Dochitect
Menu
  • Home
  • Dochitect Bio
  • The Physician-Architect Model
  • Articles & Publications
  • Presentations
  • In the News
  • Contact

Getting Neighborly in 2030: A Shared Fellow Workspace Improves Communication, Teaching, and Burnout

June 21, 2020 / Dochitect / Design for Clinical Staff

Peer-reviewed publication

Publication: Journal of Graduate Medical Education
Publication Reference: June 2020, Vol. 12, No. 3, pp. 358-360.
Authors: Block Bl, Anderson D, O’Brien B, Babik J

Excerpt:

Over the past several decades, hospitalized patients have become increasingly complex, often with multisystem needs. In response, hospital teams now rely heavily on subspecialty consultants and interprofessional colleagues. While this has improved care delivery, fragmentation of responsibilities has changed the clinical learning environment, and graduate medical education has suffered.

By the mid-2020s, collaborative models of care made it unclear who was responsible for teaching and evaluating residents. Subspecialty consultation—particularly e-consults—were common, but residents and fellows rarely met face-to-face, forfeiting opportunities for workplace learning. Isolation and anonymity overtook any sense of community in the hospital, and rates of burnout soared. Moreover, asynchronous siloed work patterns led to misunderstandings and conflicting recommendations from different teams.

Recognizing the potential for the built environment to impact work patterns and workplace learning, we assessed whether colocating medicine subspecialty fellows in a shared workspace near the medicine resident workroom could increase face-to-face interactions during subspecialty consultation. We hypothesized this would have benefits for communication, teaching, and burnout.

Figure: Schematic of Old and New Hospital Buildings on Campus

Note: Panel A depicts the original distribution of fellow workspaces across 3 buildings in 2020; Panel B shows the colocated resident and fellow workspaces on the 7th floor of the new inpatient hospital building, opened in 2030.

Read the full article HERE.

Peer-Reviewed Publications

New Book from Dochitect

The Dochitect’s Journal: A collection of writings on the intersection of Medicine and Architecture

Find out more here.

Search

Recent Articles/Publications

  • Hastings Center Bioethics Forum: The Bioethics of Built Health Care Spaces

    January 13, 2021
  • How will COVID-19 Change Healthcare Design?

    January 1, 2021
  • JHD Editorial – Widening the lens: Clinical perspectives on design thinking for public health

    November 25, 2020

Recent Presentations

  • Tulane School of Medicine: Architectural Design as a Determinant of Health

    January 14, 2021
  • AWMA Thinking Beyond the White Coat: Medical Hybrid Careers

    January 9, 2021
  • LiftOff 2020: Health Equity by Design

    December 15, 2020

Publication Type

  • Blog Post
  • Book
  • Book Chapter
  • Book Review
  • Commentaries
  • Letters to the Editor
  • Peer-Reviewed Design Guidelines
  • Peer-Reviewed Publications

Presentation Type

  • Conference Presentations
  • Keynote Presentations
  • Lectures
  • Panel Discussions
  • Podcasts
  • Webinars

Design Topics

  • Commentaries & Event Reviews
  • Design for Clinical Staff
  • Design for Critical Care
  • Design for Geriatrics
  • Design for Infection Control
  • Design for Palliative Care
  • Design for Patient Safety
  • Design for Resiliency
  • Dochitect in the News
  • Evidence-Based Design
  • Health Design & Ethics
  • The Physician-Architect Model

Archives

Follow Dochitect

Follow me on:

** ©2021 Dochitect :: Site by KPFdigital :: Admin Login