Into the future: Patient-centredness endures in longitudinal integrated clerkship graduates

Medical Education

Volumn 48, Issue 6, 2014, Pages 572-582

  Gaufberg, Elizabeth ^a,b   Hirsh, David ^a,b   Krupat, Edward ^a   Ogur, Barbara ^a,b   Pelletier, Stephen ^a   Reiff, Deborah ^b   Bor, David ^a,b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b CAMBRIDGE HEALTH ALLIANCE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ATTITUDE TO HEALTH; CLINICAL EDUCATION; CURRICULUM; DECISION MAKING; DOCTOR PATIENT RELATION; EDUCATIONAL MODEL; FOLLOW UP; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION PROCESSING; MEDICAL EDUCATION; MEDICAL SCHOOL; PROCEDURES; PROGRAM EVALUATION; TIME; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; CLINICAL CLERKSHIP; CURRICULUM; DATA COLLECTION; EDUCATION, MEDICAL; FOLLOW-UP STUDIES; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MODELS, EDUCATIONAL; PHYSICIAN-PATIENT RELATIONS; PROGRAM EVALUATION; SCHOOLS, MEDICAL; TIME FACTORS; UNITED STATES;

EID: 84899946234     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/medu.12413     Document Type: Article

References (38)

1. Strasser R, Hirsh D. Longitudinal integrated clerkships: transforming medical education worldwide? Med Educ 2011;45:436-7.
2. Poncelet A, Hirsh D, chapter editors. Longitudinal integrated clerkships. In: Morgenstern BZ, ed. Guidebook for Clerkship Directors. Alliance for Clinical Education, 4th edn. North Syracuse, NY: Gegensatz 2012;173-224.
3. Hirsh D, Walters L, Poncelet AN. Better Learning, Better Doctors, Better Delivery System: Possibilities from a case study of longitudinal integrated clerkships. Med Teach 2012;34 (7):548-54.
4. Worley P, Silagy C, Prideaux D, Newble D, Jones A. The Parallel Rural Community Curriculum: an integrated clinical curriculum based in rural general practice. Med Educ 2000;34:558-65.
5. Berwick DM, Finkelstein JA. Preparing medical students for the continual improvement of health and health care: Abraham Flexner and the new 'public interest'. Acad Med 2010;85 (Suppl):56-65.
6. Hirsh DA, Ogur B, Thibault GE, Cox M. 'Continuity' as an organising principle for clinical education reform. N Engl J Med 2007;356 (8):858-66.
7. Ogur B, Hirsh D, Krupat E, Bor D. The Harvard Medical School-Cambridge Integrated Clerkship: an innovative model of clinical education. Acad Med 2007;82 (4):397-404.
8. Gaufberg E, Shtasel D, Hirsh D, Ogur B, Bor D. The Harvard Medical School-Cambridge Integrated Clerkship: challenges of longitudinal integrated training. Clin Teach 2008;5:78-82.
9. Cohen P. Training for expertise: the Harvard Medical School-Cambridge Integrated Clerkship tutorial. Clin Teach 2009;6:28-33.
10. Hirsh D, Gaufberg E, Ogur B, Cohen P, Krupat E, Cox M, Pelletier S, Bor D. Educational outcomes of the Harvard Medical School-Cambridge Integrated Clerkship: a way forward for medical education. Acad Med 2012;87 (5):643-50.
11. Hirsh D, Walters L, Poncelet AN. Better learning, better doctors, better delivery system: possibilities from a case study of longitudinal integrated clerkships. Med Teach 2012;34 (7):548-54.
12. Walters L, Greenhill J, Richards J, Ward H, Campbell N, Ash J, Schuwirth LWT. Outcomes of longitudinal integrated clinical placements for students, clinicians and society. Med Educ 2012;46:1028-41.
13. Committee on Quality of Health Care in America, Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: IoM 2001. http://iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx. [Accessed 4 January 2014.]
14. Stewart M, Brown JB, Donner A et al. The impact of patient-centred care on outcomes. J Fam Pract 2000;49 (9):796-804.
15. Rao JK, Anderson LA, Inui TS, Frankel RM. Communication interventions make a difference in conversations between physicians and patients: a systematic review of the evidence. Med Care 2007;45 (4):340-9.
16. Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among patients with acute myocardial infarction: the influences of patient-centred care and evidence-based medicine. Health Serv Res 2010;45 (5 Pt 1):1188-204.
17. Epstein RM, Fiscella K, Lesser CS, Stange KC. Why the nation needs a policy push on patient-centred health care. Health Aff (Millwood) 2010;29 (8):1489-95.
18. Robinson JH, Callister LC, Berry JA, Dearing KA. Patient-centred care and adherence: definitions and applications to improve outcomes. J Am Acad Nurse Pract 2008;20 (12):600-7.
19. Christakis DA, Feudtner C. Temporary matters: the ethical consequences of transient social relationships in medical training. JAMA 1997;278:739-43.
20. Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical environment and personal development. Acad Med 1994;69:670-9.
21. Christakis DA, Feudtner C. Ethics in a short white coat: the ethical dilemmas that medical students confront. Acad Med 1993;68:249-54.
22. Feudtner C, Christakis DA. Making the rounds. The ethical development of medical students in the context of clinical rotations. Hastings Cent Rep 1994;24:6-12.
23. Hojat M, Vergare MJ, Maxwell K et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 2009;84 (9):1182-91.
24. Newton BW, Barber L, Clardy J, Cleveland E, O'Sullivan P. Is there hardening of the heart during medical school? Acad Med 2008;83 (3):244-9.
25. Haidet P, Dains JE, Paterniti DA, Hechtel L, Chang T, Tseng E, Rogers JC. Medical student attitudes toward the doctor-patient relationship. Med Educ 2002;36:568-74.
26. Krupat E, Hiam CM, Fleming MZ, Freeman P. Patient-centredness and its correlates among first-year medical students. Int J Psychiatry Med 1999;29:347-56.
27. Street RL Jr, Krupat E, Bell RA, Kravitz RL, Haidet P. Beliefs about control in the physician-patient relationship: effect on communication in medical encounters. J Gen Intern Med 2003;18:609-16.
28. Shaw WS, Woiszwillo MJ, Krupat E. Further validation of the Patient-Practitioner Orientation Scale (PPOS) from recorded visits for back pain. Patient Educ Couns 2012;89:288-91.
29. O'Brien BC, Poncelet AN, Hansen L, Hirsh DA, Ogur B, Alexander EK, Krupat E, Hauer KE. Students' workplace learning in two clerkship models: a multi-site observational study. Med Educ 2012;46:613-24.
30. Hauer KE, Hirsh D, Ma I, Hansen L, Ogur B, Poncelet AN, Alexander EK, O'Brien BC. The role of role: learning in longitudinal integrated and traditional block clerkships. Med Educ 2012;46:698-710.
31. Hauer KE, O'Brien BC, Hansen LA, Hirsh D, Ma IH, Ogur B, Poncelet AN, Alexander EK, Teherani A. More is better: students describe successful and unsuccessful experiences with teachers differently in brief and longitudinal relationships. Acad Med 2012;87 (10):1389-96.
32. Ogur B, Hirsh D. Learning through longitudinal care - narratives from the Harvard Medical School-Cambridge Integrated Clerkship. Acad Med 2009;84:844-50.
33. Deci EL, Vallerand RJ, Pelletier LG, Ryan RM. Motivation and education: the self-determination perspective. Educ Psychol 1991;4:325-46.
34. Wilkinson T, Gill D, Fitzjohn J, Palmer C, Mulder R. The impact on students of adverse experiences during medical school. Med Teach 2006;28 (2):129-35.
35. Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study of medical students' perceptions of teaching. BMJ 2004;329 (7469):770-3.
36. Matlin MW, Gawron VJ. Individual differences in Pollyannaism. J Pers Assess 1979;43 (4):411-12.
37. Worley P, Martin A, Prideaux D, Woodman R, Worley E, Lowe M. Vocational career paths of graduate entry medical students at Flinders University: a comparison of rural, remote and tertiary tracks. Med J Aust 2008;188 (3):177-8.
38. Teherani A, Irby DM, Loeser H. Outcomes of different clerkship models: longitudinal integrated, hybrid, and block. Acad Med 2013;88:1-9.