The purpose of this study is to investigate the relationship between intentional online information seeking, incidental online information seeking, eHealth literacy, and shared decision-making; the relationship between intentional online information seeking, incidental online information seeking, information overload, eHealth literacy, information…

Although incorporating cost-considerations during healthcare decision-making is increasingly important to American patients and physicians, content related to these constructs is not routinely included in medical education. As a result, physicians are ill-equipped to consider costs. This study sought input from practicing physicians on perceived…

Immunization is one of the most effective ways to prevent infectious diseases. However, vaccination rates are suboptimal in the United States. Obstetric providers are critical in influencing vaccine decision making among pregnant women, as trust between a patient and provider may facilitate willingness to accept vaccination. Little is known about…

Many models of safe and effective clinical decision making in medical practice emphasize the importance of recognizing moments of uncertainty and seeking help accordingly. This is not always done effectively, but we know little about what cues prompt health professionals to call on resources beyond their own knowledge or skill set. Such…

The aim of this study was to investigate the effect of presenting risk on decision making and evaluations with regard to the valence (positive vs. negative) and the linguistic polarity (direct vs. indirect). Participants were presented with a message in which patients were informed about risk associated with some diagnostic medical procedures. In…

There has been increased attention to and emphasis on competency-based medical education and the transformation from highly supervised medical students towards independent, entrustable physicians. We explored how program directors (PDs) justify decisions about whether they would trust finishing Post Graduate Year 1 (PGY1) residents to care for the…

The third year clerkship is an exciting yet challenging time for medical students (Cooke, Irby, & O'Brien, 2010). For the first time, students spend significant time in clinical settings (e.g., hospitals) assisting in the daily care of patients. Obtaining just-in-time and at point-of-care information and resources (Author, 2009) is one…

Despite the evidence indicating that decision aids (DA) improve informed treatment decision making for prostate cancer (PCa), physicians do not routinely recommend DAs to their patients. We conducted semi-structured interviews with urologists (n = 11), radiation oncologists (n = 12) and primary care physicians (n = 10) about their methods of…

Objective: Not being able to effectively communicate with a new physician because of high anxiety associated with the interaction could lead to issues not being addressed, or even inaccurate diagnoses. Using uncertainty reduction and media richness theories as guidance, this study sought to find ways health educators within healthcare…

Duchenne muscular dystrophy is a progressive muscle-wasting condition that only affects boys, most use a wheelchair by the age of 12 and increasing levels of support and medical intervention are needed as they mature into young adulthood. Medical research is working to find treatments and an eventual cure for Duchenne muscular dystrophy, and this…

Background: Cognitively impaired patients often present poor oral health status that may be explained by ethical tensions in oral healthcare management. This participatory study explored such tensions among adults with intellectual disabilities and with caregivers. The second objective was to specify, with caregivers, the points that should be…

This paper addresses the challenges service providers are facing amidst growing ethnolinguistic diversity in a neoliberal climate. We focus on the public service provider Kind & Gezin (K&G), the agency that monitors the wellbeing of young children on behalf of the Flemish authorities in Belgium. We demonstrate that the organisation has…

The decision making process is central to the practice of a clinician and has traditionally been described in terms of the hypothetico-deductive model. More recently, models adapted from cognitive psychology, such as the dual process and script theories have proved useful in explaining patterns of practice not consistent with purely cognitive…

In focusing on individual and physician demographics and system characteristics that lead to hysterectomy rate variations, researchers overlook the impact of culturally mediated meanings women assign to their bodies, hysterectomy, and other treatments. In this study I sought to provide a fuller description of this decision-making process by…

The purpose of this study was to examine the effectiveness of using a Competency-based Achievement System (CBAS) (a formative tool) in the practice ready assessment (PRA) of internationally-trained physicians seeking licensure to practice in Canada (summative assessment). The study was a retrospective analysis of over 5,000 FieldNotes completed…