{"id":20821,"date":"2018-09-07T16:00:26","date_gmt":"2018-09-07T20:00:26","guid":{"rendered":"https:\/\/participatorymedicine.org\/epatients\/?p=20821"},"modified":"2018-09-07T16:00:26","modified_gmt":"2018-09-07T20:00:26","slug":"lead-article-in-influential-journal-proposes-weaving-participatory-medicine-into-clinician-education","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2018\/09\/lead-article-in-influential-journal-proposes-weaving-participatory-medicine-into-clinician-education.html","title":{"rendered":"Lead article in influential journal proposes weaving participatory medicine into clinician education"},"content":{"rendered":"<p>The Society for Participatory Medicine advocates for transforming the culture of care, so we watch for signs that the culture is changing. A newly released peer-reviewed article hints at progress: formally introducing patient perspectives into not just the practice of medicine but into the framework of competencies by which new physicians are <em>measured and certified<\/em>.<\/p>\n<p>It\u2019s the lead article of an annual special issue of <a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0091217418791461\" target=\"_blank\" rel=\"noopener\">International Journal of Psychiatry in Medicine<\/a> (IJPM). The special issue each year is devoted to the previous fall\u2019s <a href=\"https:\/\/ocpe.mcw.edu\/family_medicine\/content\/38th-forum-behavioral-science-family-medicine\" target=\"_blank\" rel=\"noopener\">Forum for Behavioral Sciences in Family Medicine<\/a>. SPM co-founder Dave deBronkart gave a well-received closing speech at the 2017 forum and was asked to contribute the lead article for the issue.<\/p>\n<p><!--more--><strong>\u201cThe power structure of the clinical relationship is inevitably altered,\u201d<\/strong> the article says, \u201cas constraints on patient knowledge are loosened by the internet, apps, and devices,\u201d continuing that this undermines the \u201c<strong>paradigm of patients as uninformed recipients of care<\/strong> based on a one-way flow of wisdom from providers.\u201d This is aligned with SPM\u2019s description of patients shifting \u201cfrom mere passengers to active drivers\u201d of their care, with physicians welcoming the new behavior.<\/p>\n<p>To achieve the vision of physicians welcoming e-patients, vs saying &#8220;stay off the internet,&#8221; \u201cnew standard must be to teach clinicians to recognize, welcome, and work with empowered \u2018e-patients\u2019 in the new model of participatory medicine.\u201d<\/p>\n<p>The article speaks specifically about <a href=\"\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/FamilyMedicineMilestones.pdf?ver=2017-01-20-103353-463\">competencies and milestones for Family Medicine<\/a> (PDF), particularly pointing to such skills as shared decision making, patient autonomy, and self-management. Such certification of residents is done by ACGME, the Accreditation Council for Graduate Medical Education, in <a href=\"\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/FamilyMedicineMilestones.pdf?ver=2017-01-20-103353-463\">dozens of specialities<\/a>.<\/p>\n<p>SPM board member Peter\u00a0Elias, MD says that the family medicine residents he taught as a volunteer faculty preceptor were eager to practice what he then called \u201ccollaborative medicine\u201d and quickly adapted to this approach when taught and supported.<\/p>\n<h2>Accessing article content<\/h2>\n<p>The abstract of the article, \u201cThe patient\u2019s voice in the emerging era of participatory medicine,\u201d is\u00a0<a href=\"http:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0091217418791461\">here<\/a>. The full text is behind a paywall, but deBronkart invites SPM members <a href=\"mailto:dave@epatientdave.com%20?subject=Journal%20column\">to email him<\/a> for a PDF.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Significant sign of cultural progress: new peer-reviewed article proposes introducing patient engagement into the competencies by which new physicians are measured and certified. 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