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The Expanding Footprint of Innovation in Family Medicine GME

The Expanding Footprint of Innovation in Family Medicine GME. March 30, 2009. Stan Kozakowski, MD RPS Consultant and P4 Steering Committee Member Sam Jones, MD P4 Steering Committee Co-Chair. Objectives. By the end of this presentation the audience participants will be able to:

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The Expanding Footprint of Innovation in Family Medicine GME

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  1. The Expanding Footprint of Innovation in Family Medicine GME March 30, 2009

  2. Stan Kozakowski, MD • RPS Consultant and P4 Steering Committee Member Sam Jones, MD • P4 Steering Committee Co-Chair

  3. Objectives By the end of this presentation the audience participants will be able to: • Discuss the scope of innovations found within the P4 project • Describe at least one ongoing residency innovation project outside of P4 • List 3 areas that any program wishing to undertake innovation should consider

  4. Program Format • Introduction to the P4 Project • Update from several P4 programs • Colorado Family Medicine residency consortium – PCMH project • Discussion with panelists and audience of ideas for nurturing innovation in GME

  5. The P4 Project: A status report

  6. Preparing the Personal Physician for Practice • Also known as P to the fourth power, • P4 is a six-year residency demonstration initiative examining • Innovation at 14 family medicine residencies.

  7. P4 - Goals • Inspire innovation in family medicine residency education • Evaluate innovations • Study what changes are needed to prepare graduates to succeed in new practice models • Share learnings that inspire change in training and certification

  8. Individualized Curriculum “Intentional Diversification” Longitudinal Curriculum 4 year Curriculum Use of Educational Learner Portfolios in Competency Assessments Decreased Inpatient Time & Increased Continuity Clinic Time (esp. PGY1) Small Group Learning Labs PCMH Practice Re-design Patient-Centered Care Team-based Care & Training in Teams Chronic Disease Management Community Practices as Training Sites Community/Population Health Focus Current Categories of Innovations in P4 Programs

  9. Baylor Four-year curriculum with MPH and 4th year emphasis on either international health or inpatient and maternity care. Cedar Rapids Non-rotational format for R-2 and R-3 years with more time in continuity of care setting. P4 Innovators

  10. P4 Innovators • Christiana Care Health System Residents will be teamed with faculty “mentors” in an ambulatory focused curriculum with areas of emphasis. • Hendersonville FMC replaced with a network of rural family medicine practices.

  11. P4 Innovators • John Peter Smith Hospital Four-year curriculum with integrated fellowship training. • Lehigh Valley Move residents and continuity populations into active community practices. No more “Traditional” Family Medicine Center.

  12. P4 Innovators • Loma Linda University Four-year curriculum with integrated MPH and emphasis on care of the under-served. • Middlesex Hospital Four-year curriculum with emphasis on prevention and chronic disease management.

  13. P4 Innovators • Rochester University “Ideal Micro Practice” within the FMC. Faculty partnering with residents to provide New Model in a focused experiment. • Tufts University Competency-based, longitudinal curriculum with information mastery and organizational effectiveness training.

  14. P4 Innovators • University of Colorado Curriculum extends back into MS-4 year, and continuity of care for only R-2 and R-3 years. • University of Missouri-Columbia Four-year curriculum beginning with MS-4 year of medical school for a select population of learners.

  15. P4 Innovators • Waukesha “Majors and Masteries” model of 4-year curriculum with areas of emphasis. • West Virginia University Rural MS-4 Rural Scholars Program with early start of R-1 role and longitudinal curriculum in chronic disease management.

  16. Our Participating Panelists • Christiana FMRP • John Peter Smith FMRP • Middlesex FMRP • Waukesha FMRP • Colorado Network of FMRPs

  17. Questions for Panelists and Audience

  18. If you could start your project over again tomorrow, what would you do differently?

  19. If you had a magic wand and could make any change in your residency practice and/or in your educational program, what would it be?

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