During each COR session there are 4 guiding principles that are followed:
1. Focus upon practitioners’ presentation of common clinical dilemmas.
2. Create a common language and supportive environment.
3. Enhance understanding of psychosocial aspects of child development, emotional and behavioral disorders, and disabilities, and the ability of providers to help families cope.
4. Increase the providers’ ability and comfort to differentiate transient from more severe disorders. Both prospective and retrospective analytical approaches are utilized to promote understanding of the case and plan for optimum care moving forward.
The COR program at the University of Minnesota also collects quantitative and qualitative feedback for continuous quality improvement. Over 90% of participants reported that COR meetings met the program objectives well and most participants stated that they would continue to attend COR in the future (64.7% of respondents).
Some examples of general comments about the University of Minnesota COR program from attendees include: “a great opportunity to engage with peers”; “interactive and designed to address meaningful clinical problems”; and “convenient and free.” Suggestions for improvement include: “cases with effects of technology on children with autism”; and “ethics cases and challenges with medication management.”
Challenges faced by our COR program include recruiting community providers outside the university to attend the sessions and lower participation numbers for monthly morning community sessions compared with monthly residency training-based lunch sessions. To increase participation, we have combined the community and residency training sessions into one monthly lunch session (with food provided), while offering virtual participation options. We encourage community clinics to block an hour of time for their clinicians to participate in COR monthly. Finally, we are exploring ways to help physicians to gain Maintenance of Certification (MOC) credit for COR participation.
The COR program at the University of Minnesota is a case-based continuing-education initiative funded by the MCHB to address mental health training gaps for PCPs. Other programs could use the COR model to provide ongoing education and encourage collaboration among PCPs, primary care trainees, and mental health professionals.
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7. Roth A. ‘Mental health is health’: Docs who treat kids get trained to spot mental health problems. Minnesota Public Radio News. Available at: https:/www.mprnews.org/story/2019/05/29/mental-health-is-health-training-docs-who-treat-kids-to-spot-mental-health-programs. Published May 29, 2019. Accessed October 2, 2019.