以家长为主导,以病人为中心的医疗之家模式,为本科生和研究生提供跨专业的学习机会。

IF 3.1 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH Medical Education Online Pub Date : 2022-12-01 DOI:10.1080/10872981.2021.2012105
Lori Heginbotham, Gina Baugh, Timothy Lefeber, Linda Friehling, Christy Barnhart, Lee Ann Miller, Lucas Moore, Lesley Cottrell
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引用次数: 2

摘要

导读:尽管国家努力建立以病人为中心的医疗之家(PCMH),但仍有57.3%有特殊保健需求的儿童接受的护理不符合医疗之家的标准。DOCC项目是一项由残疾儿童或慢性病儿童的父母设计的全国性课程,十多年来,从父母的角度来看,它在有特殊保健需要的儿童的住院医师学习者教育方面显示出有文献证明的优势。由于PCMH的重要性和提供富有同情心的护理的需要,我们的团队调整了课程,将以团队为基础的学习纳入农村环境。材料和方法:在面对面的研讨会之前,将阅读材料分发给学习者,在此期间,学习者回顾视频并讨论PCMH材料,以确定PCMH的要素。然后,学习者在三个分组会议中与家长导师进行交流。完成了最后一次小组反思,以审查和讨论提供者在其自己的实践中为建立和维持PCMH将采取的努力。收集基线和工作坊后的PCMH感知和家长导师的反映,并使用t检验比较。结果:学习班结束后,学习者的知识、认知和舒适度均有显著提高。家长导师的评论也强调了对提供者的理解的增加。讨论:采用一种非常适合卫生专业课程和农村环境有限资源的可行方法,改编后的PCMH课程显著影响了学习者的学习成果。家长们很享受作为导师的机会,也很重视这种教学形式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A parent-led, patient-centered medical home model instruction for interprofessional undergraduate and graduate learning opportunities.

Introduction: Despite national efforts to establish patient-centered medical homes (PCMH), 57.3% of children with special health care needs are receiving care that does not meet medical home criteria. Project DOCC, a national curriculum designed by parents of children with disabilities or chronic disease, has shown documented strengths in medical resident learner education of children with special health care needs from the parent perspectives for over a decade. Because of the importance of PCMH and the need to provide compassionate care, our team adapted the curriculum to incorporate team-based learning in the rural setting.

Materials and methods: Reading materials were distributed to learners prior to an in-person workshop at which time, learners reviewed a video and discussed PCMH materials to identify elements of the PCMH. Learners then engaged with parent mentors across three breakout sessions. A final group reflection was completed to review and discuss efforts providers would take to establish and maintain the PCMH in their own practice. Baseline and post-workshop PCMH perceptions and parent mentor reflections were collected and compared using t-test comparisons.

Results: Learner knowledge, perceptions, and comfort significantly increased after the workshop. Parent mentor comments also highlighted an increased understanding for the provider. Discussion: The adapted PCMH curriculum significantly impacted learner outcomes using a feasible approach that fit nicely within health professional curricula and limited resources of the rural setting. Parents enjoyed the opportunity to serve as mentors and valued the instruction format.

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来源期刊
Medical Education Online
Medical Education Online EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
6.00
自引率
2.20%
发文量
97
审稿时长
8 weeks
期刊介绍: Medical Education Online is an open access journal of health care education, publishing peer-reviewed research, perspectives, reviews, and early documentation of new ideas and trends. Medical Education Online aims to disseminate information on the education and training of physicians and other health care professionals. Manuscripts may address any aspect of health care education and training, including, but not limited to: -Basic science education -Clinical science education -Residency education -Learning theory -Problem-based learning (PBL) -Curriculum development -Research design and statistics -Measurement and evaluation -Faculty development -Informatics/web
期刊最新文献
Medical law; promotion of medicine curriculum: a letter to editor. Tips for developing a coaching program in medical education. High- and low-achieving international medical students' perceptions of the factors influencing their academic performance at Chinese universities. A Medical Education Research Library: key research topics and associated experts. Financial barriers and inequity in medical education in India: challenges to training a diverse and representative healthcare workforce.
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