TEACHING RESIDENTS THE KNOWLEDGE, SKILLS AND ATTITUDES TO LEAD GROUP MEDICAL VISITS

TEACHING RESIDENTS THE KNOWLEDGE, SKILLS AND ATTITUDES TO LEAD GROUP Mary R Talen, Ph.D MEDICAL VISITSAnuj Shah, MD MacNeal Family Medicine Berwyn, IL 60402 mtalen@macneal.com specimenanuj@yahoo.com 2 Introduction and Objectives  Challenges in Teaching Residents about GMV  Goals and Objectives in Teaching GMV  Meta-Model for Teaching GMV     Knowledge Skills Attitudes Summary and Discussion What are you doing? 3 4 Challenges to Teaching GMV Content Process  Chronic Disease Management Models  Non-traditional models for healthcare  Undefined GMV curriculum  Non-traditional curriculum  Goals and Expectations   Content Process 5 Challenges in Teaching GMVs Traditional  Passive Collaborative     Expert Bio-medical treatment approaches    Advice Giving Interactive Shared Collective experiences Promote Psychosocial Health Behaviors Self-efficacy and empowerment 6 A Meta Model: The Mirror Effect  Teach Residents to Teach Patients 7 Meta Model for Teaching GMV Content  Knowledge  Skills  Attitudes Process  Shared collaborative learninglistening  Teamwork and cooperative planning  Self-efficacy and support Meta Model of GMV 8  Knowledge  Skills  Attitudes Patient Knowledge 9 Content  Chronic Disease Management:      Physiology Labs Medications Standards of Care Process  Interactive Didactics  Score Card Review  Small Group Activities Health Behaviors    Diet Exercise Stress Management Resident Knowledge 10 11 Content    Chronic Disease Management: Diabetes  ADA Guidelines  Health Behaviors Process  Interactive Didactics  Exploratory Learning  Community resources  Literature Review  Sharing Resources  Endocrine Rotation  Practice Psychosocial Factors and Chronic Disease GMV Practice Management  History  Relevance Patient Skills 14 Content  Health Behaviors    Process  medical care diet choices exercise options    Goal Setting Experiential Learning Individual Assessments Group Activities Worksheets  Check-in Progress  Follow-up goal Resident Skills 15 Content  Promoting Health Behaviors Change    Process  Motivational interviewing Goal setting Group Facilitation Skills Experiential Learning   Planning Group Activities GMV Experience   Teamwork Negotiation Skills Meta Model of GMV 16  Knowledge  Skills  Attitudes Patient Attitudes 17 Content  Self-Efficacy Process  Build Confidence and Competency    Peer Support  Identify areas of progress: Score Cards Reinforce progress Sharing Experiences Resident Attitudes 18 Content   Self Efficacy Peer Support Process  Competency and Confidence  Patient-centered care  Facilitating group communication  Teamwork  With residents With patients  Resident Team Planning Session: Role-Play 19 20 Role-Play: Discussion questions Content  What theme did you come up with?  What skills and interests did you identify from the group? Process     What obstacles did you face? How did you come up with the theme? How did you negotiate varying skills/interests? How did you overcome the obstacles? 21 Identifying Strengthens and Obstacles Group Facilitation Skills     Elicit resident experience Facilitate selfmanagement/learnin g Group problem solving Structuring role, tasks, and time Obstacles and limitations      Limited time Schedule conflicts Limited experience with group dynamics Personal style differences Different Agendas/interests ACGME Competencies 22 Content  What competencies were addressed? Process  How were they evaluated? 23 GMV: Putting it All Together  How to Read Food labels   Blinded Taste Testing: Food Portions  Summer Picnic vs Family Birthday Party 24 GMV: Putting It All Together  Diabetes and Organ Function   sugar, fat and blood vessels: Exercise and Goal Setting 25 Knowledge, Skills, Attitudes 26 Meta Model for Teaching GMVs  Knowledge  Skills  Attitudes Summary 27 Lessons Learned    Schedules and Rotations Resident Experiences Healthcare Team Investment    Staff Faculty Patients Future Plans     Scheduled part of the curriculum Peer Evaluation Research Expansion   More types of Visits Other Residencies 28 Discussion Strengths Obstacles Future Plans ... Introduction and Objectives  Challenges in Teaching Residents about GMV  Goals and Objectives in Teaching GMV  Meta-Model for Teaching GMV     Knowledge Skills Attitudes Summary and Discussion... Together  Diabetes and Organ Function   sugar, fat and blood vessels: Exercise and Goal Setting 25 Knowledge, Skills, Attitudes 26 Meta Model for Teaching GMVs  Knowledge  Skills  Attitudes Summary... Content  What theme did you come up with?  What skills and interests did you identify from the group? Process     What obstacles did you face? How did you come up with the theme? How did