Post by Tanya Munroe on Jul 21, 2015 14:35:35 GMT -5
We get this question all the time. Many sites have 2nd year OB residents co-facilitate with attendings, and have 4th year residents lead groups and 2nd years supplement as co-facilitators.
Here are some scenarios we've heard of, please feel free to share yours!
"I was asked by Amy MacDonald to let CHI know about something we did recently here at Downtown Health Plaza to increase Resident exposure to Centering. Our residents have been unable to take groups due to their monthly rotations, so we made them the group and ran a mock session. I created patient profiles based on 2 real groups we had for session 2, and when they arrived they were informed they were the patient and had to go through the process from registration, checkin/VS, belly check, and so on. We had about 15 physicians and 1 PA experience group for the first time. They were great sports and we had a blast. Took some great photos too, my favorites were the group photos and the men and their baby bumps (our emotions pillows from session 8)! They didn’t realize they were “playing” real people however, until the end when I announced which one of them delivered early/ representing our 6% PTB rate. Awesome experience."
Mary Fitzmaurice, MSN CNM
CenteringPregnancy® Program Coordinator
Downtown Health Plaza
1200 North Martin Luther King Jr. Dr. \ Winston-Salem, NC 27101
"We are just getting ready to start our first cohort on 8/4/15. We trained a group of preceptors (a mix of OB’s and Midwives) and our residents that started their 2nd year this month. Each resident will be paired with the same preceptor for the entire run of their cohort (we love this because it also helps increase the rate of continuity of care). We are sending the second batch of residents to training this week (I believe) but only will they practice Centering in the 2nd year as it fits their academic calendar then. We might also explore the option of a rotation in the 4th year as well but I’m not yet sure of that. I, as the clinic social worker, also trained to be a facilitator and am the Centering coordinator. I have developed a box for each session as well as a facilitator box with lots of supplemental materials so the facilitators should be able to pick up the boxes and go right into their session. Originally, I was planning on being the 3rd facilitator, present at each session of each cohort (at least for our first year of implementation) to help keep the process uniform. The boxes and supplemental material is my way of trying to do that in my absence until a new social worker is in place and trained.
"
Mary Eldredge, LMSW
Social Worker
Academic OB/Gyn Center
5333 McAuley Dr., Ste. 2110
Ypsilanti MI 48197
From Sharon Rising: "Family Medicine continuity clinics clearly are the ideal way to involve residents in Centering. They can meet all of their requirements by following one Centering group and, in the opinion of those with continuity clinics (and responses from CREOG), this is a excellent learning experience for the residents. There are many issues around short-term group involvement that hinder that model. These include confidentiality, development of and sustaining group dynamics, the facilitation model that reduces the use of/need for didactic curriculum, the ability to understand the process of pregnancy as it affects the mother/family throughout the total pregnancy (or at least the 6 months of group sessions)."
Here are some scenarios we've heard of, please feel free to share yours!
"I was asked by Amy MacDonald to let CHI know about something we did recently here at Downtown Health Plaza to increase Resident exposure to Centering. Our residents have been unable to take groups due to their monthly rotations, so we made them the group and ran a mock session. I created patient profiles based on 2 real groups we had for session 2, and when they arrived they were informed they were the patient and had to go through the process from registration, checkin/VS, belly check, and so on. We had about 15 physicians and 1 PA experience group for the first time. They were great sports and we had a blast. Took some great photos too, my favorites were the group photos and the men and their baby bumps (our emotions pillows from session 8)! They didn’t realize they were “playing” real people however, until the end when I announced which one of them delivered early/ representing our 6% PTB rate. Awesome experience."
Mary Fitzmaurice, MSN CNM
CenteringPregnancy® Program Coordinator
Downtown Health Plaza
1200 North Martin Luther King Jr. Dr. \ Winston-Salem, NC 27101
"We are just getting ready to start our first cohort on 8/4/15. We trained a group of preceptors (a mix of OB’s and Midwives) and our residents that started their 2nd year this month. Each resident will be paired with the same preceptor for the entire run of their cohort (we love this because it also helps increase the rate of continuity of care). We are sending the second batch of residents to training this week (I believe) but only will they practice Centering in the 2nd year as it fits their academic calendar then. We might also explore the option of a rotation in the 4th year as well but I’m not yet sure of that. I, as the clinic social worker, also trained to be a facilitator and am the Centering coordinator. I have developed a box for each session as well as a facilitator box with lots of supplemental materials so the facilitators should be able to pick up the boxes and go right into their session. Originally, I was planning on being the 3rd facilitator, present at each session of each cohort (at least for our first year of implementation) to help keep the process uniform. The boxes and supplemental material is my way of trying to do that in my absence until a new social worker is in place and trained.
"
Mary Eldredge, LMSW
Social Worker
Academic OB/Gyn Center
5333 McAuley Dr., Ste. 2110
Ypsilanti MI 48197
From Sharon Rising: "Family Medicine continuity clinics clearly are the ideal way to involve residents in Centering. They can meet all of their requirements by following one Centering group and, in the opinion of those with continuity clinics (and responses from CREOG), this is a excellent learning experience for the residents. There are many issues around short-term group involvement that hinder that model. These include confidentiality, development of and sustaining group dynamics, the facilitation model that reduces the use of/need for didactic curriculum, the ability to understand the process of pregnancy as it affects the mother/family throughout the total pregnancy (or at least the 6 months of group sessions)."
