scholarly journals HIGH-PERFORMING PRIMARY CARE RESIDENCY CLINICS: A COLLABORATION

2019 ◽  
Vol 17 (5) ◽  
pp. 470-471 ◽  
Author(s):  
Steven R. Brown ◽  
Tom Bodenheimer ◽  
Marianna Kong
Keyword(s):  
Primary Care ◽  
High Performing ◽  
Primary Care Residency

scholarly journals An Exploratory Mixed Methods Study of Experiences of Interprofessional Teams Who Received Coaching to Simultaneously Redesign Primary Care Education and Clinical Practice

2021 ◽  
Vol 12 ◽  
pp. 215013272110237
Author(s):  
Patricia A. Carney ◽  
W. Perry Dickinson ◽  
Jay Fetter ◽  
Eric J. Warm ◽  
Brenda Zierler ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Local Context ◽  
Primary Care Residency ◽  
Interprofessional Teams ◽  
Coaching Relationship ◽  
Team Coaching ◽  
Primary Care Education ◽  
Health Coaches

Introduction/Objectives: Coaching is emerging as a form of facilitation in health professions education. Most studies focus on one-on-one coaching rather than team coaching. We assessed the experiences of interprofessional teams coached to simultaneously improve primary care residency training and interprofessional practice. Methods: This three-year exploratory mixed methods study included transformational assistance from 9 interprofessional coaches, one assigned to each of 9 interprofessional primary care teams that included family medicine, internal medicine, pediatrics, nursing, pharmacy and behavioral health. Coaches interacted with teams during 2 in-person training sessions, an in-person site visit, and then as requested by their teams. Surveys administered at 1 year and end study assessed the coaching relationship and process. Results: The majority of participants (82% at end of Year 1 and 76.6% at end study) agreed or strongly agreed that their coach developed a positive working relationship with their team. Participants indicated coaches helped them: (1) develop as teams, (2) stay on task, and (3) respond to local context issues, with between 54.3% and 69.2% agreeing or strongly agreeing that their coaches were helpful in these areas. Cronbach’s alpha for the 15 coaching survey items was 0.965. Challenges included aligning the coach’s expertise with the team’s needs. Conclusions: While team coaching was well received by interprofessional teams of primary care professionals undertaking educational and clinical redesign, the 3 primary care disciplines have much to learn from each other regarding how to improve inter- and intra-professional collaborative practice among clinicians and staff as well as with interprofessional learners rotating through their outpatient clinics.

scholarly journals A qualitative study of high-performing primary care practices during the COVID-19 pandemic

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stephanie L. Albert ◽  
Margaret M. Paul ◽  
Ann M. Nguyen ◽  
Donna R. Shelley ◽  
Carolyn A. Berry
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Service Delivery ◽  
Preventive Care ◽  
Chronic Disease Management ◽  
High Performing ◽  
Care Processes ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background Primary care practices have remained on the frontline of health care service delivery throughout the COVID-19 pandemic. The purpose of our study was to understand the early pandemic experience of primary care practices, how they adapted care processes for chronic disease management and preventive care, and the future potential of these practices’ service delivery adaptations. Methods We interviewed 44 providers and staff at 22 high-performing primary care practices located throughout the United States between March and May 2020. Interviews were transcribed and coded using a modified rapid assessment process due to the time-sensitive nature of the study. Results Practices reported employing a variety of adaptations to care during the COVID-19 pandemic including maintaining safe and socially distanced access through increased use of telehealth visits, using disease registries to identify and proactively outreach to patients, providing remote patient education, and incorporating more home-based monitoring into care. Routine screening and testing slowed considerably, resulting in concerns about delayed detection. Patients with fewer resources, lower health literacy, and older adults were the most difficult to reach and manage during this time. Conclusion Our findings indicate that primary care structures and processes developed for remote chronic disease management and preventive care are evolving rapidly. Emerging adapted care processes, most notably remote provision of care, are promising and may endure beyond the pandemic, but issues of equity must be addressed (e.g., through payment reform) to ensure vulnerable populations receive the same benefit.

Teaching Quality Improvement in a Primary Care Residency

2010 ◽  
Vol 36 (10) ◽  
pp. 454-AP5 ◽  
Author(s):  
Vanessa A. Diaz ◽  
Peter J. Carek ◽  
Lori M. Dickerson ◽  
Terrence E. Steyer
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Teaching Quality ◽  
Primary Care Residency

A proposed managed-care curriculum for podiatric residencies

1999 ◽  
Vol 89 (4) ◽  
pp. 199-211
Author(s):  
SD Chinn
Keyword(s):  
Primary Care ◽  
Managed Care ◽  
Clinical Management ◽  
Educational Experience ◽  
Faculty Members ◽  
Care Environment ◽  
Residency Programs ◽  
Primary Care Residency

This article describes a curriculum that could be included in podiatric residencies to help residents function successfully in a managed-care environment. Various groups have identified and implemented the competencies necessary to function within such an environment. Podiatric residents, who are well trained in the clinical management of podiatric problems, can succeed in a managed-care environment if residency programs include training objectives and methods to address these competencies. This article describes the managed-care components of two primary-care residency programs and a podiatric program and proposes a managed-care curriculum for podiatric residencies. The author's goal is to educate residency directors and faculty members on possible objectives and methods that can enhance the podiatric resident's educational experience and knowledge of managed care.

scholarly journals Empanelment in a Resident Teaching Practice: A Cornerstone to Improving Resident Outpatient Education and Patient Care

2019 ◽  
Vol 11 (2) ◽  
pp. 202-206 ◽  
Author(s):  
Ania Wajnberg ◽  
Mary Fishman ◽  
Cameron R. Hernandez ◽  
So Youn Kweon ◽  
Andrew Coyle
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Residency Training ◽  
Residency Program ◽  
Teaching Practice ◽  
Internal Medicine Residency Program ◽  
High Performing ◽  
It Leadership ◽  
Active Patients ◽  
Training Practice

ABSTRACT Background  Improving continuity is challenging in residency training practices. Studies have shown that empanelment enables high-performing primary care and is foundational to improve accountability and continuity. Objective  An empanelment process was created in a large, urban, residency training practice as an effective approach to enhancing continuity among residents and their patients. Methods  In 2016, we formed an empanelment committee that included stakeholders from the department of medicine, the internal medicine residency program, and hospital and IT leadership. This committee set goal panel sizes, selected an empanelment algorithm, determined which patients needed re-empanelment, and facilitated medical record integration. Empanelment was followed and reassessed quarterly for 2 years. We measured anticipated visit demand using visits in the prior year and continuity using the continuity for physician formula. Results  Of 18 495 active patients in July 2016, 8411 (45%) were assigned a new PCP in the empanelment process. At baseline, panel sizes and expected visit demand were highly variable among residents (from 40 to 107 and 120 to 480, respectively). Empanelment led to more equivalent panel sizes and expected visit demand across same year residents (eg, PGY-3: 80–100 and 320–440, respectively). Continuity for all PCPs in the practice improved from 63% before empanelment to over 80% after empanelment, and improved from 55% to 72% for individual residents. Conclusions  In a large and complex practice environment, we were able to empanel resident clinic patients to improve continuity and maintain it over 2 years.

Tracking patient demographics and disease categories in a primary care residency

1988 ◽  
Vol 22 (3-4) ◽  
pp. 233-238
Author(s):  
Gilbert L. Wergowske ◽  
Kim Goldenberg ◽  
H. Verdain Barnes
Keyword(s):  
Primary Care ◽  
Primary Care Residency ◽  
Patient Demographics
Sign in / Sign up

Export Citation Format

Share Document