Evidence map›Paper›PMID 33651346›Full record

ArticleEuropean geriatric medicine2021

What is meant by "frailty" in undergraduate medical education? A national survey of UK medical schools.

Rebecca Winter, Muna Al-Jawad, Juliet Wright, Duncan Shrewsbury, Harm Van Marwijk, Helen Johnson, Tom Levett

Abstract read
In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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  7. Medical School Education on Myalgic Encephalomyelitis.Medicina (Kaunas, Lithuania) · 2021
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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

7 authors.

Rebecca WinterDepartment of Medical Education, Brighton and Sussex Medical School, Room 344A Mayfield House, Falmer, Brighton, BN1 9PH, UK. r.winter2@bsms.ac.uk.ORCID 0000-0002-2408-5243
Muna Al-JawadDepartment of Medical Education, Brighton and Sussex Medical School, Room 344A Mayfield House, Falmer, Brighton, BN1 9PH, UK.
Juliet WrightDepartment of Medical Education, Brighton and Sussex Medical School, Room 344A Mayfield House, Falmer, Brighton, BN1 9PH, UK.
Duncan ShrewsburyDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, BN1 9PH, UK.
Harm Van MarwijkDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, BN1 9PH, UK.
Helen JohnsonSchool of Applied Social Science, University of Brighton, Brighton, BN1 9PH, UK.
Tom LevettDepartment of Clinical and Experimental Medicine Brighton, Brighton, BN1 9PH, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAll UK medical schools are required to include frailty in their curriculum. The term is open to interpretation and associated with negative perceptions. Understanding and recognising frailty is a prerequisite for consideration of frailty in the treatment decision-making process across clinical specialities. The aim of this survey was to describe how frailty has been interpreted and approached in UK undergraduate medical education and provide examples of educational strategies employed.

methodsAll UK medical schools were invited to complete an electronic survey. Schools described educational strategies used to teach and assess frailty and provided frailty-related learning outcomes. Learning Outcomes were grouped into categories and mapped to the domains of Outcomes for Graduates (knowledge, skills and values).

results25/34 Medical schools (74%) participated. The interpretation of what frailty is vary widely and the diversity of teaching strategies reflect this. The most common Learning outcomes included as "Frailty" are about the concept of frailty, Comprehensive Geriatric Assessments and Roles of the MDT. Frailty teaching is predominantly opportunistic and occurred within geriatric medicine rotations in all medical schools. Assessments focus on frailty syndromes such as falls and delirium.

conclusionThere is variation regarding how frailty has been interpreted and approached by medical schools. Frailty is represented in an array of teaching and assessment methods, with a lack of constructive alignment to related learning outcomes. Consensus should be agreed as to what frailty means in medical education. Further research is required to explore which frailty-specific educational strategies in undergraduate medical education enhance learning.

Indexed as

Education, Medical, UndergraduateFrailtyAgedCurriculumHumansSchools, MedicalUnited KingdomAssessmentCurriculumFrailtyMedical educationTeachingUndergraduate

Identifiers

PMID33651346
PMCPMC7990827

What Socratic holds

Textmetadata
LicenceCC BY
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.