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01-05-2019 | Editorial

Exploring the Intersections of Education and Healthcare Delivery Using a Clinical Learning Environment Framework

Authors: Bridget C. O’Brien, PhD, Darcy A. Reed, MD MPH

Published in: Journal of General Internal Medicine | Issue 5/2019

Excerpt

Amidst rapid changes in the healthcare system, academic health centers are paying greater attention to the intersection of education and healthcare delivery. Various reports and articles urge health systems leaders, administrators, and educators to seize opportunities to align the purpose, goals, mission, and priorities of medical education with those of healthcare delivery to achieve better outcomes for both patients and learners.^1‐5 Proposed alignment strategies run the gamut from defining shared performance standards to innovative design of systems, programs, and processes that support mutual goals such as high-value care, patient safety, and quality learning environments.^{1‐3, 6} …

Gupta R, Sehgal N, Arora VM. Aligning Delivery System and Training Missions in Academic Medical Centers to Promote High-Value Care. Academic Medicine. 2018.

Sklar DP, Hemmer PA, Durning SJ. Medical Education and Health Care Delivery: A Call to Better Align Goals and Purposes. Academic Medicine. 2018; 93(3):384–90.CrossRefPubMed

Wagner R, Newton RC, Casey BR, Koh NJ, Weiss KB. The Overview of the CLER Program: CLER National Report of Findings JGME. 2018;2.

Skochelak SE. A decade of reports calling for change in medical education: what do they say? Acad Med. 2010;85(9 Suppl):S26–33.CrossRefPubMed

Gonzalo JD, Haidet P, Papp KK, Wolpaw DR, Moser E, Wittenstein RD, Wolpaw T. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences. Acad Med. 2017;92(1):35–39.CrossRefPubMed

Gonzalo JD, Lucey C, Wolpaw T, Chang A. Value-Added Clinical Systems Learning Roles for Medical Students That Transform Education and Health: A Guide for Building Partnerships Between Medical Schools and Health Systems. Acad Med. 2017;92(5):602–607.CrossRefPubMed

Irby DM. Improving environments for learning in the health professions. Proceedings of a conference sponsored by Josiah Macy Jr. Foundation in April 2018; New York, NY: Josiah Macy Jr. Foundation, 2018.

Gottenborg E, Limes J, Olson A, Wolfe B. Learning Together: Integration of Advanced Practice Providers into a Traditional Ward Team Model. J Gen Intern Med https://doi.org/10.1007/s11606-019-04880-4

Wang E, Velásquez ST, Smith CJ, Matthias TH, Schmit D, Hsu S, Leykum LK. Triaging Inpatient Admissions: An Opportunity for Resident Education. J Gen Intern Med https://doi.org/10.1007/s11606-019-04882-2.

10.

Pincavage A, Fagan M, Osman NY, Leizman DS, DeWaay D, Curren C, Ismail N, Szauter K, Kisielewski M, Shaheen AW. One Structure does not fit all: A National Survey of Undergraduate Clinical Education in Internal Medicine. J Gen Intern Med https://doi.org/10.1007/s11606-019-04892-0.

11.

DeWaters A, Loria H, Mayo H, Chisty A, Nguyen OK. The Impact of Block Ambulatory Scheduling on Internal Medicine Residencies: A Systematic Review. J Gen Intern Med https://doi.org/10.1007/s11606-019-04887-x.

12.

Wallach P, Foster LM, Cuddy MM, Hammoud MM, Holtzman KZ, Swanson DB. Electronic Health Record Use in Internal Medicine Clerkships and Sub-internships for Medical Students Graduating from 2012 to 2016. J Gen Intern Med https://doi.org/10.1007/s11606-019-04902-1.

13.

Stratton T. Legitimizing Continuous Quality Improvement (CQI) Efforts: Navigating Rationalization in Medical Education. J Gen Intern Med https://doi.org/10.1007/s11606-019-04875-1.

Title: Exploring the Intersections of Education and Healthcare Delivery Using a Clinical Learning Environment Framework
Authors: Bridget C. O’Brien, PhD
Darcy A. Reed, MD MPH
Publication date: 01-05-2019
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 5/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-04929-4

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Other articles of this Issue 5/2019

The Impact of Block Ambulatory Scheduling on Internal Medicine Residencies: a Systematic Review

A Qualitative Study of New York Medical Student Views on Implicit Bias Instruction: Implications for Curriculum Development

Measuring Coaching in Undergraduate Medical Education: the Development and Psychometric Validation of New Instruments

Electronic Health Record Use in Internal Medicine Clerkships and Sub-internships for Medical Students Graduating from 2012 to 2016

A National Survey of Undergraduate Clinical Education in Internal Medicine

Teaching the Social Determinants of Health in Undergraduate Medical Education: a Scoping Review

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