Nurturing 21st century physician knowledge, skills and attitudes with medical home innovations: the Wright Center for Graduate Medical Education teaching health center curriculum experience

PeerJ. 2015;3:e766 DOI 10.7717/peerj.766

 

Journal Homepage

Journal Title: PeerJ

ISSN: 2167-8359 (Online)

Publisher: PeerJ Inc.

LCC Subject Category: Medicine

Country of publisher: United States

Language of fulltext: English

Full-text formats available: PDF, HTML, XML

 

AUTHORS

Linda Thomas-Hemak (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Ghanshyam Palamaner Subash Shantha (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Lakshmi Rani Gollamudi (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Jignesh Sheth (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Brian Ebersole (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Katlyn J. Gardner (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Julie Nardella (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Meaghan P. Ruddy (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)
Lauren Meade (The Wright Center for Graduate Medical Education, Internal Medicine, Scranton, PA, USA)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 10 weeks

 

Abstract | Full Text | Full Text

Purpose. The effect of patient centered medical home (PCMH) curriculum interventions on residents’ self-reported and demonstrated knowledge, skills and attitudes in PCMH competency arenas (KSA) is lacking in the literature. This study aimed to assess the impact of PCMH curricular innovations on the KSA of Internal Medicine residents.Methods. Twenty four (24) Internal Medicine residents—12 Traditional (TR) track residents and 12 Teaching Health Center (THC) track residents—began training in Academic Year (AY) 2011 at the Wright Center for Graduate Medical Education (WCGME). They were followed through AY2013, covering three years of training. PCMH curricular innovations were focally applied July 2011 until May 2012 to THC residents. These curricular innovations were spread program-wide in May 2012. Semi-annual, validated PCMH Clinician Assessments assessing KSA were started in AY2011 and were completed by all residents.Results. Mean KSA scores of TR residents were similar to those of THC residents at baseline for all PCMH competencies. In May 2012, mean scores of THC residents were significantly higher than TR residents for most KSA. After program-wide implementation of PCMH innovations, mean scores of TR residents for all KSA improved and most became equalized to those of THC residents. Globally improved KSA scores of THC and TR residents were maintained through May 2014, with the majority of improvements above baseline and reaching statistical significance.Conclusions. PCMH curricular innovations inspired by Health Resources and Services Administration (HRSA’s) Teaching Health Center funded residency program expansion quickly and consistently improved the KSA of Internal Medicine residents.