Medical students’ reflections of a posthospital discharge patient visit

Linda Pang*, Reena Karani, Sara M. Bradley

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Transitions of care is an important part of patient safety that is not often taught in medical schools. As part of a curriculum for patient safety and transitions of care, third-year medical students followed patients they cared for during their inpatient rotations on a posthospital discharge visit. Students answered reflection questions on these visits, which were reviewed at a group debriefing session. The written reflections and oral debriefings were analyzed qualitatively to identify what medical students were able to learn from a posthospital discharge visit. Of the students who visited patients, 265 participated in the debriefing sessions, and their responses were grouped into 7 domains and 33 themes. Students commented most often on the importance of family and caregivers who provided support for the patient after hospitalization. They identified problems specific to the discharge process and factors that helped or hindered transitions, noted new experiences visiting postacute care facilities, and also developed solutions to improve transitions. Postdischarge visits combined with brief reflection writing and debriefing allowed students to better understand difficulties that can be faced in care transitions.

Original languageEnglish (US)
Pages (from-to)223-234
Number of pages12
JournalGerontology and Geriatrics Education
Volume39
Issue number2
DOIs
StatePublished - Apr 3 2018

Keywords

  • Geriatric education
  • patient safety
  • transitions of care
  • undergraduate medical education

ASJC Scopus subject areas

  • Education
  • Geriatrics and Gerontology

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