Redesigning Family Medicine Training to Meet the Emerging Health Care Needs of Patients and Communities: Be the Change We Wish to See.

Family Medicine
Norman B Kahn

Abstract

This paper reflects a vision of how family medicine residency training will be redesigned to prepare graduates to meet the health care needs of their patient populations and regional communities. Family physicians are needed to serve as personal physicians and as the patient's usual source of care, as recognized in historic documents that have defined the specialty's enduring role in society as the foundation of the health care system. Modern residency practices will include residents as junior partners and members of multidisciplinary faculty teams. Residency practices will measure and improve care consistent with the triple aim: enhancing the experience of care for patients, improving outcomes of care for populations, and reducing waste and the cost of care in the system.Curricula will include core elements of the roles of family physicians, including the development of therapeutic relationships with patients and families, recognizing patients' needs and expectations, professionalism, the identification and management of acute and chronic illness, maternity care, and the care of hospitalized patients. Also included will be emerging expectations of family physicians, including team roles, expanded care through telehealth and p...Continue Reading

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