Projects
Name
Promoting shared decision-making in Vascular Surgery
University
the Netherlands (IFMSA-NL) - University of Amsterdam, Amsterdam
Domain
Cardiovascular Surgery
Departement
Department of Surgery
Head
Prof. dr. D.A. Legemate
Tutor
Dr. D.T. Ubbink
Languages
English, Dutch
Duration
4 weeks
Availability
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
No No No No No Yes Yes Yes No Yes Yes No
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Shared decision-making (SDM) has become an accepted means to involve patients in the decision-making process about their health issues, in order to improve quality of care. SDM is particularly relevant in surgery, as the benefits of surgical procedures should be weighed against the possible (serious) complications. However, SDM has not yet been sufficiently implemented in clinical practice. To promote this, decision support tools have been developed for both surgeons and patients, like decision aids and option grids. Also, training modules have been developed to teach clinicians how to apply SDM in clinical practice. Improving SDM in clinical practice by training clinicians and introducing decision support tools for various (vascular) surgical conditions. Furthermore, this improvement should be quantified. Training modules and decision support tools have been developed for various (vascular) surgical disorders, like abdominal aortic aneurysm, carotid artery stenosis, varicosis and peripheral vascular disease. Questionnaires are available for patients and surgeons to assess the perceived level of SDM. Audio-recordings can be made of the surgeon-patient encounter to analyze the actual level of patient involvement in the decision-making process. A multicenter trial has just started to introduce these SDM-promoting tools in a stepwise fashion.
What is the aim of the project?
Improving SDM in clinical practice by training clinicians and introducing decision support tools for various (vascular) surgical conditions. Furthermore, this improvement should be quantified.
What techniques and methods are used?
Training modules and decision support tools have been developed for various (vascular) surgical disorders, like abdominal aortic aneurysm, carotid artery stenosis, varicosis and peripheral vascular disease. Questionnaires are available for patients and surgeons to assess the perceived level of SDM. Audio-recordings can be made of the surgeon-patient encounter to analyze the actual level of patient involvement in the decision-making process. A multicenter trial has just started to introduce these SDM-promoting tools in a stepwise fashion.
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
What are the tasks expected to be accomplished by the student?
The student will be gaining a better understanding of the importance and implementation of Shared Decision Making in clinical practice. The student will also be collecting questionnaires, analyzing audio-recordings, contributing to setting up a trial-database, facilitating the logistics of the trial, visiting other contributing centers and possibly distributing and checking the use of decision-support tools.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
0
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
No skills, special knowledge or a certain level of studies is required. Some knowledge of clinical epidemiology, evidence-based medicine and SDM is preferable.
Are there any legal limitations in the student’s involvement
No
Hours
7
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
Articles
- Santema TB; Stubenrouch FE; Koelemay MJ; Vahl AC; Vermeulen CF; Visser MJ; Ubbink DT. Shared Decision Making in Vascular Surgery: An Exploratory Study. Eur J Vasc Endovasc Surg. 2016 Apr;51(4):587-93.
- Ubbink DT; Hageman MG; Legemate DA. Shared decision-making in surgery. Surg Technol Int. 2015 May;26:31-6.
- Stacey D; Legare F; Col NF; Bennett CL; Barry MJ; Eden KB; Holmes-Rovner M; Llewellyn-Thomas H; Lyddiatt A; Thomson R; Trevena L; Wu JH. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2014 Jan 28;1:CD001431.
- Legare F; Stacey D; Turcotte S; Cossi MJ; Kryworuchko J; Graham ID; Lyddiatt A; Politi MC; Thomson R; Elwyn G; Donner-Banzhoff N. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014 Sep 15;(9):CD006732.
- Stiggelbout AM; Van der Weijden T; De Wit MP; Frosch D; Legare F; Montori VM; Trevena L; Elwyn G. Shared decision making: really putting patients at the centre of healthcare. BMJ. 2012 Jan 27;344:e256.
- Mulley AG; Trimble C; Elwyn G. Stop the silent misdiagnosis: patients' preferences matter. BMJ. 2012 Nov 8;345:e6572.