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Grant Program: Training in Primary Care Medicine and Dentistry

Physician Assistant Training In Primary Care, Physician Assistants 

Project Director: Gail S. Marion, PA-C, Ph.D.
Project Co-Director(s): Eleanor Russell, MA and Sonia J. Crandall, Ph.D.
Project Manager: Jennie Koontz, MPA
Project Secretary: Winona Gilbert

This grant addresses three concerns that directly impact patient care:

  1. Effectively improving student communication with patients
  2. Expanding Spanish language and cultural competency skills for students and faculty
  3. Developing current and future PA faculty

The goal is to implement a curriculum at Wake Forest School of Medicine focusing on the needs of Latinos and other minority populations based on the Kalamazoo Consensus Statement and the goals outlined in Healthy People 2010 with the intent of providing a continuity experience to help PAs better serve increasingly diverse and vulnerable patient populations and to coach current and future faculty to provide this training.

Three Objectives:

  1. Enhance Communications Curriculum
  2. Expand Culturally Competent Communication with Latino and Other Vulnerable Populations
  3. Develop Culturally Sensitive Current and Future PA Faculty

Relevant Articles:

Epstein, R.M.B.S. Alper, et. Al. (2004). “Communicating evidence for participatory decision making” JAMA 291(19): 2359-66.

Epstein, R. M. (1999). "Mindful practice." JAMA 282(9): 833-9.

Haidet, P. and D. A. Paterniti (2003). ""Building" a history rather than "taking" one: a perspective on information sharing during the medical interview." Arch Intern Med 163(10): 1134-40.

Knott, P. (2002). "How Does Culture Influence Health Care?" Physician Assistant (April).

Lang, F., M. R. Floyd, et al. (2000). "Clues to patients' explanations and concerns about their illnesses. A call for active listening." Arch Fam Med 9(3): 222-7.

Lang, F., M. R. Floyd, et al. (2002). "Sequenced questioning to elicit the patient's perspective on illness: effects on information disclosure, patient satisfaction, and time expenditure." Fam Med 34(5): 325-30.

Lang, F., R. McCord, et al. (2004). "Communication assessment using the common ground instrument: psychometric properties." Fam Med 36(3): 189-98.

Lang, F. and R. S. McCord (1999). "Agenda setting in the patient-physician relationship." JAMA 282(10): 942-3.

Murden, R. A. (2004). "Correlates of Clinical Performance." Academic Medicine 79(No. 10).

Peck, B. M., P. A. Ubel, et al. (2004). "Do unmet expectations for specific tests, referrals, and new medications reduce patients' satisfaction?" J Gen Intern Med 19(11): 1080-7.

Peltenburg, M., J. E. Fischer, et al. (2004). "The unexpected in primary care: a multicenter study on the emergence of unvoiced patient agenda." Ann Fam Med 2(6): 534-40. 

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