2024
Culture change and lessons learned from ten years in the VA centers of excellence in primary care education
Weppner W, Singh M, Wipf J, Shunk R, Woodard L, Brienza R. Culture change and lessons learned from ten years in the VA centers of excellence in primary care education. BMC Medical Education 2024, 24: 457. PMID: 38671440, PMCID: PMC11047004, DOI: 10.1186/s12909-024-05390-6.Peer-Reviewed Original ResearchConceptsPrimary care educationCare educationVeterans AffairsQuality of chronic disease managementInterprofessional clinical learning environmentTeam-based primary careVA primary care clinicsVA Centers of ExcellenceEducational strategiesPatient care metricsPrimary care clinicsChronic disease managementPatient outcomesPrimary care careersTeam training interventionsQuality improvement approachReduce emergency departmentClinical learning environmentHealth care valueInterprofessional learning environmentMultisite demonstration projectPatient-level outcomesTeam-based approachAmbulatory care trainingOperational improvement activities
2020
Impact of interprofessional embedding of physical therapy in a primary care training clinic
McKay SE, Buono FD, Walker J, Glinski C, Printz DMB, Brienza R. Impact of interprofessional embedding of physical therapy in a primary care training clinic. Journal Of Interprofessional Care 2020, 35: 532-537. PMID: 32917104, DOI: 10.1080/13561820.2020.1798898.Peer-Reviewed Original ResearchConceptsPrimary care clinicsPhysical therapyCare clinicsPT referralPhysical therapistsDiscontinuation of carePrimary care visitsPrimary care settingTraining clinicDecreased turnaround timePrimary care educationCare visitsMusculoskeletal painPrimary careProminent complaintPost-graduate traineesCare settingsVHA sitesReferral systemReferral processClinicReferralInterprofessional clinicInterprofessional teamCare education
2019
Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care
Edwards ST, Hooker ER, Brienza R, O’Brien B, Kim H, Gilman S, Harada N, Gelberg L, Shull S, Niederhausen M, King S, Hulen E, Singh MK, Tuepker A. Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care. JAMA Network Open 2019, 2: e1915943. PMID: 31747038, PMCID: PMC6902823, DOI: 10.1001/jamanetworkopen.2019.15943.Peer-Reviewed Original ResearchConceptsAmbulatory care sensitive conditionsPatients 65 yearsHigh-risk medicationsMental health referralsQuality of careResident cliniciansHealth referralsPatient outcomesVeterans Affairs (VA) electronic health record dataAcademic primary care clinicPrimary care mental healthProportion of patientsPrimary care clinicsElectronic health record dataHealth record dataInterprofessional educationImplementation of IPEHypertension controlPrimary care educationHemoglobin A1cCare clinicsRenal testsPrimary careNurse practitionersMAIN OUTCOME
2016
Veterans Affairs Interprofessional Nurse Practitioner Residency in Primary Care: A Competency-based Program
Rugen K, Speroff E, Zapatka S, Brienza R. Veterans Affairs Interprofessional Nurse Practitioner Residency in Primary Care: A Competency-based Program. The Journal For Nurse Practitioners 2016, 12: e267-e273. DOI: 10.1016/j.nurpra.2016.02.023.Peer-Reviewed Original ResearchNurse practitioner transitionNurse practitioner residenciesVeterans Affairs centersInstitute of MedicinePrimary care educationPrimary carePractitioners transitionCompetency-based assessment toolCare educationPractice areaPractice programAssessment toolLack of literatureProgram effectivenessAchievement of competenciesResidencyCareAddressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out
Long T, Uradu A, Castillo R, Brienza R. Addressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out. Education For Health 2016, 29: 51-55. PMID: 26996800, DOI: 10.4103/1357-6283.178923.Peer-Reviewed Original ResearchConceptsHigh-risk patientsPatient care issuesInternal medicine residentsOutpatient continuityHealth professional traineesInterprofessional training modelPrimary care educationPrimary carePatient followInterprofessional traineesAmbulatory settingCare issuesAmbulatory trainingPatientsCare educationMedicine residentsSignsProfessional traineesTrainees' attitudesTraineesClinicFollowCareNovel tool
2014
Expanding Health Policy and Advocacy Education for Graduate Trainees
Long T, Chaiyachati KH, Khan A, Siddharthan T, Meyer E, Brienza R. Expanding Health Policy and Advocacy Education for Graduate Trainees. Journal Of Graduate Medical Education 2014, 6: 547-50. PMID: 26279783, PMCID: PMC4535222, DOI: 10.4300/jgme-d-13-00363.1.Peer-Reviewed Original ResearchHealth policyVA Connecticut Healthcare SystemHealth professional trainingHealth care systemInternal medicine residentsPrimary care educationAmerican health care systemPrimary careSustained improvementHealth professionalsAdvocacy curriculumAdvocacy skillsCare systemCare educationMedicine residentsSample t-testHealth professional educationHealthcare systemHealth care financePharmacy residentsRank testCenters of excellenceT-testMedical school levelImproved comfortPioneering a Primary Care Adult Nurse Practitioner Interprofessional Fellowship
Zapatka S, Conelius J, Edwards J, Meyer E, Brienza R. Pioneering a Primary Care Adult Nurse Practitioner Interprofessional Fellowship. The Journal For Nurse Practitioners 2014, 10: 378-386. DOI: 10.1016/j.nurpra.2014.03.018.Peer-Reviewed Original ResearchInterprofessional FellowshipPrimary care educationHealth professionals' rolesVeterans Affairs OfficeNP educationInterprofessional teamworkProfessional practiceCare educationProfessional roleInitial cohortEducationFellowship programsQualitative analysisCenters of excellenceCommon themesInitial findingsAcademic affiliationFellowshipMentorshipTeamworkCohortExcellenceMoving from silos to teamwork: integration of interprofessional trainees into a medical home model
Long T, Dann S, Wolff ML, Brienza RS. Moving from silos to teamwork: integration of interprofessional trainees into a medical home model. Journal Of Interprofessional Care 2014, 28: 473-474. PMID: 24593328, DOI: 10.3109/13561820.2014.891575.Peer-Reviewed Original ResearchConceptsTeam-based careVeterans AffairsPatient Aligned Care TeamsEffective team-based careFuture providersMedical home modelOne-year postPrimary care workforcePrimary care educationVA centersCare teamInterprofessional traineesHealth outcomesInterprofessional teamwork trainingClinic efficiencyFaculty providersHealth professionalsInterprofessional careClinical fellowshipHome modelCare educationVA systemCare workforceInterprofessional collaborationInterprofessional training
2013
Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education
Rugen KW, Watts SA, Janson SL, Angelo LA, Nash M, Zapatka SA, Brienza R, Gilman SC, Bowen JL, Saxe JM. Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education. Nursing Outlook 2013, 62: 78-88. PMID: 24630678, DOI: 10.1016/j.outlook.2013.11.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultCurriculumDecision MakingDelivery of Health CareEducation, Nursing, GraduateFemaleHumansInternship and ResidencyInterprofessional RelationsLongitudinal StudiesMaleModels, EducationalNurse PractitionersOrganizational ObjectivesPatient-Centered CarePilot ProjectsPrimary Health CareProgram DevelopmentProgram EvaluationQuality ImprovementUnited StatesUnited States Department of Veterans AffairsYoung AdultConceptsNurse practitioner educationPrimary care educationCurricular modelCare educationPractitioner educationHealth care professional learnersInnovative curricular modelLongitudinal learning experiencesDelivery modelVeterans Affairs centersLearning experiencePeer learnersProfessional learnersEducational modelCurricular domainsHealth care trainingInterprofessional learnersNP educationFaculty mentorsEducationInterprofessional collaborationLearnersFoster transformationSustained relationshipsPrimary care delivery models