The EFECT framework for interprofessional education in the patient centered medical home

Asaf Bitton, Anne G. Pereira, C. Scott Smith, Stewart F. Babbott, Judith L. Bowen

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


The very nature of the Patient-Centered Medical Home (PCMH) necessitates new instructional models that prepare learners for the roles they will have to assume in these transformed primary care practices. In this manuscript we describe a new instructional framework that seeks to blend the goals of patient-centered care and inter-professional education, and can be implemented in existing training environments while practice transformation continues to proceed. We propose a 5-step process, the EFECT framework, which is simultaneously a sequence of tasks for effective patient care and a guide for the learners and faculty in teaching and evaluating that care delivery. These steps include: (1) Eliciting a patient-centered narrative, (2) Facilitating an inter-professional team discussion, (3) Evaluating clinical evidence, (4) Creating a shared care plan, and (5) Tracking outcomes. We then report preliminary descriptive outcomes from the first EFECT pilot. Our proposed framework supports learners' abilities to construct a patient-centered narrative from multiple professional perspectives as the basis for developing an evidence-based, integrated care plan between the patient and the inter-professional care team and deliberately following up on outcomes. We present this framework to stimulate a process for creating new curricula and evaluative tools to measure and promote learner functioning in medical home environments.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
Issue number3-4
StatePublished - Dec 2013


  • Inter-professional
  • Medical education
  • Patient-centered medical home
  • Primary care


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