Education-Centered Medical Home
摘要
The Education-Centered Medical Home (ECMH) is a progressive approach to medical education in primary care. As a longitudinal integrated clerkship (LIC) over the course of 4 years, the ECMH prioritizes person-centered medical care and continuity among peers, preceptors, and patients. Patient-centered medical home (PCMH) principles combined with ECMH learning and continuity objectives guide ECMH curriculum. Although similar to the PCMH, the ECMH provides more opportunities for continuity, formative feedback from preceptors and peers, team-based learning, and quality improvement (QI) projects. ECMH students and preceptors report satisfaction with the ECMH medical model and corroborate the benefit on student clinical skills and practice. Patients also benefit from patient-centered longitudinal care. ECMH clinics utilize quality metrics and QI which results in improved patient level outcomes. Despite the positive characteristics of the model on student learning and patient outcomes, there are barriers to implementations of LICs in medical programs and practices. Useful suggestions are offered to address barriers that may arise. There is room for innovation and growth of the ECMH model which will be described along with research and evaluation opportunities.