Center of Excellence in Primary Care Education (CoEPCE) - VA Puget Sound Healthcare System
The Seattle CoEPCE is working to advance education of interdisciplinary teams and develop clinical leaders who deliver patient-centered care, transform delivery of healthcare services, and improve health outcomes. A central focus of the Seattle CoEPCE is to develop skills needed for collaborative primary care practice during training. With nearly half of clinical training in the VA primary care, the CoEPCE curriculum incorporates both direct patient clinical experiences and interprofessional interactive seminars with longitudinal themes including team-building; "Meet Your Colleagues" in a variety of health disciplines; panel management; and multidisciplinary hands-on clinical sessions.
Continuity clinic settings are Seattle Primary Care Clinic and Women’s Clinic, with medicine residents, DNP students, pharmacy residents, and new DNP full time residents assigned to the integrated health care teamlets. Mental health-primary care integration spans clinical care and trainee educational activities. Trainees participate in huddles with teamlet staff, and reflect on their clinic experiences with preceptors in conference rooms co-located in clinic where all professions gather. Trainees also have unique experiences in newly designed CoEPCE rotations, including direct patient care in deployment health, homeless care, home health care; and leadership introduction to health administration with Puget Sound leaders. All trainees participate in quality improvement projects. Interprofessional collaborative interactive seminars are designed within the enterprise core domains framework under three primary educational themes, each conducted approximately monthly to include: Interprofessional Education, Practice Improvement and Multiprofessional Clinical Seminars.
- Highly functioning interprofessional teams with enhanced doctorate of nursing practice students (DNP) and physician residents in a collaborative leadership model
- Developing trainees' skills in panel management and performance improvement
- Promoting longitudinal relationships in PACT, with innovative shared decision-making curricula
- Emphasis on Care of Veterans, deployment health and unique needs of Veterans, spanning postgraduate and undergraduate learners in health professions