Transforming Primary Care Residency Training: A Collaborative Faculty Development Initiative among Family Medicine, Internal Medicine, and Pediatric Residencies

Patricia (Patty) Carney, M (Patrice) Eiff, Larry A. Green, Carol Carraccio, David Gary Smith, Perry A. Pugno, William Iobst, Gail McGuinness, Kathleen Klink, Samuel M. Jones, Leslie Tucker, Eric Holmboe

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Problem The scope and scale of developments in health care redesign have not been sufficiently adopted in primary care residency programs. Approach The interdisciplinary Primary Care Faculty Development Initiative was created to teach faculty how to accelerate revisions in primary care residency training. The program focused on skill development in teamwork, change management, leadership, population management, clinical microsystems, and competency assessment. The 2013 pilot program involved 36 family medicine, internal medicine, and pediatric faculty members from 12 residencies in four locations. Outcomes The percentage of participants rating intention to implement what was learned as "very likely to" or "absolutely will" was 16/32 (50%) for leadership, 24/33 (72.7%) for change management, 23/33 (69.7%) for systems thinking, 25/32 (75.8%) for population management, 28/33 (84.9%) for teamwork, 29/33 (87.8%) for competency assessment, and 30/31 (96.7%) for patient centeredness. Content analysis revealed five key themes: leadership skills are key drivers of change, but program faculty face big challenges in changing culture and engaging stakeholders; access to data from electronic health records for population management is a universal challenge; readiness to change varies among the three disciplines and among residencies within each discipline; focusing on patients and their needs galvanizes collaborative efforts across disciplines and within residencies; and collaboration among disciplines to develop and use shared measures of residency programs and learner outcomes can guide and inspire program changes and urgently needed educational research. Next Steps Revise and reevaluate this rapidly evolving program toward widespread engagement with family medicine, internal medicine, and pediatric residencies.

Original languageEnglish (US)
Pages (from-to)1054-1060
Number of pages7
JournalAcademic Medicine
Volume90
Issue number8
DOIs
StatePublished - Aug 31 2015

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Internship and Residency
Internal Medicine
Primary Health Care
Medicine
medicine
Pediatrics
change management
leadership
teamwork
management
Forms and Records Control
Population
Clinical Competence
Electronic Health Records
Systems Analysis
educational research
content analysis
rating
driver
stakeholder

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Transforming Primary Care Residency Training : A Collaborative Faculty Development Initiative among Family Medicine, Internal Medicine, and Pediatric Residencies. / Carney, Patricia (Patty); Eiff, M (Patrice); Green, Larry A.; Carraccio, Carol; Smith, David Gary; Pugno, Perry A.; Iobst, William; McGuinness, Gail; Klink, Kathleen; Jones, Samuel M.; Tucker, Leslie; Holmboe, Eric.

In: Academic Medicine, Vol. 90, No. 8, 31.08.2015, p. 1054-1060.

Research output: Contribution to journalArticle

Carney, PP, Eiff, MP, Green, LA, Carraccio, C, Smith, DG, Pugno, PA, Iobst, W, McGuinness, G, Klink, K, Jones, SM, Tucker, L & Holmboe, E 2015, 'Transforming Primary Care Residency Training: A Collaborative Faculty Development Initiative among Family Medicine, Internal Medicine, and Pediatric Residencies', Academic Medicine, vol. 90, no. 8, pp. 1054-1060. https://doi.org/10.1097/ACM.0000000000000701
Carney, Patricia (Patty) ; Eiff, M (Patrice) ; Green, Larry A. ; Carraccio, Carol ; Smith, David Gary ; Pugno, Perry A. ; Iobst, William ; McGuinness, Gail ; Klink, Kathleen ; Jones, Samuel M. ; Tucker, Leslie ; Holmboe, Eric. / Transforming Primary Care Residency Training : A Collaborative Faculty Development Initiative among Family Medicine, Internal Medicine, and Pediatric Residencies. In: Academic Medicine. 2015 ; Vol. 90, No. 8. pp. 1054-1060.
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