Dr. Rosemarie Conigliaro, Director of the Internal Medicine Residency Program, and Dr. Kevin Hauck, a former resident, were recently featured in a video interview about the Residency Program's newly implemented Patient-Centered Medical Home (PCMH) rotation.
The PCMH is a primary care model that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It emphasizes care coordination and communication, facilitating partnerships between patients, physicians, and when appropriate, patients' families.
The PCMH encourages a more equal partnership between providers and patients, emphasizing medical decisions that respect patients’ unique needs, culture, values, and preference, and providing patients with the information, education, and support to make decisions and participate in their own care.
A team of care providers, which might include physicians, nurse educators, physician assistants, nurses, pharmacists, nutritionists, social workers, and care coordinators, is accountable for patients' physical and mental health care needs, including prevention and wellness, acute care, and chronic care. Care is coordinated across the broader health care system, including specialty care, hospitals, home health care, community services and support.
Spearheaded by Dr. Conigliaro, this rotation exposes residents to important concepts related to panel management, coordinated care, and other key elements of practicing in a PCMH. During the PCMH rotation, residents attend team meetings with physicians, diabetic educator, pharmacist, social worker, as well as other support staff at the various Montefiore Medical Center outpatient sites. The rotation offers the opportunity for residents to see first-hand how each team member contributes to the care of the patient.
Kevin Hauck, MD
In his portion of the interview, Dr. Hauck discussed the PCMH rotation and how it has influenced his experience in working in the primary care clinic at Montefiore. "The PCMH stresses efficiency, and strives to make the best use of everybody's skill set," said Dr. Hauck. "You are part of the team who is taking care of the patient, and when this is running well, doctors are freed up to do doctor things, with the support of nurses and allied health professionals working together to take care of patients."
"[The PCMH shows] how you can maximize the utilization of other resources, like nurses and nurse educators," said Dr. Conigliaro. "You can get other people in play so you're not the only one taking care of the patient, yet you can spend more time face to face with the patient."