Cargando…

A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication

Despite the growing similarities between allopathic (MD) and osteopathic (DO) medical education, few studies have examined allopathic-osteopathic collaboration. The following study focused on stereotypes and student readiness for interprofessional learning. Patient perceptions were also evaluated. O...

Descripción completa

Detalles Bibliográficos
Autores principales: Jones, Ian A., LoBasso, Michael, Shapiro, Johanna, Amin, Alpesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714813/
https://www.ncbi.nlm.nih.gov/pubmed/36455058
http://dx.doi.org/10.1371/journal.pone.0278171
_version_ 1784842313293365248
author Jones, Ian A.
LoBasso, Michael
Shapiro, Johanna
Amin, Alpesh
author_facet Jones, Ian A.
LoBasso, Michael
Shapiro, Johanna
Amin, Alpesh
author_sort Jones, Ian A.
collection PubMed
description Despite the growing similarities between allopathic (MD) and osteopathic (DO) medical education, few studies have examined allopathic-osteopathic collaboration. The following study focused on stereotypes and student readiness for interprofessional learning. Patient perceptions were also evaluated. Osteopathic and allopathic students were randomly allocated 1:1:1 to work in pairs (MD/DO, MD/MD, DO/DO) at the start of each shift. A questionnaire evaluating student communication was collected from patients at the end of each encounter. Surveys assessing stereotypes and interprofessional readiness were obtained from students at the end of each workday. Data collection was stopped early due to Coronavirus-related safety measures. In the ITT analysis, there were a total of 126 participants (57 students 69 patients). A per-protocol analysis was performed to account for repeat clinic volunteers. No significant differences were detected between student pairs; however, the sensitivity analysis of the questionnaire assessing interprofessional readiness was 8 points higher in the DO/DO group compared to the MD/MD and MD/DO groups (P = 0.0503). In the content analysis of qualitative responses, the MD/DO group was more likely to respond with themes of enjoyment and less concern about stereotypes than the DO/DO group. The MD/DO group was also less likely to report concerns about differences in expectations, methods, and thinking than the MD/MD group. Early trends from this study suggest that DO students may be better positioned to engage in interprofessional learning than their MD counterparts. Additionally, the findings from our content analysis provide evidence that the collaborative experience improved feelings associated with professional legitimacy and credibility among DO students. Taken in aggregate, this study provides justification for a follow-up investigation, as well as a framework for how such studies could best be executed in the future.
format Online
Article
Text
id pubmed-9714813
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-97148132022-12-02 A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication Jones, Ian A. LoBasso, Michael Shapiro, Johanna Amin, Alpesh PLoS One Research Article Despite the growing similarities between allopathic (MD) and osteopathic (DO) medical education, few studies have examined allopathic-osteopathic collaboration. The following study focused on stereotypes and student readiness for interprofessional learning. Patient perceptions were also evaluated. Osteopathic and allopathic students were randomly allocated 1:1:1 to work in pairs (MD/DO, MD/MD, DO/DO) at the start of each shift. A questionnaire evaluating student communication was collected from patients at the end of each encounter. Surveys assessing stereotypes and interprofessional readiness were obtained from students at the end of each workday. Data collection was stopped early due to Coronavirus-related safety measures. In the ITT analysis, there were a total of 126 participants (57 students 69 patients). A per-protocol analysis was performed to account for repeat clinic volunteers. No significant differences were detected between student pairs; however, the sensitivity analysis of the questionnaire assessing interprofessional readiness was 8 points higher in the DO/DO group compared to the MD/MD and MD/DO groups (P = 0.0503). In the content analysis of qualitative responses, the MD/DO group was more likely to respond with themes of enjoyment and less concern about stereotypes than the DO/DO group. The MD/DO group was also less likely to report concerns about differences in expectations, methods, and thinking than the MD/MD group. Early trends from this study suggest that DO students may be better positioned to engage in interprofessional learning than their MD counterparts. Additionally, the findings from our content analysis provide evidence that the collaborative experience improved feelings associated with professional legitimacy and credibility among DO students. Taken in aggregate, this study provides justification for a follow-up investigation, as well as a framework for how such studies could best be executed in the future. Public Library of Science 2022-12-01 /pmc/articles/PMC9714813/ /pubmed/36455058 http://dx.doi.org/10.1371/journal.pone.0278171 Text en © 2022 Jones et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jones, Ian A.
LoBasso, Michael
Shapiro, Johanna
Amin, Alpesh
A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title_full A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title_fullStr A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title_full_unstemmed A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title_short A randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
title_sort randomized, controlled study to assess if allopathic-osteopathic collaboration influences stereotypes, interprofessional readiness, and doctor-patient communication
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714813/
https://www.ncbi.nlm.nih.gov/pubmed/36455058
http://dx.doi.org/10.1371/journal.pone.0278171
work_keys_str_mv AT jonesiana arandomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT lobassomichael arandomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT shapirojohanna arandomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT aminalpesh arandomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT jonesiana randomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT lobassomichael randomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT shapirojohanna randomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication
AT aminalpesh randomizedcontrolledstudytoassessifallopathicosteopathiccollaborationinfluencesstereotypesinterprofessionalreadinessanddoctorpatientcommunication