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Establishing the Patient Task Facilitator Program: Redefining the Shadower Role
Adam Janicki1, Stephanie Gonzalez2, Michele L Dorfsman2
1Department of Emergency Medicine Warren Alpert Medical School of Brown University Providence Rhode Island USA.
The Patient Task Facilitator program enhanced medical education by integrating students into Emergency Department care. This initiative improved student and faculty satisfaction, boosted attending physician productivity, and increased patient satisfaction.
Area of Science:
- Medical Education
- Emergency Medicine
- Patient Experience
Background:
- Physician shadowing provides insight into clinical practice but can be challenging in productive Emergency Departments.
- Student impact on patient care and workflow during shadowing is not well understood.
- Novel programs are needed to effectively incorporate students into healthcare settings.
Purpose of the Study:
- To evaluate a longitudinal educational program integrating students into Emergency Department care.
- To enhance the patient experience through direct student involvement.
- To improve faculty workflow and physician productivity by leveraging student support.
Main Methods:
- Implemented a Patient Task Facilitator program with physician mentorship and direct patient-facing activities.
- Students acted as patient concierges, reachable by phone for non-medical needs.
- Program modifications were made based on semi-annual feedback from participants.
Main Results:
- The program, active since 2019, involved 42 students and 8 physicians, with high satisfaction reported by both groups.
- 74% of students expressed intent to pursue medical careers.
- Faculty reported improved productivity, patient satisfaction, and nursing availability, with positive patient feedback on Press Ganey surveys.
Conclusions:
- The Patient Task Facilitator program successfully improved student and faculty satisfaction with the shadowing experience.
- The program demonstrated benefits in attending physician productivity, nursing availability, and overall patient satisfaction.
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