Patient and Family Centered Care Curriculum

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Patient and Family Centered Care Curriculum

• Keith J. Mann
• DeeJo Miller
• Sheryl Chadwick

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Goals

• Improve communication skills with patients and
  families
• Learn the importance of partnering with families
  in the care of their child
• Recognize the unique needs of families coping
  with a complex needs child and/or child with a
  chronic illness
• Recognize the barriers that exist for families in
  our health care system
• Acknowledge personal biases and beliefs while
  respecting the cultural and spiritual beliefs of
  the family
• Identify and promote the unique strengths of the
  family
• Recognize that the family is the constant in the
  childs life
• Improve intra-hospital communication between
  physicians

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Curriculum Details

• Intern Year
• Orientation lunch with members of the Family
  Advisory Board
• Intern retreat focused on communication
• Match Day Lunch
• Family resides within 30 minutes of Childrens
  Mercy Hospital
• Child is lt 12 years of age
• Child has been seen in gt 3 specialty clinics at
  CMHC within the past 12 months
• Child has a chronic condition that will still be
  present in 3 years
• Parent/caregiver speaks English

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Orientation Lunch

• Questions to ask residents at the orientation
  lunch
• What did you like best about medical school?
• Where did you grow up?
• What do you do in your spare time?
• Tell me about your family.
• Is there anything that makes you nervous about
  talking to families?
• Questions to ask families at the orientation
  lunch
• In addition to being a parent, what else do you
  do?
• What does your family like to do for fun?
• Why did you join the FAB?
• Tell me about your family.
• Tell me about a positive experience with a
  resident and why you remember this incident.
• What is one piece of advice that you would give
  to all new residents?

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Curriculum Details

• Second year
• Home visit
• Hematology-Oncology mid-rotation seminar
• Standardized patients
• Third Year
• Office visit

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Patient-Practitioner Orientation Scale
SHARING DOMAIN SHARING DOMAIN SHARING DOMAIN
Gender N Mean
Male 9 4.185
Female 23 4.639
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Patient-Practitioner Orientation Scale
SHARING DOMAIN SHARING DOMAIN SHARING DOMAIN
Year N Mean
Intern 32 4.52
3rd Yr 18 4.3
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Results of Match Day Lunch and Family Training
Statements rated by Family Educators MEAN SCORE
The training session helped prepare me to be a Family Educator for residents 4.66
I learned something new in the training 4.44
The content of the training was easy for me to understand 4.88
The content of the training seemed applicable to my role as a Family Educator 4.55
The length of the training was appropriate 4.88
I feel prepared to serve in the role as a Family Educator for the residents 4.55
It was helpful to meet with the residents over lunch prior to meeting them in at the home visit (skip if the resident you will be working with was not present) 4.88
After the luncheon I feel more prepared for the home visit 4.44
I am looking forward to my role as a family educator 5.0
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Summary

• Curriculum designed to attitudes, behaviors, and
  skills not always addressed in residency training
• First year had many successful moments
• Difficult to maintain
• Improvements each year