Journal of General Internal Medicine

, Volume 28, Issue 8, pp 1105–1109

The Patient Centered Medical Home as Curricular Model: Perceived Impact of the “Education-Centered Medical Home”

Authors

  • Bruce L. Henschen
    • Department of MedicineNorthwestern University Feinberg School of Medicine
  • Patricia Garcia
    • Department of Obstetrics and GynecologyNorthwestern University Feinberg School of Medicine
  • Berna Jacobson
    • Augusta Webster Office of Medical EducationNorthwestern University Feinberg School of Medicine
  • Elizabeth R. Ryan
    • Department of Family and Community MedicineNorthwestern University Feinberg School of Medicine
  • Donna M. Woods
    • Institute for Healthcare StudiesNorthwestern University Feinberg School of Medicine
  • Diane B. Wayne
    • Department of MedicineNorthwestern University Feinberg School of Medicine
    • Department of MedicineNorthwestern University Feinberg School of Medicine
    • Northwestern Medical Faculty Foundation (NMFF)
Innovations and Improvement: Innovations in Medical Education

DOI: 10.1007/s11606-013-2389-1

Cite this article as:
Henschen, B.L., Garcia, P., Jacobson, B. et al. J GEN INTERN MED (2013) 28: 1105. doi:10.1007/s11606-013-2389-1

Abstract

Background

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.

Aim

To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educational objectives.

Setting

Two community-based family medicine clinics, one academic internal medicine clinic, and one pediatric clinic affiliated with an urban medical school.

Participants

56 medical student volunteers.

Program Description

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.

Program Evaluation

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.

Discussion

An Education-Centered Medical Home (ECMH) is feasible and is highly rated by students and faculty. Expansion of this model is underway.

KEY WORDS

patient-centered medical home medical education longitudinal integrated clerkship early clinical experience curriculum design continuity in education

Supplementary material

11606_2013_2389_MOESM1_ESM.docx (22 kb)
ESM 1 (DOCX 21 kb)

Copyright information

© Society of General Internal Medicine 2013