TY - JOUR
T1 - A patient-centered approach to postgraduate trainee health and wellness
T2 - An applied review and health care delivery model
AU - Carvour, Martha L.
AU - Ayyar, Balaji K.
AU - Chien, Kelly S.
AU - Ramirez, Natalie C.
AU - Yamamoto, Haru
N1 - Publisher Copyright:
© 2016 by the Association of American Medical Colleges.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Attention to the health and wellness of postgraduate medical trainees has increased considerably in recent years, yet the scholarly literature consistently indicates that, in many instances, the medical and mental health care needs of this population remain unmet or only partially met. As a result, trainee health care often falls short of the current standards of the medical profession. Combined with the prevalence of burnout and other mental health conditions among trainees, inadequate health care for this patient population may result in significant negative consequences for trainees' health, safety, and performance. Here, the authors review the scholarly literature explicating the health care needs of postgraduate trainees. They explore the patient-centered medical home model as a potentially effective solution to address the unmet and partially met health care needs of trainees. The authors describe several practical interventions to improve access to care. These include care coordination and referral support, confidential care without perceived conflicts of interest in the training environment, co-location of medical and mental health care, and accommodations for schedule constraints. Finally, the authors explore the role of the medical home in developing and supporting broader institutional efforts to promote wellness.
AB - Attention to the health and wellness of postgraduate medical trainees has increased considerably in recent years, yet the scholarly literature consistently indicates that, in many instances, the medical and mental health care needs of this population remain unmet or only partially met. As a result, trainee health care often falls short of the current standards of the medical profession. Combined with the prevalence of burnout and other mental health conditions among trainees, inadequate health care for this patient population may result in significant negative consequences for trainees' health, safety, and performance. Here, the authors review the scholarly literature explicating the health care needs of postgraduate trainees. They explore the patient-centered medical home model as a potentially effective solution to address the unmet and partially met health care needs of trainees. The authors describe several practical interventions to improve access to care. These include care coordination and referral support, confidential care without perceived conflicts of interest in the training environment, co-location of medical and mental health care, and accommodations for schedule constraints. Finally, the authors explore the role of the medical home in developing and supporting broader institutional efforts to promote wellness.
UR - http://www.scopus.com/inward/record.url?scp=84978476659&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978476659&partnerID=8YFLogxK
U2 - 10.1097/ACM.0000000000001301
DO - 10.1097/ACM.0000000000001301
M3 - Review article
C2 - 27415444
AN - SCOPUS:84978476659
SN - 1040-2446
VL - 91
SP - 1205
EP - 1210
JO - Academic Medicine
JF - Academic Medicine
IS - 9
ER -