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

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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… Click to show full abstract

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. 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. A preand 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. We embedded a multidisciplinary team meeting within RCC to improve residents’ knowledge of PCMH and satisfaction with RCC.

Keywords: medicine; team; resident continuity; continuity clinic; multidisciplinary team

Journal Title: Journal of General Internal Medicine
Year Published: 2019

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