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Wednesday Dec 04, 2013

Students, Young Physicians Provide Insights for Future of Family Medicine 2.0

Have you offered your opinion on the Future of Family Medicine?

Your opinion matters, and now is the time.

In our first update on Family Medicine for America's Health: Future of Family Medicine 2.0, you had a chance to learn about our initiative that aims to define the role of the 21st century family physician, including scope of practice and our role within the health care system.

In our December update below, we address some of the important questions being considered by the work group and introduce you to the young physicians, residents and medical students who have been selected to help answer those questions.

You can share your thoughts directly with us at FutureFM@AAFP.org. And you can be sure we will continue to share updates on our progress.

Family Medicine for America's Health

(Future of Family Medicine 2.0)

December 2013

The Family Medicine for America's Health (Future of Family Medicine 2.0) initiative is moving forward according to schedule. The purpose of this effort is to develop a multiyear strategic plan and communications program to address the role of family medicine in the changing health care landscape. 

      The Core Team held two meetings in November. The meetings focused on CFAR's "current state" analysis and APCO's opinion research. The current state analysis is designed to create a foundation on which to build an implementable strategic plan that identifies risks to take, investments required to do so, and a realistic understanding of what it will take to bridge the gap between the current state and the desired future we want to create. During the meetings, there has been significant discussion about scope of practice, compensation and the impact of technology on the specialty. 

To address some of the key questions and ensure broad input in the process, the CFAR team is focused on organizing two “Insight Groups” designed to engage and elicit feedback on the future of family medicine. The first group includes medical students and residents. The second group includes young leaders who are in their early years of practice. Each of the seven family medicine organizations nominated two participants to each of the groups. Please see below for names of the 28 individuals who were nominated.

Discussions with these Insight Groups are being facilitated by Dr. Bob Graham, Dr. Larry Green, and Dr. Jim Martin. Members will contribute their perspective throughout the FFM 2.0 process. This will include

  • participating in discussions about the future of family medicine with their facilitators;
  • reviewing and reacting to the work produced by the Core Team and the Steering Committee; and
  • meeting in person with the Core Team, Steering Committee, and a variety of stakeholders within and outside of family medicine at a strategic planning retreat in February. 

APCO, which is leading the communications strategy element of the project, has completed a series of in-depth interviews with policy experts, payers, employers and specialists outside of family medicine. APCO's interviews will inform the quantitative element of their research, which includes a survey of a wide group of family medicine stakeholders. The results of that survey are expected in January.

We strongly encourage input from family physicians. Since our first report on this initiative, we have received more than 100 comments to FutureFM@aafp.org.

      Following are several of the key questions the Core Team is considering as CFAR develops the current state analysis. We welcome input on these questions or general comments via FutureFM@AAFP.org.

  • Is the patient-centered medical home (PCMH) the model of the future?
  • How will the PCMH model need to evolve to meet the demands of the Triple Aim?
  • Is population health a key part of family medicine? How should family medicine integrate with public health?
  • How will disruptive technology alter the practice of family medicine?
  • What changes are needed in the current payment structure to support the future of family medicine?
  • What data is available/needed to support changes in payment structure?
  • How does a narrowing scope in maternity and children's care impact the practice of family medicine?

The Core Team and Steering Committee will meet on Dec. 8. We will continue to provide monthly updates throughout this process.

Insight Group Members

Young Leaders (with nominating organizations)

  • Michael Coffey, M.D., Somerville, Mass. (AAFP)
  • Christina Kelly, M.D., Harker Heights, Texas (AAFP)
  • Brooke Sciuto, M.D., Sacramento, Calif. (AAFP Foundation)
  • Gretchen Dickson, M.D., M.B.A., Wichita, Kan. (AAFP Foundation)
  • Kurt Lindberg, M.D., Holland, Mich. (ABFM)
  • Amy McIntyre, M.D., M.P.H., Butte, Mont. (ABFM)
  • Melissa Nothnagle, M.D., M.Sc., Pawtucket, R.I. (ADFM)
  • Jill Endres, M.D., Iowa City, Iowa (ADFM)
  • Carl Covey, M.D., Las Vegas (AFMRD)
  • Carla Ainsworth, M.D., M.P.H., Seattle (AFMRD)
  • Lauren Hughes, M.D., M.P.H., Ann Arbor, Mich. (NAPCRG)
  • Rebecca Etz, Ph.D., Richmond, Va. (NAPCRG)
  • Alisahah Cole, M.D., Charlotte, N.C. (STFM)
  • Brett White, M.D., San Diego (STFM)

     Students and Residents (with nominating organizations)

  • Tate Hinkle, Brownsboro, Ala. (AAFP)
  • Kimberly Becher, M.D. (AAFP)
  • Nathaniel Lepp, M.P.H. (AAFP Foundation)
  • Jessica Johnson, M.D., Portland, Ore. (AAFP Foundation)
  • Charles Salmen, Brisbane, Calif. (ABFM)
  • Kathleen Barnes, M.D., M.P.H. (ABFM)
  • Jason Valadao, Wauwatosa, Wis. (ADFM)
  • Jillian Fickenscher, M.D., Omaha, Neb. (ADFM)
  • Natasha Bhuyan, M.D., Phoenix (AFMRD)
  • Kari Sears, M.D., South Bend, Ind. (AFMRD)
  • Vanessa Stagliano, Sagamore Hills, Ohio (NAPCRG)
  • Richard Bruno, M.D., Baltimore (NAPCRG)
  • Rebecca Mullen, Overland Park, Kan. (STFM)
  • Nicholas Cohen, M.D., Cleveland (STFM)

Jeff Cain, M.D., is Board Chair of the AAFP.

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The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. All comments are moderated and will be removed if they violate our Terms of Use.