Transforming Primary Care and Faculty Development Fellowship

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Organization Type: 
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Independent Study
Self Reflection Activities
Experiential not including services to patients
Other Element(s): 
Fellows lead an interdisciplinary care team and participate in the patient-centered medical home transformation steering committee
Program Description: 

Designed for recent graduates of primary care residencies, the Transforming Primary Care Fellowship prepares fellows to lead, teach in, and carry out transformation activities for new models of primary care.  Building on a successful faculty development program with more than 60 graduates since 1997, the fellowship program provides enhanced leadership training and experience with close mentoring from fellowship faculty.

Funded by a five-year grant from the Health Resources and Services Administration (HRSA), this program will prepare fellows for future roles as primary care leaders and/or academic physicians. Fellows lead an interdisciplinary care team in quality improvement activities and participate in the ongoing patient-centered medical home (PCMH) transformation of our residency ambulatory practice site.  Fellows have a key role in the PCMH transformation process in our department and have exposure to expert consultants.

Transforming Primary Care Fellowship Curriculum:

  • Teaching Skills: orientation to precepting; one-to-one teaching;  practical learning theory; giving feedback; learners in difficulty
  • Curriculum Development: needs assessment and learning objectives; teaching strategies, implementation, evaluation
  • New Models of Care: introduction to PCMH; practice relationships; teams in primary care (Why teams—theory and evidence, team models, transitioning to teams-roles and training, engaging patients and families); strategies for improving access and continuity; strategies for improving self-management support; models of care coordination; incorporating health information technology into the medical home; panel management
  • Group Dynamics for Teams: characteristics of teams; processes of teamwork; issues teams face (managing conflict, decision making, power and social influence)
  • Quality Improvement: methods; measures
  • Leadership
  • Organizational Transformation:  properties of systems; process of change
  • Health Care Systems: the medical neighborhood; integrated systems and Accountable Care Organizations (ACO); health care finance—aligning incentives
Targeted Professions
Family Medicine
Internal 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: 
Population-based approaches to health care delivery
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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