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ABSTRACT: Objective
To assess how changes in curriculum, accreditation standards, and certification and licensure competencies impacted how medical students and physician residents value interprofessional team and patient-centered care.Primary data source
The Department of Veterans Affairs Learners' Perceptions Survey (2003-2013). The nationally administered survey asked a representative sample of 56,569 U.S. medical students and physician residents, with a comparison group of 78,038 nonphysician trainees, to rate satisfaction with 28 elements, in two overall domains, describing their clinical learning experiences at VA medical centers.Study design
Value preferences were scored as independent adjusted associations between an element (interprofessional team, patient-centered preceptor) and the respective overall domain (clinical learning environment, faculty, and preceptors) relative to a referent element (quality of clinical care, quality of preceptor).Principal findings
Physician trainees valued interprofessional (14 percent vs. 37 percent, p < .001) and patient-centered learning (21 percent vs. 36 percent, p < .001) less than their nonphysician counterparts. Physician preferences for interprofessional learning showed modest increases over time (2.5 percent/year, p < .001), driven mostly by internal medicine and surgery residents. Preferences did not increase with trainees' academic progress.Conclusions
Despite changes in medical education, physician trainees continue to lag behind their nonphysician counterparts in valuing experience with interprofessional team and patient-centered care.
SUBMITTER: Kashner TM
PROVIDER: S-EPMC5264109 | biostudies-literature | 2017 Feb
REPOSITORIES: biostudies-literature
Kashner T Michael TM Hettler Debbie L DL Zeiss Robert A RA Aron David C DC Bernett David S DS Brannen Judy L JL Byrne John M JM Cannon Grant W GW Chang Barbara K BK Dougherty Mary B MB Gilman Stuart C SC Holland Gloria J GJ Kaminetzky Catherine P CP Wicker Annie B AB Keitz Sheri A SA
Health services research 20160318 1
<h4>Objective</h4>To assess how changes in curriculum, accreditation standards, and certification and licensure competencies impacted how medical students and physician residents value interprofessional team and patient-centered care.<h4>Primary data source</h4>The Department of Veterans Affairs Learners' Perceptions Survey (2003-2013). The nationally administered survey asked a representative sample of 56,569 U.S. medical students and physician residents, with a comparison group of 78,038 nonph ...[more]