The patient centered medical home as curricular model: perceived impact of the "education-centered medical home"

doi:10.1007/s11606-013-2389-1

Multicenter Study

. 2013 Aug;28(8):1105-9.

doi: 10.1007/s11606-013-2389-1.

The patient centered medical home as curricular model: perceived impact of the "education-centered medical home"

Bruce L Henschen¹, Patricia Garcia, Berna Jacobson, Elizabeth R Ryan, Donna M Woods, Diane B Wayne, Daniel B Evans

Affiliations

PMID: 23595930
PMCID: PMC3710377
DOI: 10.1007/s11606-013-2389-1

Multicenter Study

The patient centered medical home as curricular model: perceived impact of the "education-centered medical home"

Bruce L Henschen et al. J Gen Intern Med. 2013 Aug.

. 2013 Aug;28(8):1105-9.

doi: 10.1007/s11606-013-2389-1.

Authors

Bruce L Henschen¹, Patricia Garcia, Berna Jacobson, Elizabeth R Ryan, Donna M Woods, Diane B Wayne, Daniel B Evans

Affiliation

¹ Department of Medicine, Northwestern University Feinberg School of Medicine, 675 N. St. Clair, Suite 18-200, Chicago, IL 60611, USA.

PMID: 23595930
PMCID: PMC3710377
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.

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References

1. Patient-Centered Primary Care Collaborative. Joint principles of the Patient-Centered Medical Home. Available at: http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home. Accessed January 19, 2013.
1. American College of Physicians (ACP). Patient-Centered Medical Home. Available at: http://www.acponline.org/running_practice/pcmh/. Accessed January 19, 2013.
1. Agency for Healthcare Research and Quality. Patient Centered Medical Home resource center. Available at: http://www.pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/. Accessed January 19, 2013.
1. Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing Patient-Centered Medical Home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies. Available at: http://www.pcpcc.net/files/pcmh_evidence_outcomes_2009.pdf. Accessed January 19, 2013.
1. Cooke M, Irby D, O’Brien B. Educating physicians: A call for reform of medical school and residency. San Francisco: Jossey-Bass; 2010.

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[1] Patient-Centered Primary Care Collaborative. Joint principles of the Patient-Centered Medical Home. Available at: http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home. Accessed January 19, 2013.

[2] Patient-Centered Primary Care Collaborative. Joint principles of the Patient-Centered Medical Home. Available at: http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home. Accessed January 19, 2013.

[3] American College of Physicians (ACP). Patient-Centered Medical Home. Available at: http://www.acponline.org/running_practice/pcmh/. Accessed January 19, 2013.

[4] American College of Physicians (ACP). Patient-Centered Medical Home. Available at: http://www.acponline.org/running_practice/pcmh/. Accessed January 19, 2013.

[5] Agency for Healthcare Research and Quality. Patient Centered Medical Home resource center. Available at: http://www.pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/. Accessed January 19, 2013.

[6] Agency for Healthcare Research and Quality. Patient Centered Medical Home resource center. Available at: http://www.pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/. Accessed January 19, 2013.

[7] Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing Patient-Centered Medical Home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies. Available at: http://www.pcpcc.net/files/pcmh_evidence_outcomes_2009.pdf. Accessed January 19, 2013.

[8] Grumbach K, Bodenheimer T, Grundy P. The outcomes of implementing Patient-Centered Medical Home interventions: A review of the evidence on quality, access and costs from recent prospective evaluation studies. Available at: http://www.pcpcc.net/files/pcmh_evidence_outcomes_2009.pdf. Accessed January 19, 2013.

[9] Cooke M, Irby D, O’Brien B. Educating physicians: A call for reform of medical school and residency. San Francisco: Jossey-Bass; 2010.

[10] Cooke M, Irby D, O’Brien B. Educating physicians: A call for reform of medical school and residency. San Francisco: Jossey-Bass; 2010.

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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 as curricular model: perceived impact of the "education-centered medical home"

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