Department of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
J Contin Educ Health Prof. 2022 Apr 1;42(2):144-147. doi: 10.1097/CEH.0000000000000427.
Formal training in practice transformation, leadership, clinical education, and/or the time to gain these skills are limited postresidency for primary care physicians and physician assistants. Therefore, we created a novel Primary Care Champions fellowship program that provides practical experiences in education, practice transformation, and leadership for primary care physicians and physician assistants in community practice. The purpose of this study is to describe the fellowship and evaluate feedback from the first cohort.
In the Jefferson Primary Care Champions Fellowship, fellows are provided protected time from clinical obligations to engage in didactic, informal, and experiential learning. They meet monthly and participate in student precepting training and receive mentorship from senior clinician administrators, scientists, educators, and population health researchers to hone skills for leadership and practice transformation endeavors. Cohort one began in September 2018. All fellows were family physicians from community-based practices in Philadelphia, PA (N = 4) and selected in collaboration with their practice leadership. Mixed-methods postprogram evaluations included Organizational Readiness Assessment and qualitative feedback.
Fellows denoted individual time, small-group mentorship, protected project time, and open-robust discussions about primary care most useful. Three fellows reported that they plan to continue their practice-improvement projects postfellowship and one published her initial project findings and reflections.
Overall feedback from the first cohort was positive. Fellows greatly appreciated structured time to explore primary care interests, contemplated long-term career prospects, and considered leadership opportunities. Cohort two is currently underway and cohort three is in recruitment.
对于基层医疗医生和医师助理来说，实践转化、领导力、临床教育方面的正规培训以及获得这些技能的时间在住院医师培训后都十分有限。因此，我们创建了一个新的基层医疗冠军研究员计划，为社区执业的基层医疗医生和医师助理提供教育、实践转化和领导力方面的实际经验。本研究的目的是描述该研究员计划，并评估第一期学员的反馈。
在杰斐逊基层医疗冠军研究员计划中，研究员将从临床工作中获得时间，以参与理论学习、非正式学习和体验式学习。他们每月开会一次，参与学生辅导培训，并接受资深临床管理人员、科学家、教育工作者和人口健康研究人员的指导，以磨练领导能力和实践转化工作的技能。第一期于 2018 年 9 月开始。所有研究员都是来自宾夕法尼亚州费城社区实践的家庭医生（N=4），并与他们的实践领导合作选择。方案后混合方法评估包括组织准备情况评估和定性反馈。
研究员表示个人时间、小组指导、受保护的项目时间以及关于基层医疗的开放性热烈讨论最有用。有三名研究员表示他们计划在研究员计划结束后继续进行实践改进项目，其中一名研究员发表了她的初始项目发现和反思。
第一期学员的总体反馈是积极的。研究员非常感谢有时间来探索基层医疗的兴趣、思考长期的职业前景并考虑领导机会。第二期正在进行中，第三期正在招募中。
