title: Effects of a focused patient-centered care curriculum on the experiences of internal medicine residents and their patients.
abstract: BACKGROUND
  Traditional residency training may not promote competencies in patient-centered care.
  
  
  OBJECTIVE
  To improve residents' competencies in delivering patient-centered care.
  
  
  METHODS
  Internal medicine residents at a university-based teaching hospital in Baltimore, Maryland.
  
  
  METHODS
  One inpatient team admitted half the usual census and was exposed to a multi-modal patient-centered care curriculum to promote knowledge of patients as individuals, improve patient transitions of care, and reduce barriers to medication adherence.
  
  
  RESULTS
  Annual resident surveys (N = 40) revealed that the intervention was judged as professionally valuable (90%) and important to their training (90%) and offered experiences not available during other rotations (88%). Compared to standard inpatient rotation evaluations (n = 163), intervention rotation evaluations (n = 51) showed no differences in ratings for traditional medical learning, but higher ratings for improving how housestaff address patient medication adherence, communicate with patients about post-hospital transition of care, and know their patients as people (all p < 0.01). On post-discharge surveys, patients from the intervention team (N = 177, score 90.4, percentile ranking 97%) reported greater satisfaction with physicians than patients on standard teams (N = 924, score 86.1, percentile ranking 47%) p < 0.01).
  
  
  CONCLUSIONS
  A patient-centered inpatient curriculum was associated with higher satisfaction ratings in patient-centered domains by internal medicine residents and with higher satisfaction ratings of their physicians by patients. Future research will explore the intervention's impact on clinical outcomes.
authors.affiliation: UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, General Internal Medicine, University of California, San Francisco, CA, USA.
authors.forename: Neda
authors.initials: N
authors.lastname: Ratanawongsa
authors.forename: Molly A
authors.initials: MA
authors.lastname: Federowicz
authors.forename: Colleen
authors.initials: C
authors.lastname: Christmas
authors.forename: Laura A
authors.initials: LA
authors.lastname: Hanyok
authors.forename: Janet D
authors.initials: JD
authors.lastname: Record
authors.forename: David B
authors.initials: DB
authors.lastname: Hellmann
authors.forename: Roy C
authors.initials: RC
authors.lastname: Ziegelstein
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Rand
mesh_terms: D000328:Adult; D002140:California; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003142:Communication; D003479:Curriculum; D004503:Education, Medical, Graduate; D005260:Female; D019538:Health Care Surveys; D006784:Hospitals, Teaching; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000706:statistics & numerical data; D008297:Male; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D015397:Program Evaluation; D013663:Teaching / Q000379:methods