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. 2014 Apr 14;4(2).
doi: 10.3402/jchimp.v4.22893. eCollection 2014.

Do medical trainees feel confident communicating with low health literacy patients?

Nadia K Ali  1 , Robert P Ferguson  2 , Sharmin Mitha  3 , Alexandra Hanlon  4
Affiliations

Do medical trainees feel confident communicating with low health literacy patients?

Nadia K Ali et al. J Community Hosp Intern Med Perspect. .

Abstract

Background: Medical trainees infrequently use health literacy (HL) skills and overestimate their use of plain language and teach back skills. The aim of this study is to assess if level of training impacts the perception of medical trainees around HL knowledge and skills.

Methods: A structured questionnaire consisting of 5 questions assessing the respondents' perception of their confidence in their HL knowledge, ability to identify and communicate with low HL patients, and use of relevant resources was completed by medical students and residents of 2 community-based internal medicine programs in Pennsylvania and Maryland between July 2012 and January 2013.

Results: The response rate was 100% (40) for the PA program and 42% (17) for the MD residency program. All rotating medical students (17) completed the questionnaire. Out of 74 participants, less than 10% were confident of their HL knowledge and ability to identify and communicate with low HL patients. Only 1.4% (1) were confident of their ability to identify appropriate resources. There was no significant difference in communication skills (P=0.305) and ability to identify appropriate resources (P=0.143) across all participants irrespective of their training level. A significant improvement in HL knowledge was observed during the progression from first-year to third-year medical school (P=0.0126) and from internship to second year of residency (P=0.0496).

Conclusion: Medical trainees perceive that they do not receive adequate training on HL knowledge and skills required to feel confident in identifying and communicating with low HL patients and identifying appropriate resources. There is a need for addressing these deficiencies via medical school and residency curricula.

Keywords: health literacy; medical education; patient–provider communication.

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Figures

Fig. 1
Fig. 1
This figure is a graphical representation of the scores obtained by all participants (medical students, interns, and residents irrespective of their level of training in the areas of health literacy (HL) knowledge, skills in identifying patients with low HL, and communicating and providing them with appropriate resources.
See this image and copyright information in PMC

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