Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence

Abstract

Description of the problem: While previous studies have described the impact of incorporating a postgraduate year two (PGY2) Ambulatory Care resident on clinical outcomes and revenue, the impact of an independent Patient Centered Medical Home (PCMH) experience from the resident perspective has not been reported on. The purpose of this study was to determine the impact of an independent PCMH rotation on resident confidence. Description of the innovation: A longitudinal independent PCMH rotation has been part of our PGY2 Ambulatory Care residency since program inception. To determine the impact of this experience on resident confidence, a 23-item survey was developed and distributed electronically to all previous PGY2 Ambulatory Care residents who completed this experience. Critical Analysis: All invited residents (n=15) responded. Following PGY2 completion, 46.7% of respondents worked as a clinical pharmacist specialist at an academic medical center. The majority (86.7%) practiced in primary care and/or population health. Identified strengths of the experience included increased resident confidence in the following areas: independent practice model (100% indicated positive impact), having their own Collaborative Practice Agreement (86.7%), and building rapport with patients (80%) and providers (73.3%). Implications: An independent PCMH rotation during PGY2 Ambulatory Care training has a positive impact on post-residency clinical confidence.

Keywords

• pharmacy resident
• ambulatory care
• Collaborative Practice Agreement