PT - JOURNAL ARTICLE AU - Tsveti Markova AU - Maribeth Mateo AU - Linda M. Roth TI - Implementing Teams in a Patient-Centered Medical Home Residency Practice: Lessons Learned AID - 10.3122/jabfm.2012.02.110181 DP - 2012 Mar 01 TA - The Journal of the American Board of Family Medicine PG - 224--231 VI - 25 IP - 2 4099 - http://www.jabfm.org/content/25/2/224.short 4100 - http://www.jabfm.org/content/25/2/224.full SO - J Am Board Fam Med2012 Mar 01; 25 AB - Introduction: The “new model of care” calls for a new approach for primary care delivery that focuses on patient centeredness, quality, safety, effective and efficient care, and interdisciplinary teamwork. Medical education needs to parallel this health care reorganization. Implementing a team approach in a residency practice, especially in ambulatory settings, poses unique challenges. Methods: We introduced interdisciplinary teams in a family medicine residency site, integrating clinical and educational objectives. Results: We report our challenges and successes in the transformational journey to a patient-centered medical home, for which a team approach is critical to achieving high quality care. Conclusion: Establishing high-functioning interdisciplinary teams takes leadership commitment; the engagement of everyone in the practice; investment in staff, resident, and faculty development; and clear communication of vision and goals. Integration of clinical and educational objectives can be powerfully synergistic. Clinical, organizational, and educational outcomes are needed to evaluate impact.