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Huddle-coaching: a dynamic intervention for trainees and staff to support team-based care
Rebecca Shunk1, Maya Dulay, Calvin L Chou
1Dr. Shunk is associate professor, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, San Francisco, California. Dr. Dulay is assistant professor, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, San Francisco, California. Dr. Chou is professor, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, San Francisco, California. Dr. Janson is professor, Department of Community Health Systems, School of Nursing, and Department of Medicine, University of California, San Francisco, San Francisco, California. Dr. O'Brien is assistant professor, Department of Medicine and Office of Research and Development in Medical Education, University of California, San Francisco, San Francisco, California.
Training programs can integrate trainees into team-based care using a huddle-coaching model. This innovative approach improves care coordination, team collaboration, and patient outcomes in outpatient clinics.
Area of Science:
- Medical Education
- Healthcare Management
- Team-Based Care
Background:
- Outpatient clinics are transitioning to team-based medical home models.
- Existing training programs require innovative methods to incorporate trainees into these new systems.
Purpose of the Study:
- To develop and evaluate an interprofessional huddle-coaching program for trainees in primary care.
- To support trainee integration into Patient Aligned Care Teams (PACTs) and enhance team-based care delivery.
Main Methods:
- Implemented a huddle-coaching program involving pre-clinic team briefings (huddles) for nurse practitioner students and internal medicine residents.
- Focused on structuring huddles, team-building activities, and collaborative practice skills.
- Conducted a multifaceted evaluation including participant feedback and team process measures.
Main Results:
- Participants reported positive experiences with training and team-building activities.
- Trainees perceived improvements in efficiency and quality of patient care.
- Evaluation data indicated progress in team processes and relationships over time.
Conclusions:
- The huddle-coaching program effectively supported trainee development and clinic's team-based care mission.
- This model offers a viable strategy for incorporating trainees into evolving healthcare delivery systems.
- The program demonstrated success in fostering collaboration and improving patient care within an outpatient setting.
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