PRP015: Advancing integration: A pilot program to teach policy and practice transformation skills to family doctors around the world

Emma Gilchrist, MPH; Stephanie Gold, MD; Sarah Hemeida, MD, MPH; Christopher Dowrick, MD, FRCGP; Bonnie Jortberg, PhD, RD, CDE; Larry Green, MD; Cindy Lam, MD; Amanda Howe, MD, FRCGP, MEd, MSc, OBE


Context: The burden of mental health disorders continues to grow and is a major cause of disability worldwide. Patients frequently present with mental health issues in primary care settings. An educational needs assessment conducted by the World Organisation of Family Doctors (WONCA) in 2017 identified mental health as a priority area. The Wonca Working Party for Mental Health collaborated with the Farley Health Policy Center to develop and implement a pilot program to help young family doctors learn the steps and process to integrate mental (behavioral) health care into primary care delivery, develop the skills needed for practice transformation, and enable them to become advocates for system change in their local area. Objective: To test an educational program to equip motivated family doctors in six WONCA regions to advance integration of behavioral health care into routine primary care. Study Design: Qualitative program evaluation. Focus groups will be conducted with learners and faculty at program mid-point (June) and end (September). Setting or Dataset: Qualitative evaluation of a distance learning pilot program. Population studied: Twelve young family physicians from nine countries: Australia, Ghana, Guyana, Indonesia, Kenya, Nepal, Spain, Sri Lanka and Tunisia. Intervention/Instrument (for interventional studies): Two six-person cohorts meet in facilitated, virtual monthly sessions for 90 minutes. Asynchronous learning occurs between sessions using e-learning modules, books, and other resources. Each participant sets individual program goal and receives mentorship from a senior family physician. Outcome Measures: Development of learning cohorts, program recruitment and retention, achievement of individual learner goals, achievement of faculty program aims. Anticipated Results: This pilot program will enable young family doctors to develop practice transformation and policy initiatives to enhance the delivery of behavioral health services in primary care settings. If successful, the pilot study will inform future funding proposal and program design to create a sustainable international advocacy training program.
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Doug 11/24/2020

This is terrific! I had no idea this was going on down the hall from me...and around the world.

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