Review 2017

Dermatology discharge continuity clinic enhances resident autonomy and insight into transitions-of-care competencies: A cross-sectional survey study

Dermatology Online Journal
Journal · Vol. 23 · Issue 5 · Art. 1
Abstract

Dermatology residents perform consults on hospitalized patients, but are often limited in their ability to follow-up with these patients after discharge, leading to inadequate follow-up and understanding of post-discharge transitions of care. In 2013, a discharge continuity clinic (DCC) staffed by the inpatient consult dermatology resident and attending dermatologist was established at one of the four adult hospital sites residents rotate through in the Harvard Combined Dermatology Residency Program. Resident perceptions about the DCC and their educational experience on inpatient consult rotations with a DCC and without a DCC were obtained using a cross-sectional survey instrument in June 2016. Self-reported data from a multi-year cohort of dermatology residents (n = 14 of 20, 70% response rate) reveals that the DCC enabled resident autonomy and resident satisfaction in care of their patients, insight into the disease-related challenges and the broader social context during transitions of care from inpatient to outpatient settings, and more enriching learning experiences than inpatient consult rotations without a DCC. Dermatology residents self-report participation in an inpatient consult rotation with a DCC supports their autonomy and achievement of post-discharge transitions-of-care competencies. © 2016 by the article author(s).

Keywords

Author Keywords

Competencies autonomy Longitudinal ACGME Continuity Dermatology resident education Discharge clinic Transitions of care

Index Keywords

clinical competence cross-sectional study human medical education questionnaire Cross-Sectional Studies Humans Internship and Residency Surveys and Questionnaires Vocational education empowerment education controlled study United States review job satisfaction patient care professional competence resident professional practice consultation patient referral Referral and Consultation cooperation Continuity of Patient Care health care survey job experience dermatologist hospital discharge physician attitude transitional care dermatology Patient Discharge Professional Autonomy
Author Affiliations
Department of Dermatology, Brigham and Women's Hospital, Boston, MA, United States
Funding & Acknowledgements
No funding information
References 10 References
1 Sokumbi, Olayemi, Missed opportunities in residency education: The role of hospital dermatology, Journal of the American Academy of Dermatology, 68, 4, pp. 677-678, (2013)
2 Moore, Carlton R., Medical errors related to discontinuity of care from an inpatient to an outpatient setting, Journal of General Internal Medicine, 18, 8, pp. 646-651, (2003)
3 Ogur, Barbara, The Harvard Medical School-Cambridge Integrated Clerkship: An innovative model of clinical education, Academic Medicine, 82, 4, pp. 397-404, (2007)
4 Tavakol, Mohsen, Making sense of Cronbach's alpha, International journal of medical education, 2, pp. 53-55, (2011)
5 J Grad Med Educ, (2013)
6 J Grad Med Educ, (2014)
7 Lee, Jennifer Inhae, Bridging Care Transitions: Findings from a Resident-Staffed Early Postdischarge Program, Academic Medicine, 88, 11, pp. 1685-1688, (2013)
8 Diem, Susan J., Effects of a postdischarge clinic on housestaff satisfaction and utilization of hospital services, Journal of General Internal Medicine, 11, 3, pp. 179-181, (1996)
9 Kusurkar, Rashmi A., Have motivation theories guided the development and reform of medical education curricula? a review of the literature, Academic Medicine, 87, 6, pp. 735-743, (2012)
10 Cook, David Allan, Perspective: Reconsidering the focus on "outcomes research" in medical education: A cautionary note, Academic Medicine, 88, 2, pp. 162-167, (2013)
Quick Actions
Citation Metrics
5
Times Cited (Scopus)

References 10
Document Identifiers
  • EID 2-s2.0-85019960044
  • PubMed 28537853
  • Language English