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Preparing the Future Primary Care Workforce Together

Preparing the Future Primary Care Workforce Together. Primary Care Faculty Development Initiative (PCFDI) Technical Assistance Webinar November 27, 2012 Patrice Eiff, MD, PCFDI Project Director P Nov . Technical Assistance: Agenda. Overview of the PCFDI program Application Process

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Preparing the Future Primary Care Workforce Together

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  1. Preparing the Future Primary Care Workforce Together Primary Care Faculty Development Initiative (PCFDI) Technical Assistance Webinar November 27, 2012 Patrice Eiff, MD, PCFDI Project Director P Nov

  2. Technical Assistance: Agenda • Overview of the PCFDI program • Application Process • Eligibility • Application Requirements: 2 Steps • Review Criteria • Timeline • Your Questions

  3. Medical Education Reform • Recognition of the need for reform of graduate medical education widespread • Not sufficiently meeting the needs of the public for a 21st century healthcare system • Primary care an essential core of successful systems

  4. Fundamental Question • How can we train learners to practice in patient centered-medical homes when the faculty do not have the skills to practice in these new models of care with the required skills? Particularly those skills in practice-based learning and improvement and systems-based practice?

  5. Working Through the Answer • National faculty development effort that involves the three primary care disciplines of IM, FM and Pediatrics • A new model of primary care within the context of the PCMH that serves as a clinical laboratory in which we can study the effects of our educational interventions on patient care outcomes

  6. Our Vision: Transform GME and do it together across disciplines • Application of learning in a competent local clinical environment • Train the trainers back home • Create and evaluate a learning community approach at the local/regional level • All three disciplines collaborate and speak with one voice…more likely to obtain support at the institutional level

  7. Our Funders • HRSA • Josiah Macy Jr. Foundation • American Board of Internal Medicine • American Board of Pediatrics • American Board of Family Medicine

  8. Our Steering Committee • Family Medicine • Larry Green, Sam Jones, Perry Pugno • Internal Medicine • Eric Holmboe, Bill Iobst, David Gary Smith, Leslie Tucker • Pediatrics • Carol Carraccio, Gail McGuinness • Evaluation • Patrice Eiff (Project Director), Patty Carney

  9. The PCFDI We are looking for people with ideas and a deep desire to improve residencies PLUS help HRSA and the primary care boards figure out how to rapidly develop faculty capacity across the entire nation.

  10. Content Themes • Leadership • Change Management • Teamwork • Population Management • Clinical Microsystems • Competency Assessment • Patient Centeredness Assessment will be woven in throughout the program with the integration of the Milestones and Entrustable Professional Activities (EPAs) concept into each session.

  11. National Program Faculty • Family Medicine • Will Miller, Steve Crane, Perry Dickinson • Pediatrics • Brad Benson and Paul Miles • Internal Medicine • Eric Warm, Chuck Kilo and Eric Holmboe • Leadership • Ana-Elena Jensen • IPE expert (TBD)

  12. PCFDI Program • April or May 2013: 3 day face-to-face meeting • June or July 2013: Check-in Webinar • Aug-Sep 2013: Core faculty members visit each of the 4 teams to provide further guidance and training • Oct 2013: Post-site visit webinar • Jan 2014: 2 day face-to-face “Booster” meeting • Ongoing: Core faculty coaching

  13. Evaluation Plan • Pilot program will undergo a robust evaluation • Realist evaluation philosophy to learn what works, for whom and in what circumstances • Program, faculty and resident levels • Mixed methods approach • Designed to understand the effective components of the intervention to enable successful and cost effective scaling of the program after the pilot

  14. What the PCFDI Provides for You • All travel, expenses and training materials provided for each faculty member for initial training meeting in Spring 2013 and “Booster” meeting • Consultative site visits • Educational webinars • Sorry….Programs do NOT receive any direct funding to support your projects

  15. What Each Residency Must Provide • Permit full participation of three individuals for 5 days total of direct face-to-face training • Interval opportunities to work on residency changes, periodic webinars, direct consultation with program faculty • Full participation in evaluation activities • Willingness to work together across disciplines

  16. Application Process: Eligibility • ACGME-accredited residency programs in family medicine, internal medicine and pediatrics • Cycle length of at least 3 years in prior ACGME accreditation visit Seeking residencies that have begun their journey toward a patient centered medical home and have programmatic leadership support for change

  17. Application Process • TEAM APPLICATION only: faculty teams from internal medicine, family medicine and pediatrics residencies from the same institution, or in close proximity • 3 faculty from each of the 3 disciplines engaged in practice and residency transformation • One faculty from each residency program should hold educational leadership role in program (e.g. associate residency director, curriculum director) • Desirable to include faculty member in an ambulatory clinical leadership role from each residency

  18. Application Process: Two Steps • STEP 1: Letter of Intent (LOI) • List the 3 residencies on your team • Designate a “Team Leader” • Attestation that you have notified your DIO’s of intent to apply • Attestation that you will participate in all evaluation activities • Send via email attachment to contact@pcfdi.org LOI is NOT used in selection process – You do not need to wait to be invited to submit a full application Deadline: December 14, 2012

  19. Application Process: STEP 2 Full Application • Collaboration among the 3 programs: current & planned (1pg) • For each Program (3 pg per program) • Clinical and Educational Environment - re: PCMH • Transformation Plans – “innovation project” • Sustainability – alignment with institution efforts • Letters of Support (for each program) • Program Director or Department Chair • DIO (one letter if all 3 programs from same institution) • Send via email attachment to contact@pcfdi.org Deadline: January 8, 2013

  20. Review Criteria • Collaborative Potential (20 points) • Clinical and Educational Environment (18 points: max=6 per residency) • Transformation Potential (30 points: max=10 per residency) • Sustainability (12 points: max=4 per residency) Hope to select 4 teams from one of the HRSA regions

  21. Application Process: Timeline Dec 14, 2012: Letters of Intent due Jan 8, 2013: Full Proposals due Jan 22, 2013: Review of applications completed Feb 1, 2013: Applicants notified

  22. Questions?More info available at www.pcfdi.org

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