Teaching Principles of Patient-Centered Care During Radiology Residency

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• 作者：Matthew M. Miller ; MD ; PhD^a ; ^b ; ^{mmiller9@bidmc.harvard.edu" class="auth_mail" title="E-mail the corresponding author} ; Priscilla J. Slanetz ; MD ; MPH^a ; ^b ; Ana P. Lourenco ; MD^c ; ^d ; Ronald L. Eisenberg ; MD ; JD^a ; ^b ; Justin W. Kung ; MD^a ; ^b
• 关键词：Case-based learning ; medical education ; patient letters ; patient-centered care ; residency training
• 刊名：Academic Radiology
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：23
• 期：7
• 页码：802-809
• 全文大小：196 K

文摘

Patient-centered healthcare delivery has become increasingly established as a cornerstone of quality medical care, but teaching these principles in a radiology residency setting is often difficult and ineffective in a traditional lecture format. We developed a novel educational session in which actual patient letters about a healthcare provider are used to facilitate a case-based discussion of key principles of patient-centered care.

Materials and Methods

A novel patient letter-facilitated, case-based session was conducted at two different university-based teaching institutions. Prior to the educational session, patient letters introducing the principles of patient-centered care were distributed to residents for review. During the session, radiology-specific cases were discussed in the context of the principles introduced by the letters. A post-session survey was administered to evaluate the efficacy and usefulness of the session.

Results

Forty-six of the 61 session attendees (75%) completed the post session survey. Most respondents (93%) preferred this case-based, interactive session to a typical didactic session. A majority of the residents indicated that both the patient letters (64%) and radiology specific cases (73%) helped them think differently about how they interact with patients. They indicated that the session enhanced their understanding of professionalism (3.7 out of 5.0 [95% CI 3.4–4.0]) and increased their motivation to become more patient-centered (3.0 out of 4.0 [95% CI 2.8–3.3]).

Conclusions

Our findings suggest that patient letter-facilitated, case-based sessions may influence resident attitudes regarding the principles of patient-centered care and may help to increase resident motivation to become more patient-centered in their own practice.