Implementing the patient‑centered medical home in residency education

Benjamin R. Doolittle, Daniel Tobin, Inginia Genao, Matthew Ellman, Christopher Ruser, Rebecca Brienza

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: In recent years, physician groups, government agencies and third party payers in the United States of America have promoted a Patient‑centered Medical Home (PCMH) model that fosters a team‑based approach to primary care. Advocates highlight the model’s collaborative approach where physicians, mid‑level providers, nurses and other health care personnel coordinate their efforts with an aim for high‑quality, efficient care. Early studies show improvement in quality measures, reduction in emergency room visits and cost savings. However, implementing the PCMH presents particular challenges to physician training programs, including institutional commitment, infrastructure expenditures and faculty training. Discussion: Teaching programs must consider how the objectives of the PCMH model align with recent innovations in resident evaluation now required by the Accreditation Council of Graduate Medical Education (ACGME) in the US. This article addresses these challenges, assesses the preliminary success of a pilot project, and proposes a viable, realistic model for implementation at other institutions.

Original languageEnglish (US)
Pages (from-to)74-78
Number of pages5
JournalEducation for Health: Change in Learning and Practice
Issue number1
StatePublished - Jan 1 2015

All Science Journal Classification (ASJC) codes

  • Education


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