P⁴ : Preparing the Personal Physician for Practice

P⁴ Core Outcomes Review tool now online

The P⁴ Core Outcomes Review (PCOR) tool – created and maintained by the Oregon Health & Science University's Family Medicine Research program – allows P⁴ participants to review core data collected by the P⁴ Evaluation Team, and compare their program's results to those of the entire P⁴ population. To learn more and access the tool, click here.

P⁴ Innovation Updates
To read the latest descriptions of the residency program innovations in this updated PDF document, click here.

P⁴ is on Facebook!
Become a fan of P⁴ on Facebook. Click here to see photos from site visits, get the latest info and stay in touch with others who are passionate about residency innovation.

Dec 9, 2009 - The New Physician - a publication of the American Medical Student Association
Help wanted?
Dr. Larry Green of the department of family medicine at the University of Colorado is helping design primary care residency programs that will prepare the next generation of family doctors to practice this kind of medicine. Green believes that over the past decade, a consensus has developed that all roads lead to PCMH. Nonetheless, Green admits that all these roads go through some kind of payment reform. "My own view is that there is no choice but to continue to move forward with a new model of primary care," says Green, "but simultaneously, we must be working on changes in payment methods. If you ask, Which comes first, the chicken or the egg? the answer is yes." Meanwhile, says Green, there are lots of workarounds. The change is already being made by what Green describes as "innovative people who refuse to be held back by obsolete structures."

August 31, 2009 - AAFP News Now (ANN)
Academy's New Online Presentation Designed to Educate Medical Students About PCMH
"The Academy's Division of Medical Education and the Society of Teachers of Family Medicine's, or STFM's, Group on Predoctoral Education have designed two new online resources for medical students that explain the patient-centered medical home, or PCMH, and its importance to family physicians." Read more »

February 17, 2009 - AAFP News Now (ANN) Special Report
Family Medicine Residencies Are Incorporating Medical Home Model
While most family medicine residencies have implemented some portion of the patient-centered medical home model, the 14 residencies taking part in the P4 initiative are well down the road when it comes to educating future family physicians in PCMH. Perhaps spurred by the early successes of P4 residencies, other residency programs, such as the University of Kansas School of Medicine-Wichita Family Medicine Residency Program at Smoky Hill-Salina, are integrating PCMH into their curriculum, as well. The article includes interviews and updates from P4 partcipants Middlesex Hospital Family Medicine Residency Program, Hendersonville Family Medicine Residency, and University of Colorado Family Medicine Residency in Denver, as well as podcast interviews with residents from Smoky Hill which has recently engaged TransforMED for PCMH facilitaton and technical assistance services.

Read the article at AAFP News Now »
Read more about TransforMED and Smoky Hill »

About P⁴

The Preparing the Personal Physician for Practice (P⁴) Residency Demonstration Initiative is a 6–year, 14-site, national comparative case study of a spectrum of innovations associated with the Patient-Centered Medical Home in family medicine residency training.

The P⁴ initiative has the potential to inspire considerable changes in the content and structure of family medicine training. Findings from the project are expected to guide future revisions in accreditation and content and inform the following:

• How the residency can experience better alignment with new models of practice
• How to better assess and assure competency
• How to incorporate evidence-based medicine into daily clinical practice
• How residents can learn to work effectively in teams
• How residents can learn to use technology fully to measure and improve quality and outcomes
• More evidence to select training experiences that are effective in producing skilled personal physicians
• More about what teaching methods are effective
• More about what educational outcomes measures are meaningful
• More about how to finance new residency experiences and innovations
  

"We are strangely optimistic"
— Hendersonville Family Medicine Residency Program

The P⁴ initiative is a collaborative effort led by the P⁴ Steering Committee in conjunction with the Association of Family Medicine Residency Program Directors; the American Board of Family Medicine; TransforMED, a practice redesign initiative of the American Academy of Family Physicians; Oregon Health & Science University and the 14 P⁴ Innovators.