Evaluating the micro-team model at MFP

McMaster Family Practice (MFP) introduced the micro-team model in January 2024 to improve collaboration, and support more equitable workload distribution across the clinic. The model created smaller teams – three physicians, one NP or PA, and one RPN – supported by dedicated administrative staff to enhance coordination and efficiency. Two years later, a comprehensive mixed-methods evaluation by the Primary Care Research Collaborative (PCRC) shows that micro-teams are viewed as a positive and sustainable change.

With strong engagement across the clinic, including over 70% survey response rates and robust participation in focus groups, clinicians and staff offered valuable insights into how the model is working in practice. Participants reported improved camaraderie, clearer communication, and stronger connections within their teams. The structure helped clinicians and staff manage workloads more effectively, offering greater capacity for tickler lists and preventative care activities. Physicians noted improved role clarity, making delegation easier and reducing uncertainty around responsibilities. Importantly, the evaluation followed an iterative, continuous-improvement approach: leadership held regular check-ins and incorporated feedback in real time, allowing refinements to processes, team supports, and expectations.

While many benefits were identified, the evaluation also highlighted areas for continued attention, including administrative burden and the impact of seating arrangements on informal communication and broader system challenges that affect workflow but are not attributed to micro-teams such as specialist availability and staff turnover. Overall, the model is seen as a meaningful step toward more efficient, collaborative, and patient-centered care.

Project Leads: Doug Oliver, Jill Berridge, Bethany Elliott, Neha Arora
Contact: Neha Arora (narora@mcmaster.ca)