IHI 90-Day R&D Project Final Summary Report: Improving Graduate Medical Education: Innovations in Primary Care and Ambulatory Settings. Cambridge, MA: Institute for Healthcare Improvement; October 2012.
Academic medical centers are recognizing the need to equip residents and students with skills in the basics of systems-based care — including an emphasis on quality improvement, patient safety, patient-centered care, and understanding value — to prepare a new generation of practitioners for primary care practice in a rapidly changing landscape in the US.
This report includes best practices, innovative solutions, and outcomes of residency redesign efforts, based on an analysis of residency programs participating in two national initiatives, that attempt to integrate principles of the patient-centered medical home transformation journey in academic ambulatory settings. Also included are practical examples that provide insight into three key questions:
- How were trainees (and their graduate medical education programs) involved in the process of transforming their primary care environments?
- What is the role of the resident (trainee) on a “transformed” primary care team (i.e., a practice that fully embraced the principles of the patient-centered medical home)?
- How did the residency (education) structure change to facilitate practice transformation?