University of Colorado P-4

1
University of Colorado P-4

• Dan Burke, MD
• Linda Montgomery, MD
• John Nagle

2
Summary of Innovations

• Doing
• Intentional Learning Chautauqua's
• Integrating Health Behavior and Community
• Compressing Medical Foundations Curriculum
• Creating Structure of Medical Home Curriculum
  (MHC)
• Clinical Advances
• To Do
• Content of MHC
• Expand Length of Residency
• (D/c Intern Clinics)

3
Intentional Learning

• Chautauqua's one month blocks during first year
  to focus on medical content
• Compress basic rotations into 19 months
• Four months of PCMH curriculum in second year
• Focus on continuity after 19 months with 6
  half-days per week of FMS time
• Protected time for PCMH curricula and focused
  areas of learning

4
Integration of Behavioral Sciences

• Grant funded
• Use of motivational interviewing
• Personal Health Plan development, self-management
  programs
• Psychiatry consultants on site
• Increasing number of psychologists on site for
  co-consults,

5
PCMH Curricula

• Still in development
• One half day per week with all second year
  residents
• Multi-disciplinary team meetings to review
  difficult patients
• Evaluating PCMH NCQA survey forms
• Individual resident projects
• Colorado Residency PCMH project with learning
  collaborative and practice coach

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Clinical Innovations

• State of the Art Facility
• EMR (Touchworks Allscripts)
• Disease registry and management (CINA)
• Open Access
• Multi-disciplinary pharmacy, behavioral health,
  care manager, podiatry