The PCBH PATHS initiative is a workforce development pipeline to train the next generation of healthcare professionals to address gaps in skills, and design and deliver (IBH) in the Rio Grande Valley (RGV), Texas – a medically underserved area (MUA). UTRGV has a strategic priority to “Promote a culture of health and well-being for UTRGV and surrounding communities that employs a holistic approach to wellness, health, medical education, training, and research,”as well as key initiatives for integrating, coordinating, and leveraging programs and resources to support activities that enhance health and wellness and increase healthcare delivery to underserved communities. Our initiative, aligned with UTRGV strategic priorities and key initiatives, will integrate basic (model specific strategy and operational elements), mid-level (role identity and profession specific behavioral competencies specific to each health profession), and advanced (behavioral medicine clinical skills) applications of the evidence-based PCBH model of delivery. In support of the national and HRSA priorities, the PCBH PATHS initiative will have a curricular priority for training providers in Opioid Use Disorder (OUD)/ Substance Use Disorders (SUD), increasing the number of graduates with Medication Assisted Treatment (MAT)-Waiver training, and advancing psychological skills to self-monitor and manage clinician well-being. Based on evidence from Adverse Childhood Experiences (ACEs) and its link to behavioral, physical, and addictive disorders, trauma-informed care (TIC) will serve as the foundation for MAT, OUD/SUD training. By year 2024, PCBH PATHS will help sustain wellness committees and practices as part of PCBH PATHS implementation. Additionally, a measurement feedback system (MFS) will assess improvements in trainees’ wellness through self-monitoring and Rapid Cycle Quality Improvement (RCQI) initiatives by program committees and clinic committees.
- Describe the negative impacts on healthcare quality and safety, patient satisfaction, and public health that are associated with physician burnout and poor wellness.
- Understand the need for the development of a measurement feedback system (MFS) to assess the wellness of residents as they complete their graduate medical education.
- Discuss the benefits of a Wellness Initiative for medical residents, faculty, a university, and the community.