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There is no "i" in teamwork in the patient-centered medical home: defining teamwork competencies for academic practice.
Acad Med. 2013 May; 88(5):585-92.AM

Abstract

Evidence suggests that teamwork is essential for safe, reliable practice. Creating health care teams able to function effectively in patient-centered medical homes (PCMHs), practices that organize care around the patient and demonstrate achievement of defined quality care standards, remains challenging. Preparing trainees for practice in interprofessional teams is particularly challenging in academic health centers where health professions curricula are largely siloed. Here, the authors review a well-delineated set of teamwork competencies that are important for high-functioning teams and suggest how these competencies might be useful for interprofessional team training and achievement of PCMH standards. The five competencies are (1) team leadership, the ability to coordinate team members' activities, ensure appropriate task distribution, evaluate effectiveness, and inspire high-level performance, (2) mutual performance monitoring, the ability to develop a shared understanding among team members regarding intentions, roles, and responsibilities so as to accurately monitor one another's performance for collective success, (3) backup behavior, the ability to anticipate the needs of other team members and shift responsibilities during times of variable workload, (4) adaptability, the capability of team members to adjust their strategy for completing tasks on the basis of feedback from the work environment, and (5) team orientation, the tendency to prioritize team goals over individual goals, encourage alternative perspectives, and show respect and regard for each team member. Relating each competency to a vignette from an academic primary care clinic, the authors describe potential strategies for improving teamwork learning and applying the teamwork competences to academic PCMH practices.

Authors+Show Affiliations

University of Nebraska Medical Center, College of Medicine, Omaha, Nebraska 68198-5158, USA. emily.leasure@unmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23524923

Citation

Leasure, Emily L., et al. "There Is No "i" in Teamwork in the Patient-centered Medical Home: Defining Teamwork Competencies for Academic Practice." Academic Medicine : Journal of the Association of American Medical Colleges, vol. 88, no. 5, 2013, pp. 585-92.
Leasure EL, Jones RR, Meade LB, et al. There is no "i" in teamwork in the patient-centered medical home: defining teamwork competencies for academic practice. Acad Med. 2013;88(5):585-92.
Leasure, E. L., Jones, R. R., Meade, L. B., Sanger, M. I., Thomas, K. G., Tilden, V. P., Bowen, J. L., & Warm, E. J. (2013). There is no "i" in teamwork in the patient-centered medical home: defining teamwork competencies for academic practice. Academic Medicine : Journal of the Association of American Medical Colleges, 88(5), 585-92. https://doi.org/10.1097/ACM.0b013e31828b0289
Leasure EL, et al. There Is No "i" in Teamwork in the Patient-centered Medical Home: Defining Teamwork Competencies for Academic Practice. Acad Med. 2013;88(5):585-92. PubMed PMID: 23524923.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - There is no "i" in teamwork in the patient-centered medical home: defining teamwork competencies for academic practice. AU - Leasure,Emily L, AU - Jones,Ronald R, AU - Meade,Lauren B, AU - Sanger,Marla I, AU - Thomas,Kris G, AU - Tilden,Virginia P, AU - Bowen,Judith L, AU - Warm,Eric J, PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2013/6/19/medline SP - 585 EP - 92 JF - Academic medicine : journal of the Association of American Medical Colleges JO - Acad Med VL - 88 IS - 5 N2 - Evidence suggests that teamwork is essential for safe, reliable practice. Creating health care teams able to function effectively in patient-centered medical homes (PCMHs), practices that organize care around the patient and demonstrate achievement of defined quality care standards, remains challenging. Preparing trainees for practice in interprofessional teams is particularly challenging in academic health centers where health professions curricula are largely siloed. Here, the authors review a well-delineated set of teamwork competencies that are important for high-functioning teams and suggest how these competencies might be useful for interprofessional team training and achievement of PCMH standards. The five competencies are (1) team leadership, the ability to coordinate team members' activities, ensure appropriate task distribution, evaluate effectiveness, and inspire high-level performance, (2) mutual performance monitoring, the ability to develop a shared understanding among team members regarding intentions, roles, and responsibilities so as to accurately monitor one another's performance for collective success, (3) backup behavior, the ability to anticipate the needs of other team members and shift responsibilities during times of variable workload, (4) adaptability, the capability of team members to adjust their strategy for completing tasks on the basis of feedback from the work environment, and (5) team orientation, the tendency to prioritize team goals over individual goals, encourage alternative perspectives, and show respect and regard for each team member. Relating each competency to a vignette from an academic primary care clinic, the authors describe potential strategies for improving teamwork learning and applying the teamwork competences to academic PCMH practices. SN - 1938-808X UR - https://www.unboundmedicine.com/medline/citation/23524923/There_is_no_"i"_in_teamwork_in_the_patient_centered_medical_home:_defining_teamwork_competencies_for_academic_practice_ L2 - https://doi.org/10.1097/ACM.0b013e31828b0289 DB - PRIME DP - Unbound Medicine ER -