Patients as Teachers: progress, research and development

1
Patients as Teachers progress, research and
development

• Andrea Armitage Senior Teaching Fellow
• Penny Morris Senior Lecturer
• Medical Education Unit, University of Leeds
• p.a.morris_at_leeds.ac.uk
• September 2006

2
Changing roles and relationships

• Policies
• Patient-led NHS
• Patient and public involvement
• Self-care in long-term conditions
• Changing the model of clinician/patient
  interaction
• Meetings between experts
• A wider view of the patients world

3
Why Patients as Teachers?

• Experiments in learning
• Manchester students in General Practice 1984
• Cambridge clinical students 1992, 2001
• London GPs 2001
• Findings
• Patient-centredness in a doctor-directed
  framework is overwhelming
• Working with uncertainty and diversity is hard
• Patients as teachers can help
• Picker Report 2006

4
Patients as Teachers Simulated Patients (SPs)

• SPs are large group of the public actively
  involved in medical education
• Focus is improving professional performance - too
  often use of people as mere audiovisual aids and
  missed opportunity
• Experiments found extra value in the lay
  perspective
• Opportunity at Leeds to investigate further and
  broaden group of SPs

5
Developing the patient voice

• Widening Participation events in Leeds to
  recruit from patient and community groups
• Group work with recruits as SPs
• Cascading programme of projects with mental
  health service users, carers groups, Asian
  womens group, Expert Patients with arthritis
• Development of patient learning journey

6
Working with the patient voice

• Creating and validating scenarios for learning
  with patient and community groups
• Patients as Teachers SPs involved in assessments
  and students in difficulty
• Knowledge Transfer to service improvement
• Service leaders
• Bradford Trust neurological services
• St Gemmas hospice re DNRs
• Practice Development Accreditation scheme
• Leading for West Yorks universities

7
Research directions

• Building on reviews of the value of patients as
  teachers
• Action research on embedding the patient voice
• Patient learning journeys with Lifelong Learning
  Institute and others in Faculty of Medicine and
  Health

8
The wider context of a developing area

• Wheres the Patient Voice in Healthcare
  Professional Education? first international
  conference, November 2005
• Patient and Community Voices in Professional
  Learning Building a Platform for Change UK
  meeting, led by Leeds group, September 2006
• www.leeds.ac.uk/medicine/meu/voices06/index.html