| Autor: |
Brent W Beasley, Bernadette Miller, Michael Weisz, Kim Johnson |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Journal of Regional Medical Campuses, Vol 1, Iss 2 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
2576-5558 |
| DOI: |
10.24926/jrmc.v1i2.62 |
| Popis: |
Background: In 2015 our residency program located within a regional medical campus was placed on probation. Five of the 13 citations were related to the residents’ clinic experience. The resident clinic was encased within a medical culture of chronic opiate prescription management that did not provide a sufficient or balanced ambulatory education for internal medicine residents. Objective: This paper describes our experience of moving from a residency program within a regional medical campus on probation to full accreditation status over a 19-month time period. Methods: We used a project management approach with a strong coordinating council designed to empower leaders to effect change in the residency program, and in particular, the residency clinic. Results: We were able to create and enact a plan that extricated the residency’s ambulatory clinic from managing a panel of ~700 patients requiring chronic monthly opiate prescriptions. The patients were referred to community pain management providers for these prescriptions. We established a policy of providing no chronic opiate prescriptions in the residency clinic. Residency ACGME surveys from 2015 through 2017 demonstrated improved resident satisfaction. CG-CAHPS scores demonstrated a temporary decrease in patient satisfaction scores returning to previous baseline after a year. Conclusion: We employed a project management approach to 1) get our program off probation, and 2) change the focus of our residency’s ambulatory practice and re-establish its educational mission. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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