.
  • Innes SI, Leboeuf-Yde C, Walker BF. The relationship between intolerance of uncertainty in chiropractic students and their treatment intervention choices. Chiropr Man Therap. 2017;25(1):20.
  • Merrill JM, Camacho Z, Laux LF, et al. Uncertainties and ambiguities: measuring how medical students cope. Med Educ. 1994;28(4):316–322.
  • Kim K, Lee Y-M. Understanding uncertainty in medicine: concepts and implications in medical education. Korean J Med Educ. 2018;30(3):181–188.
  • Leung J, Cloninger CR, Hong BA, et al. Temperament and character profiles of medical students associated with tolerance of ambiguity and perfectionism. PeerJ. 2019;7:e7109.
  • Cooke S, Lemay J-F. Transforming medical assessment: integrating uncertainty into the evaluation of clinical reasoning in medical education. Acad Med. 2017;92(6):746–751.
  • Wasfy JH. Learning about clinical uncertainty. Acad Med. 2006;81(12):1075.
  • Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182–1191.
  • Cristancho SM, Apramian T, Vanstone M, et al. Understanding clinical uncertainty: what is going on when experienced surgeons are not sure what to do? Acad Med. 2013;88(10):1516–1521.
  • Kumagai AK. A conceptual framework for the use of illness narratives in medical education. Acad Med. 2008;83(7):653–658.
  • Scott A, Sudlow M, Shaw E, et al. Medical education, simulation and uncertainty. Clin Teach. 2020;17(5):497–502.
  • Tonelli MR, Upshur REG. A philosophical approach to addressing uncertainty in medical education. Acad Med. 2019;94(4):507–511.
  • Klassen RM, Klassen JRL. Self-efficacy beliefs of medical students: a critical review. Perspect Med Educ. 2018;7(2):76–82.
  • Mangione S, Chakraborti C, Staltari G, et al. Medical Students’ Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: a Multi-Institutional U.S. Survey. J Gen Intern Med. 2018;33(5):628–634.
  • AR A, SJ D, DP S. Guidelines for Reporting Survey-Based Research Submitted to Academic Medicine. Acad Med. 2018;93(3):337–340.
  • Gehlbach H, Artino AR, Durning S. AM last page: survey development guidance for medical education researchers. Acad Med. 2010;85(5):925.
  • Schwarzer R, Jerusalem M. Generalized Self-Efficacy Scale. In: Weinman J, Wright S, Johnston M, editors. Measures in Health Psychology: a User’s Portfolio. Causal and Control Beliefs. Windsor. UK: Nfer-Nelson; 1995. p. 35–37.
  • Scholz U, Gutiérrez Doña B, Sud S, et al. Is General Self-Efficacy a Universal Construct?1. European Journal of Psychological Assessment. 2002;18(3):242–251.
  • Carleton RN, Norton MAPJ, Asmundson GJG. Fearing the unknown: a short version of the Intolerance of Uncertainty Scale. J Anxiety Disord. 2007;21(1):105–117.
  • Carleton RN, Mulvogue MK, Thibodeau MA, et al. Increasingly certain about uncertainty: intolerance of uncertainty across anxiety and depression. J Anxiety Disord. 2012;26(3):468–479.
  • KL R, RE P, KA C, et al. Development of the Uncertainty Communication Checklist: a Patient-Centered Approach to Patient Discharge From the Emergency Department. Acad Med. 2020;95(7):1026–1034.
  • Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 2020;42(8):846–854.
  • LaDonna KA, Taylor T, Why Open-Ended LL. Survey Questions Are Unlikely to Support Rigorous Qualitative Insights. Acad Med. 2018;93(3):347–349.
  • Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Adv Health Sci Educ Theory Pract. 2019;24(4):797–809.
  • West AF, West RR. Clinical decision-making: coping with uncertainty. Postgrad Med J. 2002;78(920):319–321.
  • Luther VP, Crandall SJ. Commentary: ambiguity and uncertainty: neglected elements of medical education curricula? Acad Med. 2011;86(7):799–800.
  • Iannello P, Mottini A, Tirelli S, et al. Ambiguity and uncertainty tolerance, need for cognition, and their association with stress. A study among Italian practicing physicians. Med Educ Online. 2017;22(1):1270009.
  • Russek NS, Detsky AS, Quinn KL. Managing clinical uncertainty: a teachable moment. JAMA Intern Med. 2020;180(3):452–453.
  • Guenter D, Fowler N, Lee L. Clinical uncertainty: helping our learners. Can Fam Physician. 2011;57(1):120–125.
  • Aljamal Y, Prabhakar N, Saleem H, et al. Can the perceived difficulty of a task enhance trainee performance? J Surg Educ. 2019;76(6):e193–e198.
  • Yu JH, Chae SJ, Chang KH. The relationship among self-efficacy, perfectionism and academic burnout in medical school students. Korean J Med Educ. 2016;28(1):49–55.
  • Hayat AA, Shateri K, Amini M, et al. Relationships between academic self-efficacy, learning-related emotions, and metacognitive learning strategies with academic performance in medical students: a structural equation model. BMC Med Educ. 2020;20(1):76.
  • Passi V, Johnson N. The hidden process of positive doctor role modelling. Med Teach. 2016;38(7):700–707.
  • Stephens GC, Rees CE, Lazarus MD. Exploring the impact of education on preclinical medical students’ tolerance of uncertainty: a qualitative longitudinal study. Adv Health Sci Educ Theory Pract. 2021;26(1):53–77.
  • Mylopoulos M, Steenhof N, Kaushal A, et al. Twelve tips for designing curricula that support the development of adaptive expertise. Med Teach. 2018;40(8):850–854.
  • Nadir N-A, Bentley S, Papanagnou D, et al. Characteristics of Real-Time, Non-Critical Incident Debriefing Practices in the Emergency Department. West J Emerg Med. 2017;18(1):146–151.
  • Rising KL, Papanagnou D, McCarthy D, et al. Emergency medicine resident perceptions about the need for increased training in communicating diagnostic uncertainty. Cureus. 2018;10(1):e2088.
  • Gheihman G, Johnson M, Simpkin AL. Twelve tips for thriving in the face of clinical uncertainty. Med Teach. 2020;42(5):493–499.
  • Cooke GPE, Doust JA, Steele MC. A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Med Educ. 2013;13(1):2.
  • Hancock J, Mattick K. Tolerance of ambiguity and psychological well-being in medical training: a systematic review. Med Educ. 2020;54(2):125–137.