2. Family medicine residents’ definitions of spiritual health and incorporation of spiritual health assessments in outpatients Florida Hospital Allopathic Family Medicine Residency Winter Park, FL Ernestine Lee MD,MPH Serena Gui PhD Mina Zeini MD Linda Simmons DMin Eddie Needham MD

3. Objectives Determine residents’ definitions of spiritual care Assess current incorporation of and barriers to spiritual care assessments in the outpatient setting Determine if including chaplain services in the outpatient setting increases assessment of spiritual health

4. Background Well-established literature supports integration of spiritual and patient care. The AAMC and WHO recommend assessing spiritual health. Traditionally spiritual care is addressed in the hospital. Competencies and curriculum exist as models; there is still a need for better integration of clinical and spiritual care.

5. Background The foundation of the PCMH in Family Medicine is based on the core concepts of: continuous healing relationships, whole person orientation, family and community context, comprehensive care. Spirituality could play a role in any one or more of these elements.

6. Background Spirituality, broadly encompasses search for meaning, truth, purpose – including patient feelings of hope, love, connection, inner peace comfort and support. This includes organized religion, but also include a personal relationship with a divine figure, connection with nature, art, or quest for truth.

7. Setting Florida Hospital Allopathic Family Medicine Residency – Florida Hospital is a faith-based, Seventh Day Adventist hospital – Chaplain support in the outpatient setting – Whole Person Care Conferences – “HOPE” spiritual assessment tool is embedded in inpatient history and physical template

8. Materials and Methods Survey to be filled out by Residents & Fellows anonymously (n=40) Participants identify year of training Participants indicate if previous training in spiritual health incorporation into clinical practice

9. Outcomes Summation of participants’ definition of spiritual care Examine barriers and suggestions ways to address them while incorporating them into the outpatient setting Feedback of chaplain’s involvement in addressing spiritual health Revise curriculum to: – (1) further educate the scope of spirituality in patient care and addressing barriers – (2) Further use of spiritual assessment – HOPE as part of spiritual care – (3) collaborative work with chaplain in the outpatient setting – (4) use of the survey in other residency programs and settings.

10. Survey

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