Harald Lausen, DO, MA, FACOFP, FAAFP
Director, FCM Medical Student Education Clerkship
The required Year 3 Family and Community Medicine (FCM) Clerkship offers a 6 week block immersion experience with community-based preceptors or faculty members from the department’s four residency programs. Our goal is to provide an educational experience that emphasizes continuous comprehensive medical care within the context of the Patient-Centered Medical Home. Additionally, the curriculum promotes understanding of the core concepts of Family Medicine through elements of health policy, clinical epidemiology, preventive medicine, community oriented primary care, continuous quality improvement, medical informatics, practice management, and biopsychosocial issues. Current and previous components of the curriculum have been presented at international and national education meetings. Details regarding our curriculum may be found on the clerkship’s blackboard page hosted by the Southern Illinois University School of Medicine.
The FCM Clerkship has utilized community-based preceptors since 1981 and currently has over 160 board-certified family physicians located throughout the state of Illinois. Our preceptors have been instrumental in the FCM Clerkship’s achievement of excellent feedback and high ranking by medical students. Additionally, our students have rated the clerkship most positively with regards to respect, professionalism, and role modeling. Past student remarks have also consistently identified the following clerkship strengths: clerkship organization, faculty contact, patient number and variety, clinical autonomy, functioning as a team member, patient continuity, working in a community-based practice, and the opportunity to learn outside Springfield’s academic center. We believe these remarks to be reflective of the necessity to introduce the breadth and scope of the Patient-Centered Medical Home within a community-based block immersion experience.
Joint Principles of the Patient Centered Medical Home
American Academy of Family Physicians (AAFP)
American Academy of Pediatrics (AAP)
American College of Physicians (ACP)
American Osteopathic Association (AOA)
The Patient Centered Medical Home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.
The AAP, AAFP, ACP, and AOA, representing approximately 333,000 physicians, have developed the following joint principles to describe the characteristics of the PC-MH.
Personal physician - each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.
Physician directed medical practice – the personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.
Whole person orientation – the personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care.
Care is coordinated and/or integrated across all elements of the complex health care system (e.g., subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g., family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
Quality and safety are hallmarks of the medical home:
- Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
- Evidence-based medicine and clinical decision-support tools guide decision making
- Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
- Patients actively participate in decision-making and feedback is sought to ensure patients’ expectations are being met.
- Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication.
- Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
- Patients and families participate in quality improvement activities at the practice level.
Enhanced access to care is available through systems such as open scheduling, expanded hours and new options for communication between patients, their personal physician, and practice staff.
Payment appropriately recognizes the added value provided to patients who have a patient-centered medical home. The payment structure should be based on the following framework:
- It should reflect the value of physician and non-physician staff patient-centered care management work that falls outside of the face-to-face visit.
- It should pay for services associated with coordination of care both within a given practice and between consultants, ancillary providers, and community resources.
- It should support adoption and use of health information technology for quality improvement.
- It should support provision of enhanced communication access such as secure e-mail and telephone consultation.
- It should recognize the value of physician work associated with remote monitoring of clinical data using technology.
- It should allow for separate fee-for-service payments for face-to-face visits. (Payments for care management services that fall outside of the face-to-face visit, as described above, should not result in a reduction in the payments for face-to-face visits).
- It should recognize case mix differences in the patient population being treated within the practice.
- It should allow physicians to share in savings from reduced hospitalizations associated with physician-guided care management in the office setting.
- It should allow for additional payments for achieving measurable and continuous quality improvements.
American Academy of Family Physicians
American Academy of Pediatrics:
American College of Physicians:
American Osteopathic Association