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

TEACHING RESIDENTS THE KNOWLEDGE, SKILLS AND ATTITUDES TO LEAD GROUP MEDICAL VISITS Mary R..  Goals and Objectives in Teaching GMV Meta-Model for Teaching GMV... Challenges to Teaching

TEACHING RESIDENTS THE KNOWLEDGE, SKILLS AND

ATTITUDES TO LEAD GROUP MEDICAL VISITS

Mary R Talen, Ph.D Anuj Shah, MD

MacNeal Family Medicine Berwyn, IL 60402

mtalen@macneal.com

specimenanuj@yahoo.com

 Goals and Objectives in Teaching GMV

 Meta-Model for Teaching GMV

What are you doing?

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Challenges to Teaching GMV

healthcare

 Non-traditional curriculum

Challenges in Teaching GMVs

 Promote Psychosocial Health Behaviors

 Self-efficacy and empowerment

A Meta Model: The Mirror Effect

 Teach Residents to

Teach Patients

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Meta Model for Teaching GMV

 Knowledge

 Skills

 Attitudes

 Shared collaborative learning-

listening

 Teamwork and cooperative planning

 Self-efficacy and support

 Score Card Review

 Small Group Activities

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 Exploratory Learning

 Community resources

 Literature Review

 Sharing Resources

 Endocrine Rotation

 Practice Management

 Behavioral Health Rotation

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Patient and Resident

Knowledge

 EYES: Ophthalmologist visit yearly LIPids: LDL goal < 70, Trig < 150, HDL > 40 HEART: ECG on chart ARTery: BP < 130/80, < 125/75 if nephropathy

START treadmill: ETT if two CAD risk factors

or if starting exercise

STOMACH: Diabetic gastroparesis: Reglan KIDNEY: Urine albumin / creatinine ratio < 20,

check annually, treat with ACE and/or ARB

GENITALS: Ask about sexual dysfunction ASSpirin

(ASS)Immunizations: Pneumovax-23, Flu, Td FEET: Examine every visit,

monofilament exam q 6 – 12 months, podiatry referral if deficits

HUG A LOG: HgA1c q 3 – 4 months,

evaluate glucose log q visit

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Example: Patient-Centered Score Card

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 Individual Assessments Group Activities

 Worksheets

 Check-in Progress

 Follow-up goal

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Resident Skills

 Promoting Health

Behaviors Change

 Motivational interviewing

 Planning Group Activities

 GMV Experience

 Teamwork

 Negotiation Skills

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Patient Attitudes

 Self-Efficacy

 Peer Support

 Build Confidence and Competency

 Identify areas

of progress: Score Cards

 Reinforce progress

 Sharing Experiences

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Resident Attitudes

 Self Efficacy

 Peer Support

 Competency and Confidence

Resident Team Planning Session: Role-Play

Role-Play: Discussion

questions

 What theme did

you come up with?

 What skills and

interests did you

identify from the

group?

 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?

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 Personal style differences

 Different Agendas/interests

Group Facilitation Skills Obstacles and limitations

ACGME Competencies

 What

competencies were addressed?

 How were they evaluated?

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GMV: Putting it All Together

 How to Read

Food labels

 Blinded Taste Testing:

 Food Portions

 Summer Picnic

vs Family Birthday Party

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GMV: Putting It All Together

Knowledge, Skills, Attitudes

Strengths Obstacles Future Plans

Discussion