Objective 4
Strategic Plan for Residency Education in Family Practice
To provide family medicine residencies with sufficient family physician and other residency faculty.Strategic Directions:
4.1 Encourage and promote the teacher role to residents and graduates to consider family medicine education as a career
a. Teach residents how to teach.
Who:
STFM, family medicine residency programs, AAFP.
Strategy:
- Provide workshops at residency programs.
- Provide workshops at NCFPR.
- Local faculty development to teach faculty to teach residents to teach.
- Develop teaching/learning modules.
- Cultivate resident roles as teachers.
- Socialize residents into the role of a faculty member.
Who:
Family practice residency programs, STFM, AAFP.
Strategy:
- Nurture faculty development.
- Provide faculty job descriptions to residents.
- Put residents in faculty roles for a time.
- Procure money for faculty development.
- Workshops at NCFPR.
c. Encourage residents to include teaching as part of their professional role as family physicians.
Who:
Family practice residency programs, AAFP, AAFP constituent chapters, STFM.
Strategy:
- Workshops at NCFPR.
- Role model practicing physicians to residencies, and residents to their practices.
d. Recruit graduates to teaching roles in residencies.
Who:
Family practice residency programs.
Strategy:
- Invite graduates to lecture, precept, attend, lead groups and participate in social activities.
- Faculty development for graduates.
- Graduates to teach practice management.
- Residents to graduates' practices.
- Pay graduates to teach.
- AAFP/F Resident Repayment Program
4.2 Approach the community as a source of educational resources and models:
a. Educate the practicing family physician community as to the need for physician educators.
Who:
AAFP, AAFP chapters, family medicine residency programs.
Strategy:
- Publications.
- AAFP Assembly.
- AAFP Leadership Conference.
- State Officers' Conference.
- State chapter meetings.
- Preceptor Education Project.
b. Advocate for the use of teachers and educational resources outside family medicine (e.g., nutrition, pharmacy, law, clergy, social work, practice management).
Who:
STFM, ACGME, AAFP, AFPRD.
Strategy:
- National and regional meetings.
- RRC-FP "Special Requirements."
c. Explore the community for potential educational experiences and faculty resources (e.g., public health, community mental health, AHECs, colleges, social service agencies).
Who:
Family practice residency programs.
Strategy:
- Local and regional community resources.
4.3 Enhance the financial and other incentives for family medicine teaching:
Make teaching a financially attractive career.
Who:
AAFP, ADFM, AFPRD, Washington Offices of AAFP and OAFM.
Strategy:
- State and federal legislation.
- Promotion and tenure policies.
- Salary surveys.
- Loan repayment programs.
- Liaison to AHME - educational programs.
b. Seek ways to identify and meet faculty needs for non-financial incentives and recognition.
Who:
ADFM, AFPRD, STFM, AAFP, RAP.
Strategy:
- Faculty appointments.
- Workshops at RAP/PD, etc. for program directors.
- Survey of faculty rewards/costs.
- Promotion and tenure policies.
- Sabbaticals in community programs.
4.4 Advocate for and support adequate numbers of faculty:
a. Seek adequate numbers of residency faculty to reduce the risk of overburdening faculty.
Who:
AAFP, STFM, AFPRD.
Strategy:
- STFM faculty development sessions.
- AAFP Annual Assembly courses.
- AAFP/STFM centralized faculty recruitment clearinghouse.
- Include faculty positions in AAFP physician placement service.
- Consider development of an interorganizational group on faculty recruitment, development, retention, and rewards.
b. Support the need for a 1:6 ratio of full-time family physician faculty to residents, in addition to the Program Director.
c. Support the need for a 1:4 ratio of FTE family physician faculty in direct teaching roles to residents.
d. Facilitate creativity in defining full-time faculty roles with varying amounts of clinical practice.
Who:
ACGME, AAFP, AFPRD, RAP, STFM.
Strategy:
- RRC-FP "Special Requirements."
- Workshops at educational meetings.
4.5 Nurture the development of the National Institute for Program Director Development.
Who:
ABFP, AFPRD, RAP, AAFP, STFM.
Strategy:
- Financial subsidy.
- Educational programming.
- Evaluation.
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