Medical education is facing the challenges of increased work hours and decreased time to spend with patients. While a majority of physicians report high perceived value of comparative clinical effectiveness research (CER), a recent study revealed only 22 percent of clinicians surveyed by PCORI reported that they were moderately or very familiar with the term. Moreover, clinicians report infrequent use of CER to provide information to patients, despite the majority of patients and clinicians agreeing that such information helps patients make better treatment decisions. This data suggests that providers need better training on how to incorporate CER into their practice, and that patients also need better education in engaging with the healthcare system. The idea of an academic conference focused on placing the patient at the center of medical education is both groundbreaking and well timed. This project, The Future of Patient-Centered Medical Education, will support the Stanford Medicine X - ED conference meetings in April 2017 and 2018 as well as year-round activities that stem from the meetings.
The objectives of the conferences are divided into two phases: Year I: “Community Building Phase” and Year 2: “Activation Phase.” The first phase will focus on creating partnerships between patients and educators to build community and connections; therefore, there will be a central emphasis on community engagement, empathy building, and trust activities in addition to the medical education program. Year 2 will focus on challenging this community to build educational programs, courses, and curricula together, and to share knowledge of how PCOR and CER education can be enhanced through such activities.
Some of the main activities are: 1) 2017 and 2018 conferences on The Future of Patient-Centered Medical Education. 2) Annual PCOR Educational Strategy Sessions. The entire executive board will attend a retreat at a mutually accessible location after the conference. 3) PCOR Design Challenge, an initiative to challenge educators to work with patients to co-create new curriculum or incorporate patients as educators into their classes.
The team expects the following project outcomes, based on the results and outcomes from the inaugural Medicine X - ED event in September 2015: 1) nurture and develop a cohort of patient scholars who are knowledgeable about the process of medical education and have the potential to serve as partners in creating new medical education programs; 2) increase knowledge among global audience of the team’s objectives to rethink the culture of medical education to include patients and caregivers as teachers and learners, and to increase the transfer of patient-centered outcomes research and comparative effectiveness research to practice through innovation of medical education.
The project team’s patient and stakeholder engagement plan is to utilize an ePatient advisory board with the specific purpose of incorporating the patient voice and perspective into all aspects of the conference, in addition to the advisory board comprised of thought leaders representing the diverse healthcare stakeholders the conference seeks to attract. Stanford Medicine X - ED 2015 had a fairly balanced stakeholder mix: 24 percent of main-stage presenters were patients, 39 percent providers, and 36 percent were other stakeholders in medical education. The collaborators in this project include patients, caregivers, medical schools, researchers, students, technologists, physicians, pharmacists, nurses, and other stakeholders in the allied health professions.
Project Resource: Description of Select Medicine X|ED Sessions Covering PCOR/CER Topics