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University of Colorado Family Medicine Residency

Building a Patient-Centered Medical Home – the PCMH



Our residency program’s new curriculum has dedicated time during all three years of training to prepare residents to participate in and lead efforts to create and maintain a Patient-Centered Medical Home (PCMH).
 The PCMH is emerging as the new model of primary care delivery for the 21st century. A variety of national demonstration projects are underway to study how the PCMH practice redesign concept can deliver better care for patients and communities while rewarding primary care physicians appropriately for the quality of care they provide to their patients. 

To learn more about the PCMH, please visit these websites: 


PGY1 and PGY2​

During PGY1, residents will be introduced to the philosophy and structure of a Patient Centered Medical Home.  In PGY2 we have a one month block dedicated to immersing residents into the practical aspects of a patient centered medical home.  Each week residents participate in:  

 

  • Team development and team-based care
  • Quality improvement activities
  • Development of personal health care plans for patients with complex medical problems working with a multidisciplinary team
  • Community projects that teach skills in community engagement and heath assessment

 


PG​Y3

In PGY3 we have created a PCMH leadership month.  Each resident will participate in a longitudinal Quality Improvement project which stretches across the third year of training. Residents also participate in a variety of patient quality improvement and patient centered medical home meetings and committees.  Participation in these meetings is a regular feature of many of the rotations in the PGY3 year.

Our efforts to teach the principles of a PCMH are merged with our efforts to transform our practices to operate as a PCMH.  Both of our practices are certified as a level 3 PCMH though the National Council on Quality Assurance and our efforts to maintain this certification drives many of our practices’ improvement efforts.