An Interprofessional Community‐Based Complex Care Course Grounded in Social Determinants of Health

Abstract

See related Editorial by https://onlinelibrary.wiley.com/doi/10.1111/jgs.16958. in this issue.

Components and Outcomes in Under- and Postgraduate Medical Education to Prepare for the Delivery of Integrated Care for the Elderly: A Scoping Review

“…setting, and duration of the educational programmes. Thirteen papers originated from North America [34,[37][38][39][40][41][42][43][44][45][46][47][48], two from Europe [49,50], one from South America [51], and one from Oceania [52]. The majority (n = 13) was published after 2008 [37-39, 41-44, 46, 48, 50-52].…”

“…Other activities included home visits [43,46], joint primary and secondary care clinics [50], ward observations [41], a studentled clinic for recently discharged elderly [52], and an interprofessional student team examining one patient's care and discharge [49]. Lastly, these papers described students or residents paired with elderly persons to provide care [44] or observe their health needs [38,45].…”

“…Four of these workplace-based programmes also used teaching activities in a classroom-based setting [38,41,43,51]. For example, students completed a foundational curriculum, after which they continued with home visits to patients [38].…”

A Call for Complex Care Curricula: Geriatric Providers Should Not Only Heed but Lead the Call

“…Student hotspotting (SH) is the hotspotting model translated into an educational curriculum where students gain experience working in interprofessional teams and collaborating with patients demonstrating high‐utilization patterns. As discussed by Hart et al, students develop critical competencies in interprofessional teamwork; identify and address root causes of high healthcare utilization; and develop skills crucial to building trusting, healing relationships 14 . Students learn through the patient's perspective the challenges of navigating the healthcare system, difficulties accessing behavioral and social services, and the impact of social determinants of health.…”

“…[11][12][13] The article by Hart et al, in this issue of JAGS, describes an important, innovative model of care for highneeds, high-cost patients, which provides teams of interprofessional students an experiential curriculum in complex care. 14 Hotspotting, based on the work of the Camden Coalition of Healthcare Providers and its founder, Jeffrey Brenner, MD, emphasizes building authentic healing relationships and empowering patients to manage their health, guided by four core principles of harm reduction, motivational interviewing, accompaniment, and trauma-informed care. Hotspotting involves the strategic use of data to direct time-intensive, hands-on interventions toward "high utilizers" with the aim of improving health and reducing high utilization and related costs.…”