Building Provider-Caregiver Partnerships: Curricula for Medical Students and Residents
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Published on: December 18, 2013
Michael Blackie1, Kristin R Baughman, Barbara Palmisano
1M. Blackie is associate professor, Department of Medical Education, University of Illinois College of Medicine, Chicago, Illinois. K.R. Baughman is associate professor, Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. B. Palmisano is assistant professor, Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. M. Sanders is associate professor, Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. D. Sperling is associate professor, Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio. E. Scott is attending physician, Massachusetts General Hospital, Boston, Massachusetts. S. Radwany is professor, Departments of Medicine and Hospice and Palliative Medicine, The Ohio State University, Columbus, Ohio. J. Drost is geriatric fellowship associate program director, Senior Services, Summa Health, Akron, Ohio. J. Thomas is professor, Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio.
Problem:
A disconnect exists between caregivers and health care providers, resulting in fragmented communication, which increases caregiver stress and compromises patient care. Although providers have a responsibility to recognize caregiver burden, they receive scant training on issues important to caregivers.
Approach:
From 2014 to 2017, as part of the Building Caregiver Partnerships Through Interprofessional Education project-a collaborative effort between Northeast Ohio Medical University and Summa Health-the authors developed curricula to foster effective partnerships between health care providers and caregivers by exposing medical students and residents to highly personal caregiving narratives. The curricula center on a short film featuring 4 families representing diverse caregiving experiences. The authors crafted several discussion guides, case-based learning exercises, structured clinical encounters, team-based simulations, and clinical cases as companion educational tools for the film.
Outcomes:
Medical students reported the educational tools piloted to be valuable in broadening their understanding of caregivers' needs, while residents reported the educational tools piloted to also be valuable in improving their communication and building partnerships with caregivers. Undergraduate and graduate faculty reported finding the pilots valuable.
Next Steps:
Future goals include conducting an outcome evaluation, based on ACGME milestones, to identify and examine clinical outcomes to determine whether communication increases and quality of care improves as a result of the project. The authors would also like to include caregivers in the evaluation. Finally, because caregiving is best addressed from a team approach, the authors plan to pilot the project at other health professions programs.
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