Transformation of Care Curriculum
Family medicine, as a primary care discipline, continually evolves to meet the changing needs of our patients and the changes in our healthcare system. During this exciting transformation, we want to identify new ways to train our student learners so they will be able to assume key roles in a new model of care. The Transformation of Care Curriculum (TCC) is an educational innovation that provides students core knowledge and skills for practice transformation. This four-year curriculum includes an early clinical experience as a member of an inter-professional healthcare team, followed by a population health management course in the second year that complements the core curriculum. The third and fourth years of the TCC include workshops that support the students' transition to clinical training and electives that continue to develop skills to care for vulnerable populations.
What is the TEAM Clinic?
We strive to provide high quality care for all of our patients and created a new collaboration to continually guide quality improvement. The Population Medicine Innovation Team (PMIT) is centrally located in our Lexington location, but serves all four DFCM outpatient clinics. Each medical director collaborates with PMIT to improve the quality of care and services with a focus on specific metrics established by UK Healthcare. PMIT's work is asynchronous so that improvement projects can be managed successfully without impeding clinic operations.
The first year experience is the TEAM clinic that serves to Teach students, Empower patients, Act collaboratively and Meet health goals. This is an opportunity for students to engage in interprofessional, team-based care for medically and socially complex patients. In addition to the experience of interprofessional practice and education, students will learn core collaboration skills through TED talks, guided reflection and discussion. Students will meet with the TEAM and participate in the TEAM Clinic one afternoon per month over the course of the first year.
The TEAM clinic sets the groundwork for a second year experience in population health. Students will learn how individual patient characteristics, risk factors and health status are reflected at the population level. This may include leveraging data to identify care gaps and identifying root causes of health disparities among TEAM clinic patients. Students will meet once per month to learn to analyze aggregate data and to learn how this information can be applied to improve clinical processes.
Transition to clinical practice
In the third year, students will have two final workshops to support them in applying transformation of care skills to their new settings and to reflect on the transition to practice.
Care of Vulnerable Populations Elective
Students may choose to pursue an elective in the fourth year to further develop clinical or leadership skills in transformation of care. The focus of this elective would be application of these skills in the setting of a patient population with identified health disparities.
Keisa Fallin-Bennett, MD, MPH
Carol Hustedde, PhD