Team-based Learning and Improvement

With a focus on Population Health, Quality Improvement & Health Equity

Population health is an important skill for any community-based family physician. Yet, physicians cannot hope to improve the health of communities or populations without having the tools to identify health inequities and implement change. Team time is designed to learn about these core topics in an interactive, participatory and collaborative way, while utilizing and building upon the strengths of your FMC teamlet. Upon completion of this experience you will be able to:

  • Describe basic QI tools (process map, run chart, root cause analysis, audit, PDSA) 

  • Describe QI methodology (model for improvement, Lean)

  • Utilize at least 1 tool in a QI project

  • Examine health inequities in Cincinnati related to DM, HTN, and smoking using geospatial mapping tools (UDS mapper, HealthLandscape)

  • Create a registry of your patients and evaluate the state of their chronic conditions & preventive health for a1c, BP, and colonoscopy

  • Explore your leadership style

Drs Spata and Rich provide oversight for the experience. If you have questions about the experience or need to schedule a meeting to complete course requirements, you can email Dr Spata or email Dr Rich

Each teamlet will have at least one upper-level resident in the role of the FMC team leader as well as a faculty mentor.

  • Red Team: FMP R5’s and FM R3’s for team leaders, Dr Spata as faculty mentor

  • Blue Team: FM R3’s for team leaders, Dr Hartmann as faculty mentor

  • Yellow Team: FM R3’s for team leaders, Dr Lazaron as faculty mentor.

Teaching Logistics

During your designated Team Time, you will meet your teamlet in the Centering Room. Please arrive at 7:30a for a brief outpt teaching session.

  • Red Team: Monday mornings

  • Blue Team: Tuesday mornings

  • Yellow Team: Thursday mornings

Structure

The 4 hours of team time (8a until noon) follow roughly the same structure each time:

  • 7:40 am: FMC teaching topic (led by faculty and senior residents)

  • 8 am: Team building and wellness activities

  • 9 am: FMC Lab — answering real time questions about your in-basket, outpatient phone calls and Epic.

  • 10 am: independent study. Each year of training will follow a different schedule. Please download your schedule here:

    • FM R1’s (topics: QI, patient centered care and health equity)

    • FM R2’s (topics: population health, social determinants and patient safety)

    • FM R3’s (topics: leadership, advocacy and public health/policy)

  • 11 am: Project time. this will be done individually, in pairs, and as a team. Please reference your schedule for guidance.

  • You can find an overview of the yearlong curriculum structure for FM residents here and for FMP residents here.

  • Checklists of assignments by year can be found at the links below.

  • Self study resources are located below, organized by year of training.

 

Materials

  • Modules:

    • The only module that requires a login is IHI Open School. Please register for your free account.

    • For the STFM Advocacy Modules, you must “purchase” them (they cost nothing but you must go through the check out process). If you have problems with this, please contact Dr Rich.

    • See above to links for the other modules

  • Readings

    • All book chapters are scanned in for easy access

    • All articles have links attached

  • Podcasts & webinars

    • All are free with links provided.

  • Other assignments and materials

    • Most assignments will be turned in via online submission. They will go directly to Dr Rich or Dr Spata who will then email you any feedback.

    • If a link is broken or you are unsure how/where to turn in an assignment, please contact Dr Rich for instructions.

  • Experiential learning

    • For all meetings and observation experiences, please ask your faculty mentor at the beginning of the team time session