Enhancing Team-Based Skills in Primary Care: A Competency-Based Approach to Training and Workforce Development

2018 ◽  
pp. 37-62
Author(s):  
C. R. Macchi ◽  
Rodger Kessler
Keyword(s):  
Primary Care ◽  
Workforce Development ◽  
Competency Based

Use of Competency-Based Self-Assessments and the MCH Navigator for MCH Workforce Development: Three States’ Experiences

2014 ◽  
Vol 19 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Michael D. Warren ◽  
Suzanna D. Dooley ◽  
Meredith J. Pyle ◽  
Angela M. Miller
Keyword(s):  
Workforce Development ◽  
Competency Based ◽  
Self Assessments

scholarly journals BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT TO IMPROVE DEMENTIA CARE IN INTEGRATED PRIMARY CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S379-S380
Author(s):  
Laura O Wray ◽  
Bonnie M Vest ◽  
Laura Levon Brady ◽  
Paul R King
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Workforce Development ◽  
Professional Education ◽  
Interprofessional Collaboration ◽  
Dementia Care ◽  
Veterans Health ◽  
Health Providers ◽  
Health Administration ◽  
People With Dementia

Abstract People with dementia (PwD) receive most of their health care in primary care, yet timely recognition and optimal management of dementia in that setting continues to be challenging. Implementation of primary care medical home models in the Veterans Health Administration (VHA) holds promise for improving quality and coordination of dementia care through interprofessional collaboration. Integrating behavioral health providers (BHPs) into primary care may help to support the care of people with dementia and their families. However, most integrated BHPs have a generalist training background and likely require professional education to address the unique needs of patients with dementia. We will describe findings from a national VHA education needs survey of integrated BHPs and an in-depth qualitative study examining primary care for PwD in two large VHA healthcare systems. We will discuss how geriatric experts can serve as trainers to address current gaps in primary care of PwD.

scholarly journals OVERVIEW: THE VA GERIATRIC SCHOLARS PROGRAM FOR PRIMARY CARE WORKFORCE DEVELOPMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S765-S766
Author(s):  
Josea Kramer ◽  
Joe Douglas ◽  
Shawn Clarke ◽  
Luis Melendez
Keyword(s):  
Primary Care ◽  
Workforce Development ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Potentially Inappropriate Medications ◽  
Primary Care Workforce ◽  
Core Components ◽  
Intensive Course ◽  
The Impact ◽  
Inappropriate Medications

Abstract The VA has invested in developing the skills of its primary care workforce through the longitudinal Geriatric Scholars Program. The program consists of core components --- intensive course in geriatrics, intensive workshop in quality improvement (QI) and initiation of a micro QI projects in the Scholar’s clinic; electives allow learners to tailor the program to self-identified gaps in knowledge, skills and competencies. The program has demonstrated direct impacts of continuing education through a workforce development process that enhances skills and competencies at a pace and selection that meets clinicians’ self-identified gaps in training. Now in its 11th year, the program has been shown to increase career satisfaction and job retention, standardize provider behaviors, improve clinical decision-making and reduce dispensing of potentially inappropriate medications. This symposium further explores the impact of the program on individual clinicians and on clinical teams.

scholarly journals INFLUENCING STUDENT SPECIALTY CHOICE: THE 4 PILLARS FOR PRIMARY CARE PHYSICIAN WORKFORCE DEVELOPMENT

2015 ◽  
Vol 13 (5) ◽  
pp. 494-495 ◽  
Author(s):  
C. Matson ◽  
A. Davis ◽  
J. Epling ◽  
J. Freeman ◽  
T. Iroku-Malize ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Workforce Development ◽  
Care Physician ◽  
Specialty Choice ◽  
Physician Workforce

scholarly journals Implementation of pharmacist-led services in primary care: A mixed-methods exploration of pharmacists’ perceptions of a national educational resource package

2021 ◽  
Vol 19 (3) ◽  
pp. 2440
Author(s):  
Kate Preston ◽  
Natalie M. Weir ◽  
Tanja Mueller ◽  
Rosemary Newham ◽  
Marion Bennie
Keyword(s):  
Primary Care ◽  
Hard Copy ◽  
Educational Resource ◽  
Online Questionnaire ◽  
Job Experience ◽  
Clinical Pharmacists ◽  
Implementation Outcomes ◽  
Training Event ◽  
Competency Based ◽  
National Training

Background: To help alleviate the global pressure on primary care, there has been an increase in the number of clinical pharmacists within primary care. Educational resources are necessary to support this workforce and their development within this role. An educational resource package was developed in Scotland to support the General Practice Clinical Pharmacists (GPCPs), containing a hard copy Competency and Capability Framework (CCF), an online platform (TURAS) and both clinical and educational supervisors in 2016. Objective: To examine the implementation of a competency-based educational resource package through the exploration of pharmacists’ perceptions of its adoption, acceptability, appropriateness, and feasibility. Methods: Participants were GPCPs who had been part of a national training event between 2016 and 2018. The participants were given the opportunity to complete an online questionnaire or a semi-structured telephone interview. Both data collection tools were based on Proctor’s model of implementation outcomes: adoption, acceptability, appropriateness and feasibility. Areas covered included GPCPs’ perceptions and level of adoption of the educational resource package developed to support them in their role. Results: Of a potential 164 participants, 52 (31.7%) completed the questionnaire and 12 (7.3%) completed the interview. GPCPs indicated widespread adoption and were accepting of the resources; however, it was suggested that its value was undermined, as it was not associated with a qualification. The appropriateness and feasibility of the resources depended on GPCPs’ individual situation (including current role, previous job experience, time available, support received from peers and supervisors, and perceptions of resources available). Conclusions: The suitability of the CCF was evidenced by participants’ adoption and acceptance of the resource, indicating the necessity of a competence-based framework to support the GPCPs’ role. However, its suitability was hindered in terms of varied perceptions of appropriateness and feasibility. Despite the limited sample size, the results indicate that the value of these resources should be promoted across primary care; nevertheless further facilitation is required to allow GPCPs to fully engage with the resources.

scholarly journals Primary care workforce development in Europe: An overview of health system responses and stakeholder views

Health Policy ◽  
2018 ◽  
Vol 122 (10) ◽  
pp. 1055-1062 ◽  
Author(s):  
Ellen Kuhlmann ◽  
Peter P. Groenewegen ◽  
Christine Bond ◽  
Viola Burau ◽  
David J. Hunter
Keyword(s):  
Primary Care ◽  
Health System ◽  
Workforce Development ◽  
Stakeholder Views ◽  
Primary Care Workforce

scholarly journals Substance misuse in later life: challenges for primary care: a review of policy and evidence

2019 ◽  
Vol 20 ◽  
Author(s):  
Rahul Rao ◽  
Ilana Crome ◽  
Peter Crome ◽  
Steve Iliffe
Keyword(s):  
Primary Care ◽  
Older People ◽  
Workforce Development ◽  
Substance Misuse ◽  
Treatment Effectiveness ◽  
Public Health Problem ◽  
Later Life ◽  
Added Value ◽  
Service Development ◽  
Treatment Implementation

Abstract Background Substance misuse in older people represents a growing clinical and public health problem within primary care. Aim The aim of article is to explore policy and research evidence for informing best practice in the assessment, treatment effectiveness, treatment implementation and approaches to recovery for older people with substance misuse in primary care. Methods Relevant search terms were used to examine the databases MEDLINE, EMBASE, CINAHL and PsychINFO up to January 2016. Results An age-sensitive approach is required to overcome barriers to assessment. Training is essential for developing relevant knowledge, skills and attitudes. Clinical audit be used to develop care pathways, particularly for older people with dual diagnosis. There is also a need to develop closer links between primary care and the secondary care specialties, as well as added value in working with carers and voluntary agencies. Discussion Further research is needed to inform more effective approaches to treatment. Adequate funding for workforce development and quality improvement in service development are also essential to improve health outcomes and quality of life in older people with substance misuse.

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