Family Medicine Strategy

Take the Leadership position in this area for the nation

Embrace the Underserved maximally

Nationally

• Hold Medical Schools Accountable for caring for the underserved, AAMC GQ 2000

• Hold NP and PA Accountable – more decentralized programs, more to underserved areas – (folkes), helps make sure they graduate practitioners where needed instead of flooding the pc market

• Push federal guidelines that PA and NP training not necessarily include masters or doctorate as these forms are less likely to graduate practitioners for underserved

• Embrace concept of psychologists working with FP – move toward becoming the behavioral specialty with the problems psychiatry is having

• Embrace the concept of hands-on training fully (procedures and ob related to choosing rural – Bowman), allow adaptation for inner city and other types of rural where procedures are less important than community medicine and public health and community projects

• Fight for moonlighting for military residents in underserved areas

• Push for separate funding lines for FP programs that embrace the underserved, become an integral part of the Safety Net as a discipline rather than individually so that we take advantage of secure and increasing funding rather than fighting for bits and pieces each year, work to direct GME funds through underserved state consortia, special legislation to allow FP clinics to become CHC and migrants and mental health centers

Side Effects of Selecting for Family Medicine

Medicine, Education, and Social Status

www.ruralmedicaleducation.org

State By State

• Fight for facilitated moonlighting in underserved areas, states allow programs for residents to moonlight in designated areas and locations with liability covered by the state and state supports organization and funding

• State liability coverage for those serving the underserved including FP docs in underserved, FP programs serving underserved areas, supports prenatal access, rural OB is low risk, value of saying call the Attorney General, way to reduce massive increases in overhead

In the Families of Family Medicine

• Open up accelerated programs devoted to underserved, not restricted to academic programs

• Open up RTT programs in smaller areas – original RTT model works, better education, workforce in needed areas during residency

• Remove the continuity clause, Support more rural rotations in shortage areas – CORE programs

• Support Long Term Preceptorships – better training, pass on legacy, target underserved,

• Senior residents in clinic 60% of the time for at least 8 months, 40% 2^nd year, 20 % 1st

State Consortia

Funding through GME, Medicaid

Liability

Facilitated moonlighting

Long term preceptorships