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Related Experiment Videos

The home visit in resident education: program description and evaluation.

A V Neale1, B J Hodgkins, R Y Demers

  • 1Department of Family Medicine, Wayne State University, Detroit, MI 48201.

Family Medicine
|January 1, 1992
PubMed
Summary
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Family practice residents gained valuable insights into patient lifestyle impacts on health through a home visit rotation. This training improved their knowledge of geriatric care and community services, enhancing their overall residency education.

Area of Science:

  • Medical Education
  • Family Medicine
  • Geriatric Medicine

Background:

  • Family practice residency training traditionally lacks comprehensive home-based patient care exposure.
  • Understanding the influence of patient lifestyle on health status is crucial for holistic medical practice.

Purpose of the Study:

  • To evaluate the impact of a dedicated home visit rotation on family practice residents' understanding of patient lifestyle factors and health.
  • To assess the effectiveness of the curriculum in areas including geriatric, community, and rehabilitative medicine.

Main Methods:

  • A three-month home visit rotation was implemented for family practice residents.
  • Data collected included program evaluation, pre- and post-test knowledge scores, and patient follow-up interviews.

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  • Residents completed 209 home visits over a three-year period.

    • Main Results:

    • Residents reported decreased concern for personal safety and increased agreement on the importance of home visits post-rotation.
    • Significant knowledge score increases were observed in geriatric medicine, patient compliance, functional status, and community services.
    • While some patients experienced initial anxiety, most reported positive experiences with home visits.

    Conclusions:

    • The home visit rotation effectively enhanced residents' understanding of patient lifestyle impacts on health and improved knowledge in key medical areas.
    • The program positively influenced residents' perceptions of home visits as an integral part of training.
    • Home visits offer a valuable learning experience for residents, benefiting both trainees and patients.