Operation Homefront: Meeting Clerkship Competencies with Home Visits to Families of Children With Special Needs

Anderson, Emily E.; Boyd, B.K.; Qureshi, Nadia K.; Stirling, Jerold M.; McCarthy, Virginia; Kuczewski, Mark G.

doi:10.1016/j.acap.2018.09.002

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…Some have used home visits for this: home visits have been found to teach students how individualised care helps to meet chronically ill patients’ needs, and students have reported that the experience heightens their empathy and sensitivity towards these patients [ 14 ]. Student home visits result in more positive attitudes to their patients, in that they increase behaviours and attitudes that promote patients’ and families’ best interests [ 15 ], and they have been found to be a time-effective way of fostering students’ professional growth [ 16 ]. The timing of students’ home visits during their undergraduate career is also important, with evidence that they have a stronger positive effect on students’ attitudes when performed earlier [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Does a home-based interview with a chronically ill patient help medical students become more patient-centred? A randomised controlled trial

et al. 2020

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Background: While patient-centred care improves patient outcomes, studies have shown that medical students become less patient-centred with time, so it is crucial to devise interventions that prevent this. We sought to determine whether first-year medical students who had a structured home-based interview with a chronically ill patient became more patient-centred than those who had a sham intervention. Methods: This randomised controlled trial assigned first-year students from the University of Bern, Switzerland, to either an interview with a chronically ill patient at the patient's home or to a sham comparator. We used the PPOS-D12 questionnaire to measure students' levels of patient-centredness at baseline, and changes in these levels during their longitudinal primary care clerkship. Results: A total of 317 students participated. Patient-centred attitudes increased during the study. A home-based interview with a chronically ill patient had no additional effect. Being female and having been exposed to patients before medical school were associated with being more patient-centred at baseline. Students were less patientcentred than their General Practitioner teachers. Conclusions: A structured, home-based interview with a chronically ill patient did not change students' patientcentred attitudes, so cannot be recommended as a way to influence those attitudes. However, patient-centred attitudes increased during the students' first year of study, possibly because of their longitudinal primary care clerkship. Trial registration: Clinicaltrials.gov reference: NCT03722810, registered 29th October 2018.

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Section: Introductionmentioning

confidence: 99%

Does a home-based interview with a chronically ill patient help medical students become more patient-centred? A randomised controlled trial

et al. 2020

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“…Physician visits to patients' homes can be powerfully beneficial experiences for all involved: patients, families, and physicians. 1 – 8 In prior studies of home visits, physicians and medical students have described enhanced, intangible connections and relationships with patients, 4 , 9 excitement for home visits, 1 and the development of a deeper understanding of their patients' homes and communities. Authors have also described improved confidence in counseling families about lifestyle changes.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Physician visits to patients' homes can be powerfully beneficial experiences for all involved: patients, families, and physicians. [1][2][3][4][5][6][7][8] Citation: Balighian E, Burke M, Davis A, et al A posthospitalization home visit curriculum for pediatric patients. MedEdPORTAL.…”

Section: Introductionmentioning

confidence: 99%

“…4 Home visits by medical students enable students to meet many of the Council on Medical Student Education in Pediatrics competencies, including respect for patients, parents, and families. 8 Prior studies have described visits to patients by primary care physicians. 1,4,5,7,10 There is less literature about home visits by hospital-based physicians.…”

Section: Introductionmentioning

confidence: 99%

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A Posthospitalization Home Visit Curriculum for Pediatric Patients

et al. 2020

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Introduction Home visits allow physicians to develop a deeper understanding of patients' homes and community, enhance physician-patient connectedness, and improve physician treatment plans for patients. We describe a unique pediatric posthospitalization home visit curriculum to train residents about the social determinants of health (SDH). Methods Residents participated in an interactive presentation that discussed the logistics of making home visits and a background detailing SDH. During subsequent home visits, residents got to know the family and neighborhood on a deeper level. After each home visit, residents participated in a reflection session and considered the impact of SDH. Surveys were completed to capture data about residents' knowledge and attitudes regarding SDH and connectedness with the families. Families' perspectives were captured by phone surveys. Results Of residents, 23 of 31 (74%) were able to make at least one home visit. After participating in the curriculum, residents reported increased confidence in understanding SDH ( p = .048) and increased consideration of SDH when developing treatment plans ( p = .007). All residents who made home visits predicted they would feel more confident in understanding how SDH impact patients they will care for in the future. Ninety percent of residents felt they made a stronger connection with the family. Eight families were surveyed, and all stated that the home visit had positive effects. Discussion This curriculum teaches SDH while improving connections between physicians and patients.

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Acknowledgement: The Antidote to Skillification (of Empathy) in Health Professions Education

Croix

Peters

Laughey

2022

Applied Philosophy for Health Professions Education

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Operation Homefront: Meeting Clerkship Competencies with Home Visits to Families of Children With Special Needs

Cited by 7 publications

References 17 publications

Does a home-based interview with a chronically ill patient help medical students become more patient-centred? A randomised controlled trial

Does a home-based interview with a chronically ill patient help medical students become more patient-centred? A randomised controlled trial

A Posthospitalization Home Visit Curriculum for Pediatric Patients

Acknowledgement: The Antidote to Skillification (of Empathy) in Health Professions Education

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