Assessing the Impact of Innovative Training of Family Physicians for the Patient-Centered Medical Home

Carney, Patricia A.; Eiff, M. Patrice; Saultz, John; Lindbloom, Erik; Waller, Elaine; Jones, Stanley E.; Osborn, Jamie; Green, Larry

doi:10.4300/jgme-d-11-00035.1

Cited by 13 publications

(14 citation statements)

References 21 publications

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“…3,6 Programs were selected by a review committee of educational experts based on applications submitted by 40 programs in good standing with the Family Medicine Review Committee. The 14 programs selected for the study received no funding to implement their curricular redesigns, although travel funding was provided for collaborative meetings held every 18 months.…”

Section: Study Settingmentioning

confidence: 99%

Financing Residency Training Redesign

Carney¹,

Waller²,

Green³

et al. 2014

Journal of Graduate Medical Education

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Editor's Note: The online version of this article contains a summary of innovations implemented in Preparing the Personal Physician for Practice (P 4 ) programs. IntroductionChanges in health care delivery models are resulting in a need for innovation in graduate medical education. Finding the funds to implement and sustain innovative curricula represents a major challenge for university-and community-based residency programs. Many innovations in care delivery for primary care residencies relate to implementing the patient-centered medical home (PCMH) model. [1][2][3] To learn how to practice in a PCMH, residents need to AbstractBackground Redesign in the health care delivery system creates a need to reorganize resident education. How residency programs fund these redesign efforts is not known.

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Section: Study Settingmentioning

confidence: 99%

Financing Residency Training Redesign

Carney¹,

Waller²,

Green³

et al. 2014

Journal of Graduate Medical Education

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“…Nor did we have a robust faculty development component, as in other published curricula [19], and we struggled with a lack of IT support for patient registries or patient evaluations of individual residents. Lack of IT support for higher-level EHR functions has been described previously as a barrier to implementing PCMH in resource-challenged FQHCs [20] and is not unique to our study.…”

Section: Discussionmentioning

confidence: 68%

Evaluation of a Curriculum in an Internal Medicine Residency and Patient- Centered Medical Home Rotation

Nawaz¹,

C²,

Wild³

et al. 2017

J Community Med Health Educ

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Introduction: The Patient-Centered Medical Home (PCMH) model aims to transform primary care by delivering high-quality, safe, comprehensive, patient-centered, and accessible care. Few evaluations of PCMH curricula for internal medicine residency programs have been published. The objective of this study was to develop and implement a PCMH curriculum, a new PCMH rotation, and to redesign the resident ambulatory care clinic and private primary care practices of the residency program. Effects were evaluated by examining: 1) residents' attitudes towards primary care and PCMH, 2) residents' skills in communicating and managing care and 3) patients' assessments of practice accessibility.

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“…12 All participating programs and the evaluation team at Oregon Health & Science University received an exemption, waiver, or approval for project activities from their respective Institutional Review Boards. In 2012, each participating program completed a summary of activities using a standardized report template.…”

Section: Methodsmentioning

confidence: 99%

Five Key Leadership Actions Needed to Redesign Family Medicine Residencies

Kozakowski¹,

Eiff²,

Green³

et al. 2015

Journal of Graduate Medical Education

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Background New skills are needed to properly prepare the next generation of physicians and health professionals to practice in medical homes. Transforming residency training to address these new skills requires strong leadership. Objective We sought to increase the understanding of leadership skills useful in residency programs that plan to undertake meaningful change. Methods The Preparing the Personal Physician for Practice (P4) project (2007–2014) was a comparative case study of 14 family medicine residencies that engaged in innovative training redesign, including altering the scope, content, sequence, length, and location of training to align resident education with requirements of the patient-centered medical home. In 2012, each P4 residency team submitted a final summary report of innovations implemented, overall insights, and dissemination activities during the study. Six investigators conducted independent narrative analyses of these reports. A consensus meeting held in September 2012 was used to identify key leadership actions associated with successful educational redesign. Results Five leadership actions were associated with successful implementation of innovations and residency transformation: (1) manage change; (2) develop financial acumen; (3) adapt best evidence educational strategies to the local environment; (4) create and sustain a vision that engages stakeholders; and (5) demonstrate courage and resilience. Conclusions Residency programs are expected to change to better prepare their graduates for a changing delivery system. Insights about effective leadership skills can provide guidance for faculty to develop the skills needed to face practical realities while guiding transformation.

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Assessing the Impact of Innovative Training of Family Physicians for the Patient-Centered Medical Home

Cited by 13 publications

References 21 publications

Financing Residency Training Redesign

Financing Residency Training Redesign

Evaluation of a Curriculum in an Internal Medicine Residency and Patient- Centered Medical Home Rotation

Five Key Leadership Actions Needed to Redesign Family Medicine Residencies

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