Journal of General Internal Medicine

, Volume 27, Issue 4, pp 473–477

Effects of a Focused Patient-Centered Care Curriculum on the Experiences of Internal Medicine Residents and their Patients

  • Neda Ratanawongsa
  • Molly A. Federowicz
  • Colleen Christmas
  • Laura A. Hanyok
  • Janet D. Record
  • David B. Hellmann
  • Roy C. Ziegelstein
  • Cynthia S. Rand
Innovations in Medical Education

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.

KEY WORDS

residency education patient-centered care 

Supplementary material

11606_2011_1881_MOESM1_ESM.pdf (83 kb)
ESM 1(PDF 83 kb)

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Copyright information

© Society of General Internal Medicine 2011

Authors and Affiliations

  • Neda Ratanawongsa
    • 1
  • Molly A. Federowicz
    • 2
  • Colleen Christmas
    • 2
  • Laura A. Hanyok
    • 2
  • Janet D. Record
    • 2
  • David B. Hellmann
    • 2
  • Roy C. Ziegelstein
    • 2
  • Cynthia S. Rand
    • 2
    • 3
  1. 1.UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, General Internal MedicineUniversity of CaliforniaSan FranciscoUSA
  2. 2.Johns Hopkins Bayview Medical CenterJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Department of MedicineBaltimoreUSA

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