title: Assessing the impact of innovative training of family physicians for the patient-centered medical home.
abstract: BACKGROUND
  New approaches to enhance access in primary care necessitate change in the model for residency education.
  
  
  OBJECTIVE
  To describe instrument design, development and testing, and data collection strategies for residency programs, continuity clinics, residents, and program graduates participating in the Preparing the Personal Physician for Practice (P(4)) project.
  
  
  METHODS
  We developed and pilot-tested surveys to assess demographic characteristics of residents, clinical and operational features of the continuity clinics and educational programs, and attitudes about and implementation status of Patient Centered Medical Home (PCMH) characteristics. Surveys were administered annually to P(4) residency programs since the project started in 2007. Descriptive statistics were used to profile data from the P(4) baseline year.
  
  
  RESULTS
  Most P(4) residents were non-Hispanic white women (60.7%), married or partnered, attended medical school in the United States and were the first physicians in their families to attend medical school. Nearly 85% of residency continuity clinics were family health centers, and about 8% were federally qualified health centers. The most likely PCMH features in continuity clinics were having an electronic health record and having fully secure remote access available; both of which were found in more than 50% of continuity clinics. Approximately one-half of continuity clinics used the electronic health record for safety projects, and nearly 60% used it for quality-improvement projects.
  
  
  CONCLUSIONS
  We created a collaborative evaluation model in all 14 P(4) residencies. Successful implementation of new surveys revealed important baseline features of residencies and residents that are pertinent to studying the effects of new training models for the PCMH.
authors: Patricia A
authors: PA
authors: Carney
authors: M Patrice
authors: MP
authors: Eiff
authors: John W
authors: JW
authors: Saultz
authors: Erik
authors: E
authors: Lindbloom
authors: Elaine
authors: E
authors: Waller
authors: Samuel
authors: S
authors: Jones
authors: Jamie
authors: J
authors: Osborn
authors: Larry
authors: L
authors: Green