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What are risk-scoring tools?

Explore medical students' perceptions of risk-scoring tools in clinical practice, considering features, practicalities, and educational factors in this insightful qualitative study. Learn how views differ between students and experienced clinicians, and the implications for targeted teaching and future practice.

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What are risk-scoring tools?

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  1. What are risk-scoring tools? • Clinical decisions • Probability • Currently experiencing • Will experience (Slovis, 2018)

  2. Risk-scoring tools are… • Valuable • Recommended • Use is variable, often low 58 (Plüddemann et al., 2014) Better at predicting clinical outcomes than doctors (Adams and Leveson, 2012) 7-60% (Muller-Riemenschneider et al., 2010)

  3. Previous literature Distrust in validity Act as a barrier to the doctor-patient relationship Low adoption Perceptions Too time consuming Sarazin et al. (2013)

  4. WHAT ARE MEDICAL STUDENTS’ ATTITUDES TOWARDS CLINICAL RISK-SCORING TOOLS? A qualitative study exploring how medical students perceive risk-scoring tools F.S. Tomlinson um14ft@leeds.ac.uk T.A. Willis t.a.willis@leeds.ac.uk

  5. Methods Recruitment and sampling • Convenience sampling • 8 participants • 4th and 5th year medical students

  6. Methods Data Collection • Semi-structured interviews • Audio-recorded • Transcribed

  7. Methods Data Analysis

  8. Findings – Key Themes • Risk-scoring tool features • Practicalities • Educational Factors

  9. Theme 1: Risk-scoring tool features • Potential to be acted upon • Ability to guide history • Evidence base “Without any guidance on how to interpret the score in terms of management… it’s not all that useful.” (P1)

  10. Theme 2: Practicalities …even if something is fantastic, if it takes too long… a lot of people wouldn’t use it (P3) • Ease of use • Practical incentives

  11. Theme 3: Educational Factors • Teaching and learning Respected Clinicians Trust Presence in exams

  12. Experience on placement Used and found useful Used and found useful Used and found useful Used and found useful Used and found useful Experience on placement Useful Useful Useful Useful Useful Junior doctors Junior doctors Junior doctors Junior doctors Junior doctors Observation Talking to clinicians Used and found useful Useful Junior doctors Unnecessary for experienced doctors “tiresome” “pointless” Not used

  13. What will happen if these views are maintained?

  14. b) Targeted teaching for students Not useful when experienced b Medical Students Experienced Clinicians Do not use a Not useful when experienced a) Targeted teaching for clinicians

  15. Implications for Practice and Future Research • Technology • Targeted teaching

  16. Limitations • Convenience sampling • Small sample size

  17. Conclusion • Medical students • Practical barriers were in line with past literature – technology • Risk-scoring tools were believed to hold less value for experienced doctors • Targeted teaching

  18. Thank you for listening!

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