PT  - JOURNAL ARTICLE
AU  - Jack M. Colwill
AU  - John J. Frey
AU  - Macaran A. Baird
AU  - John W. Kirk
AU  - Walter W. Rosser
TI  - Patient Relationships and the Personal Physician in Tomorrow's Health System: A Perspective from the Keystone IV Conference
AID  - 10.3122/jabfm.2016.S1.160017
DP  - 2016 Jul 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - S54--S59
VI  - 29
IP  - Supplement 1
4099  - http://www.jabfm.org/content/29/Supplement_1/S54.short
4100  - http://www.jabfm.org/content/29/Supplement_1/S54.full
SO  - J Am Board Fam Med2016 Jul 01; 29
AB  - A group of senior leaders from the early generation of academic family medicine reflect on the meaning of being a personal physician, based on their own clinical experiences and as teachers of residents and students in academic health centers. Recognizing that changes in clinical care and education at national and local systems levels have added extraordinary demands to the role of the personal physician, the senior group offers examples of how the discipline might go forward in changing times. Differently organized care such as the Family Health Team model in Ontario, Canada; value-based payment for populations in large health systems; and federal changes in reimbursement for populations can have positive effects on physician satisfaction. These changes and examples of changes in medical student and residency education also have the potential to positively affect the primary care workforce. The authors conclude that, without substantive educational and health system reform, the ability to truly serve as a personal physician and adhere to the values of continuity, responsibility, and accountability will continue to be threatened.