1. From HRSA Grant to Medical Practice: Improving Care for Children and Adolescents in a Family Medicine Residency Clinic.
- Author
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SZKWARKO, DARIA, GREEN, CAROL, GOLDMAN, ROBERTA E., NOTHNAGLE, MELISSA, CZECH, STEPHANIE J., ROBERTS, MARY B., BROWN, JOANNA, and EL RAYESS, FADYA
- Subjects
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CHILD care , *FAMILY medicine , *MEDICAL practice , *RESIDENTS (Medicine) , *TEENAGERS - Abstract
BACKGROUND: The patient-centered medical home (PCMH) is an ideal primary care model for patients across the lifespan. Family Medicine (FM) practice and training often address adults more than children/adolescents. Few studies describe the efficacy of education programs seeking to enhance PCMH-based care of children/adolescents. METHODS: At the Brown FM Residency in Pawtucket, Rhode Island (RI), from 2015-2020, we aimed to enhance care of children/adolescents through a HRSA-funded program that enhanced PCMH-based care for children/adolescents and related resident education. Our mixedmethods evaluation assessed learner experiences. Vaccination data assessed patient impact. RESULTS: 119/155 (77%) residents completed surveys over four years and learning and performance improved, especially in PCMH principles and behavorial health (BH) competencies. Vaccination rates improved. Qualitative interviews supported quantitative results. CONCLUSIONS: Enhancing care for children/adolescents within a FM residency clinic requires a multi-pronged approach. This initiative improved children/adolescents' care and increased residents' learning and performance. [ABSTRACT FROM AUTHOR]
- Published
- 2022