Publication/Presentation Date

1-1-2017

Abstract

Background: There is currently no gold standard for delivery of systems-based practice in medical education, and it is challenging to incorporate into medical education. Health systems competence requires physicians to understand patient care within the broader health care system and is vital to improving the quality of care clinicians provide. We describe a health systems curriculum that utilizes problem-based learning across 4 years of systems-based practice medical education at a single institution.

Methods: This case study describes the application of a problem-based learning approach to system-based practice medical education. A series of behavioral statements, called entrustable professional activities, was created to assess student health system competence. Student evaluation of course curriculum design, delivery, and assessment was provided through web-based surveys.

Results: To meet competency standards for system-based practice, a health systems curriculum was developed and delivered across 4 years of medical school training. Each of the health system lectures and problem-based learning activities are described herein. The majority of first and second year medical students stated they gained working knowledge of health systems by engaging in these sessions. The majority of the 2016 graduating students (88.24%) felt that the course content, overall, prepared them for their career.

Conclusion: A health systems curriculum in undergraduate medical education using a problem-based learning approach is feasible. The majority of students learning health systems curriculum through this format reported being prepared to improve individual patient care and optimize the health system's value (better care and health for lower cost).

Volume

8

First Page

745

Last Page

753

ISSN

1179-7258

Comments

© 2017 Pruitt et al. This work is published and licensed by Dove Medical Press Limited. this is publish open access at: http://resolver.ebscohost.com/openurl?sid=Entrez%3aPubMed&id=pmid%3a29138614&site=ftf-live The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).

Disciplines

Emergency Medicine | Family Medicine | Internal Medicine | Surgery | Trauma

PubMedID

29138614

Department(s)

Department of Education, Administration, Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Family Medicine, Department of Family Medicine Faculty, Department of Surgery, Department of Surgery Faculty, USF-LVHN SELECT Program, USF-LVHN SELECT Program Faculty

Document Type

Article

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