My current projects address patient-clinician communication in a variety of contexts and about a number of topics, but all contribute to the overarching goal of supporting clinicians in their efforts to educate and counsel during medical visits.
I am leading multiple projects aimed at understanding how patients evaluate medical advice about antibiotics. One study examines the impact of non-antibiotic symptom management advice delivery for upper respiratory tract infections (URI; a hotspot for unwarranted antibiotic prescribing) on patient symptom management and monitoring capacity, patient satisfaction, and post-visit antibiotic seeking. The second study provides and tests a framework for clinician discussion about antibiotic prescribing when prescribing for immediate use. The third study examines the impact of clinician discussion about the risks associated with antibiotics on patient evaluations of treatment advice quality, visit satisfaction, and knowledge about antibiotics.
In addition to these projects, I am a contributing author for several ongoing projects assessing clinician explanation of URI treatment and diagnosis, as well as interventions to train clinicians on effective advising about antibiotics.
For more information on antibiotic resistance, how it occurs, and ways of promoting antibiotic stewardship, see my "Resources" page.
I am examining the impact of message sequencing on patient evaluations in medical advising interactions utilizing two models from counseling psychology (motivational interviewing) and communication (the integrated model of advice-giving). This project addresses the importance of emotional support provision and problem discussion prior to advice-giving, and
For information on teaching or learning motivational interviewing, or research on effective support and advice provision, see my "Resources" page.
With an interdisciplinary team of physicians, clinical directors, and social scientists I am examining the efficacy of medical scribes in supporting providers during outpatient visits and reducing provider stress and burnout. Ongoing projects are testing medical scribe efficacy in outpatient pediatrics, endocrinology, and dermatology visits, as well as emergency department encounters.
For more information on medical scribes and their roles, see my "Resources" page.