Observational Study
Study Title: Agenda-Setting Practices among Clinicians Who Care for Older Adults and Those with Serious Illnesses

Background
This observational study aims to explore the prevalence and characteristics of agenda-setting among clinicians caring for older adults and those with serious illnesses. The study is led by Boyoung Ahn, a fourth-year medical student at the Geisel School of Medicine at Dartmouth, with support from Dr. Catherine Saunders and Ella Harper-Schiehl. It has been awarded the Swigart Ethics Fellowship at Geisel.

Dartmouth Health Clinics
Boyoung Ahn attended clinic visits with an observation grid to assess clinicians’ agenda-setting with patients. She also conducted interviews with clinicians, patients, and care partners to understand their perspectives on agenda-setting. The results of this study echo those of prior studies, revealing that clinicians rarely engage in comprehensive agenda-setting. At the same time, this study also sheds light on the nuances and challenges inherent in agenda-setting, providing important context for its low prevalence. This study will contribute to broader efforts by the HEx Lab in implementing clinic visit agenda-setting tools.

Dartmouth-Hitchcock Medical Center
Medical Student Grand Rounds
In April 2024, Ahn presented the results of this study at the Medical Student Grand Rounds. Currently, Ahn and her team are preparing a manuscript for publication.
