1. Effects of a focused patient-centered care curriculum on the experiences of internal medicine residents and their patients.
- Author
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Ratanawongsa N, Federowicz MA, Christmas C, Hanyok LA, Record JD, Hellmann DB, Ziegelstein RC, and Rand CS
- Subjects
- Adult, California, Education, Medical, Graduate, Female, Health Care Surveys, Hospitals, Teaching, Humans, Internship and Residency statistics & numerical data, Male, Patient Satisfaction, Patient-Centered Care statistics & numerical data, Program Evaluation, Teaching methods, Clinical Competence statistics & numerical data, Communication, Curriculum, Internal Medicine education, Patient-Centered Care methods, Physician-Patient Relations
- Abstract
Background: Traditional residency training may not promote competencies in patient-centered care., Aim: To improve residents' competencies in delivering patient-centered care., Setting/participants: Internal medicine residents at a university-based teaching hospital in Baltimore, Maryland., Program Description: One inpatient team admitted half the usual census and was exposed to a multi-modal patient-centered care curriculum to promote knowledge of patients as individuals, improve patient transitions of care, and reduce barriers to medication adherence., Program Evaluation: Annual resident surveys (N = 40) revealed that the intervention was judged as professionally valuable (90%) and important to their training (90%) and offered experiences not available during other rotations (88%). Compared to standard inpatient rotation evaluations (n = 163), intervention rotation evaluations (n = 51) showed no differences in ratings for traditional medical learning, but higher ratings for improving how housestaff address patient medication adherence, communicate with patients about post-hospital transition of care, and know their patients as people (all p < 0.01). On post-discharge surveys, patients from the intervention team (N = 177, score 90.4, percentile ranking 97%) reported greater satisfaction with physicians than patients on standard teams (N = 924, score 86.1, percentile ranking 47%) p < 0.01)., Discussion: A patient-centered inpatient curriculum was associated with higher satisfaction ratings in patient-centered domains by internal medicine residents and with higher satisfaction ratings of their physicians by patients. Future research will explore the intervention's impact on clinical outcomes.
- Published
- 2012
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