This curriculum is meant to be administered over a 4-week period with residents receiving both didactic instruction and observation by attending physicians during resident-patient interactions. Instruction is provided across seven content areas consisting of: (1) medication adherence, (2) pharmacy curriculum, (3) call to next provider of care, (4) patient-centered discharge, (5) telephone contact with patients after discharge, (6) follow-up visits with patients after discharge (home and sub-acute visits), and (7) the challenging provider-patient relationship. Each area is accompanied by detailed administration directions in an accompanying Instructor’s Guide.
We are currently engaged in studies of the impact of this curriculum on learners and patients. In addition to providing more patient-centered care, we hope to demonstrate benefits in other educational outcomes, including medical knowledge, self-awareness, systems-based practice, and communication skills. We plan to assess whether patients report better relationships with their physicians and an improved understanding of their medical conditions and care. We also hope to demonstrate improved clinical outcomes such as reduced 30-day readmission rates and increased follow-through with recommended treatments and studies after discharge.
By the end of this session, learners will be able to:
- Understanding the psychosocial context of each patient's illness.
- View patients as individuals.
- Optimize care across transitions from the hospital to post-discharge setting.
- Educate and empower patients in shared decision-making about treatments.
None to report.
The program is supported by a private philanthropic gift from Mrs. Aliki Perrotti. It is also supported by a 2010-2011 Picker Institute/Gold Foundation Challenge Grant.
Magill C, Ratanawongsa N, Christmas C, Hayashi J, Record J, Rand CS, Brandt L, Hellmann DB, Ziegelstein RC. Providing Patient-Centered Care Across Transitions: The Johns Hopkins Bayview Aliki Initiative. Poster presented at: SGIM 31st Annual Meeting; April 2008.
Brandt L, Rand CS, Ratanawongsa N, Ziegelstein RC, Christmas C. Development of a Curriculum to Teach Thoughtful Prescribing to Internal Medicine Residents. Poster presented at: American Geriatrics Annual Meeting; May 2008.
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