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+Coaching for Control
Medical Students Changing Chronic Disease Outcomes
Alex Friedman Feinberg School of Medicine MD Candidate, Class of 2014Chicago Area Schweitzer Fellow, 2011-2012
+What do we know…
Diabetes prevalence: overall
Disproportionate burden: AA and Hispanic
Easily modifiable by lifestyle change
+But...
60% of patients with diabetes do not have good control of their
disease!
Knowing = Doing
Saydah, S.H., J. Fradkin, C.C. Cowie. “Poor Control of Risk Factors for Vascular Disease Among Adults with Previously Diagnosed Diabetes.” JAMA2004;291:335 – 342.
+“Difficult Patients”
+Peter Griffin
Overweight (BMI of… )
Diabetes
“Diet? Exercise? You mean driving through the fast-food restaurant doesn’t count?
Pills? I actually have to take them?
+
You are his doctor… what do you do?
+Get angry?
+Smile and say the same things, knowing nothing will change?
+What if it were even more COMPLICATED:
Peter couldn’t afford his medication?
Did not know what foods were healthy?
Had no safe place to exercise?
Did not understand why taking care of his Diabetes was important?
Did not trust his doctor would take care of him?
Had to worry about having enough to eat, not just eating the right things?
+Facing difficult patients
Image of patient and doctor
Image of patient with insurmountable walls
Patients facing barriers
+Coaching for Control Observations
Behavior change is difficult, especially for underserved patients who face greater barriers to care.
Idea
First year medical students have the time, compassion, and enthusiasm to encourage and counsel patients.
Students want and need to learn how to effectively promote behavior change
Support
Schweitzer Fellowship
PCC Austin
MSSRP
+Research Medical Students
Meaningful Service Skill Building 2-4 hours/week
Patients Motivational support Personal connection Bimonthly calls + group visits
Providers Education!
+YOU and Health Coaching
8 hours of training Basic diabetes knowledge Complication prevention Motivational Interviewing Program Tools
Orientation Meet your patient Initial Evaluation
Bimonthly phone calls (20-60 minutes)
3 in person group sessions (3 hours/month)
Bimonthly training (1 hour/week)
+Why ME?
Learn about the most rapidly growing chronic illness
Practice behavior modification not covered in our curriculum
Learn about determinants of health first hand
Establish strong bonds with a cohort of your peers
Provide an irreplaceable service for patients
Become a more valuable asset for patients you work with now, and will see in the future.
+What now? Reply online
Applications will be due Sept. 1
No experience is necessary; only enthusiasm and dedication!
Questions? Alex Friedman [email protected] 803-479-7653