SNAPPS-Plus: An educational prescription for students to facilitate formulating and answering clinical questions

James Nixon, Terry Wolpaw, Alan Schwartz, Briar Duffy, Jeremiah Menk, Georges Bordage

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: To analyze the content and quality of PICO-formatted questions (Patient-Intervention-Comparison-Outcome), and subsequent answers, from students' educational prescriptions added to the final SNAPPS Select step (SNAPPS-Plus). Method: Internal medicine clerkship students at the University of Minnesota Medical Center were instructed to use educational prescriptions to complement their bedside SNAPPS case presentations from 2006 to 2010. Educational prescriptions were collected from all eligible students and coded for topic of uncertainty, PICO conformity score, presence of answer, and quality of answer. Spearman rank-order correlation coefficient was used to compare ordinal variables, Kruskal-Wallis test to compare distribution of PICO scores between groups, and McNemar exact test to test for association between higher PICO scores and presence of an answer. Results: A total of 191 education prescriptions were coded from 191 eligible students, of which 190 (99%) included a question and 176 (93%, 176/190) an answer. Therapy questions constituted 59% (112/190) of the student-generated questions; 19% (37/190) were related to making a diagnosis. Three-fifths of the questions (61%, 116/190) were scored either 7 or 8 on the 8-point PICO conformity scale. The quality of answers varied, with 37% (71/190) meeting all criteria for high quality. There was a positive correlation between the PICO conformity score and the quality of the answers (Spearman rank-order correlation coefficient = 0.726; P < .001). Conclusions: The SNAPPS-Plus technique was easily integrated into the inpatient clerkship structure and guaranteed that virtually every case presentation following this model had a well-formulated question and answer.

Original languageEnglish (US)
Pages (from-to)1174-1179
Number of pages6
JournalAcademic Medicine
Volume89
Issue number8
DOIs
StatePublished - Jan 1 2014

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medication
conformity
student
medicine
uncertainty
education
Group

All Science Journal Classification (ASJC) codes

  • Education

Cite this

Nixon, James ; Wolpaw, Terry ; Schwartz, Alan ; Duffy, Briar ; Menk, Jeremiah ; Bordage, Georges. / SNAPPS-Plus : An educational prescription for students to facilitate formulating and answering clinical questions. In: Academic Medicine. 2014 ; Vol. 89, No. 8. pp. 1174-1179.
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SNAPPS-Plus : An educational prescription for students to facilitate formulating and answering clinical questions. / Nixon, James; Wolpaw, Terry; Schwartz, Alan; Duffy, Briar; Menk, Jeremiah; Bordage, Georges.

In: Academic Medicine, Vol. 89, No. 8, 01.01.2014, p. 1174-1179.

Research output: Contribution to journalArticle

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T2 - An educational prescription for students to facilitate formulating and answering clinical questions

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AU - Wolpaw, Terry

AU - Schwartz, Alan

AU - Duffy, Briar

AU - Menk, Jeremiah

AU - Bordage, Georges

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