Multidisciplinary Team Meetings—a Venue to Improve Team Engagement and Quality in Resident Continuity Clinic

  • Amalia LyonsEmail author
  • Rebekah J. Walker
  • Heather L. Prigmore
  • Marty Muntz


Suboptimal continuity, complex patients, and poor resident integration into the Patient-Centered Medical Home (PCMH) structure contribute to limited resident satisfaction with resident continuity clinic (RCC). The Society of General Internal Medicine has recognized the need for resident PCMH training and developed PCMH entrustable professional activities.1

Studies looking at integrating residents into the PCMH more fully to improve the RCC experience have shown mixed results. Hochman et al. implemented PCMH concepts of care coordination, enhanced access, and team-based care into RCC.2 A pre- and post-survey showed improved resident and patient satisfaction with clinic, with a modestly (but non-significant) increase interest in primary care. Conversely, passive learning and didactics were insufficient to prepare residents for practice.3 We embedded a multidisciplinary team meeting within RCC to improve residents’ knowledge of PCMH and satisfaction with RCC.


This study...


Compliance with Ethical Standards

Conflict of Interest

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


  1. 1.
    Chang A, Bowen JL, Buranosky RA, et al. Transforming primary care training—patient centered medical home entrustable professional activities for internal medicine residents. J Gen Intern Med. 2012;28(6):801–809.CrossRefGoogle Scholar
  2. 2.
    Hochman ME, Asch S, Jibilian A, et al. Patient Centered Medical Home intervention at an Internal Medicine Resident Safety Net Clinic. JAMA Intern Med. 2013;173(18):1694–1701.Google Scholar
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    Rayess EL F, Goldman R, Furey C, Goldberg AR, Chandran R, Anandarajah G. Patient centered medical home knowledge and attitudes of residents and faculty: certification is just the first step. J Grad Med Educ. 2015;7(4):580–588.CrossRefGoogle Scholar
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    Lencioni. The five dysfunctions of a team: A leadership Fable. New York: Wiley and Sons; 2011;192–194.Google Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Amalia Lyons
    • 1
    Email author
  • Rebekah J. Walker
    • 1
    • 2
  • Heather L. Prigmore
    • 1
    • 2
  • Marty Muntz
    • 1
    • 3
  1. 1.Division of General Internal Medicine, Department of Medicine Froedtert & The Medical College of WisconsinMilwaukeeUSA
  2. 2.Center for Advancing Population ScienceMedical College of WisconsinMilwaukeeUSA
  3. 3.Kern Institute for the Transformation of Medical EducationMedical College of WisconsinMilwaukeeUSA

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