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

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

doi:10.3122/jabfm.2014.01.130219

Article Figures & Data

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Table 1. Characteristics of the 35 Pisacano Scholars and Alumni Who Participated in the 2013 Chicago Conference on the Future of Family Medicine Compared with All 105 Pisacano Scholars and Alumni

Characteristics	35 Pisacano Scholars in Attendance the Chicago Conference	105 Pisacano Scholars (as of June 2013)
Age (years)
<30	10 (29)	12 (11)
31–35	7 (20)	20 (19)
36–40	8 (23)	24 (23)
41–45	7 (20)	30 (29)
46–50	2 (6)	16 (15)
>50	1 (3)	3 (3)
Residency Completion
Currently in medical school or residency	12 (34)	15 (14)
Completed residency ≤5 years ago	9 (26)	23 (22)
Completed residency >5 years ago	13 (37)	66 (63)
Other path after medical school	1 (3)	1 (1)
Medical School Graduation Year
2012–2013	9 (26)	10 (10)
2010–2011	9 (26)	12 (11)
2005–2009	5 (14)	23 (22)
2000–2004	5 (14)	25 (24)
1994–1999	7 (20)	35 (33)
Geographic Residence
Northeast	6 (17)	18 (17)
Midwest	10 (29)	23 (22)
South	6 (17)	15 (14)
West	13 (37)	47 (45)
International	—	2 (2)

Data are n (%).

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Table 2. Summary of Themes from the Pisacano Scholars' Vision for the Future of Family Medicine (FFM) Version 2.0, Related FFM Version 1.0 Recommendations, and Representative Quotes

Themes Representative of Pisacano Scholars' Vision for FFM v2.0	FFM v1.0 Project Recommendations	Representative Salient Quotes
1. Leading healthcare system transformation	10. Leadership and advocacy	“The healthcare system needs us; this is a call to action.”
		“This is about leading the transformation within primary care but also stepping up to be leaders across the health care system and in the community.”
		“Step into the role–walk the walk.”
2. Advocating for policies that improve health	10. Leadership and advocacy	“Let's provide ‘leadership with guts’ to clearly define our goals.”
2. Advocating for policies that improve health	10. Leadership and advocacy	“We need to come out of the closet and support the ACA.”
3. Assuring that family physicians are well trained	4. Lifelong learning	“Integrate MOC more seamlessly into daily work.”
4. Improving personal relationships with patients	1. New model of family medicine 6. Quality of care	“Although rethinking structure and processes in medical care is undeniably essential, relationships must remain at core of medicine and healing.”
5. Putting patients truly in the center	1. New models of primary care	“We need to achieve meaningful transformation, not just check boxes.”
		“Don't stifle innovation.”
		“Innovation is key.”
		“We need to put the heart into the vision.”
6. Providing healthcare that is guided by best evidence	5. Enhancing science of family medicine	“Let's put forth practical models of what actually works (not just the philosophical models).”
	6. Quality of care	“We can focus on implementation but we also need to focus on measurement: are we really putting forth measureable goals to assess success?”
	6. Quality of care	“Who will be accountable for ensuring that ‘stuff’ gets done?”
7. Defining the role of the family doctor	9. Unified communications strategy	“Let's put some of this information into the New Yorker, not just the JABFM.”
		“Doctors for the Whole Person … Doctors for All People”
		“We would like our patients to say to us: ‘You're my everything doctor.’ ”
8. Building a family medicine workforce for the future	8. Promoting a sufficient family medicine workforce 3. Family medicine education	“We need to expose medical students to the FFM vision out in the ‘real world’—not just at the academic health centers.”
8. Building a family medicine workforce for the future		“Resident education will drive change.”
9. Making technology meaningful	2. Electronic health records	“Are we talking about using the EHR as a medical record, or are we talking about meaningful use?”
10. Engaging all family physicians in “learning communities” to share and learn best practices	1. New model of family medicine 5. Enhancing the science of family medicine	“We need to move beyond statements of intent to implementation of ideas.”
		“Has the FFM moved down into the trenches? How do we work to create a universal language and move this into the world of the average family physician?”
		“We cannot leave behind small communities, rural practices, and underserved populations.”
11. Using resources wisely and equitably	Task force 5 but was not explicitly a recommendation of FFM v1.0	“Maybe we should pay for an air conditioner rather than a hospitalization?”
12. Addressing the needs of populations to eliminate health disparities	No FFM v1.0 recommendation or task force explicitly addresses this theme.	“We need to create a community-centered medical home and integrate with social services and use their resources.”
		“Our job is to fundamentally solve problems. We should define ourselves by what problems we solve and how we help communities.”

ACA, Affordable Care Act; EHR, electronic health records; JABFM, Journal of the American Board of Family Medicine; MOC, maintenance of certification.