Family Medicine for Americas Health Partnering to Develop

Family Medicine for America's Health Partnering to Develop the Family Medicine Workforce We Need Christina Kelly, MD, FAAFP Conference on Practice Improvement December 3 -5, 2015 1 1

Objectives: • Learn about the work being done by the FMAHealth and how that applies to practice improvement. • Discuss what additional training is needed to prepare future family physicians to work and excel in a PCMH model. • Assess how each participant can make a positive impact on expanding our family medicine workforce. 2

A word about Family Medicine for America’s Health The goal of FMAHealth is to transform primary care in order to achieve the quadruple aim by… …engaging all stakeholders to move America to a high value system of health and health care… …through practice transformation and… …improved financial investment in primary care needed to support it… …with the workforce, technology and research needed to implement and sustain it. 3

FMAHealth goal achieved through two integrated, multi-year efforts Strategy Implementation Communication Campaign Practice Engagement Payment Research Workforce Technolog y 4

What is the work of the six Tactic Teams? Work with patients and other primary care professionals to improve the value—and extol the benefit—of primary care. Practice Engagement Galvanize the research community to demonstrate primary care’s ability to meet the Triple Aim. Build a practice transformation framework that meets family physicians where they are and helps them get ready for the value-based world on the horizon. Payment Research Workforce Help physicians, patients, and payers get ready for comprehensive payment for primary care, a payment method that best supports primary care. Technology Build a vision for primary technology in the value-based world and go to work on the barriers to getting there. Increase medical student choice of family medicine; recruit, retain, and develop faculty and preceptors. 5

Focus of Workforce Education and Development Tactic Team • • Improve the evaluation of the full continuum of family medicine education Increase student choice of family medicine Build a diverse workforce that addresses health disparities Increase the strength, impact and prosperity of family medicine departments and residency programs through recruitment, development and retention of faculty and preceptors 6

Entrustable Professional Activities • Broad categories of activities that define the essential professional work of a discipline • Expectations for the education of family physicians • Knowledge, skills, and attitudes that resident physicians must before they graduate • Elements that experts and society consider to belong to that specialty 7

EPAs that relate to practice 8

Small Group Exercise Divide into Small Groups of 6 or less Combine people in different career stages Read Scenario for Small Group Discussion 9

Summary of Lucy • • • Strong, smart resident with leadership potential Objective measurements in residency didn’t support her skill level Trained in a PCMH After graduation, employed physician in a PCMH Transition to practice was stressful Additional stress with being expected to lead a clinic team 10

Small Group Discussion 5 -10 min How did Lucy’s residency training prepare her for practice? Where did her residency training fall short? Are residents who complete their residency in a PCMH recognized residency practice necessarily prepared to practice in and/or lead a PCMH? 11

Small Group Discussion Discuss for 10 min and prepare for report back In order for Lucy to feel more prepared to work effectively in a PCMH and lead a team, what are the necessary additions in her residency curriculum and clinic experience? 12

Small Group Discussion Discuss for 10 min and prepare for report back How could FMAHealth help residencies to consistently provide this training? 13

If you would like to get engaged with FMAHealth, please visit our Engagement Portal. • We get to learn about you • You get to learn about FMAHealth • You can let us know what parts of FMAHealth interest you and what role you see yourself playing in the strategy implementation http: //tinyurl. com/nkrwanz 14