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Integrative Family Medicine Program

Maine Medical Center Family Medicine Residency Program
Complementary and Integrative Medicine Project

Outcomes Table

Aims
Benchmarks
Methods
Months
Evaluation
Development of CAM curriculum for residents Identification of existing CAM curricula in medical schools and residencies . Program director, faculty expert, faculty coordinator, and Advisory Committee (AC) review and summarize literature 1 - 3 . Literature review included in curriculum document
Identification of print and electronic CAM resources . Program director, faculty expert, faculty coordinator and members of AC locate and review available information and guides to teaching and learning CAM 1 - 4 and ongoing . Resources reflected in curriculum document
. Ongoing assessment of resources during CAM coaching
Preparation of CAM curriculum document . Program director, faculty expert, faculty leaders, community CAM practitioners, residents, and faculty coordinator participate in a one-day curricular retreat
. Curricular group identifies attitude, knowledge, and skill objectives; resident learning experiences; teaching/ learning resources; suitable faculty; and evaluation strategies
8 . Curriculum document produced reflecting objectives, experiences, resources, faculty and evaluation strategies
. CAM "tracker" written
. Curriculum published on MMC Intranet and Internet
Review and approval of resident curriculum in CAM . AC meets to review, modify, and approve curriculum 9 . Minutes of AC meeting reflect review and approval
Implementation of CAM curriculum . Residents scheduled for CAM rotation 13 - 30 . Resident schedules reflect CAM experiences
Evaluation of CAM curriculum . AC meets to review evaluations and make necessary modifications 24 . Resident post-rotation evaluations
. Completed "trackers" reviewed
. Survey of program graduates
Development of faculty expert and faculty leaders Engagement of physician, fellowship-trained in integrative medicine . Program director will identify and hire a 0.75 FTE fellowship trained physician 1-2 . roject evaluation will reflect physician hired
Provision of in-house expertise by faculty expert . Faculty expert will provide ongoing mentoring to faculty, preceptors and residents by coaching them during regular patient care sessions 3-30 . Post-project assessment by faculty members and residents regarding mentoring
Provision of patient care in CAM by faculty expert . Faculty expert cares for outpatients at the FPCs using CAM modalities 3 - 30 . Sample schedule reflects patient care using CAM modalities
Research conducted by faculty expert . Faculty expert conducts research in CAM therapy or education - Results published in peer-reviewed journal 6 - 30 . Research proposals, results, and publications will be included in post-project reports
Attainment of indepth knowledge of a specific aspect of CAM for four faculty leaders . Each faculty leader attends a seminal national conference in his or her area of interest 3 - 24 . Applicable certification documented - Self-report by each leader
Instruction and role modeling to residents by faculty expert and faculty leaders . Faculty expert and faculty leaders develop resident didactic sessions
. Faculty leaders integrate CAM techniques into their patient care
. Faculty expert and faculty leaders have day-to-day contact with residents
3 - 10 . Resident teaching conference schedule reflects CAM topics
. Statistics gathered from appointment schedules
. Resident assessment reflects faculty involvement in CAM
. Post-project interviews with faculty leaders to assess integration of CAM with current medical practice
Enhancement and maintenance of skills and knowledge in CAM modalities . Faculty leaders pair with CAM providers at the Family Practice Centers and in the offices of CAM providers - Faculty leaders attend continuing education in their area of interest 11 - 24 . Schedules reflect time commitment
. Post-project face to face interview regarding integration of CAM with conventional medicine
Development of collaborative relationships with CAM practitioners Establishment of a presence within the MMCFPRP by CAM practitioners . CAM providers participate on AC
. CAM providers establish partnerships and mentor faculty leaders
. CAM practitioners participate in development of a resident curriculum
1 - 30

3 - 24

8

. Minutes of AC reflect CAM practitioners' presence
. Self-report by faculty leaders and CAM practitioners regarding mentoring
Partnership of community CAM practitioners with faculty and residents in patient care . CAM practitioners provided free office space/equipment at FPCs
. CAM practitioners available to treat patients of faculty and residents
. CAM practitioners available to consult with faculty and residents
7 - 30 . Post-project assessment reflects mutual satisfaction wit
. Appointment schedule reflects CAM therapies
. Patient survey to ascertain perceptions of CAM therapies at FPCs
Presentation of resident teaching conferences by CAM practitioners - . CAM practitioners work with faculty to prepare didactic sessions
. CAM practitioners consult with residents during patient care time
. CAM practitioners model communication techniques with patients
7 - 24 . Resident teaching conference schedule reflects participation by CAM providers
. Report by residents and CAM practitioners
Development of an environment conducive to CAM through education Increase understanding of CAM among faculty, residents and staff . Identify national experts in four identified areas of CAM and one expert to present the overall picture
. Carry out five workshops in CAM
. Identify CAM resources available within the community, in print, and electronically
3 - 4 

 

6 - 16 

1 - 4

. Pre/post-project assessment of faculty, resident, and staff knowledge, skills, attitudes
. Participants complete an assessment of each workshop . MMC Intranet and Internet site reflect resources
Increase comfort in integration of CAM with conventional medicine among faculty, residents and staff . Conduct five workshops with presenters who are national experts in CAM
. Offer frequent informal contact for faculty, residents and staff with faculty expert and CAM practitioners as they see patients at the FPCs
6 - 16


7 - 30

. Self-report by workshop participants
. Project post-assessment by participants
. Observation by faculty expert of modalities referred or used
. Project post-assessment of patient perceptions of physician attitudes, knowledge and skills
Increase understanding within MMC regarding the integration of CAM with conventional medicine Program director and faculty expert provide brief presentations regarding our project at MMC department meetings 25 - 30 . Self-report by project director and faculty expert
. Minutes from those meetings
Dissemination of project results . Reconvene MMC Medical Staff Task Force on Complementary and Alternative Medicine
. Presentations at regional and national conferences of STFM
. Article prepared for publication in a peer-reviewed journal
18 - 30 


25 - 30 

25 - 30

. Minutes of Task Force
. Results of project published on MMC Intranet and the Internet
. Schedule of national conference of STFM reflects presentation
. Article published
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Maine Medical Center | 22 Bramhall Street | Portland, Maine 04102-3175 | (207) 662-0111