title: The patient centered medical home as curricular model: perceived impact of the "education-centered medical home".
abstract: BACKGROUND
  The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model.
  
  
  OBJECTIVE
  To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educational objectives.
  
  
  METHODS
  Two community-based family medicine clinics, one academic internal medicine clinic, and one pediatric clinic affiliated with an urban medical school.
  
  
  METHODS
  56 medical student volunteers.
  
  
  METHODS
  We embedded student teams in existing faculty practices and recruited a high-risk patient panel for each team. Clinical education occurred through a traditional clinic preceptor model and was augmented by 3rd and 4th year students directly observing 1st and 2nd year students. Didactic content included monthly Grand Rounds conferences.
  
  
  RESULTS
  Students attended 699 clinics, recruited 273 continuity patients, and participated in 9 Grand Rounds conferences. Student confidence with PCMH principles increased and attitudes regarding continuity were highly positive. "Continuity," "early clinical exposure," and "peer teaching" were the most powerful themes expressed by students. Faculty response to the pilot was highly positive.
  
  
  CONCLUSIONS
  An Education-Centered Medical Home (ECMH) is feasible and is highly rated by students and faculty. Expansion of this model is underway.
authors.affiliation: Department of Medicine, Northwestern University Feinberg School of Medicine, 675 N. St. Clair, Suite 18-200, Chicago, IL 60611, USA.
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Henschen
authors.forename: Patricia
authors.initials: P
authors.lastname: Garcia
authors.forename: Berna
authors.initials: B
authors.lastname: Jacobson
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Ryan
authors.forename: Donna M
authors.initials: DM
authors.lastname: Woods
authors.forename: Diane B
authors.initials: DB
authors.lastname: Wayne
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Evans
mesh_terms: D002982:Clinical Clerkship / Q000379:methods*; D003479:Curriculum; D006801:Humans; D008137:Longitudinal Studies; D017145:Models, Educational; D018802:Patient-Centered Care / Q000379:methods*; D010465:Perception; D010865:Pilot Projects; D013337:Students, Medical