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Department of Family Medicine and Community Health

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Health Services Administration | Interprofessional Education | Primary Care | Quality Improvement


Introduction: As more practices move to patient-centered medical home (PCMH) models, future health care professionals must train to work in collaborative settings. We implemented a 3-hour workshop for multidisciplinary trainees on the PCMH principles of access and continuity based on the EFECT framework (eliciting a patient-centered narrative, facilitating an interprofessional team discussion, evaluating the clinical evidence, creating a shared care plan, and tracking outcomes).

Methods: Participants included internal medicine residents and medical, physician assistant (PA), and clinical psychology students. The workshop incorporated reflective activities identifying patient and provider health care delivery priorities, plus a PCMH presentation and group activities focusing on access and continuity. Evaluations were analyzed qualitatively and quantitatively.

Results: The workshop had 39 participants (seven physicians, one PA, one educator, one psychologist, three staff, nine residents, one PA student, one psychology extern, and 15 medical students). On a 0-10 Likert scale (0 = don't agree at all, 10 = completely agree), learners reported higher knowledge of PCMH principles (M = 8.8), feeling better prepared for PCMH work (M = 8.6), and having obtained real-world skills (M = 8.3). Open-ended responses describing the workshop's take-home message included the role of patient-centeredness in clinical redesign, the value of the multidisciplinary team in optimizing access and continuity, and how to use a quality improvement approach for access and continuity.

Discussion: This workshop increased PCMH-related knowledge and encouraged discussion of professional roles within the team. Learners recognized the benefits of team-based rather than provider-centric approaches to access and continuity.


Access and Continuity of Care, Experiential Learning, Interdisciplinary Medicine, Internal Medicine, Interprofessional Education, Multidisciplinary Education, Patient-Centered Medical Home, Primary Care Training, Quality Improvement/Patient Safety

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Copyright © 2020 Block et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution license.

DOI of Published Version



Block L, Petersen C, Coletti DJ, Yalakkishettar P, LaVine N. Access and Continuity: A Multidisciplinary Education Workshop to Teach Patient-Centered Medical Home (PCMH) Principles. MedEdPORTAL. 2020 Oct 7;16:10974. doi: 10.15766/mep_2374-8265.10974. PMID: 33083534; PMCID: PMC7549388. Link to article on publisher's site

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MedEdPORTAL : the journal of teaching and learning resources

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.