Fort Wayne 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 not including services to patients
Experiential including clinical contact with patients
Program Description: 

The Fort Wayne Medical Education Program serves 300,000 patients in Fort Wayne, Indiana, including the nation’s largest Burmese immigrant population.  This recent influx of Burmese immigrants encouraged Fort Wayne to transforming its medical systems – both public and private – into more patient-centered and coordinated care models across the entire medical community.

To educate its residents on the core tenets of patient-centered medical homes (PCMH), the program utilizes an interdisciplinary team approach consisting of four different groups of doctors, nurses and front office staff led by a faculty member. The interdisciplinary team has access to a multitude of service providers such as pharmacists, diabetes educators, patient care coordinators, neuropsychologists and psychologists, physician assistants, medical and social work students, etc.

One of the highlights of the program’s PCMH efforts has been the development of a single, combined quality, system-based improvement analysis project in which all residents participate each year. The program also educates residents on principles of leadership, population management, and interdisciplinary care.

The project is in its fourth year of development and has addressed well child visits/immunizations, coronary artery disease, diabetes, and is currently addressing asthma. Skill sets that are developed during this process include: performing literature searches to identify evidenced-based medicine; adapting data fields in the electronic medical record to reflect and retrieve the data essential to population management; developing the PDSA cycle (Plan, Do, Study, Act) used in system analysis and quality improvement, etc.

Group visits for its diabetic population have been introduced into the program, offering a unique opportunity for residents to provide care in a group setting and engage patients at different levels. The educational component of group visits focuses on the disease process itself, behavioral health science, and specialty service education such as podiatry. This project has also become a research opportunity for residents who conduct research beginning with formulating an idea, going through the IRB process, and completing the research project. Plans to expand group visits for pain diagnoses and pregnancy are in place.

Fort Wayne’s Program offers experience in procedural skills such as low-risk, high-risk and surgical obstetrics, obstetrical ultrasound, colposcopy, cryosurgery, excision and dermatologic procedures, treadmill stress tests, electrocardiogram interpretation, joint injection, and osteopathic manipulation. This prepares future family medicine physicians for a variety of potential practice environments – from rural to urban and the underserved.

Program Results: 

In 2013, this program received level 3 recognition as a patient-centered medical home by the National Committee for Quality Assurance (NCQA).

Targeted Professions
Family Medicine
We provide clinical rotations for medical students PA students students in social work and pharmacy students.
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
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Assessment of biopsychosocial needs across the lifespan
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
Business models for patient-centered integrated care
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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