The Future of Family Medicine Implementation Plan STFM Plans by mirit35

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									          The Future of Family Medicine Implementation Plan:
       STFM Plans, Priorities, Activities, and How You Can Be Involved

STFM has a major role in the implementation of the Future of Family Medicine (FFM)
recommendations and has agreed to take the leadership in overseeing activities related to the
FFM recommendation, Promoting a Sufficient Family Medicine Workforce. This means we
will work with other partners of the family of family medicine to develop the best approaches
possible for ensuring this recommendation is achieved.

STFM is also involved in other FFM activities that fit with our mission. To help us prioritize this
work, STFM created a special task force to develop FFM activities and oversee their progress.

PROGRESS REPORT
The STFM FFM Task Force is hard at work on the current priorities it has established to move
the Future of Family Medicine recommendations forward. We’ve had several successes,
particular with our goal to provide FFM programming at all 2006 STFM conferences. That will
happen.

We are continuing our work on our priority programs and invite you to think about how these
priorities fit within your group’s goals or individual interests. We plan to update this report
quarterly to keep people informed and to stimulate thinking and interest among the membership
on how individuals and groups can get involved in moving FFM recommendations forward.

We are committed to providing materials for members to view/provide feedback on at
this year’s STFM Annual Spring Conference. Please visit the display near the registration
area where you can view draft documents and sign up to get involved in our priority
activities.


SUCCESSES:
Since the successful day-long preconference focused on educating residents for practice with
the New Model at the 2005 STFM Annual Spring Conference, STFM has committed itself to
offering FFM programming at all STFM conferences. We have created an FFM Programming
Squad that works with the planning committees for each of the conferences to identify or invite
FFM sessions appropriate for the audience of each conference. These sessions are highlighted
in conference brochures as part of an FFM track. We’ve been successful at this goal, and the
FFM programming squad will take up this task again with 2007 conferences.

STFM has partnered with the AAFP to create a PowerPoint of responses, vetted by the family,
to frequently asked questions by medical students. The PowerPoint, Your Future Is Family
Medicine, can be used to provide consistent messages to students to stimulate student interest
in the specialty, including responses related to the New Model. We sent CD-ROMs to
predoctoral faculty and have posted this PowerPoint and related support materials on FMDRL
(www.fmdrl.org). The AAFP and STFM have partnered to present the material at the 2005
Northeast Region Meeting and both will lead a train-the-trainer session on the material at the
2006 Predoctoral Education Conference.


CURRENT PRIORITIES:
The FFM Special Task Force has developed a prioritized list of FFM strategies that STFM will
take leadership in accomplishing over the next 2 years. The STF’s decisions for selecting and
prioritizing FFM activities for STFM were guided by the mission, core values, and strategic goals
of STFM, giving particular emphasis in FFM recommendation 8 (student interest) to (1) fostering
innovation in educational programs, and (2) increasing the diversity and successful recruitment
of ethnic underrepresented students and students of rural origin into family medicine.
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The priorities are listed below. We encourage STFM members and groups to review the
information and see how you might get involved in moving these efforts forward.



FFM RECOMMENDATION #8
Promoting a Sufficient Family Medicine Workforce – A comprehensive family medicine career
development program and other strategies will be implemented to recruit and train a culturally diverse
family physician workforce that meets the needs of the evolving US population for integrated health care
for whole people, families, and communities. Departments of family medicine will continue to develop,
implement, disseminate, and evaluate best practices in expanding student interest in the specialty.
Lead Organization: STFM

STFM       STFM Response                           Timetable
Priority
Phase 1:   Develop competency-based                FFM Special Task Force (STF) will coordinate with
#1         curriculum to educate medical           STFM groups and AFMRD to create first draft by May
           students and residents in the New       2006.
           Model

           Educate preceptors in the New           STF will coordinate with STFM groups to create first
           Model                                   draft of materials by May 2006.


           Provide FFM programming at all          An FFM Programming Team will coordinate with
           STFM conferences                        conference program committees to ensure that FFM
                                                   programming started with 2005 conferences will
                                                   continue in 2006 and beyond.
Phase 1:   Initiate premedical school              STF will coordinate with STFM groups to create an initial
#2         recruitment                             draft of primary elements by May 2006.


FFM RECOMMENDATION #3
Family Medicine Education - Family medicine will oversee the training of family physicians who are
committed to excellence, steeped in the core values of the discipline, expert in providing family
medicine’s basket of services within the New Model of family medicine, skilled at adapting to varying
patient and community needs, and prepared to embrace new evidence-based technologies. Family
medicine education will continue to include training in maternity care, the care of hospitalized patients,
community and population health, and culturally effective and proficient care. Innovation in family
medicine residency programs will be supported by the Residency Review Committee for Family Practice
through 5-10 years of curricular flexibility to permit active experimentation and ongoing critical evaluation
of competency-based education, expanded training programs, and other strategies to prepare graduates
for the New Model. In preparation for this process, every family medicine residency will implement
electronic health records by 2006. Lead Organization: Association of Family Medicine Residency
Directors
STFM        STFM Response                  Timetable
Priority
Phase 1: Develop competency-               STF will coordinate with STFM groups and AFMRD to create a
#1          based curriculum to            first draft by May 2006.
            educate medical
            students and residents in
            the New Model

Phase 1:   Develop workforce            STF will coordinate with STFM groups to create a first draft by
#3         preparedness curriculum      May 2006.
           on communication skills
           and cultural competency


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Status of the Priority Programs

   1. DEVELOP COMPETENCY-BASED CURRICULUM TO EDUCATE MEDICAL
   STUDENTS AND RESIDENTS IN THE NEW MODEL
   FFM Special Task Force will coordinate with STFM groups and AFMRD to create first draft
   by May 2006.

   a) Approach:
      i) Develop a curricular instruction plan including the following essential elements:
         (1) Goals and objectives in competency language within the ACGME domains
             (a) Include lifelong learning and cultural competency where appropriate
         (2) Instructional methods
         (3) Resources
         (4) Assessment methods and evaluation mechanism
         (5) Faculty development recommendations
         (6) RAP Excellence Benchmarks as outcome metrics

      ii) Initial curricula will be limited to the following aspects of the New Model:
          (1) Advanced Access
          (2) Group Visits
          (3) Using EHRs
          (4) Practice/Quality Improvement
          (5) Chronic Illness Care Model

      iii) Create subgroups to work on each of the five curricular areas


   2. EDUCATE PRECEPTORS IN THE NEW MODEL
   STF will coordinate with STFM groups to create first draft of materials by May 2006.

   a) Approach:
      i) Develop a business plan for the creation of a Web-based Preceptor Education
         Project, third edition, covering:
         (1) New Model curricula modules
             (a) PEP-type materials that use available technology (Internet, CDs) to facilitate
                 distribution and use by preceptors – content of materials related to New
                 Model components of competency-based curriculum (advanced access,
                 group visits, EMR, quality/performance improvement, chronic illness care)
         (2) Draft budget of cost of creating/writing modules related to above New Model
             components and expense of technological methods of dissemination
             (Internet/CDs for PowerPoint slides, videos, etc.)
         (3) Consider business plan with potential funding sources
         (4) Discuss approach with predoc directors and Predoc Steering Committee


   3. PROVIDE FFM PROGRAMMING AT ALL STFM CONFERENCES
   An FFM Programming Squad will coordinate with conference program committees to ensure
   that FFM programming started with 2005 conferences will continue in 2006 and beyond.

   a) Approach:
      i) STFM created an FFM Programming Squad that successfully worked with
         conference program committees to provide FFM programming at all 2006 STFM
         conferences. Programming squad will continue its work for 2007 conferences.

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   4. PREMEDICAL SCHOOL RECRUITMENT
   STF will coordinate with STFM groups to create an initial draft of primary elements by May
   2006.

   a) Approach:
      i) Inventory current efforts in working with pre-medical and pre-college students by
           family medicine departments, programs, and practices, and other interested
           organizations
      ii) Develop survey on surveymonkey.com to build inventory of current pipeline
           programs.
      iii) Create Call to Action Campaign for increasing local one-to-one mentoring. Goal is to
           increase positive exposure of young individuals to physicians that eventually leads
           them to a career in medicine. Program will offer the following:
           (1) A menu of options of pipeline programs from which members can choose
           (2) Support materials to use in presentations from grade school to college
           (3) Campaign will begin with STFM membership and eventually expand to other
               organizations of the family.


   5. DEVELOP WORKFORCE PREPAREDNESS CURRICULUM ON COMMUNICATION
   SKILLS AND CULTURAL COMPETENCY
   STF will coordinate with STFM groups to create a first draft by May 2006.

   a) Approach:
      i) Develop an inventory of the quality communication skills and cultural competency
          curricula and programs that have been used successfully
          (1) Create a workgroup composed of members of appropriate STFM groups and
               other leaders in communication skills and cultural competency to assemble
               information on FMDRL. Coordinate with AFMRD.
      ii) Create a program with various components to help IMGs, both premed IMGs and
          first-year FM residents, fit into workforce. Components may include:
          (1) Workshop for IMGs on communication and cross-cultural competency skills as
               well as competencies in New Model components
          (2) Guidance on appropriate structured experience for IMGs, eg, shadowing
               program with preceptors or observerships
          (3) Skills assessment and training resource package for residency programs – PEP-
               style training materials including some of the following topics – elements not
               developed de novo but selected from those already available
               (a) Methods for assessing communication, cross cultural competency, and New
                   Model component skills
               (b) Tools to develop individual resident learning plans
               (c) Curricula for communication skills, cross cultural competency, and New
                   Model components
          (4) Self-directed on-line learning modules targeted to IMGs preparing for USMLE
               Step II exam

The STFM Special Task Force Members are John Rogers, MD, MPH, STF chair, Nancy Baker,
MD, Janice Benson, MD, Caryl Heaton, DO, Charles Mouton, MD, Terrence Steyer, MD, Jeffrey
Susman, MD, James Tysinger, PhD, William Mygdal, EdD, and Stacy Brungardt, CAE. We are
happy to respond to your questions and look for ways we can work together on these activities.
       For more information, contact John Rogers, MD, MPH, 713-798-7744,
jrogers@bcm.edu or Stacy Brungardt, CAE, sbrungardt@stfm.org, 800-274-2237, ext. 5406.


Last updated: April 2006
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