PCMH ELEARNING CURRICULUM FOR FAMILY MEDICINE FACULTY AND RESIDENTS

Introduction and Objectives: The Patient-Centered Medical Home (PCMH) is a practice model that improves the quality of care by making it safer, more comprehensive, integrated, and personal. However, most family medicine residency programs are not fully prepared to train residents on this idealized model. The Colorado Family Medicine Residency PCMH Project aims to transform ten residency practices into medical homes through practice improvement and curriculum redesign. This paper reports on the implementation of key PCMH components into residency curricula and the impact on residents’ perceived competence in and use of PCMH components. Methods: Mixed-method evaluation assessed PCMH curricular characteristics, routine use of PCMH components, and perceived resident PCMH competence. Results and Conclusions: Qualitative data results demonstrated active efforts by the residency programs to implement key PCMH components, which included dedicated PCMH curricular time, resident active participation in practice quality improvement efforts, team-based care, patient self-management support, patient-centered care, and development of specific PCMH leadership skills. Survey results showed significant improvement from baseline to follow-up (ranging from 12-36 months) in resident use of PCMH components, measured by the PCMH-CA (p< 0.01), and the PCMH Competency Self-assessment (p