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Essential Skills for Family Medicine Residents Practicing Integrated Behavioral Health A Delphi Study.

Matt Martin¹, Leslie Allison², Elizabeth Banks³

¹Arizona State University.

Family Medicine

|January 25, 2019

Summary

Physicians need new team-based skills for integrated behavioral health (IBH) in primary care. A Delphi study identified 21 essential IBH competencies for residents, focusing on shared responsibility and communication.

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Area of Science:

Medical Education
Primary Care
Behavioral Health Integration

Background:

Physicians require enhanced team-based skills for effective interprofessional care.
Integrated behavioral health (IBH) in primary care represents an underdeveloped area for physician team-based skill acquisition.
Current trends necessitate physicians developing proficiency in collaborative care models.

Purpose of the Study:

To identify essential team-based skills for physicians practicing integrated behavioral health (IBH) in primary care settings.
To explore and define core competencies for residents in IBH.
To inform the development of targeted training programs for IBH.

Main Methods:

A literature review identified 41 physician-unique IBH competencies across seven domains.
A modified Delphi technique involved family medicine educators rating competencies.
A focus group provided additional feedback on the identified competencies.

Main Results:

Twenty-one essential IBH competencies were finalized by 21 participants (12 physicians, 9 behavioral health providers).
Competencies emphasized shared responsibility, strong communication, and roles beyond standard primary care.
Revised competencies highlighted the physician's role as a team facilitator.

Conclusions:

The study defined 21 key competencies for physicians in integrated behavioral health.
Future work will focus on integrating these competencies across different provider types and developing training programs.
Effective training is crucial for developing physician competency in IBH and team-based care.