The Education-Centered Medical Home (ECMH) is a four-year, longitudinal, ambulatory experience based in existing primary care clinics where multilevel student teams (four from each class) work collaboratively to care for high-risk patient panels. In this student-centered learning environment, trainees can learn traditional patient care, communication and medical knowledge objectives and work toward competence in a number of areas.
Didactics (monthly ECMH Grand Rounds) focus on nationally endorsed patient-centered medical home principles:
- Personal physician
- Team-based care
- Whole-person orientation
- Integrated/coordinated care
- Quality/safety commitment
- Enhanced access
- Payment reform
Each student in the ECMH will deliberately practice clinical care in accordance with these nationally endorsed principles, and their patient outcomes will be tracked and published across all ECMH sites to emphasize continuous quality improvement principles.
Continuity is key within the ECMH. We aim to maximize continuity in these areas:
- Care, with longitudinal patient relationships
- Supervision, with preceptors and clinic staff
- Teamwork, with a stable peer group/team
- Data, a stable team working with a defined population enables outcome measurement