Clinicians’ Overestimation of Their Geographic Service Area

Rock, Robert; Liaw, Winston; Krist, Alex H.; Tong, Sebastian T.; Grolling, David; Rankin, Jennifer; Bazemore, Andrew

doi:10.1370/afm.2383

Cited by 2 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And once again, this likely requires explicit training and experience in engagement and advocacy, as well as datadriven understanding of panel size, community and service area characteristics unfamiliar to most current FPs. 53,75 This concept of adapting to local need is of particular importance to the family medicine GME enterprise, whose small, widely distributed, and largely community-based training sites yield graduates particularly likely to practice within 100 miles of GME training. 76…”

Section: Tailoringmentioning

confidence: 99%

Sailing the 7C’s: Starfield Revisited as a Foundation of Family Medicine Residency Redesign

Bazemore

Grunert

2021

Fam Med

View full text Add to dashboard Cite

Amidst a pandemic that has acutely highlighted longstanding failings of the US health care system and the graduate medical education (GME) enterprise that serves it, educators prepare to embark on another revision of the program requirements for family medicine GME. We propose in this article a conceptual framework to guide this endeavor, built on a foundation of the core functions that Barbara Starfield suggested might explain primary care’s salutary effects. We first revisit these “4C’s”—first Contact, Continuity, Comprehensiveness, and Coordination—and how they might inform design thinking in primary care GME guideline revision. We also propose the addition of Community engagement, patient-Centeredness, and Complexity. Training residents to deliver on these “7C’s,” functions critical to the delivery of high-performing primary care, is essential if family medicine residency graduates are to serve the clearly articulated, but unrealized, quadruple aim for US health care: improved patient experience and population health at lower costs while preserving clinician well-being. Finally, we highlight and illustrate examples of four critical enablers of these 7C core functions of primary care that must be accommodated in training guidelines and reform, suggesting a need for resident competencies in Team-based, Tool- and Technology-enabled, Tailored (“4T’s”) care of patients and populations.

show abstract

Section: Tailoringmentioning

confidence: 99%

Sailing the 7C’s: Starfield Revisited as a Foundation of Family Medicine Residency Redesign

Bazemore

Grunert

2021

Fam Med

View full text Add to dashboard Cite

show abstract

“…20 This approach has proven difficult to implement for several reasons, including problems with defining "community." Rock and colleagues 21 tested the relationship between actual and clinician-predicted geographic service area and found vast discrepancy. They conclude that "practices need tools to better understand the communities they serve before they can be expected to undertake population-level interventions.…”

mentioning

confidence: 99%