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

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 n...

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Main Authors: Amy Thompson, Emily Ashjian, Kellie Kippes
Format: Article
Language:English
Published: University of Minnesota Libraries Publishing 2025-01-01
Series:INNOVATIONS in Pharmacy
Subjects:
Online Access:https://pubs.lib.umn.edu/index.php/innovations/article/view/5646
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author Amy Thompson
Emily Ashjian
Kellie Kippes
author_facet Amy Thompson
Emily Ashjian
Kellie Kippes
author_sort Amy Thompson
collection DOAJ
description 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 on. 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 our 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. The majority (86.7%) practiced in primary care and/or population health. Identified strengths of the experience included increased resident confidence in the following areas: independent practice model (100% indicated positive impact), having their own Collaborative Practice Agreement (86.7%), and building rapport with patients (80%) and providers (73.3%). Implications: An independent PCMH rotation during PGY2 Ambulatory Care training has a positive impact on post-residency clinical confidence.
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spelling doaj-art-04af7b27e1cc4d8ea28ad6a6b2f5270b2025-02-09T21:38:40ZengUniversity of Minnesota Libraries PublishingINNOVATIONS in Pharmacy2155-04172025-01-0115410.24926/iip.v15i4.5646Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency ConfidenceAmy Thompson0Emily Ashjian1Kellie Kippes2University of Michigan College of PharmacyUniversity of Michigan College of PharmacyMichigan Medicine 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 on. 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 our 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. The majority (86.7%) practiced in primary care and/or population health. Identified strengths of the experience included increased resident confidence in the following areas: independent practice model (100% indicated positive impact), having their own Collaborative Practice Agreement (86.7%), and building rapport with patients (80%) and providers (73.3%). Implications: An independent PCMH rotation during PGY2 Ambulatory Care training has a positive impact on post-residency clinical confidence. https://pubs.lib.umn.edu/index.php/innovations/article/view/5646pharmacy residentambulatory careCollaborative Practice Agreement
spellingShingle Amy Thompson
Emily Ashjian
Kellie Kippes
Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
INNOVATIONS in Pharmacy
pharmacy resident
ambulatory care
Collaborative Practice Agreement
title Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
title_full Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
title_fullStr Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
title_full_unstemmed Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
title_short Impact of an Independent Patient Centered Medical Home Clinic Experience during Residency Training on Post-Residency Confidence
title_sort impact of an independent patient centered medical home clinic experience during residency training on post residency confidence
topic pharmacy resident
ambulatory care
Collaborative Practice Agreement
url https://pubs.lib.umn.edu/index.php/innovations/article/view/5646
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AT emilyashjian impactofanindependentpatientcenteredmedicalhomeclinicexperienceduringresidencytrainingonpostresidencyconfidence
AT kelliekippes impactofanindependentpatientcenteredmedicalhomeclinicexperienceduringresidencytrainingonpostresidencyconfidence