Evidence map›Paper›PMID 28032558›Full record

ArticleThe Journal of surgical research2017

Early learners as health coaches for older adults preparing for surgery.

Jennifer A Kaplan, Zabecca Brinson, Rebecca Hofer, Patricia O'Sullivan, Anna Chang, Helen Horvath, George J Chang, Emily Finlayson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer A KaplanDepartment of Surgery, University of California, San Francisco, San Francisco, California. Electronic address: Jenny.Kaplan@ucsf.edu.
Zabecca BrinsonDepartment of Surgery, University of California, San Francisco, San Francisco, California.
Rebecca HoferDepartment of Surgery, University of California, San Francisco, San Francisco, California.
Patricia O'SullivanDepartment of Surgery, University of California, San Francisco, San Francisco, California; Department of Medicine, School of Medicine, University of California, San Francisco, San Francisco, California; Department of Medicine, University of California, San Francisco, San Francisco, California.
Anna ChangDepartment of Medicine, University of California, San Francisco, San Francisco, California; Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California.
Helen HorvathCommunity Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California.
George J ChangDepartment of Surgical Oncology, U.T.M.D Anderson Cancer Center, Houston, Texas.
Emily FinlaysonDepartment of Surgery, University of California, San Francisco, San Francisco, California; Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
RESEARCH TRAINING IN GASTROINTESTINAL SURGERYT32DK007573 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARRIS, HOBART WHITAKER · 1988 to 2019
$3.0M
NIA NIH HHS P30 AG044281NIDDK NIH HHS T32 DK007573
6 · The paper itself

Abstract

backgroundFew opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first-year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. MATERIALS AND

methodsFrail surgical patients with planned operations were referred to a new preoperative optimization clinic to see a geriatrician, occupational, and physical therapists and a nutritionist. A curriculum for health coaching by early learners was developed, implemented, and evaluated in this clinic. Students attended the clinic visit with their patient, reviewed the interdisciplinary care plan, and called patients twice weekly preoperatively and weekly in the first month after discharge. Students logged all calls, completed patient satisfaction surveys 1 wk before surgery and participated in feedback sessions with team members and medical school faculty. Call success rate was calculated, and team communications were recorded and analyzed.

resultsMedian call success rate was 69.2% and was lowest among medical students (P = 0.004). Students and research assistants contacted or facilitated patient contact with their medical team 84 times. Overall, patients were extremely satisfied with the health coach experience, felt better prepared for surgery, and would recommend the program to others.

conclusionsEarly medical and nurse practitioner students can serve the important function of health coaches for frail patients preparing for surgery. Motivated students benefited from a unique longitudinal experience and gained skills in communication and care coordination. Not all students demonstrated capacity to engage in health coaching this early in their education.

Indexed as

Frail ElderlyPreoperative CareStudents, MedicalAgedAged, 80 and overFemaleHumansMaleMentoringNurse PractitionersPatient SatisfactionProspective StudiesFrail older adultInterprofessional relationsPatient satisfactionPreoperative careUndergraduate medical educationWorkplace

Identifiers

PMID28032558
PMCPMC5337139

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.