2011/2012 Picker-Gold GME Grantees

Picker Institute and the Arnold P. Gold Foundation are proud to announce the 2011-2012 Graduate Medical Education Challenge Grant Recipients!

The purpose of the Picker Institute/Gold Foundation Challenge Grant Program is to support the research and development of successful patient-centered care initiatives and best practices in the education of our country’s future practicing physicians. The Picker Institute/Gold Foundation Graduate Medical Education Challenge Grant Program funds proposals that illustrate specific interventions and innovations in graduate medical education programs regarding patient-centered healthcare and/or humanism in medicine. The expected outcome of a grantee’s project will be a demonstration, including a robust dissemination plan, of the measurable effects and sustainability of the effort to enhance compassionate, patient-centered-care in residency education. For more information and to visit the GME toolbox go to: http://cgp.pickerinstitute.org

Picker Institute and the Gold Foundation are proud to announce the 2011/2012 Graduate Medical Education Challenge Grant Projects



Children’s National Medical Center

Principal Investigator: Dale Coddington, MD, MA

Project Title: Caring for Children with Special Health Care Needs: An Online Medical Home Professionalism Curriculum for Pediatric Residents

Objective: This initiative is an experiential and online curriculum to help pediatric residents acquire the necessary knowledge, attitudes, and skills to deliver effective, patient‐centered care to children with special health care needs. We will utilize direct experience in care delivery, individual and collective reflections, and collaboration with a broad health care and community team, all in the setting of residency continuity clinic experience. A component of this initiative is for residents to engage in reflective blogging with feedback from faculty and peers as an innovative method to learn professionalism in the context of caring for CSHCN in resident continuity clinic. Our Always Event will be that, at the close of each clinical encounter, the physician and patient/family agree on next steps and on the specific responsibilities of the physician and the patient/family.

Dana Farber Cancer Institute

Principal Investigator: Kristen G. Schaefer, MD

Project Title: Teaching Patient‐ and Family‐Centered Care in the Setting of Life‐Threatening Illness: A Resident Outpatient Palliative Care Rotation

Objective:This initiative is a competency‐based, clinical rotation in a variety of interdisciplinary palliative care outpatient specialty settings, with emphasis on addressing the physical, emotional, social, spiritual and existential dimensions of suffering that accompany advanced illness. Through outpatient clinical encounters, individualized feedback about patient-centered communication skins, and mentored self-reflection exercised, residents will learn about the importance of humanism in patient care and professional development

Geisinger Medical Center

Principal Investigator: Michelle Thompson, MD

Project Title: Employing a Patient-Centered Approach to Develop a Medical Passport to Improve Transition and Educate Health Care Providers

Objective: This initiative is designed to gather patient preferences through focus groups, refine the medical passport using a patient-centered approach and pilot its use, emphasizing training of healthcare providers in maintaining a patient-centered approach during its implementation.

Jacobi Medical Center

Principal Investigator: Kenneth Rivlin, M.D., Ph.D.

Project Title: Experiential Learning of Patient/Family-Centered Care

Objective: Our project addresses a critical question: “how do we motivate residents to practice patient/family-centered care?” Building upon a successful model for resident-run quality improvement, we will introduce the practice of PFCC by partnering our residents with patient/family advisors to solve patient and resident identified problems (gripes). We believe this program will alter resident perspectives because the value of PFCC will be experienced not merely taught.

New York Presbyterian Hospital

Principal Investigator: Nicholas H. Fiebach, MD

Project Title: The Patient’s Voice: Institution-wide Training for Housestaff in Patient-Centered Care

Objective: This initiative targets resident interactions with patients at the key transition points of hospital admission and discharge. Guidance for housestaff will be developed and disseminated to promote Always Events at these critical junctures, including clear introductions and orientation, assessment of patients’ language and communication needs, empathic communication, eliciting questions and concerns from patients’ and their families, and checking on patients’ preferences and understanding. This project will integrate three distinct components that will serve to identify the “voice of the patient,” develop and pilot strategies for delivering patient-centered care that grows out of residents’ experiences with patients; and, design a half day intensive workshop on patient-centered practices integrating lessons learned from the first two components.

SUNY Upstate Medical University

Principal Investigator(s): Stephen Knohl, MD

Project Title: Learning to Talk

Objective: This project proposal is to build on and enhance the established “Learning to Talk” program at SUNY Upstate Medical University with the addition of the Always Event(s)’” of “Discharge Guides”. The “Discharge Guides” will be firmly grounded in respect, clarity, and education and will improve physician-patient communication skills. This initiative will introduce residents to hand-written “Discharge Guides” for outpatient cases. “Discharge Guides” will foster the patients’ comprehension of, and comfort with, their discharge plan and will be portable to follow-up appointments to ensure quality continuity of care.

University of Chicago

Principal Investigator: Vineet Arora, MD MAPP

Project Title: Engineering Patient Oriented Clinic Handoffs (EPOCH) Project

Objective: To truly design a patient‐centered clinic handoff, understanding the patient experience is imperative. However, no research to date has described the patient experience during and after the end of year clinic handoff. The goals of this initiative include: (1) To understand how patients cared for in a resident clinic perceive the end of year handoff process, with a particular focus on barriers and challenges that they face; (2) To develop a patient‐centered end of year clinic handoff process for internal medicine training; (3) To evaluate the impact of this patient‐centered end of year clinic handoff process on resident satisfaction, patient satisfaction, and relevant patient outcomes.

University of California San Francisco /VA Medical Center, San Francisco

Principal Investigator: Calvin L. Chou, MD, PhD

Project Title: Development of Interprofessional Team-based Observed Structured Clinical Examinations to Ensure Patient-Centeredness in Primary CareTeams

Objective: We propose to construct an Interprofessional Team-based Observed Structured Clinical Examination (ITOSCE): an assessment that uses standardized patients and team members to ensure that a trainee explicitly incorporates the patient’s goals of care and illness perspective into a comprehensive care plan. We also anticipate that we will use the checklists we develop for the ITOSCEs as methods for evaluating on-the-fly team interactions. This assessment would be well-positioned to influence the future of team-based practice; since assessment is an important driver for learning, development of this ITOSCE would further create accountability for performance and can remind all PACT members to include the patient’s perspective.

University of South Florida

Principal Investigators: Deanna Wathington, MD , MPH and Charles N Paidas MD, MBA (DIO)

Project Title: Enhancing Medical Resident Cultural and Linguistic Competency

Objective: This project evaluates the efficacy of two unique training interventions to enhance cultural and linguistic competency among a diverse group of trainees and program directors across a variety of specialties in a large urban residency program. The project seeks to evaluate potential best practice interventions/curriculum for residents to enhance patient centered and humanistic care.

Mount Sinai School of Medicine

Principal Investigator: Christine Low, LCSW

Project Title: Project PARIS: Parents and Residents In Session – the next generation

Overview: This 2011/2012 initiative builds on the previous results and extends them to provide the PARIS intervention to a large group of medical students while performing a controlled trial of its efficacy in promoting knowledge and improving attitude about patient and family centered care (PFCC). The goal of this initiative is to implement a meeting between family faculty and medical students who are on their pediatric rotation in the medical center. The meeting will be standardized to include discussions of the core components (core tenets of family centered care) that were identified in the pilot study.

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