Veteran and learner outcomes of interprofessional trainee-led group medical visits

• Published in: Journal of interprofessional education & practice 2020-03, Vol.18, p.100292, Article 100292
• Main Authors: Fisher, Amber, Argyle, Aubree, Keefer, Autumn, King, India, Lowther, Donna, Tivis, Rick
• Format: Article
• Language: English
• Subjects: Group medical visits; Healthcare teams; Interprofessional collaboration; Interprofessional education; Interprofessional socialization; Shared medical appointments
• ISSN: 2405-4526; 2405-4526
• DOI: 10.1016/j.xjep.2019.100292

Patient-centered primary care models encourage alternative methods of care delivery, including group medical visits (GMV). The Boise VA Medical Center conducted trainee-led GMV for patients with diabetes from 2013 to 2017. Patient-Aligned Care Teams in VA include implementation of GMV. Our aim was to address gaps in diabetes care while offering a novel clinical learning experience for interprofessional trainees. Evaluation of patient and trainee participants in GMV from 2015 to 2017 was conducted. Patient data included HgA1c, systolic blood pressure, weight, and LDL cholesterol measurements. The Interprofessional Socialization and Valuing Scale (ISVS) assessed trainee attitudes about collaborative practice. Analysis of patient data showed improvements in HgA1c. Trainees demonstrated improved value, ability and comfort working with others. GMV was associated with positive clinical outcomes in patients with diabetes. Participation in GMV during training may improve trainees’ collaborative attitudes and prepare them to plan, lead and execute GMVs in their future practice. •Group medical visits (GMV) may improve clinical outcomes and improve access to care.•There is a paucity of evidence of outcomes from interprofessional trainee-led group visits.•Utilizing GMV as a training modality may enhance attitudes and teamwork behaviors.•Our small, single-facility training program produced positive clinical outcomes for Veterans with Type 2 diabetes.