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- Title
Effects of a Focused Patient-Centered Care Curriculum on the Experiences of Internal Medicine Residents and their Patients.
- Authors
Ratanawongsa, Neda; Federowicz, Molly; Christmas, Colleen; Hanyok, Laura; Record, Janet; Hellmann, David; Ziegelstein, Roy; Rand, Cynthia
- 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.
- Subjects
PATIENT-centered care; RESIDENTS (Medicine); INTERNAL medicine; INPATIENT care; CURRICULUM
- Publication
JGIM: Journal of General Internal Medicine, 2012, Vol 27, Issue 4, p473
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-011-1881-8