人口小组管理教学:全科实习中的患者拓展活动。

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Family Medicine Pub Date : 2024-07-01 Epub Date: 2024-05-28 DOI:10.22454/FamMed.2024.579841
Maria Syl de la Cruz, Barbara Cymring, Pooja Padgaonkar, Jennifer K Langley
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引用次数: 0

摘要

背景和目标:在医学院开展人口健康教育具有挑战性。我们为三年级学生开展了一项患者外展活动,向他们传授人口小组管理在初级保健中的作用:方法:家庭医学本科医学教育团队和人口健康团队合作开发了一个患者宣传教育工具包。新生入学后,家庭医学实习学生被指派致电其指导教师病人小组的病人,讨论护理差距,找出障碍和改善护理的潜在策略。体验结束后,学生们填写了反思问题,我们对这些问题进行了分析:从 2022 年 2 月到 8 月,82 名三年级医学生在为期 6 周的实习期间参加了患者外联活动。在总共 1,235 次尝试拨打的电话中,24% 的患者在事后安排了预约。在对学生的反思性反馈进行分析后,我们总结出了六条主要启示,主要集中在人群健康的重要性、医疗障碍的识别、学生在拨打电话时的积极和消极感受、学生自我认同的成长领域以及医疗系统的分散/低效等方面:我们有机会继续向学生传授如何与病人就健康问题进行沟通,以及如何解决和改善健康的社会决定因素。这项课程活动可以成为调整人口健康和临床实践的一个步骤,也是医科学生通过教育患者实现增值的一种方式。
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Teaching Population Panel Management: A Patient Outreach Activity in a Family Medicine Clerkship.

Background and objectives: The delivery of population health education in medical school can be challenging. We developed a patient outreach activity for third-year students to teach them the role of population panel management in primary care.

Methods: The family medicine undergraduate medical education and population health teams collaborated to develop an educational patient outreach toolkit. After an orientation, family medicine clerkship students were assigned to call patients on their faculty adviser's patient panel to discuss care gaps and identify barriers and potential strategies to improve care. After the experience, students completed reflection questions, which we analyzed.

Results: From February to August 2022, 82 third-year medical students participated in the patient outreach activity during their 6-week clerkship. Of the 1,235 total attempted calls, 24% of the patients scheduled their appointments afterward. After analyzing the reflective student feedback, we identified six main takeaways, which focused on the importance of population health, the identification of barriers to care, positive and negative feelings that students experienced when making calls, student self-identified areas of growth, and the fragmentation/inefficiency of the health care system.

Conclusions: An opportunity exists to continue to teach students about how to communicate with patients about their health and how to address and improve social determinants of health. This curricular activity can be a step toward efforts to align population health and clinical practice and a way for medical students to add value by educating patients.

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来源期刊
Family Medicine
Family Medicine 医学-医学:内科
CiteScore
2.40
自引率
21.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Family Medicine, the official journal of the Society of Teachers of Family Medicine, publishes original research, systematic reviews, narrative essays, and policy analyses relevant to the discipline of family medicine, particularly focusing on primary care medical education, health workforce policy, and health services research. Journal content is not limited to educational research from family medicine educators; and we welcome innovative, high-quality contributions from authors in a variety of specialties and academic fields.
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