PMID- 20042845 OWN - NLM STAT- MEDLINE DCOM- 20100126 LR - 20240502 IS - 1938-808X (Electronic) IS - 1040-2446 (Print) IS - 1040-2446 (Linking) VI - 85 IP - 1 DP - 2010 Jan TI - Utility of the AAMC's Graduation Questionnaire to study behavioral and social sciences domains in undergraduate medical education. PG - 169-76 LID - 10.1097/ACM.0b013e3181c464c0 [doi] AB - PURPOSE: The Institute of Medicine (IOM) report on social and behavioral sciences (SBS) indicated that 50% of morbidity and mortality in the United States is associated with SBS factors, which the report also found were inadequately taught in medical school. A multischool collaborative explored whether the Association of American Medical Colleges Graduation Questionnaire (GQ) could be used to study changes in the six SBS domains identified in the IOM report. METHOD: A content analysis conducted with the GQ identified 30 SBS variables, which were narrowed to 24 using a modified Delphi approach. Summary data were pooled from nine medical schools for 2006 and 2007, representing 1,126 students. Data were generated on students' perceptions of curricular experiences, attitudes related to SBS curricula, and confidence with relevant clinical knowledge and skills. The authors determined the sample sizes required for various effect sizes to assess the utility of the GQ. RESULTS: The 24 variables were classified into five of six IOM domains representing a total of nine analytic categories with cumulative scale means ranging from 60.8 to 93.4. Taking into account the correlations among measures over time, and assuming a two-sided test, 80% power, alpha at .05, and standard deviation of 4.1, the authors found that 34 medical schools would be required for inclusion to attain an estimated effect size of 0.50 (50%). With a sample size of nine schools, the ability to detect changes would require a very high effect size of 107%. CONCLUSIONS: Detecting SBS changes associated with curricular innovations would require a large collaborative of medical schools. Using a national measure (the GQ) to assess curricular innovations in most areas of SBS is possible if enough medical schools were involved in such an effort. FAU - Carney, Patricia A AU - Carney PA AD - Department of Family Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA. carneyp@ohsu.edu FAU - Rdesinski, Rebecca AU - Rdesinski R FAU - Blank, Arthur E AU - Blank AE FAU - Graham, Mark AU - Graham M FAU - Wimmers, Paul AU - Wimmers P FAU - Chen, H Carrie AU - Chen HC FAU - Thompson, Britta AU - Thompson B FAU - Jackson, Stacey A AU - Jackson SA FAU - Foertsch, Julie AU - Foertsch J FAU - Hollar, David AU - Hollar D LA - eng GR - K07AT003346/AT/NCCIH NIH HHS/United States GR - K07 AR53812/AR/NIAMS NIH HHS/United States GR - K07 AT003131/AT/NCCIH NIH HHS/United States GR - K07 CA121457/CA/NCI NIH HHS/United States GR - K07 HD051507/HD/NICHD NIH HHS/United States GR - K07 AR053812/AR/NIAMS NIH HHS/United States GR - K07 HL082628/HL/NHLBI NIH HHS/United States GR - K07 CA121457-04/CA/NCI NIH HHS/United States GR - K07 HL082629/HL/NHLBI NIH HHS/United States GR - K07 AT003346/AT/NCCIH NIH HHS/United States GR - K07 HD051546/HD/NICHD NIH HHS/United States GR - K07 HD051528/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Acad Med JT - Academic medicine : journal of the Association of American Medical Colleges JID - 8904605 SB - IM MH - Behavioral Sciences/*education MH - Curriculum/*standards MH - Delphi Technique MH - Diffusion of Innovation MH - *Education, Medical, Undergraduate MH - Humans MH - Schools, Medical/*organization & administration MH - Social Sciences/*education MH - Societies, Medical MH - Students, Medical MH - Surveys and Questionnaires MH - United States PMC - PMC2904550 MID - NIHMS203102 EDAT- 2010/01/01 06:00 MHDA- 2010/01/27 06:00 PMCR- 2010/07/15 CRDT- 2010/01/01 06:00 PHST- 2010/01/01 06:00 [entrez] PHST- 2010/01/01 06:00 [pubmed] PHST- 2010/01/27 06:00 [medline] PHST- 2010/07/15 00:00 [pmc-release] AID - 00001888-201001000-00042 [pii] AID - 10.1097/ACM.0b013e3181c464c0 [doi] PST - ppublish SO - Acad Med. 2010 Jan;85(1):169-76. doi: 10.1097/ACM.0b013e3181c464c0.