Operation Homefront: Meeting Clerkship Competencies with Home Visits to Families of Children With Special Needs
| Autor: | Mark G. Kuczewski, Nadia K. Qureshi, Bridget Boyd, Jerold M. Stirling, Virginia E. McCarthy, Emily E. Anderson |
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| Rok vydání: | 2019 |
| Předmět: |
Attitude of Health Personnel
education Special needs Best interests Pediatrics Health Services Accessibility Respect 03 medical and health sciences Nonverbal communication 0302 clinical medicine Patient Education as Topic 030225 pediatrics Health care Humans Family 030212 general & internal medicine Community approach Nonverbal Communication Child Physician's Role Medical education business.industry Communication Clinical Clerkship Disabled Children House Calls Home visits Pediatrics Perinatology and Child Health Clinical Competence Positive attitude business Psychology Patient education |
| Zdroj: | Academic Pediatrics. 19:170-176 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2018.09.002 |
| Popis: | Objective We assessed how third-year medical students’ written reflections on home visit experiences with families of children with special needs demonstrate evidence of exposure to 9 selected competencies for pediatric clerkships designated by the Council on Medical Student Education in Pediatrics. Methods We reviewed written reflections from 152 third-year medical students. For each competency (2 related to communication were combined), we tabulated the number of reflections in which a given competency was demonstrated. Within each competency, themes are described and presented with exemplary quotes to provide a more robust picture of students’ exposure and experience. Results Of 152 reflections, 100% demonstrated at least 1 of the 8 expected competencies. Each reflection exhibited an average of 3 (3.1) competencies (range: 1–7). The competencies most frequently mentioned were demonstration of respect for patient, parent, and family attitudes, behaviors, and lifestyles (90%) and demonstration of positive attitude toward education (76%). Less frequently mentioned competencies included demonstration of behaviors and attitudes that promote patients’ and families’ best interests (41%), demonstration of effective verbal and nonverbal communication skills (a combination of 2 communication-related competencies) (33%), and description of barriers that prevent children from accessing health care (37%). The following competencies were least often mentioned: description of a pediatrician's role and responsibility in advocating for patients’ needs (10%), description of the important role of patient education (8%), or description of the types of problems that benefit from a community approach (17%). Conclusions Our analysis demonstrates that community-based home visits can provide medical students with opportunities to meet required pediatric clerkship competencies. |
| Databáze: | OpenAIRE |
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