Family Medicine Residency

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Organization Type: 
Educational Institution
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Independent Study
Self Reflection Activities
Experiential including clinical contact with patients
Program Description: 

This Family Medicine Residency Program has reorganized its curriculum to focus on the use of web-based instructional modules and the use of multidisciplinary teams.  Through the use of longitudinal threads and block rotations, this program is designed to:

  • Create a PCMH as well as a Patient Safety and Quality of Care curriculum:  Offers instruction on a conceptual framework, developing and implementing case-based learning, and incorporating concepts in practical team-based exercises.
  • Use PCMH Principles, specifically a team based approach, to improve chronic illness care and preventive service delivery: Improves both the use of chronic illness and preventive service protocols using a team based approach and increased patient portal use in an underserved population. Works to reduce access bariers among patients with transportation difficulties or other issues via training modules, team based care, and linkages to electronic health records and community resources. 
  • Partner with community agencies to deliver care in the non-office setting, with a focus on improving chronic illness outcomes, sociability, and maintain independence for a geriatric population: Specifically, the program has created training modules that offer instruction in home care of the frail elderly patients as well as improved care of patients with chronic illnesses.  These modules utilize electronic health records and introduce the use of remote data entry and monitoring.  Through a new partnership with the University of South Alabama Center on Generational Studies, the training physicians are also learning a multidisciplinary team based approach to improving social engagement and maintaining independence when working with elderly patients. 

The program was evaluated by NCQA during its second year of PCMH transformation and is in line to receive level 3 certification by December 2013.

Targeted Professions
Family Medicine
Registered Nurses
Licensed Practical Nurses
Ambulatory Care
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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