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Updated: Nov 8, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Introduction to Health Systems Science: Experiential Learning Through Patient Interviews in the Emergency Department.

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Health systems science (HSS) education for medical students was enhanced through patient interviews in emergency departments. This approach fostered a deeper understanding of patient experiences and a desire to improve healthcare delivery.

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Area of Science:

  • Medical Education
  • Health Systems Science
  • Patient Experience

Background:

  • Traditional medical education inadequately prepares students for complex 21st-century healthcare.
  • Health Systems Science (HSS) is the "third pillar" of medical education, complementing basic and clinical sciences.
  • There is a need for engaging HSS educational methods focusing on patient interaction with the healthcare system.

Purpose of the Study:

  • To introduce preclinical medical students to HSS concepts.
  • To provide a platform for students to learn how patients navigate the healthcare system.
  • To assess the impact of patient interviews on student understanding and engagement with HSS.

Main Methods:

  • Implementation of the UNITED (Understanding Needs in the Emergency Department) program.
  • Preclinical medical students interviewed patients in the emergency department (ED).
  • Qualitative analysis of students' written reflections on their experiences.

Main Results:

  • Students questioned their understanding of the healthcare system after hearing patient stories.
  • Patient interviews offered a unique perspective on the patient experience not found in traditional preclinical curricula.
  • Discussing patient realities in the US healthcare system evoked emotional responses in students.

Conclusions:

  • Patient interviews in the ED effectively introduce preclinical students to HSS.
  • This method leads to emotional activation and a desire to improve healthcare delivery.
  • The UNITED program demonstrates a successful strategy for enhancing HSS education through direct patient engagement.