1. Katherine Johnson, MD Micah Johnson, MD
Group Prenatal Care Experiences in the Family Medicine Residency – A Panel Discussion
Katherine Johnson, MD Micah Johnson, MD
Kacey Justesen, MD
Michelle Karsten, MD

2. Disclosures
none

3. Goals List outcomes that are improved by group prenatal care
List key considerations when implementing group prenatal care
Discuss varied approaches to implementing group prenatal care in a Family Medicine Residency

4. Why Group Prenatal Care?
Starts at the beginning of the second trimester
Ten sessions, ~ 2 hours each
Comfortable, confidential setting
More time for education than traditional care
Learning from peers
Takes focus away from the individual doctor-patient relationship
Empowering for patients
Normalizes the pregnancy process

5. Group Prenatal Care at United Family Medicine
FQHC in St. Paul, MN
Neighborhood clinic serving a socioeconomically and culturally diverse population
Residency program started in 1993
18 residents and 11 staff physicians provide OB care
Average of 30 deliveries per month
5/2014: staff and residents trained in CenteringPregnancyTM
6/2014: First CenteringPregnancyTM groups began
11/2014: First CenteringPregnancyTM deliveries
2014 – 2016: 35% of UFM deliveries receive care in groups

6. CenteringPregnancyTM Outcomes
Decreases the rate of preterm and low birth weight babies
Nearly eliminates racial disparities
Increases breastfeeding rates
Leads to better pregnancy spacing
High patient and provider satisfaction

7. Panel Discussion Michelle Karsten, MD Kacey Justesen, MD
Hennepin County Medical Center Family Medicine Residency, Minneapolis, MN
Kacey Justesen, MD
North Memorial Family Medicine Residency, Minneapolis, MN
Micah Johnson, MD
Allina Family Medicine Residency, St. Paul, MN

8. Key Considerations
Logistics
Resident / Faculty involvement
Patients

9. Key Considerations: Logistics
How to decide on the particular model of group prenatal care?
What is the process for obtaining funding and achieving financial sustainability?
What other support staff are involved and what are their roles?

10. Key Considerations: Resident / Faculty involvement
Which providers participate?
How does group prenatal care affect residency training?
How do residents share deliveries and responsibility for patients prenatally?

11. Key Considerations: Patients
How does the recruitment and enrollment process work? Is it opt-in or opt-out?
How do you work on improving retention?
What is done for multilingual groups?
How are patients with child-care needs addressed?

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