title: Teaching Principles of Patient-Centered Care During Radiology Residency.
abstract: Patient-centered healthcare delivery has become increasingly established as a cornerstone of quality medical care, but teaching these principles in a radiology residency setting is often difficult and ineffective in a traditional lecture format. We developed a novel educational session in which actual patient letters about a healthcare provider are used to facilitate a case-based discussion of key principles of patient-centered care.
  
  
  
  A novel patient letter-facilitated, case-based session was conducted at two different university-based teaching institutions. Prior to the educational session, patient letters introducing the principles of patient-centered care were distributed to residents for review. During the session, radiology-specific cases were discussed in the context of the principles introduced by the letters. A post-session survey was administered to evaluate the efficacy and usefulness of the session.
  
  
  
  Forty-six of the 61 session attendees (75%) completed the post session survey. Most respondents (93%) preferred this case-based, interactive session to a typical didactic session. A majority of the residents indicated that both the patient letters (64%) and radiology specific cases (73%) helped them think differently about how they interact with patients. They indicated that the session enhanced their understanding of professionalism (3.7 out of 5.0 [95% CI 3.4-4.0]) and increased their motivation to become more patient-centered (3.0 out of 4.0 [95% CI 2.8-3.3]).
  
  
  
  Our findings suggest that patient letter-facilitated, case-based sessions may influence resident attitudes regarding the principles of patient-centered care and may help to increase resident motivation to become more patient-centered in their own practice.
authors.affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA; Harvard Medical School, 25 Shattuck Street, Boston, MA. Electronic address: mmiller9@bidmc.harvard.edu.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Miller
authors.affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA; Harvard Medical School, 25 Shattuck Street, Boston, MA.
authors.forename: Priscilla J
authors.initials: PJ
authors.lastname: Slanetz
authors.affiliation: Department of Radiology, Rhode Island Hospital, Providence, RI; Warren Alpert School of Medicine of Brown University, Providence, RI.
authors.forename: Ana P
authors.initials: AP
authors.lastname: Lourenco
authors.affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA; Harvard Medical School, 25 Shattuck Street, Boston, MA.
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Eisenberg
authors.affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA; Harvard Medical School, 25 Shattuck Street, Boston, MA.
authors.forename: Justin W
authors.initials: JW
authors.lastname: Kung
mesh_terms: D006801:Humans; D007396:Internship and Residency; D057240:Patient Preference; D018802:Patient-Centered Care; D010865:Pilot Projects; D011871:Radiology / Q000193:education*; D011795:Surveys and Questionnaires
keywords: Case-based learning; medical education; patient letters; patient-centered care; residency training