{"doi":"10.1093/acamed/wvaf072","title":"Development and implementation of a pre-clerkship value-added health systems science program","abstract":"PROBLEM: Health Systems Science (HSS) is increasingly recognized as a pillar of medical education. Few medical schools, however, have implemented experiential HSS learning opportunities where pre-clerkship medical students contribute value clinically. APPROACH: The Value-added for Inpatients by Students and Interdisciplinary Teams (VISIT) Consult Service, implemented in January 2024, is an HSS program at the Pritzker School of Medicine (PSOM) where first- and second-year medical students manage psychosocial barriers in discharge planning on Hospital Medicine and Trauma Surgery services at UChicago Medicine. The program was evaluated using post-VISIT student and patient surveys assessing student HSS knowledge and attitudes, student communication skills, and patient experience; psychosocial interventions proposed by students and integrated into care plans were categorized and counted. OUTCOMES: First-year students (89/90) in academic year 2023-2024 completed a VISIT consult between January and May 2024. Second-year students (88/88) the following academic year completed a consult between September and December 2024. All students interviewed a patient and documented an electronic health record note for each consult. The student survey response rate was 81% (81/100). All respondents (81/81) rated VISIT as valuable to their education, with 52% (42/81) rating it as \"extremely valuable.\" From September to December, 44 patients participated, of whom 91% (40/44) completed surveys. Patients gave students mean ratings of 3.3 or higher on relational and technical communication skills (4-point scale) and a mean rating of 4.7 for their overall experience (5-point scale). The mean number of student-led interventions per consult from January to December was 5.2 (SD 2.5). The most common interventions were setting up insurance--covered transportation to medical appointments, arranging establish-care primary care follow-up appointments, and providing -substance cessation resources. NEXT STEPS: VISIT demonstrates how we can educate pre-clerkship students in HSS while empowering them to deliver -patient care. Next steps include expanding VISIT to pediatric and outpatient settings and clerkship and post-clerkship phases of -medical school.","journal":"Academic Medicine","year":2025,"id":587964,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9612,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1501547,"name":"Ryan M. Boudreau","orcid":null,"position":1,"is_corresponding":false},{"id":1504135,"name":"Matthew Cerasale","orcid":"0009-0003-0197-6320","position":2,"is_corresponding":false},{"id":1504270,"name":"AndréW. Schram","orcid":null,"position":3,"is_corresponding":false},{"id":969388,"name":"Joyce W. Tang","orcid":"0000-0003-4792-924X","position":4,"is_corresponding":false},{"id":969389,"name":"Tia Kostas","orcid":"0000-0003-2658-4713","position":5,"is_corresponding":false},{"id":1016363,"name":"Gabriela Betancourt","orcid":"0009-0004-0487-8328","position":6,"is_corresponding":false},{"id":1105989,"name":"Elizabeth Terman","orcid":"0000-0002-7378-4171","position":7,"is_corresponding":false},{"id":1504271,"name":"Callie A. Winters","orcid":null,"position":8,"is_corresponding":false},{"id":1309582,"name":"Tiffany H. Xie","orcid":"0000-0002-0572-9760","position":9,"is_corresponding":false},{"id":1504272,"name":"Nicole Gier","orcid":null,"position":10,"is_corresponding":false},{"id":1504273,"name":"DANIEL HU","orcid":null,"position":11,"is_corresponding":false},{"id":1504136,"name":"Senthooran Kalidoss","orcid":"0009-0007-3701-7593","position":12,"is_corresponding":false},{"id":715494,"name":"Jeanne M. Farnan","orcid":"0000-0002-1138-9416","position":13,"is_corresponding":false},{"id":307480,"name":"Vineet M. Arora","orcid":"0000-0002-4745-7599","position":14,"is_corresponding":false},{"id":787003,"name":"Shannon K. Martin","orcid":"0000-0002-7431-4956","position":15,"is_corresponding":false},{"id":1504134,"name":"Daniel J. Aldrich","orcid":"0009-0006-3782-0178","position":0,"is_corresponding":true}],"reference_count":9,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:59:43.096742Z","pmid":"41837661","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}