What are risk-scoring tools?

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Presentation transcript:

What are risk-scoring tools? Clinical decisions Probability Currently experiencing Will experience (Slovis, 2018)

Risk-scoring tools are… Valuable Recommended Use is variable, often low Better at predicting clinical outcomes than doctors (Adams and Leveson, 2012) 58 (Plüddemann et al., 2014) 7-60% (Muller-Riemenschneider et al., 2010)

Act as a barrier to the doctor-patient relationship Previous literature Distrust in validity Low adoption Perceptions Act as a barrier to the doctor-patient relationship Too time consuming Sarazin et al. (2013)

WHAT ARE MEDICAL STUDENTS’ ATTITUDES TOWARDS CLINICAL RISK-SCORING TOOLS? A qualitative study exploring how medical students perceive risk-scoring tools F.S. Tomlinson um14ft@leeds.ac.uk T.A. Willis t.a.willis@leeds.ac.uk

Methods Recruitment and sampling Convenience sampling 8 participants 4th and 5th year medical students

Methods Data Collection Semi-structured interviews Audio-recorded Transcribed

Methods Data Analysis

Findings – Key Themes Risk-scoring tool features Practicalities Educational Factors

Theme 1: Risk-scoring tool features Potential to be acted upon Ability to guide history Evidence base “Without any guidance on how to interpret the score in terms of management… it’s not all that useful.” (P1)

Theme 2: Practicalities …even if something is fantastic, if it takes too long… a lot of people wouldn’t use it (P3) Ease of use Practical incentives

Theme 3: Educational Factors Teaching and learning Respected Clinicians Trust Presence in exams

Experience on placement Unnecessary for experienced doctors Observation Talking to clinicians Junior doctors Useful Used and found useful Used and found useful Junior doctors Useful Used and found useful Junior doctors Useful Used and found useful Junior doctors Useful Used and found useful Useful Junior doctors Useful Used and found useful Junior doctors Unnecessary for experienced doctors “tiresome” “pointless” Not used

What will happen if these views are maintained?

Experienced Clinicians b) Targeted teaching for students Not useful when experienced b Medical Students Experienced Clinicians Do not use a Not useful when experienced a) Targeted teaching for clinicians

Implications for Practice and Future Research Technology Targeted teaching

Limitations Convenience sampling Small sample size

Conclusion Medical students Practical barriers were in line with past literature – technology Risk-scoring tools were believed to hold less value for experienced doctors Targeted teaching

Thank you for listening!