Council on Medical Student Education in Pediatrics

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COMSEP 2008 Atlanta Meeting

Poster Presentation:


Fostering Patient Centered Care Using Interdisciplinary Collaboration and Patient Video

Authors:
Blair Hammond, Diane Rode, Cheryl Strauss, Stefanie Roche, and Jennifer Koestler
Mount Sinai School of Medicine

Objective: To provide medical students with an interdisciplinary exposure that fosters patient centered care and emphasizes the diversity of developmentally appropriate non-medical therapy that is involved in care for pediatric patients.
Methods: We created a one-hour multimedia learning module to frame students’ experience during their Pediatric Clerkship. Students literally step into the world of children during Orientation as they enter “The Zone” play center. After a brief introduction to Pediatrics, an overview of Child Life and Creative Arts Therapy Service programs is provided, and students are asked to brainstorm about the unique perspective of hospitalized pediatric patients. With a faculty member and child life specialist, the students discuss specific medical, developmental and psychosocial needs of patients of different ages. Students are shown videos created by patients using specific therapeutic arts during difficult hospitalizations to personalize the experience for our learners. Students are also given a toolbox of tips for improving interactions with pediatric patients. Resources include specific developmentally appropriate language and distraction techniques to offer patients while on the wards and during procedures.  
Results: 53 students completed a survey at the end of the session using a five-point Likert Scale. 52 /53 agreed or strongly agreed that they had an increased appreciation of the developmental needs of pediatric patients in the hospital setting. 50/53 agreed or strongly agreed that they had an increased understanding of the role of multidisciplinarytherapeutic activities when providing care for pediatric patients and 49/53 agreed or strongly agreed that the session humanized the hospital experience of patients and their families.
Discussion: Teaching patient centered care to students is an extraordinarily challenging task, especially as the hidden curriculum of clinical practice directs more attention to disease than to addressing the patient’s perspective and the psychosocial aspects of care. We have shown that a short didactic session, using creative arts can help teach and emphasize the importance of patient centered care during a Pediatric Clerkship.