Changing Times Changing Roles Alison Samitt MD Ann

Changing Times, Changing Roles Alison Samitt, MD Ann Skelton, MD Maine Medical Center, Portland, ME

Objectives • Describe national trends in scope of practice • Describe threats that changing practice styles could pose to recruiting and retaining family medicine faculty • Facilitate faculty re-envisioning their careers as individuals and as a whole, while meeting educational and clinical needs

Disclosures • Nothing to disclose

Background • 7/7/7 residency • 600 bed tertiary care hospital • 2 FMCs – Small urban – Suburban • Community-based, university-affiliated • Large multispecialty medical group • 15 full-time, 1 part-time faculty

Why explore the change? • Drivers – New hires – Physician engagement • Barriers – Inertia – Uncertainty

Process • Faculty meeting using walkabout brainstorming process • Email request for faculty preferences • Put the puzzle back together

Outcome • • Almost all made a significant change Everyone kept teaching residents/students Everyone who was advising continued Moved away from everyone does everything – 3 stopped adult inpatient – 3 increased adult inpatient – 2 gave up outpatient panel • 1 FM hospitalist • 1 full-time preceptor – Changed call system – Consolidated curricular responsibilities

Outcome 9/10 more satisfied with professional life “This process was so therapeutic and produced so much positive change that I think having a refinement process every 3 -5 years in a physician’s career would curb burnout and elicit enthusiasm in the workplace. ”

Discussion

Thank you! samita@mmc. org skelta@mmc. org