{"id":"https://openalex.org/W3015045008","doi":"https://doi.org/10.22454/fammed.2020.314090","title":"The Association of Direct Observation of Medical Students With Patient-Centered Care for Obesity","display_name":"The Association of Direct Observation of Medical Students With Patient-Centered Care for Obesity","publication_year":2020,"publication_date":"2020-04-03","ids":{"openalex":"https://openalex.org/W3015045008","doi":"https://doi.org/10.22454/fammed.2020.314090","mag":"3015045008","pmid":"https://pubmed.ncbi.nlm.nih.gov/32267522"},"language":"en","primary_location":{"id":"doi:10.22454/fammed.2020.314090","doi":"https://doi.org/10.22454/fammed.2020.314090","is_oa":true,"landing_page_url":"https://doi.org/10.22454/fammed.2020.314090","pdf_url":"https://journals.stfm.org:/media/3024/phelan-2019-0132.pdf","source":{"id":"https://openalex.org/S126771428","display_name":"Family Medicine","issn_l":"0742-3225","issn":["0742-3225","1938-3800"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","medline","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4320800633","host_organization_name":"Society of Teachers of Family Medicine","host_organization_lineage":["https://openalex.org/P4320800633"],"host_organization_lineage_names":["Society of Teachers of Family Medicine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.stfm.org:/media/3024/phelan-2019-0132.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001103593","display_name":"Nathaniel E. Miller","orcid":"https://orcid.org/0000-0002-4646-1748","observed_orcids":["https://orcid.org/0000-0002-4646-1748"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathaniel Miller","raw_affiliation_strings":["Department of Family Medicine, Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062455032","display_name":"Kurt B. Angstman","orcid":"https://orcid.org/0000-0002-5736-2032","observed_orcids":["https://orcid.org/0000-0002-5736-2032"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kurt B. Angstman","raw_affiliation_strings":["Department of Family Medicine, College of Medicine, Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, College of Medicine, Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010591290","display_name":"Michelle van Ryn","orcid":"https://orcid.org/0000-0002-4258-7319","observed_orcids":["https://orcid.org/0000-0002-4258-7319"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michelle van Ryn","raw_affiliation_strings":["Oregon Health and Sciences University and Diversity Science, Portland, OR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health and Sciences University and Diversity Science, Portland, OR","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051204901","display_name":"Gregory M. Garrison","orcid":"https://orcid.org/0000-0001-6903-4610","observed_orcids":["https://orcid.org/0000-0001-6903-4610"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory M. Garrison","raw_affiliation_strings":["Department of Family Medicine, Mayo Clinic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Mayo Clinic","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103106970","display_name":"Kristin J. Fischer","orcid":"https://orcid.org/0000-0003-2046-0736","observed_orcids":["https://orcid.org/0000-0003-2046-0736","https://orcid.org/0000-0001-8235-4942","https://orcid.org/0000-0002-8272-6037"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristin Fischer","raw_affiliation_strings":["Division of Health Care Policy and Research, Mayo Clinic"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Care Policy and Research, Mayo Clinic","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091193554","display_name":"Sean M. Phelan","orcid":"https://orcid.org/0000-0003-2091-6297","observed_orcids":["https://orcid.org/0000-0003-2091-6297"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sean Phelan","raw_affiliation_strings":["Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5091193554"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":0.5616,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.67988057,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"52","issue":"4","first_page":"271","last_page":"277"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.586899995803833,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.586899995803833,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12066","display_name":"Obesity and Health Practices","score":0.3962000012397766,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.8159999847412109},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.6869999766349792},{"id":"https://openalex.org/keywords/weight-loss-counseling","display_name":"weight loss counseling","score":0.9679999947547913},{"id":"https://openalex.org/keywords/medical-students","display_name":"medical students","score":0.7540000081062317},{"id":"https://openalex.org/keywords/standardized-patient-encounters","display_name":"standardized patient encounters","score":0.5759999752044678},{"id":"https://openalex.org/keywords/weight-stigma","display_name":"weight stigma","score":0.9229999780654907},{"id":"https://openalex.org/keywords/health-behavior-counseling","display_name":"health behavior counseling","score":0.9629999995231628},{"id":"https://openalex.org/keywords/student-self-perception","display_name":"student self-perception","score":0.6309999823570251},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.6209999918937683}],"concepts":[{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.5468324422836304},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5114606618881226},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4799061715602875},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.47810739278793335},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.4733089208602905},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.45755305886268616},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.4486463665962219},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.4175001382827759},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4060571789741516},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.35764092206954956},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.15910816192626953},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.15063762664794922},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.12759962677955627},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.0},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009765","descriptor_name":"Obesity","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D012577","descriptor_name":"Schools, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.22454/fammed.2020.314090","doi":"https://doi.org/10.22454/fammed.2020.314090","is_oa":true,"landing_page_url":"https://doi.org/10.22454/fammed.2020.314090","pdf_url":"https://journals.stfm.org:/media/3024/phelan-2019-0132.pdf","source":{"id":"https://openalex.org/S126771428","display_name":"Family Medicine","issn_l":"0742-3225","issn":["0742-3225","1938-3800"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","medline","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4320800633","host_organization_name":"Society of Teachers of Family Medicine","host_organization_lineage":["https://openalex.org/P4320800633"],"host_organization_lineage_names":["Society of Teachers of Family Medicine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family Medicine","raw_type":"journal-article"},{"id":"pmid:32267522","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32267522","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.22454/fammed.2020.314090","doi":"https://doi.org/10.22454/fammed.2020.314090","is_oa":true,"landing_page_url":"https://doi.org/10.22454/fammed.2020.314090","pdf_url":"https://journals.stfm.org:/media/3024/phelan-2019-0132.pdf","source":{"id":"https://openalex.org/S126771428","display_name":"Family Medicine","issn_l":"0742-3225","issn":["0742-3225","1938-3800"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","medline","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4320800633","host_organization_name":"Society of Teachers of Family Medicine","host_organization_lineage":["https://openalex.org/P4320800633"],"host_organization_lineage_names":["Society of Teachers of Family Medicine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Family Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9476000070571899},{"display_name":"Quality education","id":"https://metadata.un.org/sdg/4","score":0.9235000014305115}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3015045008.pdf","grobid_xml":"https://content.openalex.org/works/W3015045008.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1841339625","https://openalex.org/W1895951422","https://openalex.org/W1939621591","https://openalex.org/W1967521864","https://openalex.org/W1973977409","https://openalex.org/W1989077106","https://openalex.org/W1992942093","https://openalex.org/W2009963994","https://openalex.org/W2025431661","https://openalex.org/W2030356749","https://openalex.org/W2038057932","https://openalex.org/W2040866346","https://openalex.org/W2070316890","https://openalex.org/W2082829733","https://openalex.org/W2117737167","https://openalex.org/W2124881476","https://openalex.org/W2137810019","https://openalex.org/W2269984690","https://openalex.org/W2976157611"],"related_works":["https://openalex.org/W3118491112","https://openalex.org/W2130798421","https://openalex.org/W2111370377","https://openalex.org/W4387682862","https://openalex.org/W3131104024","https://openalex.org/W2320228003","https://openalex.org/W2898218566","https://openalex.org/W2735772743","https://openalex.org/W4313194442","https://openalex.org/W2061813483"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"OBJECTIVES:":[2],"Teaching":[3],"medical":[4,33,50],"students":[5,47,86],"patient-centered":[6,30,120,246],"approaches":[7],"to":[8,23,240],"weight":[9,59,79],"loss":[10,60,80],"counseling":[11],"occurs":[12],"in":[13,32,57,222],"myriad":[14],"ways.":[15],"We":[16],"examined":[17],"lectures":[18],"and":[19,39,45,61,68,96,110,136,169,180,193,202,207,226],"direct":[20,74,164,217],"faculty":[21,75,148,165,218],"observation":[22,76,149,166,201,219],"see":[24],"which":[25],"was":[26,128,150],"associated":[27,152,171],"with":[28,107,111,144,153,163,172,181,213],"better":[29],"care":[31,113,214],"students,":[34],"measured":[35],"by":[36],"both":[37,223],"self-perception":[38],"independent":[40,182,227],"observer":[41,228],"evaluation.":[42],"METHODS:":[43],"Third-":[44],"fourth-year":[46],"attending":[48],"one":[49],"school":[51],"were":[52,87,167],"surveyed":[53],"regarding":[54],"their":[55,78,119,158],"education":[56],"(1)":[58],"health":[62],"behavior":[63],"counseling,":[64],"(2)":[65],"obesity":[66,95],"stigma,":[67],"(3)":[69],"whether":[70],"they":[71,114],"had":[72,209],"experienced":[73],"of":[77,139,141,175,185,204,230,234,244],"counseling.":[81],"Several":[82],"weeks":[83],"later,":[84],"the":[85,108,112],"observed":[88],"during":[89],"a":[90,123],"standardized":[91],"patient":[92,176],"encounter":[93,109,155],"for":[94],"an":[97],"obesity-relevant":[98],"comorbidity.":[99],"A":[100],"postencounter":[101],"survey":[102],"assessed":[103],"overall":[104,154,159],"student":[105,137,186,195,224],"satisfaction":[106,156],"provided.":[115],"Independent":[116,200],"coders":[117],"rated":[118],"communication":[121],"using":[122],"validated":[124],"measure.":[125],"RESULTS:":[126],"There":[127],"no":[129,210],"consistent":[130,211],"association":[131,212],"between":[132],"any":[133],"dependent":[134],"variable":[135],"ratings":[138,184,229],"adequacy":[140,206],"instruction,":[142],"nor":[143],"instructional":[145],"content.":[146],"Direct":[147],"not":[151],"or":[157],"patient-centeredness.":[160],"However,":[161,216],"experiences":[162],"significantly":[168],"positively":[170],"students'":[173,231],"perceptions":[174],"engagement":[177],"(b=0.1,":[178],"P=.05),":[179],"coders'":[183],"friendliness":[187],"(b=0.13,":[188],"P=.01),":[189],"responsiveness":[190],"(b=0.113,":[191],"P=.03),":[192],"lower":[194],"anxiety":[196],"(b=-0.1,":[197],"P=.01).":[198],"CONCLUSIONS:":[199],"self-report":[203],"instruction":[205],"content":[208],"quality.":[215],"predicted":[220],"improvement":[221],"self-reports":[225],"interpersonal":[232],"quality":[233],"care.":[235,247],"Further":[236],"work":[237],"is":[238],"needed":[239],"define":[241],"optimal":[242],"methods":[243],"imparting":[245]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-04-10T00:00:00"}
