title: Implementing teams in a patient-centered medical home residency practice: lessons learned.
abstract: BACKGROUND
  The "new model of care" calls for a new approach for primary care delivery that focuses on patient centeredness, quality, safety, effective and efficient care, and interdisciplinary teamwork. Medical education needs to parallel this health care reorganization. Implementing a team approach in a residency practice, especially in ambulatory settings, poses unique challenges.
  
  
  METHODS
  We introduced interdisciplinary teams in a family medicine residency site, integrating clinical and educational objectives.
  
  
  RESULTS
  We report our challenges and successes in the transformational journey to a patient-centered medical home, for which a team approach is critical to achieving high quality care.
  
  
  CONCLUSIONS
  Establishing high-functioning interdisciplinary teams takes leadership commitment; the engagement of everyone in the practice; investment in staff, resident, and faculty development; and clear communication of vision and goals. Integration of clinical and educational objectives can be powerfully synergistic. Clinical, organizational, and educational outcomes are needed to evaluate impact.
authors.affiliation: Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Rochester Hills, MI, USA. tmarkova@med.wayne.edu
authors.forename: Tsveti
authors.initials: T
authors.lastname: Markova
authors.forename: Maribeth
authors.initials: M
authors.lastname: Mateo
authors.forename: Linda M
authors.initials: LM
authors.lastname: Roth
mesh_terms: D003299:Cooperative Behavior; D003479:Curriculum; D003695:Delivery of Health Care / Q000458:organization & administration; D005180:Faculty, Medical; D005194:Family Practice / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D007396:Internship and Residency / Q000458:organization & administration*; D008824:Michigan; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*