Experiences of Patient-Centered Medical Home Staff Team Members Working in Interprofessional Training Environments - PubMed (original) (raw)

Experiences of Patient-Centered Medical Home Staff Team Members Working in Interprofessional Training Environments

Summer Newell et al. J Gen Intern Med. 2020 Oct.

Abstract

Background: Evidence is growing that interprofessional team-based models benefit providers, trainees, and patients, but less is understood about the experiences of staff who work beside trainees learning these models.

Objective: To understand the experiences of staff in five VA training clinics participating in an interprofessional team-based learning initiative.

Design: Individual semi-structured interviews with staff were conducted during site visits, qualitatively coded, and analyzed for themes across sites and participant groups.

Participants: Patient-centered medical home (PCMH) staff members (n = 32; RNs, Clinical and Clerical Associates) in non-primary care provider (PCP) roles working on teams with trainees from medicine, nursing, pharmacy, and psychology.

Approach: Benefits and challenges of working in an interprofessional, academic clinic were coded by the primary author using a hybrid inductive/directed thematic analytic approach, with review and iterative theme development by the interprofessional author team.

Key results: Efforts to improve interprofessional collaboration among trainees and providers, such as increased shared leadership, have positive spillover effects for PCMH staff members. These staff members perceive themselves playing an educational role for trainees that is not always acknowledged. Playing this role, learning from the "fresh" knowledge imparted by trainees, and contributing to the future of health care all bring satisfaction to staff members. Some constraints exist for full participation in the educational efforts of the clinic.

Conclusions: Increased recognition of and expanded support for PCMH staff members to participate in educational endeavors is essential as interprofessional training clinics grow.

Keywords: academic clinic; health care workforce; interprofessional education; interprofessional practice; patient-centered medical home; qualitative methods.

PubMed Disclaimer

Conflict of interest statement

All authors declare that they do not have a conflict of interest.

Figures

Fig. 1

Fig. 1

Engaging and disengaging experiences of staff in five interprofessional primary care training clinics

References

    1. Margolius D, Bodenheimer T. Transforming primary care: From past practice to the practice of the future. Health Aff. 2010;29(5):779–784. doi: 10.1377/hlthaff.2010.0045. -DOI -PubMed
    1. Bitton A, Pereira AG, Smith CS, Babbott SF, Bowen JL. The EFECT framework for interprofessional education in the patient centered medical home. 2013;1(3-4):63-68. -PubMed
    1. Wilkins T, Yoo W, Gillies RA, **et al.**Patient-centered medical home status and preparedness to assess resident milestones: A CERA study. PRiMER. 2018;2:10.22454/PRiMER.2018.710280. -PMC -PubMed
    1. Kozakowski SM, Eiff MP, Green LA, et al. Five key leadership actions needed to redesign family medicine residencies. Journal of graduate medical education. 2015;7(2):187–191. doi: 10.4300/JGME-D-14-00214.1. -DOI -PMC -PubMed
    1. Ladden MD, Bodenheimer T, Fishman NW, et al. The emerging primary care workforce: Preliminary observations from the primary care team: Learning from effective ambulatory practices project. Acad Med. 2013;88(12):1830–1834. doi: 10.1097/ACM.0000000000000027. -DOI -PubMed

Publication types

MeSH terms

LinkOut - more resources