Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home.

Tópicos

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Resumo

The very nature of the Patient-Centered Medical Home (PCMH) necessitates new instructional models that prepare learners for the roles they will have to assume in these transformed primary care practices. In this manuscript we describe a new instructional framework that seeks to blend the goals of patient-centered care and inter-professional education, and can be implemented in existing training environments while practice transformation continues to proceed. We propose a 5-step process, the EFECT framework, which is simultaneously a sequence of tasks for effective patient care and a guide for the learners and faculty in teaching and evaluating that care delivery. These steps include: (1) Eliciting a patient-centered narrative, (2) Facilitating an inter-professional team discussion, (3) Evaluating clinical evidence, (4) Creating a shared care plan, and (5) Tracking outcomes. We then report preliminary descriptive outcomes from the first EFECT pilot. Our proposed framework supports learners' abilities to construct a patient-centered narrative from multiple professional perspectives as the basis for developing an evidence-based, integrated care plan between the patient and the inter-professional care team and deliberately following up on outcomes. We present this framework to stimulate a process for creating new curricula and evaluative tools to measure and promote learner functioning in medical home environments.

Resumo Limpo

natur patientcent medic home pcmh necessit new instruct model prepar learner role will assum transform primari care practic manuscript describ new instruct framework seek blend goal patientcent care interprofession educ can implement exist train environ practic transform continu proceed propos step process efect framework simultan sequenc task effect patient care guid learner faculti teach evalu care deliveri step includ elicit patientcent narrat facilit interprofession team discuss evalu clinic evid creat share care plan track outcom report preliminari descript outcom first efect pilot propos framework support learner abil construct patientcent narrat multipl profession perspect basi develop evidencebas integr care plan patient interprofession care team deliber follow outcom present framework stimul process creat new curricula evalu tool measur promot learner function medic home environ

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