The Patient Centered Medical Home as Curricular Model: Perceived Impact of the “Education-Centered Medical Home”
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The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model.
To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educational objectives.
Two community-based family medicine clinics, one academic internal medicine clinic, and one pediatric clinic affiliated with an urban medical school.
56 medical student volunteers.
We embedded student teams in existing faculty practices and recruited a high-risk patient panel for each team. Clinical education occurred through a traditional clinic preceptor model and was augmented by 3rd and 4th year students directly observing 1st and 2nd year students. Didactic content included monthly Grand Rounds conferences.
Students attended 699 clinics, recruited 273 continuity patients, and participated in 9 Grand Rounds conferences. Student confidence with PCMH principles increased and attitudes regarding continuity were highly positive. “Continuity,” “early clinical exposure,” and “peer teaching” were the most powerful themes expressed by students. Faculty response to the pilot was highly positive.
An Education-Centered Medical Home (ECMH) is feasible and is highly rated by students and faculty. Expansion of this model is underway.
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- The Patient Centered Medical Home as Curricular Model: Perceived Impact of the “Education-Centered Medical Home”
Journal of General Internal Medicine
Volume 28, Issue 8 , pp 1105-1109
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- patient-centered medical home
- medical education
- longitudinal integrated clerkship
- early clinical experience
- curriculum design
- continuity in education
- Industry Sectors
- Author Affiliations
- 1. Department of Medicine, Northwestern University Feinberg School of Medicine, 675 N. St. Clair, Suite 18-200, Chicago, IL, 60611, USA
- 2. Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 3. Augusta Webster Office of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 4. Department of Family and Community Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 5. Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
- 6. Northwestern Medical Faculty Foundation (NMFF), Chicago, IL, USA