| Medical student exposure to components of the patient-centered medical home during required ambulatory clerkship rotations: implications for education. | |
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MedLine Citation:
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PMID: 20505395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the extent to which third-year medical students are exposed to elements of the patient-centered medical home (PCMH) during required family medicine (FM) clerkships and how this exposure varies among a sample of medical schools. METHOD: In 2008, the authors conducted a cross-sectional survey of 104 ambulatory teaching practices that host required third-year FM clerkship students from nine U.S. medical schools. Descriptive statistics characterized learning settings and the status of PCMH features, and generalized linear mixed models examined variation among medical schools (as the 104 clinics were nested within nine medical schools). RESULTS: Participating schools captured data on 104 eligible clerkship sites (44%). These practices were primarily community-based, single-specialty clinics (n = 48; 46%), and more than half (n = 55; 53%) were part of integrated health systems. Electronic health records (EHRs) were in place in 60 (58%), and no significant difference existed in EHR use according to medical school, despite up to a 10-fold variation from school to school in other PCMH features. Among sites with EHRs, 8 (14%) did not allow access to medical students. Preceptor attitudes about how practice transformation and new information technology are affecting the quality of medical education differ widely from site to site. CONCLUSIONS: Primary care transformation toward the PCMH is already well under way in a national sample of FM teaching sites, and this transformation is having important effects on medical student education. |
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Authors:
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John W Saultz; Peggy O'Neill; James M Gill; Frances E Biagioli; Shawn Blanchard; Jean P O'Malley; David Brown; John C Rogers; Patricia A Carney |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 85 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-03 Completed Date: 2010-06-18 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 965-73 Citation Subset: AIM; IM |
Affiliation:
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Department of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA. saultz@ohsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Clinical Clerkship* Cross-Sectional Studies Education, Medical, Undergraduate / methods* Electronic Health Records / utilization Family Practice / education* Patient-Centered Care Primary Health Care / methods* Students, Medical* United States |
| Grant Support | |
ID/Acronym/Agency:
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K07 CA121457-04/CA/NCI NIH HHS; UL1-RR024140/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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