In the report “Crossing the Quality Chasm,” the Institute of Medicine asserted that patient-centered care is one of the six domains of quality. In this article, the authors consider how the patient- and relationship-centered components of quality can be achieved in all aspects of medical care. They suggest that faculty development in three key areas—mindful practice, formation, and training in communication skills—is necessary to achieve patient- and relationship-centeredness.
The authors first review the philosophical and scientific foundations of patient-centered and relationship-centered care. They next describe and provide concrete examples to illustrate the underlying theory and practices associated with each of the three faculty development areas. They then propose five key areas for faculty development in patient- and relationship-centered care: (1) making it a central competency in all health care interactions, (2) developing a national curriculum framework, (3) requiring performance metrics for professional development, (4) partnering with national health care organizations to disseminate the curriculum framework, and (5) preserving face-to-face educational methods for delivering key elements of the curriculum. Finally, the authors consider the issues faced in faculty development today in light of the medical education issues Abraham Flexner identified more than a century ago.
Dr. Frankel is professor of medicine and geriatrics and senior research scientist, Regenstrief Institute, Indiana University School of Medicine, and senior scientist, Center for Implementing Evidence Based Practice, Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, Indiana.
Dr. Eddins-Folensbee is associate professor of psychiatry and behavioral sciences and senior associate dean of admissions and student affairs, Baylor College of Medicine, Houston, Texas.
Dr. Inui is president and CEO, Regenstrief Institute, Sam Regenstrief Professor of Medicine, and associate dean for health services research, Indiana University School of Medicine, Indianapolis, Indiana.
Correspondence should be addressed to Dr. Frankel, Center for Implementing Evidence Based Practice, Richard L. Roudebush VAMC, 1480 W. 10th St., Indianapolis, IN 46202; telephone: (317) 988-4000; fax: (317) 988-3222; e-mail: firstname.lastname@example.org.
First published online February 21, 2011