A CA that integrates multiple domains of professional competence is feasible, useful to students, and fosters reflection and change. Preliminary data suggest that this format is reliable and valid.
We review considerations in applying the team huddle to practice, and provide recommendations for ambulatory health care educators to teach this technique to trainees.
482the innovative work by individual family physicians such as Jeff Brenner from Camden, New Jersey, who has demonstrated how health care costs can be cut by finding community "hot spots" where emergency departments are over-utilized. 9 We commend the Association of American Medical Colleges (AAMC) for publishing their report on how academic medical centers of the future must be system-based to survive.
9In a recently published report, the AAMC describes 4 options for academic medical centers to move toward a system identity, from forming a new system, to partnering, to merging, or to facing the reality of shrinking in isolation.10 Within ADFM, we are tracking how departments of family medicine (DFMs) are leading health care transformation within their academic health centers. Many of our DFMs are actively engaged in moving to team-based care, improving delivery of preventive services, and promoting more appropriate use of consultations and referrals. 11 We will continue to collaborate with others who share the goal of using population health management approaches to improve affordable health care for the nation.
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