Patient- and Family-Centered Medical Education: The Next Revolution in Medical Education?

Abstract

Ideas and Opinions1 July 2014Patient- and Family-Centered Medical Education: The Next Revolution in Medical Education?Steven E. Weinberger, MD, Beverley H. Johnson, BSN, and Debra L. Ness, MSSteven E. Weinberger, MDFrom the American College of Physicians, Philadelphia, Pennsylvania; Institute for Patient- and Family-Centered Care, Bethesda, Maryland; and National Partnership for Women & Families, Washington, DC., Beverley H. Johnson, BSNFrom the American College of Physicians, Philadelphia, Pennsylvania; Institute for Patient- and Family-Centered Care, Bethesda, Maryland; and National Partnership for Women & Families, Washington, DC., and Debra L. Ness, MSFrom the American College of Physicians, Philadelphia, Pennsylvania; Institute for Patient- and Family-Centered Care, Bethesda, Maryland; and National Partnership for Women & Families, Washington, DC.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M13-2993 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The concept of health care professionals partnering with patients and families has been increasingly recognized as an essential component of a high-quality, cost-efficient health care system (1, 2). Similarly, there is growing consensus that medical education must change to better support the next generation of clinicians in partnering effectively with patients and families and in collaborating with other health care disciplines (3).Yet, our system of medical education has been slow to embrace the philosophy of patient- and family-centered care and related partnerships with patients and families and to develop a culture in the training environment that stresses their importance. ...References1. Laine C, Davidoff F. Patient-centered medicine. A professional evolution. JAMA. 1996;275:152-6. [PMID: 8531314] CrossrefMedlineGoogle Scholar2. Institute of Medicine. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: National Academies Pr; 2012. Google Scholar3. American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. Joint principles for the medical education of physicians as preparation for practice in the patient-centered medical home. 2010. Accessed at www.acponline.org/running_practice/delivery_and_payment_models/pcmh/understanding/educ-joint-principles.pdf on 8 March 2014. Google Scholar4. Gonzalo JD, Chuang CH, Huang G, Smith C. The return of bedside rounds: an educational intervention. J Gen Intern Med. 2010;25:792-8. [PMID: 20386997] CrossrefMedlineGoogle Scholar5. Institute for Patient- and Family-Centered Care. Applying patient- and family-centered concepts to bedside rounds. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2012. Accessed at www.ipfcc.org/advance/topics/PH_RD_Applying_PFCC_Rounds_012009.pdf on 15 February 2014. Google Scholar6. Delbanco TL. Enriching the doctor-patient relationship by inviting the patient's perspective. Ann Intern Med. 1992;116:414-8. [PMID: 1736775] LinkGoogle Scholar7. Sudore RL, Schillinger D. Interventions to improve care for patients with limited health literacy. J Clin Outcomes Manag. 2009;16:20-29. [PMID: 20046798] MedlineGoogle Scholar8. Ubel PA, Abernethy AP, Zafar SY. Full disclosure—out-of-pocket costs as side effects. N Engl J Med. 2013;369:1484-6. [PMID: 24131175] CrossrefMedlineGoogle Scholar9. The Health Foundation. Can patients be teachers? Involving patients and service users in healthcare professionals' education. London: The Health Foundation; 2011. Accessed at www.chd.ubc.ca/dhcc/sites/default/files/Canpatientsbeteachers.pdf on 15 February 2014. Google Scholar10. Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in internal medicine. Chicago: Accreditation Council for Graduate Medical Education; 2013. Accessed at www.acgme.org/acgmeweb/Portals/0/PFAssets/2013-PR-FAQ-PIF/140_internal_medicine_07012013.pdf on 15 February 2014. Google Scholar Author, Article, and Disclosure InformationAffiliations: From the American College of Physicians, Philadelphia, Pennsylvania; Institute for Patient- and Family-Centered Care, Bethesda, Maryland; and National Partnership for Women & Families, Washington, DC.Acknowledgment: The authors thank Wendy Nickel for her critical review and input.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2993.Corresponding Author: Steven E. Weinberger, MD, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106; e-mail, [email protected]org.Current Author Addresses: Dr. Weinberger: Executive Vice President and Chief Executive Officer, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.Ms. Johnson: President and Chief Executive Officer, Institute for Patient- and Family-Centered Care, 6917 Arlington Road, Suite 309, Bethesda, MD 20814.Ms. Ness: President, National Partnership for Women & Families, 1875 Connecticut Avenue NW, Suite 650, Washington, DC 20009.This article was published online first at www.annals.org on 22 April 2014. 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