As a member of the consortium of medical schools addressing behavioral and social sciences in medical education, we propose to continue the transformation of the Baylor College of Medicine curriculum to reflect an ideal balance in content among the behavioral, biomedical, and social sciences such that our graduates are not only proficient and knowledgeable medical technicians, but also effective healers. We will transform both the formal and hidden curriculum by leveraging content and processes developed in the original grant, adding new content, and continuing our efforts to transform relationships. We will expand from student-teacher relationships into the clinician-colleague domain of relationships, introducing content that emphasizes relationships of students with others in healthcare. Our efforts to create effective healers are framed as relationship-centered, focused on interprofessional relationships and education, and utilize behavioral change theories to guide our work. In addition, we will partner with the Texas A&M Health Science Center and other members of the consortium to share curricular enhancements and activities, expanding their use and reach, and to disseminate findings of educational research related to these enhancements.
Our Aims i nclude to 1) Continue and enhance curricular activities to transform core student-teacher relationships through ongoing evaluation and quality improvement; 2) Advance the transformation of the hidden curriculum regarding relationship centered care and communication in clinical settings through integration of interprofessional education (IPE), transforming relationships between medical students and other health professionals; 3) in partnership with Texas A&M Health Science Center (TAMHSC), expand the integration of the principles and values of relationship-centered care into both classroom/community-based and clinical/simulation curricular models of IPE; 4) in partnership with TAMHSC, promote and disseminate relationship-centered educational development and research, regionally and nationally; and 5) as a member of the Consortium, expand the current behavioral and social science consortium from 9 to 18 schools, continue our collaborations and national dissemination efforts, and enhance our collective evaluation under the aegis of a coordinating center. We believe that the Aims and activities we propose will better prepare our students for effective patient care in what has become a complex web of healthcare systems, providers, and diverse patients.

Public Health Relevance

US demographic transformations have resulted in an aging population accompanied by increases in chronic diseases and obstinate health problems. In response to these challenges, we must educate health professionals differently so that they can more effectively address these problems. This proposal explores models of interprofessional education, between medical, nursing, pharmacy, and public health students, to improve their communication with one another and ultimately improve patient care.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Education Projects (R25)
Project #
5R25HL108183-05
Application #
8895784
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Nicastro, Holly L
Project Start
2011-08-03
Project End
2016-07-31
Budget Start
2015-08-01
Budget End
2016-07-31
Support Year
5
Fiscal Year
2015
Total Cost
Indirect Cost
Name
Baylor College of Medicine
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
051113330
City
Houston
State
TX
Country
United States
Zip Code
77030
Kohn, Jaden R; Armstrong, Joseph M; Taylor, Rachel A et al. (2017) Student-derived solutions to address barriers hindering reports of unprofessional behaviour. Med Educ 51:708-717
West, Courtney; Graham, Lori; Palmer, Ryan T et al. (2016) Implementation of interprofessional education (IPE) in 16 U.S. medical schools: Common practices, barriers and facilitators. J Interprof Educ Pract 4:41-49
Kusnoor, Anita V; Stelljes, Linda A (2016) Interprofessional learning through shadowing: Insights and lessons learned. Med Teach 38:1278-1284
Carney, Patricia A; Palmer, Ryan T; Fuqua Miller, Marissa et al. (2016) Tools to Assess Behavioral and Social Science Competencies in Medical Education: A Systematic Review. Acad Med 91:730-42
Livingston, Laura L; West, Courtney A; Livingston, Jerry L et al. (2016) Simulated Disaster Day: Benefit From Lessons Learned Through Years of Transformation From Silos to Interprofessional Education. Simul Healthc 11:293-8
West, Courtney; Veronin, Michael; Landry, Karen et al. (2015) Tools to investigate how interprofessional education activities link to competencies. Med Educ Online 20:28627
Gill, Anne C; Nelson, Elizabeth A; Mian, Ayesha I et al. (2015) Responding to moderate breaches in professionalism: an intervention for medical students. Med Teach 37:136-9
Braun, Ursula K; Gill, Anne C; Teal, Cayla R et al. (2013) The utility of reflective writing after a palliative care experience: can we assess medical students' professionalism? J Palliat Med 16:1342-9