How to Add Value to Your Clinic by Educating Learners

Transcription

1 How to Add Value to Your Clinic by Educating Learners Lynne Robins, PhD, Professor, Biomedical Informatics & Medical Education Director, Center for Leadership & Innovation in Medical Education

2 Disclosures Neither I, nor any member of my immediate family, have a significant financial interest in or affiliation with any commercial supporter of this educational activity and/or with the manufacturer(s) of commercial products and/or providers of any commercial services discussed in this educational activity. The content of my material(s)/presentation(s) in this CME activity will not include discussion of unapproved or investigational uses of products or devices.

3 Agree or Disagree? Learners add value to patient care, healthcare teams & the clinics in which they work. A B C I agree. I disagree. I am not sure.

4 Presentation Overview Value Added Education Definition Rationale Case Studies New roles Evidence for change Bringing it Home Planning for the future

5 Presentation Overview Value Added Education Definition Rationale Case Studies New roles Evidence for change Bringing it Home Planning for the future

6

7 Preceptor Recruitment & Retention Challenges Increased Productivity Expectations Documentation Requirements Negative impact on patient flow, work hours, income Accreditation Standards for educating learners

8 Value Added Education Principles and strategies for designing meaningful partnerships between academic health centers and health systems to provide authentic workplace roles for learners that both add value to health systems and enhance student knowledge, attitudes, and skills in Clinical or Health Systems Science. Gonzalo et al (2016). Value-Added Clinical Systems Learning Roles for Medical Students that Transform Education and Health: A Guide for Building Partnerships Between Medical Schools and Health Systems. Academic Medicine. doi: /ACM

9 Traditional Preceptorship Model Objectives: Role modeling of expert clinicians traditional clinical skills Tasks: Observation and practice of history taking and physical examination Teachers: Physicians

10 Value Added Model Objectives: Hands-on application of HSS knowledge & skills. Tasks: Authentic contribution to work of clinic to improve quality, safety, patient experience Teachers: The IP healthcare team & staff

11 B A S I C S c i e n c e H E A L T H S y s t e m s S c i e n c e C L I N I C A L S c i e n c e Health Professions Education

12 IP TEAMWORK POPULATION HEALTH QUALITY IMPROVEMENT CLINICAL INFORMATICS HIGH-VALUE CARE

13 Principles of Value Added Learning Learning experience improves health for individual patients, a group of patients, and/or the health care system. Students are integrated into interprofessional clinical care teams caring for patients. Students will interact with patients for firsthand learning about the patient experience. Example Students participate in a QI project to decrease no-show rates in an outpatient clinic. Students perform initial medication reconciliation during hospital admission in a team of medicine & pharmacy students. Students serve as a patient navigator during transitions of care. *Students MAY also be allowed to apply direct patient care clinical skills. *Students apply history-taking or physical examination skills to enhance patient care, where possible.

14 Presentation Overview Value Added Education Definition Rationale Case Studies New roles New approaches Bringing it Home Planning for the future

15 Stanford

16 Penn State College of Medicine Learners as Patient Navigators

17 Medical College of Wisconsin How Can Beginning Medical Students Help in a Medical Home? SomeRideasRfromRpreceptors 3 Engaging early clinical learners in patientcentered care. 2RContactRpatientR afterrhospitalr discharge 2RAccompanyR patientrtor specialistrvisitr 2RHelpRwithRQI projects RWorkRon registry2based initiatives M easure and Improve Performance Track and Coordinate Care Provide Self- Care and Community Support Plan and M anage Care 2RFindRandRlinkRto communityrresources 2RCounselRpatients onrhealthyrbehaviorsr 2RPre2planR officervisits 2RHelpRpatients withraction planning 2Reconcile medications 2RInteractRwithRallR membersrofrteam 2RSeeRtheRsame patientrmultipler timesroverr longitudinal experience Enhance Access and Continuity Identify and Manage Patient Populations 2RAssessRpatient riskrfactors Te3g3RsmokingE 4 De-briefDwithDstudents o StepsDtoDGetDThere... 3 PlanDnextDsteps 2 IdentifyDandDselectDsuitable patientsdtodworkdwithdstudents 1 TalkDtoDstudentsDaboutDyourDPCMHD concept,roles,danddexpectations AuthoredRbyRTEAMSRCollaborative TTeachingREarlyRAmbulatoryRMedicalR StudentsERwithRSupportRProvidedRbyR FacultyRDevelopmentRinRPrimaryRCare 2RHRSARD55HP23797

18 Prescription for Change: Develop vision, strategy, objectives for roles that integrate education & clinic missions I.D. patient needs, clinic goals for improvement, & data to measure achievement Designate a champion to help students achieve educational objectives, clinic goals & to maintain staff & patient satisfaction Create systems to support feedback & to address issues as they come up Lynne Robins 11/05/2016

19 Presentation Overview Value Added Education Definition Rationale Case Studies New roles Evidence for change Bringing it Home Planning for the future

20 Bringing it Home Planning for Future 1 Complete worksheet For on your own 2 Small group discussion For 3 Large group presentation/discussion For

21 Muddiest Point What questions do you still have about the material presented?

22 Summary Value Added Education Definition Rationale Case Studies New roles Evidence for change Bringing it Home Planning for the future

23 Thank You Contact Information: