Nurturing 21st century physician knowledge, skills and attitudes with medical home innovations: the wright center for graduate medical education teaching health center curriculum experience

Abstract

Purpose: Effect of patient centered medical home (PCMH) curriculum interventions on residents’ self-reported and demonstrated knowledge, skills and attitudes (KSA) in PCMH competency arenas is lacking in the literature. This study aimed to assess impact of PCMH curricular innovations on Internal Medicine residents’ self-reported KSA. Method: Twenty four (24) Internal Medicine residents - 12 Traditional (TR) track and 12 Teaching Health Center (THC) track - began training in academic year (AY) 2011 at the Wright Center for Graduate Medical Education (WCGME). They were followed through AY2013 covering three years of training. PCMH curricular innovations were applied beginning July 2011 until May 2012 focally to THC residents. These curricular innovations were spread program wide in May 2012. Semi-annual validated PCMH Clinician Assessments assessing PCMH competencies based on self-reported KSA were started in AY2011 and completed by all residents. Results: Mean self-reported KSA scores of TR residents were similar to THC residents at baseline for all PCMH competencies. In May 2012, mean scores of THC residents were significantly higher than 2011 and graduating 2009 TR residents for most PCMH competencies. After program wide implementation of PCMH innovations, mean scores of 2011 and 2010 TR residents for all PCMH competencies improved and most equalized to those of 2011 THC residents. Globally improved PCMH competency scores of 2011 THC and TR residents were maintained through May 2014, with majority of improvements above baseline reaching statistical significance. Conclusions: PCMH curricular innovations inspired by HRSA’s Teaching Health Center funded residency program expansion quickly and consistently improved Internal Medicine residents’ self-reported KSA of PCMH competencies and improvements were sustained.

Integration of Complementary and Integrative Medicine Competencies in General Practice Postgraduate Education – Development of a Novel Competency Catalogue in Germany

“…After applying the above described cut-off criteria, 16 out of 20 competencies were included into the nal catalogue. These competencies are covering knowledge, skills and attitude (ASK) on the following CIM topics: Medical knowledge, patient care and communication, practice-based learning and continuing education, professionalism, and competencies with regard to the German Health care system (22).…”

Needs Assessment for a Medical Home Curriculum for Pediatric Residents

“…Incorporating medical home training into pediatric residency programs has been suggested by several authors and studies. 24-32 A new resident curriculum training residents to elicit family feedback was found useful, reasonably implemented, and garnered support. 31 The Accreditation Council for Graduate Medical Education (ACGME) requires all pediatric residents receive training on “coordination of care [and] longitudinal management of children/youth with special needs.” 32 However, there is a paucity of research depicting the current landscape of pediatric residency medical home resident education.…”