Continuity of care and chronicity in medical students' education: 'adopt' a chronic patient

• Published in: Education for primary care Vol. 31; no. 6; pp. 365 - 370
• Main Authors: Preci, C., Bonfatti, M., Garuti, C., Corbelli, L., Romani, A., Fiandri, P., Venturelli, A., Ferrari, G., Ghirotto, L., Padula, Maria Stella
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 01-11-2020
• Subjects: active learning; care continuity; Empathy; focus-groups; qualitative research; active learning; Empathy; qualitative research; focus-groups; care continuity
• ISSN: 1473-9879; 1475-990X
• DOI: 10.1080/14739879.2020.1811162

Purpose: Nowadays chronicity is one of the most frequent aspects of care doctors have to deal with. Students need to know and learn clinical, relational, social and managerial elements of chronicity and changes that disease causes in patients, families and doctors themselves.
Methods: Students are supervised by a family doctor, in taking care of 'their' patient and of his/her family. They are asked to keep an updated diary, participate in the periodical revision of the medical history and write an end-report. Two focus groups were conducted, adopting a constructive qualitative approach in order to analyse results.
Results: The focus groups and the SWOT analysis show common themes such as innovative learning and multidisciplinary approach. Clinical evolution of the disease, mental and body changes and the diagnostic and therapeutic future planning were also revealed.
Conclusions: The main goal of this innovation was understanding the importance of a continuous clinical relationship and of the role of the doctor as 'therapy itself'. The project was demonstrated to be able to teach the future physicians how to practice more empathetic medicine and to improve the skills needed in a complex relational environment including that of chronic disease.