Preparing the Future Primary Care Workforce Together
Primary Care Faculty Development Initiative (PCFDI)
Technical Assistance WebinarNovember 27, 2012
Patrice Eiff, MD, PCFDI Project DirectorP
Nov
PCFDI(Primary Care Faculty Development Initiative)
Technical Assistance: Agenda
Overview of the PCFDI program Application Process
Eligibility Application Requirements: 2 Steps Review Criteria Timeline
Your Questions
PCFDI(Primary Care Faculty Development Initiative)
Medical Education Reform
Recognition of the need for reform of graduate medical education widespread Not sufficiently meeting the needs of the
public for a 21st century healthcare system Primary care an essential core of successful
systems
PCFDI(Primary Care Faculty Development Initiative)
Fundamental Question How can we train learners to practice
in patient centered-medical homes when the faculty do not have the skills to practice in these new models of care with the required skills? Particularly those skills in practice-based learning and improvement and systems-based practice?
PCFDI(Primary Care Faculty Development Initiative)
Working Through the Answer
National faculty development effort that involves the three primary care disciplines of IM, FM and Pediatrics
A new model of primary care within the context of the PCMH that serves as a clinical laboratory in which we can study the effects of our educational interventions on patient care outcomes
PCFDI(Primary Care Faculty Development Initiative)
Our Vision: Transform GME and do it together across disciplines Application of learning in a
competent local clinical environment Train the trainers back home Create and evaluate a learning
community approach at the local/regional level
All three disciplines collaborate and speak with one voice…more likely to obtain support at the institutional level
PCFDI(Primary Care Faculty Development Initiative)
Our Funders
HRSA Josiah Macy Jr. Foundation American Board of Internal Medicine American Board of Pediatrics American Board of Family Medicine
PCFDI(Primary Care Faculty Development Initiative)
Our Steering Committee Family Medicine
Larry Green, Sam Jones, Perry Pugno Internal Medicine
Eric Holmboe, Bill Iobst, David Gary Smith, Leslie Tucker
Pediatrics Carol Carraccio, Gail McGuinness
Evaluation Patrice Eiff (Project Director), Patty Carney
PCFDI(Primary Care Faculty Development Initiative)
The PCFDIWe are looking for people with ideas
and a deep desire to improve residencies PLUS help HRSA and the
primary care boards figure out how to rapidly develop faculty capacity across
the entire nation.
PCFDI(Primary Care Faculty Development Initiative)
Content Themes Leadership Change Management Teamwork Population Management Clinical Microsystems Competency Assessment Patient Centeredness
Assessment will be woven in throughout the program with the integration of the Milestones and Entrustable Professional Activities (EPAs) concept into each session.
PCFDI(Primary Care Faculty Development Initiative)
National Program Faculty Family Medicine
Will Miller, Steve Crane, Perry Dickinson Pediatrics
Brad Benson and Paul Miles Internal Medicine
Eric Warm, Chuck Kilo and Eric Holmboe Leadership
Ana-Elena Jensen IPE expert (TBD)
PCFDI(Primary Care Faculty Development Initiative)
PCFDI Program April or May 2013: 3 day face-to-face
meeting June or July 2013: Check-in Webinar Aug-Sep 2013: Core faculty members visit
each of the 4 teams to provide further guidance and training
Oct 2013: Post-site visit webinar Jan 2014: 2 day face-to-face “Booster”
meeting Ongoing: Core faculty coaching
PCFDI(Primary Care Faculty Development Initiative)
Evaluation Plan Pilot program will undergo a robust
evaluation Realist evaluation philosophy to learn
what works, for whom and in what circumstances Program, faculty and resident levels Mixed methods approach
Designed to understand the effective components of the intervention to enable successful and cost effective scaling of the program after the pilot
PCFDI(Primary Care Faculty Development Initiative)
What the PCFDI Provides for You
All travel, expenses and training materials provided for each faculty member for initial training meeting in Spring 2013 and “Booster” meeting
Consultative site visits Educational webinars Sorry….Programs do NOT receive any
direct funding to support your projects
PCFDI(Primary Care Faculty Development Initiative)
What Each Residency Must Provide
Permit full participation of three individuals for 5 days total of direct face-to-face training
Interval opportunities to work on residency changes, periodic webinars, direct consultation with program faculty
Full participation in evaluation activities
Willingness to work together across disciplines
PCFDI(Primary Care Faculty Development Initiative)
Application Process: Eligibility
ACGME-accredited residency programs in family medicine, internal medicine and pediatrics
Cycle length of at least 3 years in prior ACGME accreditation visitSeeking residencies that have begun
their journey toward a patient centered medical home and have programmatic
leadership support for change
PCFDI(Primary Care Faculty Development Initiative)
Application Process TEAM APPLICATION only: faculty teams from
internal medicine, family medicine and pediatrics residencies from the same institution, or in close proximity
3 faculty from each of the 3 disciplines engaged in practice and residency transformation One faculty from each residency program should
hold educational leadership role in program (e.g. associate residency director, curriculum director)
Desirable to include faculty member in an ambulatory clinical leadership role from each residency
PCFDI(Primary Care Faculty Development Initiative)
Application Process: Two Steps
STEP 1: Letter of Intent (LOI) List the 3 residencies on your team Designate a “Team Leader” Attestation that you have notified your DIO’s of
intent to apply Attestation that you will participate in all
evaluation activities Send via email attachment to [email protected]
LOI is NOT used in selection process – You do not need to wait to be invited to submit a full application
Deadline: December 14, 2012
PCFDI(Primary Care Faculty Development Initiative)
Application Process: STEP 2 Full Application
Collaboration among the 3 programs: current & planned (1pg)
For each Program (3 pg per program) Clinical and Educational Environment - re: PCMH Transformation Plans – “innovation project” Sustainability – alignment with institution efforts
Letters of Support (for each program) Program Director or Department Chair DIO (one letter if all 3 programs from same institution)
Send via email attachment to [email protected]
Deadline: January 8, 2013
PCFDI(Primary Care Faculty Development Initiative)
Review Criteria Collaborative Potential (20 points) Clinical and Educational Environment (18
points: max=6 per residency) Transformation Potential (30 points:
max=10 per residency) Sustainability (12 points: max=4 per
residency)Hope to select 4 teams from one of the
HRSA regions
PCFDI(Primary Care Faculty Development Initiative)
Application Process: Timeline Dec 14, 2012: Letters of Intent due
Jan 8, 2013: Full Proposals due
Jan 22, 2013: Review of applications completed
Feb 1, 2013: Applicants notified
PCFDI(Primary Care Faculty Development Initiative)
Questions?
More info available at www.pcfdi.org
