SFVA Center of Excellence in Primary Care Education (CoEPCE)
The mission of the SFVA Center of Excellence in Primary Care Education (CoEPCE) is to better prepare health care professionals to become future leaders in patient-centered, team-based care, to ensure that our nation's Veterans receive top quality health care in the years ahead.
We train nurse practitioner residents and students and internal medicine residents alongside pharmacy, psychology, registered dietician, optometry, podiatry, and social worker trainees. Through various curriculum, team-building retreats, and team ‘huddles’ trainees learn:
- Interprofessional collaboration
- Patient-centered communication and shared decision making
- Sustained relationships across all aspects of health care delivery
- Performance improvement
Each interdisciplinary team has its own panel of patients. Daily 'huddles' allow them to address healthcare challenges within the group, to be solved from a multidisciplinary perspective with coaching from inter-professional faculty. Teams also include clinic staff RNs, LVNs, and clerical associates. This model focuses on team-building, inter-professional collaboration, and communication.
EdPACT, or Education in Patient Aligned Care Teams, prepares health care professionals to become future leaders in patient-centered, team-based care, to ensure that our nation’s Veterans receive top quality health care.
In 2011, the San Francisco VA Health Care System (SFVAHCS) was selected as one of five sites across the United States to develop and implement a model of patient-centered inter-professional education. With a five-year, $5 million grant, the SFVAHCS, in collaboration with the UCSF schools of medicine and nursing and UCSF Medical Education, created the EdPACT program.
Redesigning work flow to improve clinician well-being: Rebecca Shunk on huddles
Rebecca Shunk, MD on history of EdPACT program, huddles, and inter-professional education