Outcomes | Dependant variables | SNAPPS group | Control group | P value |
---|---|---|---|---|
Summarize patient findings | Total presentation length (in minutes) (Mean ± SD) | 7.19 ± 1.08 | 5.56 ± 1.12 | t = 5.45 p = < 0.01 |
Summary conciseness as a proportion of whole | 2.28 | 1.60 | 0.6984 | |
Duration of summary (in minutes) (Mean ± SD) | 3.15 ± 0.98 | 3.48 ± 0.80 | t = − 1.36 p = 0.177 | |
Duration of discussion (in minutes) (Mean ± SD) | 4.04 ± 1.25 | 2.07 ± 0.73 | t = 7.05 p = < 0.01 | |
Narrowing a differential diagnosis/ | Summary thoroughness – number of basic clinical attributes covered (Mean ± SD) | 7 ± 2.27 | 5.22 ± 2.33 | t = 2.84 p = 0.006 |
Number of diagnoses kept(Dx) in differential diagnosis (DDx) (Mean ± SD) | 2.56 ± 0.75 | 1.74 ± 1.02 | t = 3.33 p = 0.002 | |
Analyzing differential diagnosis | Number of basic attributes in support of Dx in the DDx(Mean ± SD) | 2.04 ± 1.06 | 1.07 ± 0.73 | t = 3.89 p = < 0.01 |
Number of justified Dx in the DDx (Median-IQR) | Median – 2.0 SD – 0.97 IQR (2–3) | Median – 0.00 SD – 0.82 IQR (0–1) | p = < 0.01* | |
Number of distinct comparisons made between two diseases (Median-IQR) | Median – 2.0 SD – 1.02 IQR (2–3) | Median – 0.00 SD – 0.89 IQR (0–2) | p = < 0.01* | |
Probe preceptor- Expressing uncertainties | Number of uncertainties expressed and obtained clarifications (Mean ± SD) | 2.19 ± 0.68 | 1.07 ± 1.04 | t = 4.65 p = < 0.01 |
Percentage of students seeking clarification and information by asking questions by acknowledging their uncertainties | 26 (96.29%) | 16 (59.26%) | X2 = 8.72 p = 0.0031 | |
Discussed patient management plan | Percentage of presentations of students initiating patient management plan | 27 (100%) | 21 (77.8%) | X2 = 8.33 p = 0.004 |
Discussed case related topics and resources | Percentage of presentation by students initiating discussion by identifying topics and issues related to case and patient care for self directed learning | 27 (100%) | 9 (33.3%) | X2 = 3.0 p = 0.083 |