UMMS Affiliation

Center for Integrated Primary Care; Department of Family Medicine and Community Health

Publication Date


Document Type



Behavioral Medicine | Family Medicine | Health Psychology | Integrative Medicine | Medical Education | Mental and Social Health | Primary Care | Psychiatry and Psychology


BACKGROUND AND OBJECTIVES: There are several trends compelling physicians to acquire team-based skills for interprofessional care. One underdeveloped area of team-based skills for physicians is integrated behavioral health (IBH) in primary care. We used a Delphi method to explore what skills were needed for residents to practice integrated behavioral health.

METHODS: We conducted a literature review of IBH competencies and found 41 competencies across seven domains unique to physicians. Using a modified Delphi technique, we recruited family medicine educators to rate each competency as "essential," "compatible," or "irrelevant." We also shared findings from the Delphi study with a focus group for additional feedback.

RESULTS: Twenty-one participants (12 physicians, nine behavioral health providers) completed all three rounds of the Delphi survey resulting in a list of 21 competencies. The focus group gave additional feedback.

CONCLUSIONS: Participants chose skills that required physicians to share responsibilities across the entire care team, were not redundant with standard primary care, and necessitated strong communication ability. Many items were revised to reflect team-based care and a prescribed physician role as a team facilitator. Next steps include determining how these competencies fit with a variety of medical providers and creating effective training programs that develop competency in IBH.


Behavioral Sciences, Clinical Education Methods, Competency-Based Curriculum

DOI of Published Version



Martin M, Allison L, Banks E, et al. Essential Skills for Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study. Fam Med. 2019;51(3):227-233. doi: 10.22454/FamMed.2019.743181. Link to article on publisher's site

Journal/Book/Conference Title

Family medicine

Related Resources

Link to Article in PubMed

PubMed ID