title: Patient understanding of medical jargon: a survey study of U.S. medical students.
abstract: OBJECTIVE
  With increasing exposure, medical students may forget that technical jargon is unfamiliar to laypeople. To investigate this possibility, authors assessed student perceptions of patient understanding across different years in medical school.
  
  
  METHODS
  533 students at 4 U.S. medical schools rated the proportion of patients likely to understand each of twenty-one different jargon terms. Students were either in the first month of their first year, the middle of their first year, or the middle of their fourth year of medical school.
  
  
  RESULTS
  Fourth-year students were slightly more pessimistic about patients' understanding compared to new first-year students (mean percent understanding of 55.1% vs. 58.6%, p=0.004). Students both over- and under-estimated patient understanding of specific words compared to published estimates. In a multivariate model, other factors did not explain these differences.
  
  
  CONCLUSIONS
  Students do not generally presume that patients understand medical jargon. In many cases they actually underestimate patients' understanding, and these estimates may become more pessimistic longitudinally. Jargon use in communication with patients does not appear to stem from unrealistic presumptions about patients' understanding or from desensitization to jargon during medical school.
  
  
  CONCLUSIONS
  Training about patient knowledge of medical jargon may be a useful addition to communication skills curricula.
authors: Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: thomas.leblanc@duke.edu.
authors: Thomas W
authors: TW
authors: LeBlanc
authors: Michigan State University College of Human Medicine, East Lansing, MI, USA.
authors: Ashley
authors: A
authors: Hesson
authors: Michigan State University College of Human Medicine, East Lansing, MI, USA.
authors: Andrew
authors: A
authors: Williams
authors: The Pediatric Advanced Care Team, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors: Chris
authors: C
authors: Feudtner
authors: Center for Ethics and Department of Medicine, Michigan State University College of Human Medicine, East Lansing, MI, USA.
authors: Margaret
authors: M
authors: Holmes-Rovner
authors: Fuqua School of Business, Duke University, Durham, NC, USA.
authors: Lillie D
authors: LD
authors: Williamson
authors: Fuqua School of Business, Duke University, Durham, NC, USA.
authors: Peter A
authors: PA
authors: Ubel
mesh_terms: D003142:Communication; D032882:Comprehension; D004504:Education, Medical, Undergraduate / Q000379:methods; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D010465:Perception; D010817:Physician-Patient Relations; D013337:Students, Medical / Q000523:psychology*; D009626:Terminology as Topic; D014481:United States; D055815:Young Adult
keywords: Communication; Comprehension; Jargon; Medical education