Lawrence Family Medicine Residency

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

Each year of residency is focused on increasing competencies and leadership skills in clinic and community teams. This program utilizes block and longitudinal experiences focused on clinical and non-clinical skills necessary to work effectively with underserved populations (e.g., population management, applied public health, leadership and advocacy skills). Residents gain experience in addressing core aspects of patient-centered medical homes (PCMH), population and community medicine, quality improvement (QI), health system and health management, leadership, and research.

Year 1 (Foundations) is focused on core relationships of patients/physicians by integrating new residents into the PCMH team with regular participation in team meetings and ongoing QI activities. Training includes advanced electronic medical record skills, design/implementation of patient registries, chronic disease management, teaching skills, and identification and use of community resources in patient care.

Year 2 (Practice-Based Development) is focused on the physician/patient relationship as part of the team and community as the resident becomes more comfortable and takes a more active role in the team’s ongoing activities. Residents learn advanced panel management, teaching skills, and design of QI and research projects. Community medicine moves beyond its initial stages to include asset mapping, outreach, and involvement with a defined community group.

Years 3 and Year 4 (System-Based Development and Capstone) are focused on advancing skills in all domains; during year 3 paired residents co-lead the PCMH team while in year 4 residents serve four to eight weeks as “Clinic Chief” overseeing integration of activities between the team and between the clinic and outside entities (e.g., hospital, nursing homes, etc.). 

Targeted Professions
Family Medicine
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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