Patient focused Practice Improvement

Department:

 Family Medicine

Specific Location:

One of AppNET’s 17 rural clinic sites
more info

Instructor:

N/A

Responsible Faculty:

Fred Tudiver, MD

423-439-6738

tudiverf@etsu.edu

Contact Person:

Hazel Robinson

423-439-4685

robinsoh@etsu.edu

Initial Meeting-Place and Time:

 TBA

Periods Offered:

 all

Maximum Students per Period:

 2

Goal:

 This two-week rotation is as a rural family medicine patient-provider interaction driving practice improvement. The student will participate in skill development that leads to improved patient outcomes.

Objectives:

 What is the student expected to do in order to demonstrate mastery and accomplish the goal?

• Learn basic practice improvement (PI) skills they can take into future clinical practice.

• See patients at a rural primary care clinic and participate in a PI project.

At the conclusion of this rotation, the student should be able to: 

• understand the basics of PI

• formulate and plan a PI project for a rural practice

• complete standard PI forms

• provide input into possible improvements into clinic operation

Course Outline:

 The student will work with the Practice Enhancement Assistant assigned to the clinic. The clinics are a part of AppNET, the Central Appalachian Practice Based Research Network located in SW Virginia and East Tennessee. The student will select to work in one of AppNET’s 17 sites, (see attached for the 17 sites) and see patients with the supervision of one or more primary care providers. In the initial few days the student will start developing a practice improvement idea based on the patients they see. They will attend several online didactic sessions on PI, and work with the Practice Enhancement Assistant and center staff (as needed) to develop or implement an evidence-based plan for a PI project for the center.

Methods of Instruction and Distribution of Student's Time
Methods of Instruction % Time
Case-based learning
Conference (informal topic centered meeting)
Directed study block (instructor assigns topic)
Exams
Laboratory: type?
Lectures (Instructor formally speaks before a group on a subject)
Observation
Patient care activities:
  Inpatient
  Outpatient

30
  Other: (describe)
Preceptorship
Review
Self-directed learning- (student sets the topic)

10
Web-based course material

10
Other:

50

Methods of Evaluation:

 The student will have to complete several standard practice improvement forms, such as the PSDA cycle and the Setting Aims/Goals and Planning Change forms. In addition, the student will have to orally present their PI project plan to an audience of clinic staff and a Practice Enhancement Assistant who will be grading the student along with Dr. Tudiver.

Proposed Rotation Schedule:

 TBA

# of hours per week the student is expected be involved in this rotation:

 40

Housing

 lodging if needed for all 17 sites

Mileage

 reimbursed for all 17 sites

Per-diem

 food reimbursed if over-nighting