How To Create Great Teaching Clinics

Teaching: The authors visited 23 primary care resident teaching clinics (family medicine, internal medicine, and pediatrics) and distilled advice based on the best-performing clinics:  “Engaged leadership with the residency director and clinic medical director working as inseparable partners” with very frequent meetings. “Increase resident clinic time to 30% of total residency time” (from the traditional 10%).  Scheduling “elevated to a science with a scheduling bible…. prioritizing patient and learner continuity.”  “Set goals of 80% for continuity of care from both the patient and resident perspective…. by increasing the amount of time residents spend in clinic, minimizing the intervals between resident clinic sessions, and forming smaller teams.”  “Create stable teams” including a “team MA or nurse” and “a small core faculty.”  Insist on residents’ “active engagement as leaders of clinic improvement.”  Residency and clinic directors would be well-advised to review these recommendations with care. — Laura Willett, MD

Gupta R, Dubé K, Bodenheimer T. The Road to Excellence for Primary Care Resident Teaching Clinics.Acad Med. 2016 Jan

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