Are Graduating Residents Trained and Prepared to Engage in Medical Home Activities in Practice?

Abstract

A national, random sample of 1000 graduating pediatric residents was surveyed in 2014 on receipt of training in medical home activities and preparedness to engage in same in practice. Of 602 survey respondents (60% response), 71.8% reported being very/fairly knowledgeable about medical homes. Most residents (70.0% to 91.3%) reported they received training in 6 medical home activities; more than one fourth wished for more training in 4 of 6 activities. The majority (62.5% to 77.3%) reported very good/excellent perceived preparedness. Residents with continuity clinic experiences at 2 or more sites and with continuity clinic experience at a community health center were more likely to report very good/excellent preparedness in multiple medical home activities. Overall, residents feel knowledgeable, trained, and prepared to engage in medical home activities as they are leaving residency. Opportunities exist to further explore the influence of additional training in specific activities and the number and type of training site experiences on perceived preparedness.

Competency of Future Pediatricians Caring for Children With Behavioral and Mental Health Problems

“…However, previous studies have revealed that a majority of pediatric residents report high perceived competence in dietary assessment and counseling around dietary changes for obesity and that more than two-thirds report very good to excellent perceived preparedness for medical home activiites. 29,30 Furthermore, 62% of pediatricians have reported that they would have benefitted from additional B/MH training compared with less than onequarter reporting this need for other subspecialty conditions. 31 Finally, we cannot assume causation for any of our observed associations given our cross-sectional design.…”

Integrated Pediatric Health Care in Pennsylvania: A Survey of Primary Care and Behavioral Health Providers

“…44 One recent survey provides optimistic data from pediatric residents' reports about their level of training and preparedness to successfully engage in medical home activities. 45 Regardless of the level of integrated care experience, BHS providers may feel less comfortable working in health care settings that have few BHS colleagues or supervisors, in contrast to a typical mental health agency. Perhaps those health care work environments that are primed for their presence may be perceived as more positive and tenable.…”