Transforming Primary Care Training—Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents
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The U.S. faces a critical gap between residency training and clinical practice that affects the recruitment and preparation of internal medicine residents for primary care careers. The patient-centered medical home (PCMH) represents a new clinical microsystem that is being widely promoted and implemented to improve access, quality, and sustainability in primary care practice.
We address two key questions regarding the training of internal medicine residents for practice in PCMHs. First, what are the educational implications of practice transformations to primary care home models? Second, what must we do differently to prepare internal medicine residents for their futures in PCMHs?
The 2011 Society of General Internal Medicine (SGIM) PCMH Education Summit established seven work groups to address the following topics: resident workplace competencies, teamwork, continuity of care, assessment, faculty development, ‘medical home builder’ tools, and policy. The output from the competency work group was foundational for the work of other groups. The work group considered several educational frameworks, including developmental milestones, competencies, and entrustable professional activities (EPAs).
The competency work group defined 25 internal medicine resident PCMH EPAs. The 2011 National Committee for Quality Assurance (NCQA) PCMH standards served as an organizing framework for EPAs.
The list of PCMH EPAs has the potential to begin to transform the education of internal medicine residents for practice and leadership in the PCMH. It will guide curriculum development, learner assessment, and clinical practice redesign for academic health centers.
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- Transforming Primary Care Training—Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents
Journal of General Internal Medicine
Volume 28, Issue 6 , pp 801-809
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- patient-centered medical home
- entrustable professional activities
- graduate medical education
- internal medicine
- primary care
- Industry Sectors
- Author Affiliations
- 1. University of California San Francisco, San Francisco Veterans Affairs Medical Center, 3333 California Street, Suite 380, San Francisco, CA, 94118, USA
- 2. Oregon Health and Science University, Portland, OR, USA
- 3. Veterans Health Administration Office of Academic Affiliations, Washington, DC, USA
- 4. University of Pittsburgh Medical Center, Pittsburgh, PA, USA
- 5. Richard L. Roudebush Veterans Affairs Medical Center, Indiana University School of Medicine, Indianapolis, IN, USA
- 6. Brigham and Women’s Advanced Primary Care Associates, Harvard Medical School, Boston, MA, USA
- 7. Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA
- 8. Group Health Family Medicine Residency, University of Washington School of Medicine, Seattle, WA, USA
- 9. Yale University School of Medicine, New Haven, CT, USA