Evidence map›Paper›PMID 29782601›Full record

ArticlePRiMER (Leawood, Kan.)2018

Patient-Centered Medical Home Status and Preparedness to Assess Resident Milestones: A CERA Study.

Thad Wilkins, Wonsuk Yoo, Ralph A Gillies, Julie Dahl-Smith, Jacqueline Dubose, Joseph Hobbs, Selina Smith, Dean A Seehusen

Abstract read
In one paragraph

Article in PRiMER (Leawood, Kan.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Thad WilkinsDepartment of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Wonsuk YooInstitute of Public & Preventive Health and College of Dental Medicine at Augusta University, Augusta, GA.
Ralph A GilliesDepartment of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Julie Dahl-SmithDepartment of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Jacqueline DuboseDepartment of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Joseph HobbsDepartment of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Selina SmithInstitute of Public & Preventive Health and Department of Family Medicine at the Medical College of Georgia at Augusta University, Augusta, GA.
Dean A SeehusenDepartment of Family and Community Medicine, and Department of Graduate Medical Education, Eisenhower Army Medical Center, Fort Gordon, GA.

Funding

Efficacy-to-Effectiveness Transition of an Educational Program to Increase Colorectal Cancer ScreeningR01CA166785 · NCI · MOREHOUSE SCHOOL OF MEDICINE · PI HOBBS, JOSEPH · 2012 to 2016
$2.2M
NCI NIH HHS R01 CA166785
6 · The paper itself

Abstract

purposeThe patient-centered medical home (PCMH) model has been proposed as the ideal model for delivering primary care and is focused on improving patient safety and quality, reducing costs, and enhancing patient satisfaction. The mandated Accreditation Council for Graduate Medical Education educational milestones for evaluation of resident competency represent the skills graduates will utilize after graduation. Many of these skills are reflected in the PCMH model. We sought to determine if residency programs whose main family medicine (FM) practice sites have achieved PCMH recognition are therefore more prepared to evaluate milestones.

methodA national Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine program directors (PDs) was conducted during June and July 2015 to determine if PCMH recognition influences PDs' ability to evaluate training methods and their level of preparedness to evaluate milestones.

resultsThe response rate for the survey was 53.3% (252/473). Nearly two-thirds of the PDs (62.7%) reported that their main FM practice site had earned PCMH recognition. There was no statistical difference between non-PCMH-recognized vs PCMH-recognized programs in how PDs perceived that their program was prepared to assess residents' milestone levels overall (

conclusionsPCMH recognition itself did not improve preparedness of FM residency programs to assess milestones. Residents from programs whose main FM practice site is PCMH-recognized are more likely to be trained in the key concepts and tasks associated with the PCMH model, tools that they are expected to utilize extensively after graduation.

Identifiers

PMID29782601
PMCPMC5959039

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.