The Future of Family Medicine Version 2.0: Reflections from Pisacano Scholars

Doohan, Noemi; Duane, Marguerite; Harrison, Bridget; Lesko, Sarah; DeVoe, Jennifer E.

doi:10.3122/jabfm.2014.01.130219

Cited by 14 publications

(12 citation statements)

References 38 publications

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“…FFM 1.0 was a critical first step toward ensuring that family physicians are equipped and positioned to drive the changes needed for the US health care system to achieve the triple aim, but more work is needed to realize all FFM 1.0 goals and to set FFM 2.0 goals. 10 Family medicine must continue to transform at an accelerated pace to best meet the needs of patients and influence vital improvements in the US health care system. As the profession moves forward, continued study of the history of family medicine will help ensure that all family medicine learners and teachers know where we've been to better see where we are going, thereby building historical competency within the profession.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9] Reviewing the history surrounding the creation of the FFM 1.0 report will help our profession prepare for the next wave of transformative recommendations (FFM 2.0). 10 This article presents a multigenerational perspective on the historical context of the development and the launch of the FFM 1.0 report, emphasizing the professional activism that preceded and followed it. It is intended to spark continued intergenerational dialog on the evolution that has occurred in family medicine over the past decade as well as to provide historical context for critically interpreting and building an action plan for FFM 2.0 recommendations.…”

mentioning

confidence: 99%

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Back to the Future: Reflections on the History of the Future of Family Medicine

Doohan

Endres

Koehn

et al. 2014

The Journal of the American Board of Family Medicine

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These are historic times for family medicine. The profession is moving beyond the visionary blueprint of the Future of Family Medicine (FFM) report while working to harness the momentum created by the FFM movement. Preparing for, and leading through, the next transformative wave of change (FFM version 2.0) will require the engagement of multigenerational and multidisciplinary visionaries who bring wisdom from diverse experiences. Active group reflection on the past will potentiate the collective work being done to best chart the future. Historical competency is critically important for family medicine's future. This article describes the historical context of the development and launch of the FFM report, emphasizing the professional activism that preceded and followed it. This article is intended to spark intergenerational dialog by providing a multigenerational reflection on the history of FFM and the evolution that has occurred in family medicine over the past decade. Such intergenerational conversations enable our elders to share wisdom with our youth, while allowing our discipline to visualize history through the eyes of future generations. (J Am Board Fam Med 2014;27:839 -845.) Keywords: Health Policy, Medical Education, Primary Health CareThere is an urgent need for a strong and sustainable US health care system. Family medicine is uniquely positioned to lead efforts to help our nation achieve the triple aim of better health care, improved population health, and lower health care costs. [1][2][3][4][5] Reflections on the history of family medicine are central to our dialog about the future, including a critical review of key historical documents, such as the Future of Family Medicine (FFM 1.0) report. [6][7][8][9] Reviewing the history surrounding the creation of the FFM 1.0 report will help our profession prepare for the next wave of transformative recommendations (FFM 2.0).10 This article presents a multigenerational perspective on the historical context of the development and the launch of the FFM 1.0 report, emphasizing the professional activism that preceded and followed it. It is intended to spark continued intergenerational dialog on the evolution that has occurred in family medicine over the past decade as well as to provide historical context for critically interpreting and building an action plan for FFM 2.0 recommendations. Effective change will require the engagement of multigenerational and multidisciplinary visionaries who bring wisdom from diverse experiences. Historical competency is imperative; active group reflection on the past will potentiate the collective work being done to best chart the future.Historical Context, Development, and Launch of the FFM 1.0 Report Family medicine derived from general practice. Before the 20th century, the standard medical practice This article was externally peer reviewed.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Back to the Future: Reflections on the History of the Future of Family Medicine

Doohan

Endres

Koehn

et al. 2014

The Journal of the American Board of Family Medicine

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“…It is note-worthy that two tasks were identified for expansion -integrating the patient and family into community in the future healthcare delivery system, and enhancing practice reimbursement. (9)…”

Section: (B) Definition Of Family Medicinementioning

confidence: 99%

Education and training in family medicine: progress and a proposed national vision for 2030

Goh¹,

Ong²

2014

smedj

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This review provides an update of education and training in family medicine in Singapore and worldwide. Family medicine has progressed much since 1969 when it was recognised as the 20th medical discipline in the United States. Three salient changes in the local healthcare landscape have been noted over time, which are of defining relevance to family medicine in Singapore, namely the rise of noncommunicable chronic diseases, the care needs of an expanding elderly population, and the care of a larger projected population in 2030. The change in the vision of family medicine into the future refers to a new paradigm of one discipline in many settings, and not limited to the community. Family medicine needs to provide a patient-centred medical home, and the discipline's education and training need to be realigned. The near-term training objectives are to address the service, training and research needs of a changing and challenging healthcare landscape.

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“…16 We also include a special communication from previous Pisacano Scholars reflecting on the future of family medicine. 17 …”

Section: Pisacano Scholarsmentioning

confidence: 99%

Family Physicians are Complex Care Physicians and Quality of Care Advancement Experts

Bowman¹,

Neale²

2014

The Journal of the American Board of Family Medicine

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Sharma and coauthors 1 from the Graham Center present this issue's policy brief and suggest that family physicians should be considered "complex care physicians." The evidence? The majority of patients seeking care for 11 of 14 high-cost chronic conditions are more likely to see a primary care physician rather than the corresponding specialist physician, a fact that often is underappreciated. As we know, caring only for conditions requiring chronic care can be more than a full-time job; this article once again suggests that we do not have enough primary care physicians. At minimum, urgent, prevention, behavior change counseling, and health care coordination needs also must be met by this same workforce. In keeping with this theme of care across the spectrum, Cohen et al 2 show that family physicians are about 2.5 times more likely than obstetriciangynecologists to deal with additional nongynecologic health problems at the time of a preventive gynecologic visit. (Editors' note: but they are likely paid the same, which is unfortunate and inappropriate!) This suggests seeing an obstetrician-gynecologist for preventive gynecologic visits also would increase costs because the patient must then see another provider for the additional problems.

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The Future of Family Medicine Version 2.0: Reflections from Pisacano Scholars

Cited by 14 publications

References 38 publications

Back to the Future: Reflections on the History of the Future of Family Medicine

Back to the Future: Reflections on the History of the Future of Family Medicine

Education and training in family medicine: progress and a proposed national vision for 2030

Family Physicians are Complex Care Physicians and Quality of Care Advancement Experts

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