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    Essential Skills for Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study

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    Authors
    Martin, Matt
    Allison, Leslie
    Banks, Elizabeth
    Bauman, David
    Harsh, Jennifer
    Hewitt, Amber L.
    Myerholtz, Linda
    Zubatsky, Max
    Mauksch, Larry
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Center for Integrated Primary Care
    Document Type
    Journal Article
    Publication Date
    2019-03-01
    Keywords
    Behavioral Sciences
    Clinical Education Methods
    Competency-Based Curriculum
    Behavioral Medicine
    Family Medicine
    Health Psychology
    Integrative Medicine
    Medical Education
    Mental and Social Health
    Primary Care
    Psychiatry and Psychology
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    Abstract
    BACKGROUND AND OBJECTIVES: There are several trends compelling physicians to acquire team-based skills for interprofessional care. One underdeveloped area of team-based skills for physicians is integrated behavioral health (IBH) in primary care. We used a Delphi method to explore what skills were needed for residents to practice integrated behavioral health. METHODS: We conducted a literature review of IBH competencies and found 41 competencies across seven domains unique to physicians. Using a modified Delphi technique, we recruited family medicine educators to rate each competency as "essential," "compatible," or "irrelevant." We also shared findings from the Delphi study with a focus group for additional feedback. RESULTS: Twenty-one participants (12 physicians, nine behavioral health providers) completed all three rounds of the Delphi survey resulting in a list of 21 competencies. The focus group gave additional feedback. CONCLUSIONS: Participants chose skills that required physicians to share responsibilities across the entire care team, were not redundant with standard primary care, and necessitated strong communication ability. Many items were revised to reflect team-based care and a prescribed physician role as a team facilitator. Next steps include determining how these competencies fit with a variety of medical providers and creating effective training programs that develop competency in IBH.
    Source

    Martin M, Allison L, Banks E, et al. Essential Skills for Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study. Fam Med. 2019;51(3):227-233. doi: 10.22454/FamMed.2019.743181. Link to article on publisher's site

    DOI
    10.22454/FamMed.2019.743181
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26805
    PubMed ID
    30676638
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.22454/FamMed.2019.743181
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