Group Medical Visits in Family Medicine Training: A National Survey of Program Directors Carmen Strickland, MD, MPH Wake Forest Baptist Health Department.

Slides:

Advertisements

Similar presentations

DESIGNING PHYSICAL SPACE FOR INTEGRATED CARE Rose Gunn, MA, Research Associate Collaborative Family Healthcare Association 16 th Annual Conference October.

Advertisements

AN INTEGRATIVE CURRICULUM MODEL: Incorporating CAM Within an Allopathic Curriculum Rita K. Benn, Ph.D., Sara L. Warber, M.D. University of Michigan Complementary.

Deizel Sarte, Chief Operations OfficerJune 24, 2015 ACA-PCMH-TBC and The Medical Assistant-Health Coach Initiative.

DELAWARE HEALTH AND SOCIAL SERVICES Division of Public Health Public Health and PCMH Karyl Rattay, MD, MS Director Delaware Division of Public Health.

Family Medicine Residents, Optometry Students, and Faculty Members Engaged in Health Professions Education and Collaborative Patient Care: An Example of.

Leadership and Management Training for physicians Maria V. Gibson, MD, PhD Trident / MUSC Family Medicine Residency Program Background Practice Problem.

Dual interviews: Moving Beyond Didactics to Train Primary Care Providers in the Biopsychosocial Model James Anderson, PhD Fellow in Primary Care Psychology.

Benton Community Health Center Located at: 530 NW 27 th Street Corvallis, Oregon (inside the Public Services building) Medical Staff consists of: 3 Physicians.

Teaching Health Centers Frederick Chen, MD, MPH Bureau of Health Professions Health Resources and Services Administration U.S. Department of Health and.

Evaluating A Patient-Centered Medical Home from the Patient’s Perspective Betty M. Kennedy, PhD Community Outreach Specialist Community Outreach Specialist.

Introduction Despite medical advances of the past century more than 8 million children under 5 years of age die each year from preventable causes. 1 This.

Training Residents in Genomics (TRIG) Working Group Update: March 2013 Richard L. Haspel, MD, PhD Director, Laboratory Medicine Residency Training Program.

Sue Huckson Program Manager National Institute of Clinical Studies Improving care for Mental Health patients in Emergency Departments.

Teams and the Learning Healthcare System King C. Li, MD, FRCP(C), MBA Senior Associate Dean, Clinical and Translational Research Isadore Meschan Distinguished.

GOAL:To ensure that all UMMS faculty have access to high quality mentoring Faculty Mentoring at UMMS Robert Milner, PhD University of Massachusetts Medical.

Patricia Peretz, MPH, Adriana Matiz, MD, Andres Nieto, MPA Center for Community Health Navigation.

Assessing local public health capacity and performance in diabetes prevention and control Deborah Porterfield, MD MPH University of North Carolina-Chapel.

Rebecca Williams, MD, MHPE, FAAFP Maternity Care Coordinator Montefiore Department of Family and Social Medicine Bronx, New York.

HRSA Health Disparities Collaboratives 2006 Ahmed Calvo, M.D., M.P.H., FAAFP U.S. Department of Health and Human Services Health Resources and Services.

Building Leadership Skills for Change Management in Your Residency, Practice and Department Jeri Hepworth, Ph.D. Professor and Vice-Chair, Family Medicine.

Copyright restrictions may apply Randomized Trial of Teaching Brief Motivational Interviewing to Pediatric Trainees to Promote Healthy Behaviors in Families.

Maine Prenatal Collaborative Susan Swartz, M.D. Judy Soper, RT(R), RDMS, BS Tim Cowan, MSPH Principal Investigator Project Director Data Analyst December.

Ruth Nutting, MA, PLMHP, Behavioral Medicine Specialist Jennifer Harsh, PhD, LMFT, Behavioral Medicine Program Director Sean Hearn, MD, Family Medicine.

Health Related Lifestyle Interventions in Primary Care Samantha Monson, PsyD, Clinical Psychologist Robert Keeley, MD MSPH, Physician Matthew Engel, MPH,

Four Peas In A Pod A Team Approach to Patient Care Stacey Nickoloff D.O., Rujuta Gandhi, M.D., Mussarat Bukhari M.D., Elyas Parsa D.O., Munira Bhabhrawala.

Growing Health: The health and wellbeing benefits of community food growing How the health service can use food growing to deliver.

Medical Education in Transition Medicine Sarah Mennito, MD MSCR Assistant Professor, Departments of Pediatrics and Internal Medicine Program Director,

This study proposes to explore the concept of empowerment combined with the clinical experience on final year nursing students.This study proposes to explore.

Primary Care & Population Health Scholars Program Anthony J. Viera, MD, MPH UNC School of Medicine Gillings School of Global Public Health.

Meeting the ACGME Milestones through Group Prenatal Care INTRODUCTION Mila D'Cunha MD. MSc., Anastasia Kolasa-Lenarz MD. MPH., Karolina Lis MD., Kimberly.

Practice Transformation for Physicians and Health Care Teams

Collaborating with obstetric, pediatric and nursing departments Lee Dresang (UW, FM) Cynthie K. Anderson (UW, OB) Emily Beaman (UW, CNM) April 2016 STFM.

+ Patient Engagement Toolkit: Boosting Patient Knowledge, Skills and Self-efficacy Mary R. Talen, Ph.D. Director, Primary Care Behavioral Health Northwestern.

B uilding Blocks for Effective Primary Care for the Underserved: A Bold New Curriculum? Walt Mills, MD UCSF Natividad FMR Monterey, California Jeremy Fish,

“STAR (Safe Transitions Across CaRe): A resident and faculty initiative to improve patient care across the healthcare continuum Nancy M. Denizard-Thompson,

MEHARRY-VANDERBILT COMMUNITY- ENGAGED RESEARCH CORE (CERC) COMMUNITY SCHOLARS AWARD INFORMATION MEETING.

Do they help or hinder teaching of longitudinal learners in the outpatient setting? Joseph Jackson, MD FAAP Bruce Peyser, MD FACP Duke University Medical.

Kelly M. Everard, PhD Sonia Crandall, PhD Amy Blue, PhD Fred Rottnek, MD David Pole, MPH Chip Mainous, PhD.

State University of New York at Buffalo Primary Care Master Educator Program David Newberger, M.D. Elie Akl, M.D., Ph.D. * Denise McGuigan, M.S. Ed. Andrew.

Rural Family Medicine Residency Training and Developing a Rural Area-of-Concentration Carl Rasmussen, MD OHSU Family Medicine Residency Portland, OR

Redesigning Residencies: Initial Outcomes of the I 3 Collaborative Libby Baxley, MD Warren Newton, MD MPH Stanley McCloy MD Alfred Reid MA Michele Stanek.

Using an Innovative Blended Learning Approach to Enhance Student Education in the PCMH Michele M. Doucette, PhD | David Gaspar, MD Bonnie Jortberg, PhD,

A New Model for Assessing Teaching Quality Improvement to Family Medicine Residents Does It Work? Fred Tudiver, Ivy Click, Jeri Ann Basden Department of.

Activating Community Resources for Practice Improvement & Practice Change: Buzz Session Melinda Davis, PhD Community-engaged Research Director, ORPRN Research.

Background The Patient Centered Medical Home (PCMH) has become the framework for the future of primary care and the healthcare system in the United States.

International Family Medicine EDUCATION Training World Class Physicians 6th AAFP Family Medicine Global Health Workshop Denver, September 2009 John.

FADYA EL RAYESS, MD, MPH GOWRI ANANDARAJAH, MD HELEN BRYAN, MA ROBERTA GOLDMAN, PHD DEPARTMENT OF FAMILY MEDICINE ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY.

1 Transforming Our Practices Transformed Our Teaching: Meeting ACGME Competencies with New Models of Care Katherine Miller, M.D. John Nagle, MPA U. Of.

Beyond Journal Club: Transforming Evidenced Based Practice and Teaching in a Residency Patient-Centered Medical Home.

Developing a PCMH Team Block Rotation: Practical Considerations for FM Residency Training Rabin Chandran, MD; Arnold Goldberg, MD; David Ashley, MD; Christopher.

Effect of a PDA-assisted evidence based medicine course on knowledge of common clinical problems Roland Grad MDCM MSc FCFP FAAFP Yuejing Meng MSc Gillian.

Use of Mentored Residency Teams to Enhance Addiction Medicine Education Maureen Strohm, MD, Ken Saffier, MD, Julie Nyquist, PhD, Steve Eickelberg, MD MERF.

Teaching the Patient Centered Medical Home (PCMH): Taking a Medical Model and Making it a Curriculum Niladri Das, MD Faculty, UPMC St. Margaret Family.

If it Ain’t Broke, Don’t Fix it: How does a Junior Faculty Member Know When and How to Update a Clerkship? Katherine P. Land, MPH Marisyl D. de la Cruz,

Deep in the Heart of Texas Development of An Integrated Rural Training Track Tricia C. Elliott, MD, FAAFP, Steve Shelton, Ph.D., * Jorge Duchicela, M.D.,

1 Sustaining and Replicating Obesity Prevention Projects: North Carolina’s Fit Together Initiative Lori Carter-Edwards, PhD Claudia J. Graham, MBA Heidi.

Recruiting & Training Medical Students for a Realigned, Team- based & Outcome Driven Health Care System Barbara Tobias, MD University of Cincinnati Academic.

Opioid Management in Primary Care Michael Parchman, MD, MPH

Building Curricula from the Ground Up: Developing a List of Essential Competencies in Ultrasound in Family Medicine Training Matt Chan, MD, OHSU FM R4.

Collaborative residency training in Kenya and Ethiopia

Interprofessionalism Through System-transforming, Patient-centered, Longitudinal, Interprofessional, Community-based Education (SPLICE) University of California,

MacColl Center for Health Care Innovation

STFM Predoctoral Education Conference 2008

Champion Teams: An Implementation Strategy for Building Interprofessional Practice in Residency Clinics Jodi Polaha, PhD; Thomas Bishop, PsyD; Leigh Johnson,

Practice Re-design in Residency Training

Rebekah Compton DNP, RN, FNP-BC Reagan Thompson DNP, RN, FNP-BC

In 2006, one of GHC’s clinics was chosen for a complete transformation into a PCMH, including a large investment in primary care, several methods to improve.

Primary Care & Population Health Scholars Program

The Arizona Chronic Disease Plan:

Patient-Centered Clinical Method

Presentation transcript:

Group Medical Visits in Family Medicine Training: A National Survey of Program Directors Carmen Strickland, MD, MPH Wake Forest Baptist Health Department of Family and Community Medicine Winston Salem, NC

Disclosures None Centering Healthcare Institute (CHI)

Group Medical Visit: New Model of Care

CERA Proposal (accepted) Program Director Survey: May, 2015 Goals: 1.Better understand attitudes, experiences, and plans regarding group visits in FM residency training 2. Inform strategies to build capacity for group medical visits in FM residency training

Group Medical Visits Evidence of meeting the triple aim Good fit in primary care Promoted in PCMH Enhanced Teaching Fun/satisfying way to provide care

Group Medical Visits: Challenges Require new training/skills development Limited exposure to this model among FM faculty Residency is resource poor Inertia

Dissemination of Healthcare Innovation Berwick, D. Disseminating Innovations in Healthcare. JAMA. 2003;289:

Objectives To assess existing approaches to group medical visit training for family medicine residents. To assess Family Medicine residents’ exposure to group medical visits. To assess perceived challenges to the use of group medical visits in residency training To explore the association between program director attitudes and availability of group medical visits at residency sites.

Objectives To determine the association between program characteristics, including exposure to group health education or CenteringPregnancy™, and availability of group medical visits at residency sites. To determine, for programs without group medical visits at program site, the association between program characteristics, including exposure to group health education or CenteringPregnancy™, and degree of planning for group medical visits at program sites.

Hypotheses The majority of programs have not established group medical visits in their residency clinics; as such they are unable to incorporate this training into their curriculum Most programs with access to group medical visits involve or plan to involve residents as part of their training. Residencies with positive program director attitudes toward group medical visits are more likely than those without to have group medical visits at program site. Programs with exposure to the CenteringPregnancy™ or group health education are more likely than those without exposure to CenteringPregnancy™ or group health education to have group medical visits at program site. Among programs without group medical visits, programs with exposure to CenteringPregnancy™ or group health education are more likely than those without exposure to CenteringPregnancy™ or group health education to be planning or developing group medical visits at program site.

Survey Questions Exposure to Group Medical Visit Exposure to Group Health Education Plans for GMV (if not already) Familiarity with CenteringPregnancy™ Existing Curriculum re: Group Medical Visit Attitudes toward Group Medical Visit Challenges to implementing Group Medical Visits

Next Steps Baseline for tracking prevalence of GMV Informed discussion re: Needs Assessment Develop strategies to meet program needs Opportunity for more research Develop strategic partnerships Collaborate with primary care colleagues?

Acknowledgements Joanne Sandberg, PhD Stephen Davis, MA

Suggestions/Questions?

References Burke RE, O-Grady ET. Group visits hold great potential fro improving diabetes care and outcoms, but best practices must be developed. Health Aff (Millwood). 2012;31(1): Raja Jaber, MD, Amy Braksmajer, MPH, and Jeffrey Trilling, MD. Group Visits for Chronic Illness Care: Models, Benefits and Challenges. Fam Pract Manag Jan;13(1): Accessed 9/9/14http:// Jim Nuovo, Thomas Balsbaugh, Sue Barton, Ellen Davidson, Jane Fox-Garcia, Angela Gandolfo, Bridget Levich, and Joann Seibles. Development of a Diabetes Care Management Curriculum in a Family Practice Residency Program. Disease Management. Winter 2004, 7(4): Barr, W, MD; Aslam, Sana, Levin M, MD. Evaluation of a Group Prenatal Care-based Curriculum in a Family Medicine Residency. Fam Med 2011;43(10):712-7.) Kenneth H. Kolb, PhD; Amy H. Picklesimer, MD, MSPH; Sarah Covington-Kolb, MSPH, MSW; Lauren Hines. Centering Pregnancy Electives: A Case Study In The Shift Toward Student-Centered Learning In Medical Education. The Journal of the South Carolina Medical AssociationVolume 108 August 2012 Cristen Page, MD, MPH; Alfred Reid, MA; Laura Andrews, Julea Steiner, MPH Evaluation of Prenatal and Pediatric Group Visits in a Residency Training Program Fam Med 2013;45(5): ) Arnold Goldberg, MD; Kim Salloway Rickler, MSW; Garrett Sullivan; Melissa Nothnagle, MD, MSc. Putting Residents in the Driver’s Seat: A New Approach to Teaching Group Medical Visits. (Fam Med 2012;44(6):431-5.)

Please evaluate this session at: stfm.org/sessionevaluation

Disseminating Innovations in Healthcare: Find Sound Innovations Find and Support Innovators Invest in Early Adopters Make Early Adopter Activity Observable Trust and Enable Reinvention Create Slack for Change Lead by Example Berwick, D. Disseminating Innovations in Healthcare. JAMA. 2003;289: