Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence.

Abstract

Description of the problem: While previous studies have described the impact of incorporating a postgraduate year two (PGY2) Ambulatory Care resident on clinical outcomes and revenue, the impact of an independent Patient Centered Medical Home (PCMH) experience from the resident perspective has not been reported. The purpose of this study was to determine the impact of an independent PCMH rotation on resident confidence. Description of the innovation: A longitudinal, independent PCMH rotation has been part of a PGY2 Ambulatory Care residency since program inception. To determine the impact of this experience on resident confidence, a 23-item survey was developed and distributed electronically to all previous PGY2 Ambulatory Care residents who completed this experience. Critical Analysis: All invited residents (n=15) responded. Following PGY2 completion, 46.7% of respondents worked as a clinical pharmacist specialist at an academic medical center. Most (86.7%) practiced in primary care and/or population health. The majority responded that the independent PCMH clinic rotation resulted in a positive impact on their confidence in ownership of practice (100%), providing clinical care (93.3%), and pharmacist-patient interactions (86.7%). Implications: An independent PCMH rotation during PGY2 Ambulatory Care training can have a positive impact on post-residency clinical confidence.