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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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