Essential Skills for Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study
Authors
Martin, MattAllison, 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 HealthCenter for Integrated Primary Care
Document Type
Journal ArticlePublication Date
2019-03-01Keywords
Behavioral SciencesClinical Education Methods
Competency-Based Curriculum
Behavioral Medicine
Family Medicine
Health Psychology
Integrative Medicine
Medical Education
Mental and Social Health
Primary Care
Psychiatry and Psychology
Metadata
Show full item recordAbstract
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.2019.743181Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26805PubMed ID
30676638Related Resources
ae974a485f413a2113503eed53cd6c53
10.22454/FamMed.2019.743181