Changing Times, Changing Roles

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Presentation transcript:

Changing Times, Changing Roles Alison Samitt, MD Ann Skelton, MD Maine Medical Center, Portland, ME

Objectives Describe national trends in scope of practice Describe threats that changing practice styles could pose to recruiting and retaining family medicine faculty Facilitate faculty re-envisioning their careers as individuals and as a whole, while meeting educational and clinical needs

Disclosures Nothing to disclose

Background 7/7/7 residency 600 bed tertiary care hospital 2 FMCs Small urban Suburban Community-based, university-affiliated Large multispecialty medical group 15 full-time, 1 part-time faculty

Why explore the change? Drivers Barriers New hires Physician engagement Barriers Inertia Uncertainty

Process Faculty meeting using walkabout brainstorming process Email request for faculty preferences Put the puzzle back together Walkabout Brainstorming: Rod Napier, Clint Sidle, Patrick Sanaghan, High Impact Tools and Activities for Strategic Planning, McGraw Hill, 1998

Outcome Almost all made a significant change Everyone kept teaching residents/students Everyone who was advising continued Moved away from everyone does everything 3 stopped adult inpatient 3 increased adult inpatient 2 gave up outpatient panel 1 FM hospitalist 1 full-time preceptor Changed call system Consolidated curricular responsibilities Significant change – either as a result of the process or another factor

Outcome 9/10 more satisfied with professional life “This process was so therapeutic and produced so much positive change that I think having a refinement process every 3-5 years in a physician’s career would curb burnout and elicit enthusiasm in the workplace.”

Discussion

samita@mmc.org skelta@mmc.org Thank you! samita@mmc.org skelta@mmc.org