title: Deficiency areas in decision making in undergraduate medical students.
abstract: BACKGROUND
  In family medicine, decisions can be difficult due to the early presentation of often poorly developed symptoms or the presentation of undifferentiated conditions that require competencies unique to family medicine, such as; primary care management, specific problem-solving skills, and a comprehensive and holistic approach to be taught to medical students.
  
  
  OBJECTIVE
  The aim of this study was to assess the decision-making process covering all theoretical aspects of family practice consultation and to recognize possible areas of deficiency in undergraduate medical students.
  
  
  METHODS
  This was a cross-sectional, observational study performed at the Medical School of the University of Maribor in Slovenia. The study population consisted of 159 fourth-year medical students attending a family medicine class. The main outcome measure was the scores of the students' written reports on solving the virtual clinical case. An assessment tool consisted of ten items that could be graded on a 5-point Likert scale.
  
  
  RESULTS
  The final sample consisted of 147 (92.5%) student reports. There were 95 (64.6%) female students in the sample. The mean total score on the assessment scale was 35.1±7.0 points of a maximum 50 points. Students scored higher in the initial assessment items and lower in the patient education/involvement items. Female students scored significantly higher in terms of total assessment score and in terms of initial assessment and patient education/involvement.
  
  
  CONCLUSIONS
  Undergraduate medical education should devote more time to teaching a comprehensive approach to consultation, especially modification of the health behavior of patients and opportunistic health promotion to patients. Possible sex differences in students' performance should be further evaluated.
authors: Department of Family Medicine, Maribor Medical School, Maribor, Slovenia ; Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia.
authors: Zalika
authors: Z
authors: Klemenc-Ketis
authors: Department of Family Medicine, Maribor Medical School, Maribor, Slovenia ; Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia.
authors: Janko
authors: J
authors: Kersnik
keywords: assessment; decision making; family medicine; undergraduate medical education