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Curriculum and Innovation P4

Curriculum and Innovation P4. Summary of Innovations. New educational paradigm focused on high quality ambulatory training. Redesign curricular elements lacking relevancy to current practice.

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Curriculum and Innovation P4

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  1. Curriculum and InnovationP4

  2. Summary of Innovations New educational paradigm focused on high quality ambulatory training. Redesign curricular elements lacking relevancy to current practice. Deliver content in the 2nd and 3rd year through a flexible, tailored and patient-centered curriculum.

  3. Increased Ambulatory Training “FMC Immersion” for all interns Block 1. Transition several traditional inpatient experiences to outpatient setting. Surgery OB Longitudinal curriculum in years 2 & 3 Increased office time Individualized curriculum Interest Tracks

  4. “Intentional Diversification” • Residents identify area of interest that is incorporated in their longitudinal curriculum. • Examples • Alison: Geriatrics and Home Visits • Jen: Sports Medicine • Josh: Integrative Medicine and OMT • Alicia/Jess: Student Health • David: Urban underserved • Erin: OB/ Women’s Health

  5. Ultimate Innovation Goal Patient Journey Education Follow patients through their medical journeys The FMC and the care of its patients dictate education and not “rotations” Our patient cases will dictate the content of conference time, including “specialist” didactics

  6. Ultimate Innovation Goal Learn the process of medical practice. Following patients affords the ultimate opportunity for patient-centered care. Following patients outside the physical location of the FMC will reinforce to patients that their family physician provides a medical home, regardless of the location care is administered.

  7. Block Model GI Neuro Surg GYN NH Optho Endo ENT HV Ortho Cards

  8. Endo Optho Surg HV Cards Neuro Patients ENT GI Ortho GYN NH

  9. Early Observations • First years reporting high comfort levels with the office and ambulatory practice. • Achieving strong office skills at a much earlier point in their first year as compared to their previous classes • Increased patient visits; most notably for first years.

  10. Early Observations “Intentional diversification” allowing expansion of resident continuity sites beyond the FMC. Private Offices Wellness Centers Home Visits Detention Centers Training Rooms Creativity and Engagement of Residents Resident Satisfaction

  11. Future Aims • To determine how residents make decisions about their focus of training. • To determine patient satisfaction around Patient-Centered Education. • To characterize “P4” residents.

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