Tell Me More®: A Medical Student Driven Model To Enhance the Patient-Physician Relationship 1 1 1 1
Tanzim Bhuiya , Xiaoyue Zhong , Gabrielle Pollack , Alice Fornari, EdD. RDN. , Taranjeet Kalra Ahuja, DO.1 1
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Background ● ● ●
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Tell Me More® is designed to promote humanistic, compassionate, patient centered-care (1) TMM® enhance students ability to connect to patients through an expanded social history TMM® enables patients to connect to who they were before hospitalization and for them to feel more understood by their healthcare providers Patients want providers who listen, communicate clearly and treat them with respect (2) Professional identity formation (PIF) of medical students is encouraged through the TMM® program (3)
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Conclusions ●
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Results
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Aim
We seek to understand the impact of TMM® on the medical students directly participating in the TMM® project. We also intend to understand the impact of TMM® on patients from the student perspective.
Methods ●
Data Analysis
TMM® is an Arnold P. Gold Foundation signature project adapted to our Northwell clinical environment in sponsorship by the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, and the Northwell Health Patient & Customer Experience team Patients were identified and provided verbal consent before participating in TMM® Over a 2-4 week period, students interviewed patients using open-ended questions and created posters based on the patients’ answers Students wrote journal entries based on their experiences during TMM® using the following prompts: “what surprised you or inspired you” , “what made you think differently” , and “what moved me or touched my heart.”
TMM® allows medical students to contribute to the healthcare team by letting them develop deeper relationships with patients TMM® initiative involves the entire healthcare team in creating a more meaningful patient experience TMM® enables patients to reflect on their life experiences and to share them with their healthcare providers Healthcare providers are able to better connect with their patients by reading their posters and learning about the patient beyond an HPI
Future Direction ● Fig. 1 Example of a TMM® posters
● Through qualitative analyses of journal entries, eleven themes were extrapolated. Six of these themes relate to the impact of TMM® on medical students. Five more of these themes relate to the impact of TMM® on the patients from the student perspective. Each of the themes was paired with two representative quotes.
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Future work of TMM® includes investigating how healthcare workers are impacted through the project being done at their hospital Expanding TMM® to involve a greater cohort of volunteers (med students and undergraduate students) Systemizing TMM® like questions into the electronic medical records Linking TMM® to patient health outcomes Understanding the impact of TMM ® during the COVID-19 pandemic when patients are facing isolation
Resources 1. Tell Me More®. (n.d.). Retrieved October 04, 2020, from https://www.gold-foundation.org/programs/tell-me-more/ 2. Wolf, J. A., & CPXP, P. (2018). Consumer perspectives on patient experience 2018. Beryl Institute. Accessed June, 6, 2019. 3. Wald H. S. (2015). Professional identity (trans)formation in medical education: reflection, relationship, resilience. Academic medicine : journal of the Association of American Medical Colleges, 90(6), 701–706. Fig. 2 (Left) Student-centered themes, (Right) Patient Centered Themes based on the students perspectives