Training Family Medicine Residents to Build and Remodel a Patient Centered Medical Home in Rhode Island: A Team Based Approach to PCMH Education

摘要

Primary Care practices in the United States are under- going rapid transformation into Patient Centered Medi- cal Homes (PCMHs), prompting a need to train resident physicians in this new model of primary care. However, few PCMH curricula are described or evaluated in the literature. We describe the development and implemen- tation of an innovative, month-long, team-based, block rotation, integrated into the Brown Family Medicine Res- idency Program, within the context of statewide PCMH practice transformation in Rhode Island. The PCMH res- ident team (first-, second- and third-year residents) gain PCMH skills, with progressive levels of responsibility through residency. In addition to traditional supervised direct outpatient care, learning activities include: active participation in PCMH transformation projects, popula- tion health level patient management, quality improve- ment activities, interdisciplinary teamwork, chronic disease management (including leading group medical visits), and PCMH specific didactics paired with weekly projects. This new clinical block rotation and team holds promise as a model to train residents for future PCMH primary care practices.