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  • Title: Implementing teams in a patient-centered medical home residency practice: lessons learned.
    Author: Markova T, Mateo M, Roth LM.
    Journal: J Am Board Fam Med; 2012; 25(2):224-31. PubMed ID: 22403204.
    Abstract:
    INTRODUCTION: The "new model of care" calls for a new approach for primary care delivery that focuses on patient centeredness, quality, safety, effective and efficient care, and interdisciplinary teamwork. Medical education needs to parallel this health care reorganization. Implementing a team approach in a residency practice, especially in ambulatory settings, poses unique challenges. METHODS: We introduced interdisciplinary teams in a family medicine residency site, integrating clinical and educational objectives. RESULTS: We report our challenges and successes in the transformational journey to a patient-centered medical home, for which a team approach is critical to achieving high quality care. CONCLUSION: Establishing high-functioning interdisciplinary teams takes leadership commitment; the engagement of everyone in the practice; investment in staff, resident, and faculty development; and clear communication of vision and goals. Integration of clinical and educational objectives can be powerfully synergistic. Clinical, organizational, and educational outcomes are needed to evaluate impact.
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