The Philadelphia PRIME Program: A Model For Primary Care Education

Article English OPEN
Bellini, Lisa M. ; Asch, David A. (1997)
  • Publisher: Co-Action Publishing
  • Journal: Medical Education Online (issn: 1087-2981, eissn: 1087-2981)
  • Related identifiers: doi: 10.3402/meo.v2i.4291

Expanding primary care and ambulatory experiences in internal medicine training programs is limited by insufficient resources devoted to their development and implementation, heavy inpatient service demands and loyalty to the traditional inpatient based training model. Overcoming these barriers is a challenge likely to create new approaches to ambulatory education. The Pilot Education and Ambulatory Care (PACE) program at the Sepulveda VA is one such initiative that represents a multidisciplinary approach to primary care services, improving quality and access to patient care services, as well as the quality of primary care education. We describe the development of a similar model for resident training and primary care service, also funded through the Veterans Affairs (VA), but implemented with fewer resources. The program redirects faculty and administrative resources to a new clinical environment centered around primary care. We believe this educational model has broad implications for the future of medical training because it is achievable and thus exportable to other programs.
  • References (12)
    12 references, page 1 of 2

    1. 1989-1990 Directory of Graduate medical education programs. Chicago, IL: American Medical Association, 1989.

    2. Robbins AS, Guze PA (eds). Proceedings from the Conference on Ambulatory Care and Education, July 1988, Los Angeles, California. Acad Med. 1989;64(10 suppl).

    3. Cope DW, Sherman S, Robbins A. Restructuring VA ambulatory care and medical education: the PACE model of primary care. Acad Med. 1996;71:761-771.

    4. Rubenstein LV, Yano EM, Fink A, et al. Evaluation of the VA's pilot program in institutional reorganization toward primary and ambulatory care: part I: changes in process and outcomes of care. Acad Med. 1996;71:772-783.

    5. Rubenstein LV, Lammers J, Yano EM, Tabbarah M, Robbins AS. Evaluation of the VA's pilot program in institutional reorganization toward primary and ambulatory care: part II: a study of

    6. Hayashi SA, Hayden BB, Yager J, Guze PA. Graduate education in ambulatory care. Proceedings from the Conference on Ambulatory Care and Education. July 1988, Los Angeles, California. Acad Med. 1989;64(10 suppl): S16- S21.

    Wall EM, Saultz JW. Retraining the subspecialist for a primary care career: four possible pathways. Acad Med. 1994;69:261-266.

    8. Barker LR. Curriculum for ambulatory care training in medical residency: rationale, attitudes, and generic proficiencies. J Gen Intern Med. 1990;5(1 suppl):S3-S14.

    9. Lawrence RS. The goals of medical education in the ambulatory setting. J Gen Intern Med. 1988;3(2 suppl):S15-S25.

    10. Robbins AS, Cope DW, Campbell L, Vivell S. Expert ratings of primary care goals and objectives. J Gen Intern Med. 1995;10:429-435.

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