1 / 11

Care transitions curricula at emory

Care transitions curricula at emory. Manuel A. Eskildsen, MD, MPH, CMD. “Use of a Virtual Classroom in Training Fourth-Year Medical Students on Care Transitions”. J Hosp Med 2011 Fourth-year medical students at Emory Part of “Senior Medicine” rotation

lani-lawson
Download Presentation

Care transitions curricula at emory

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Care transitions curricula at emory Manuel A. Eskildsen, MD, MPH, CMD

  2. “Use of a Virtual Classroom in Training Fourth-Year Medical Students on Care Transitions” • J Hosp Med 2011 • Fourth-year medical students at Emory • Part of “Senior Medicine” rotation • All medical students taking rotation between August 2009 and April 2010

  3. Course Description • Mix of in-person lectures, online activities, and patient care • Activities are complementary to their medicine subinternship • Two in-person meetings: one at beginning, other at end of rotation

  4. Result Highlights • Confidence and knowledge improved from pre- to post-test • Attitudes did not change • 90% of students met criteria for appropriateness of discharge summaries • 97.5% of students rated course “good” or better

  5. Lessons Learned • Students were most appreciative of learning real-life skills, like discharge summaries • Minimized daily interruption for students on busy clinical rotation • One way of introducing “stealth geriatrics” • Measuring impact on patient care will need to wait

  6. Internal Medicine Resident Curriculum • Started in July 2010 • Charged by the Dept. of Medicine to create a curriculum by creating a “Care Transitions Task Force” • 7 members: • 5 general internists (mostly hospitalists) • 2 geriatricians • Focused not just on discharge transitions, but also on handovers

  7. Challenges - Scope

  8. Curricular content • Started with intern orientation • Plenary talk • Small group workshops • Plenary presentation to residents • Development of pocket card for residents

  9. Pocket Card

  10. Ongoing training • Training on discharge summaries (Emory Hospital) • Two meetings with residents • Feedback on their discharge summaries • Training on Hospital Handovers (VA, EUH Midtown) • Residents observed at least once doing handover • Receive feedback

  11. Challenges – Work Remaining • So far, pilots at individual hospitals • By including residents, we are changing clinical practice • Faculty buy-in is key • Work for other types of transitions: • ER to floor • Discharges to Post-acute care

More Related