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Group Medical Visits in Family Medicine Training: A National Survey of Program Directors Carmen Strickland, MD, MPH Wake Forest Baptist Health Department.

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Presentation on theme: "Group Medical Visits in Family Medicine Training: A National Survey of Program Directors Carmen Strickland, MD, MPH Wake Forest Baptist Health Department."— Presentation transcript:

1 Group Medical Visits in Family Medicine Training: A National Survey of Program Directors Carmen Strickland, MD, MPH Wake Forest Baptist Health Department of Family and Community Medicine Winston Salem, NC

2 Disclosures None Centering Healthcare Institute (CHI)

3 Group Medical Visit: New Model of Care

4 CERA Proposal (accepted) Program Director Survey: May, 2015 Goals: 1.Better understand attitudes, experiences, and plans regarding group visits in FM residency training 2. Inform strategies to build capacity for group medical visits in FM residency training

5 Group Medical Visits Evidence of meeting the triple aim Good fit in primary care Promoted in PCMH Enhanced Teaching Fun/satisfying way to provide care

6 Group Medical Visits: Challenges Require new training/skills development Limited exposure to this model among FM faculty Residency is resource poor Inertia

7 Dissemination of Healthcare Innovation Berwick, D. Disseminating Innovations in Healthcare. JAMA. 2003;289:1969-1975

8 Objectives To assess existing approaches to group medical visit training for family medicine residents. To assess Family Medicine residents’ exposure to group medical visits. To assess perceived challenges to the use of group medical visits in residency training To explore the association between program director attitudes and availability of group medical visits at residency sites.

9 Objectives To determine the association between program characteristics, including exposure to group health education or CenteringPregnancy™, and availability of group medical visits at residency sites. To determine, for programs without group medical visits at program site, the association between program characteristics, including exposure to group health education or CenteringPregnancy™, and degree of planning for group medical visits at program sites.

10 Hypotheses The majority of programs have not established group medical visits in their residency clinics; as such they are unable to incorporate this training into their curriculum Most programs with access to group medical visits involve or plan to involve residents as part of their training. Residencies with positive program director attitudes toward group medical visits are more likely than those without to have group medical visits at program site. Programs with exposure to the CenteringPregnancy™ or group health education are more likely than those without exposure to CenteringPregnancy™ or group health education to have group medical visits at program site. Among programs without group medical visits, programs with exposure to CenteringPregnancy™ or group health education are more likely than those without exposure to CenteringPregnancy™ or group health education to be planning or developing group medical visits at program site.

11 Survey Questions Exposure to Group Medical Visit Exposure to Group Health Education Plans for GMV (if not already) Familiarity with CenteringPregnancy™ Existing Curriculum re: Group Medical Visit Attitudes toward Group Medical Visit Challenges to implementing Group Medical Visits

12 Next Steps Baseline for tracking prevalence of GMV Informed discussion re: Needs Assessment Develop strategies to meet program needs Opportunity for more research Develop strategic partnerships Collaborate with primary care colleagues?

13 Acknowledgements Joanne Sandberg, PhD Stephen Davis, MA

14 Suggestions/Questions?

15 References Burke RE, O-Grady ET. Group visits hold great potential fro improving diabetes care and outcoms, but best practices must be developed. Health Aff (Millwood). 2012;31(1): 103-109. Raja Jaber, MD, Amy Braksmajer, MPH, and Jeffrey Trilling, MD. Group Visits for Chronic Illness Care: Models, Benefits and Challenges. Fam Pract Manag. 2006 Jan;13(1):37-40. http://www.transformed.com/resources/index.cfm. Accessed 9/9/14http://www.transformed.com/resources/index.cfm Jim Nuovo, Thomas Balsbaugh, Sue Barton, Ellen Davidson, Jane Fox-Garcia, Angela Gandolfo, Bridget Levich, and Joann Seibles. Development of a Diabetes Care Management Curriculum in a Family Practice Residency Program. Disease Management. Winter 2004, 7(4): 314-324. Barr, W, MD; Aslam, Sana, Levin M, MD. Evaluation of a Group Prenatal Care-based Curriculum in a Family Medicine Residency. Fam Med 2011;43(10):712-7.) Kenneth H. Kolb, PhD; Amy H. Picklesimer, MD, MSPH; Sarah Covington-Kolb, MSPH, MSW; Lauren Hines. Centering Pregnancy Electives: A Case Study In The Shift Toward Student-Centered Learning In Medical Education. The Journal of the South Carolina Medical AssociationVolume 108 August 2012 Cristen Page, MD, MPH; Alfred Reid, MA; Laura Andrews, Julea Steiner, MPH Evaluation of Prenatal and Pediatric Group Visits in a Residency Training Program Fam Med 2013;45(5):349-53.) Arnold Goldberg, MD; Kim Salloway Rickler, MSW; Garrett Sullivan; Melissa Nothnagle, MD, MSc. Putting Residents in the Driver’s Seat: A New Approach to Teaching Group Medical Visits. (Fam Med 2012;44(6):431-5.)

16 Please evaluate this session at: stfm.org/sessionevaluation

17 Disseminating Innovations in Healthcare: Find Sound Innovations Find and Support Innovators Invest in Early Adopters Make Early Adopter Activity Observable Trust and Enable Reinvention Create Slack for Change Lead by Example Berwick, D. Disseminating Innovations in Healthcare. JAMA. 2003;289:1969-1975

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