Matter Colleen A, Speice Jenny A, McCann Robert, Mendelson Daniel Ari, McCormick Kevin, Friedman Susan, Medina-Walpole Annette, Clark Nancy S
Veterans Administration Outpatient Clinic, and Department of Family Medicine, University of Rochester School of Medicine and Dentistry, New York 14620, USA.
Acad Med. 2003 Aug;78(8):793-7. doi: 10.1097/00001888-200308000-00009.
Physicians-in-training discharge many older patients from the hospital, but few have any knowledge of what happens to the patients they send home, of how discharge plans are applied, or of the difficulties patients and their families face. The authors describe a pilot program, Hospital to Home, at the University of Rochester School of Medicine and Dentistry's internal medicine residency program, which uses home visits as an educational tool in geriatrics training. The program was begun in July 2001, and 23 residents have participated. Home visits expose residents in their first-year geriatrics rotation to the elements and outcomes of discharge planning and create a heightened awareness of the needs of older persons recently discharged from the hospital. The home visits are videotaped, and the residents present a videoconference based on the visits, which are attended by internal medicine residents, family medicine residents, and medical students. The authors describe the three-part Hospital to Home program, three vignettes that highlight learning experiences, and the residents' feedback about the experience and the use of audiovisual recording for education.
接受培训的医生会让许多老年患者出院，但很少有人了解他们送回家的患者情况如何、出院计划是如何实施的，或者患者及其家人面临哪些困难。作者描述了罗切斯特大学医学与牙科学院内科住院医师培训项目中的一个试点项目“医院到家”，该项目将家访用作老年医学培训的一种教育工具。该项目于2001年7月启动，已有23名住院医师参与。家访让第一年参与老年医学轮转的住院医师了解出院计划的内容和结果，并增强他们对刚出院老年人需求的认识。家访会被录像，住院医师会基于这些家访进行视频会议，内科住院医师、家庭医学住院医师和医学生都会参加。作者描述了分为三个部分的“医院到家”项目、突出学习经历的三个案例，以及住院医师对该经历和使用视听记录进行教育的反馈。
