Found in transition: applying milestones to three unique discharge curricula

PeerJ
Lauren B MeadeMeghan M Walsh

Abstract

Introduction. A safe and effective transition from hospital to post-acute care is a complex and important physician competency. Milestones and Entrustable Professional Activities (EPA) form the new educational rubric in Graduate Medical Education Training. "A safe and effective discharge from the hospital" is an EPA ripe for educational innovation. Methods. The authors collaborated in a qualitative process called mapping to define 22 of 142 Internal Medicine (IM) curricular milestones related to the transition of care. Fifty-five participant units at an Association for Program Directors in Internal Medicine (APDIM) workshop prioritized the milestones, using a validated ranking process called Q-sort. We analyzed the Q-sort results, which rank the milestones in order of priority. We then applied this ranking to three innovative models of training IM residents in the transitions of care: Simulation (S), Discharge Clinic Feedback (DCF) and TRACER (T). Results. We collected 55 Q-sort rankings from particpants at the APDIM workshop. We then identified which milestones are a focus of the three innovative models of training in the transition of care: Simulation = 5 of 22 milestones, Discharge Clinic Feedback = 9 of 22 milestones, and T...Continue Reading

References

Dec 10, 1997·Journal of the American Medical Informatics Association : JAMIA·A L Valenta, U Wigger
Apr 4, 2002·Journal of General Internal Medicine·Carl van WalravenAndreas Laupacis
Feb 1, 2003·Annals of Internal Medicine·Alan J ForsterDavid W Bates
Oct 7, 2004·Annals of Internal Medicine·Eric A Coleman, Robert A Berenson
Nov 4, 2004·Social Science & Medicine·Werner B F BrouwerElly A Stolk
May 10, 2005·QJM : Monthly Journal of the Association of Physicians·N J A van ExelR Huijsman
Sep 27, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Jennifer S MyersJudy A Shea
May 26, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Olle ten Cate, Fedde Scheele
Feb 8, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Cindy J LaiKaren E Hauer
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
May 6, 2010·Journal of General Internal Medicine·Susan Bray-HallEva Aagaard
Aug 11, 2010·Journal of General Internal Medicine·Margaret H CoitGraham T McMahon
Nov 13, 2010·Journal of the American Geriatrics Society·Manuel A Eskildsen
Jan 18, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Anca DinescuReena Karani
Sep 1, 2009·Journal of Graduate Medical Education·Michael L GreenWilliam Iobst
Feb 24, 2012·The New England Journal of Medicine·Thomas J NascaTimothy C Flynn
May 9, 2012·BMJ Quality & Safety·Namita MohtaJeff Schnipper
May 9, 2012·Journal of General Internal Medicine·S Ryan GreysenLeora I Horwitz
Aug 17, 2012·BMC Medical Education·Kimberly LegaultJohn J You
Mar 2, 2013·Journal of Graduate Medical Education·Jaideep S TalwalkarAli Vaezy
Jun 29, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Lauren B MeadeAimee K Zaas
Sep 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel J SchumacherCarol Carraccio
Jan 10, 2014·Journal of Graduate Medical Education·Karen E HauerPatricia O'Sullivan

❮ Previous
Next ❯

Citations

Jul 30, 2021·BMC Medical Education·Doron SagiMary Catharine Joy Rudolf

❮ Previous
Next ❯

Software Mentioned

sort

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.