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The system, the resident, and the preceptor: a curricular approach to continuity of care training
BACKGROUND: Continuity of care (CoC) is integral to the practice of comprehensive primary care, yet research in the area of CoC training in residency programs is limited. In light of distributed medical education and evolving accreditation standards, a rigorous understanding of the context and enabl...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Bohn Stafleu van Loghum
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582181/ https://www.ncbi.nlm.nih.gov/pubmed/34115336 http://dx.doi.org/10.1007/s40037-021-00671-y |
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author | Merbaum, Allyson Kulasegaram, Kulamakan Stoller, Rebecca Fernando, Oshan Freeman, Risa |
author_facet | Merbaum, Allyson Kulasegaram, Kulamakan Stoller, Rebecca Fernando, Oshan Freeman, Risa |
author_sort | Merbaum, Allyson |
collection | PubMed |
description | BACKGROUND: Continuity of care (CoC) is integral to the practice of comprehensive primary care, yet research in the area of CoC training in residency programs is limited. In light of distributed medical education and evolving accreditation standards, a rigorous understanding of the context and enablers contributing to CoC education must be considered in the design and delivery of residency training programs. APPROACH: At our preceptor-based community academic site, we developed a system—resident—preceptor (SRP) framework to explore factors that influence a resident’s perception regarding CoC, and established variables in each area to enhance learning. We then implemented a two-year educational SRP intervention (SRPI) to one cohort of residents and their preceptors to integrate critical education factors and align teaching of continuity of care within curricular goals. EVALUATION: Evaluation of the intervention was based on resident interviews and faculty focus groups, and a qualitative phenomenological approach was used to analyze the data. While some factors identified are inherent to family medicine, the opportunity for reflection is a unique component to inculcate CoC learning. REFLECTION: The SRP innovation provides a unique framework to facilitate residents’ understanding and development of CoC competency. Our model can be applied to all residency programs, including traditional academic sites as well as distributed training sites, to enhance CoC education. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s40037-021-00671-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-9582181 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Bohn Stafleu van Loghum |
record_format | MEDLINE/PubMed |
spelling | pubmed-95821812022-10-21 The system, the resident, and the preceptor: a curricular approach to continuity of care training Merbaum, Allyson Kulasegaram, Kulamakan Stoller, Rebecca Fernando, Oshan Freeman, Risa Perspect Med Educ Show and Tell BACKGROUND: Continuity of care (CoC) is integral to the practice of comprehensive primary care, yet research in the area of CoC training in residency programs is limited. In light of distributed medical education and evolving accreditation standards, a rigorous understanding of the context and enablers contributing to CoC education must be considered in the design and delivery of residency training programs. APPROACH: At our preceptor-based community academic site, we developed a system—resident—preceptor (SRP) framework to explore factors that influence a resident’s perception regarding CoC, and established variables in each area to enhance learning. We then implemented a two-year educational SRP intervention (SRPI) to one cohort of residents and their preceptors to integrate critical education factors and align teaching of continuity of care within curricular goals. EVALUATION: Evaluation of the intervention was based on resident interviews and faculty focus groups, and a qualitative phenomenological approach was used to analyze the data. While some factors identified are inherent to family medicine, the opportunity for reflection is a unique component to inculcate CoC learning. REFLECTION: The SRP innovation provides a unique framework to facilitate residents’ understanding and development of CoC competency. Our model can be applied to all residency programs, including traditional academic sites as well as distributed training sites, to enhance CoC education. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s40037-021-00671-y) contains supplementary material, which is available to authorized users. Bohn Stafleu van Loghum 2021-06-11 2022-10 /pmc/articles/PMC9582181/ /pubmed/34115336 http://dx.doi.org/10.1007/s40037-021-00671-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Show and Tell Merbaum, Allyson Kulasegaram, Kulamakan Stoller, Rebecca Fernando, Oshan Freeman, Risa The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title | The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title_full | The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title_fullStr | The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title_full_unstemmed | The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title_short | The system, the resident, and the preceptor: a curricular approach to continuity of care training |
title_sort | system, the resident, and the preceptor: a curricular approach to continuity of care training |
topic | Show and Tell |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9582181/ https://www.ncbi.nlm.nih.gov/pubmed/34115336 http://dx.doi.org/10.1007/s40037-021-00671-y |
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