About
Organization mission: the wright center for graduate medical education (twcgme) and its primary affiliate the wright center for community health (twcch) share a mission to improve the health and welfare of the communities we serve through inclusive and responsive health services and the sustainable renewal of an inspired, competent workforce that is privileged to serve. Twcgme's passionate purpose is to demonstrate an "achievable by ALL" graduate medical education safety-NET consortium (GME-SNC) model that CO-creates transformational healthcare teams of leaders who empower people, families, and communities to own and optimize their health, healthcare delivery systems, and development of their interprofessional health care workforce. With inclusive engagement of twcgme stakeholders, the GME-SNC aspires toward an inclusive collective impact framework to effectively address america's primary care workforce shortage and MIS-distribution, and related health, healthcare, and healthcare career access disparities. As a GME-SNC, twcgme partners with an inclusive network of safety NET health services providers and integrates GME federal resources directly from the u.s. Health resources and services administration's (HRSA) thcgme program and the department of veteran affairs, as well through affiliation agreements with CMS GME-funded partnering hospitals and an inpatient rehabilitation facility. Twcgme proudly became a pioneering thcgme grantee in 2011 when HRSA launched its thcgme program resourced through the affordable care ACT. Since then, thcgme grantees, including twcgme, have been developing and expanding community-based clinical learning environments in community health centers (CHCS) and partnering hospitals across our nation to train primary care resident physicians to serve historically marginalized populations in medically underserved settings. Evidence demonstrates that physicians who train at CHCS are more likely to work in a CHC or other underserved settings, a finding validated by twcgme's historical graduate practice pattern outcomes, showing a higher-than-national-average numbers of primary care physicians selecting careers in historically underserved settings, including in fqhcs and rural communities. HRSA's thcgme program has been an effective tool in addressing one of the most crucial aspects of the primary care cliff: access to primary health services in underserved areas due to a national primary care physician shortage and MIS-distribution. According to data published by the association of american medical colleges (AAMC) in JUNE 2021, the united states could see an estimated shortage of between 37,800 and 124,000 physicians by 2034, including both primary and specialty care, with the shortage of primary care physicians ranging between 17,800 and 48,000. PER the AAMC, more than two of every five active physicians in the u.s. Will be 65 or older within the next decade, and their retirement decisions "will dramatically affect the magnitude of national workforce shortages." this looming crisis compounds the physician and provider burnout challenges exacerbated by the covid-19 pandemic. Twcgme's GME-SNC physician training model is designed to mitigate the health, healthcare, and healthcare career access disparities resulting from this national shortage, while generating unprecedented collaboration and striving for advancement of the quintuple AIM. Adapted from the institute for healthcare improvement's triple AIM, the quintuple AIM is a framework to optimize healthcare system performance by improving health equity, clinician well-being, and the pursuit of better healthcare, improved health outcomes, and lower costs. Twcgme's current sponsoring institutional and programmatic primary health services curricula are rooted in community-oriented, public health needs-responsive, whole person primary care training for family medicine, internal medicine, psychiatry residents, and geriatric medicine fellows, as well as future specialty physicians. During fiscal year 2022-2023, residents were still deeply immersed in community-driven, responsive solutions to the easing but ongoing covid-19 pandemic, relentless opioid epidemic, continuing battles with HIV/AIDS and hepatitis c, escalating public health challenges related to mental health struggles, obesity, diabetes, cardiovascular disease, and cancer, and widening GAPS in childhood and adult vaccination rates for preventable illnesses. Our community-based training model within essential community provider networks leverages cross-institutional collaborative learning and broad exposure of trainees to interprofessional team-based care, as well as a variety of health information technology platforms, for both care delivery and institutional outcomes reporting and improvements. Twcgme's partnering clinical learning environments demonstrate and engage its learners in continuous quality improvement and value-driven workflow redesign that promotes patient-centered medical home (PCMH) physician-LED care teams, engaged and empowered patients and families, robust referral networks of community resource agencies, and both meaningful use and connectivity/interoperability of health and education information technology platforms. Mission-driven, TOP-license PCMH faculty practice and role-modeling within these inclusive, safety-NET learning environments efficiently optimizes workflow redistribution so that every team member, including front-line staff and learners, engage in purposeful, meaningful practice while contributing to iterative continuous quality improvements of both care delivery and educational systems. Twcgme's sponsoring institutional commitment to advancing public health aligns strongly with the mission of community health centers and partnering community-based hospitals, as well as the acgme's visionary clinical learning environment review program framework focusing on patient safety; health care quality; teaming; supervision; well-being; and professionalism. Twcgme's GME-SNC ensures trainees have broad exposure to seamless, cross-institutional, interprofessional multidisciplinary environments that exercise and nurture their longitudinal and transitional care skills, preparing them for modern clinical practice and careers of public service as public health enthusiasts.
In care of Sandra Yastremski CFO
Donations are tax-deductible