2020
DOI: 10.22454/fammed.2020.681872
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Primary Care Behavioral Health Training in Family Medicine Residencies:

Abstract: Background and Objectives: Primary care behavioral health (PCBH) is a service delivery model of integrated care linked to a wide variety of positive patient and system outcomes. However, considerable challenges with provider training and attrition exist. While training for nonphysician behavioral scientists is well established, little is known about how to train physicians to work efficiently within integrated teams. Methods: We conducted a case study analysis of family medicine residencies in the military hea… Show more

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Cited by 6 publications
(6 citation statements)
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“…Family Medicine residency primary care outpatient clinics, often located within underserved communities, have long recognized the importance of promoting healthy behaviors for their patients (Zimmerman et al, 2000 ). The interdisciplinary nature of medical residency training clinics provides abundant opportunities to establish PCBH health care delivery models (Landoll et al, 2020 ) and provide health promotion interventions while simultaneously providing live case-based education for rotating residents. Medical residency programs often incorporate behavioral science faculty to oversee healthy lifestyle promotion curriculum (Holmboe et al, 2005 ; Wattanapisit et al, 2018 ), and The Accreditation Council for Graduate Medical Education (ACGME) even requires the presence of such faculty within Family Medicine residency programs (ACGME, 2021 ) while the American Academy of Family Physicians (AAFP) defines the scope of Family Medicine to address health problems, “be they biological, behavioral, or social” ( 2020 , p. 6).…”
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confidence: 99%
“…Family Medicine residency primary care outpatient clinics, often located within underserved communities, have long recognized the importance of promoting healthy behaviors for their patients (Zimmerman et al, 2000 ). The interdisciplinary nature of medical residency training clinics provides abundant opportunities to establish PCBH health care delivery models (Landoll et al, 2020 ) and provide health promotion interventions while simultaneously providing live case-based education for rotating residents. Medical residency programs often incorporate behavioral science faculty to oversee healthy lifestyle promotion curriculum (Holmboe et al, 2005 ; Wattanapisit et al, 2018 ), and The Accreditation Council for Graduate Medical Education (ACGME) even requires the presence of such faculty within Family Medicine residency programs (ACGME, 2021 ) while the American Academy of Family Physicians (AAFP) defines the scope of Family Medicine to address health problems, “be they biological, behavioral, or social” ( 2020 , p. 6).…”
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confidence: 99%
“…Upon completion of residency training, family medicine graduates tend to leave with highly varied experiences and skill sets. [1][2][3][4] The lack of consistency in acquired skills can lead to unsatisfactory patient experience and outcomes, 1,5 as well as graduate doctors being more uncertain in their abilities. 1,2,6,7 One increasingly common method to enhance patient safety and the uniformity of learned skills in graduating medical residents is to incorporate Entrustable Professional Activities (EPAs) into a Competency-based Medical Education (CMBE) framework.…”
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confidence: 99%
“…The Accreditation Council for Graduate Medical Education (ACGME) requires medical residents to learn key behavioral health competencies, including demonstrating “knowledge of established and evolving social-behavioral sciences” and the ability to apply this knowledge to patient care (ACGME, 2021; American Academy of Family Physicians, 2020; Cronholm & Wolk, 2019). Despite ACGME’s increasing focus on education in integrated behavioral health, particularly in family medicine, there is wide variability in how residency programs prepare the primary care workforce in behavioral health competencies (Cronholm & Wolk, 2019; Landoll et al, 2020).…”
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confidence: 99%