Preparing the Future Primary Care Workforce Together: Primary Care Faculty Development Initiative (PCFDI) Why We’re All Here and Why All of YOU are so Important

PCFDI (Primary Care Faculty Development Initiative) Medical Education Reform  Recognition of the need for reform of graduate medical education widespread  Not sufficiently meeting the needs of the public for a 21 st century healthcare system  Primary care an essential core of successful systems

PCFDI (Primary Care Faculty Development Initiative) Office-based Practice Competencies  Inter-Professional team skills  Clinical IT Meaningful Use skills  Population management skills  Reflective practice and CQI skills  Care Coordination  Continuity of Care  Leadership and management skills  Systems thinking  Procedural Skills What About Individual Physician Readiness – The Gaps Crosson Health Affairs 2011

PCFDI (Primary Care Faculty Development Initiative) The PCFDI  National faculty development effort that involves the three primary care disciplines of IM, FM and pediatrics We are looking for people with ideas and a deep desire to improve residencies PLUS help figure out how to rapidly develop faculty capacity across the entire nation.

PCFDI (Primary Care Faculty Development Initiative) Stakeholder “Blueprint” Meeting  January 2012 in Washington DC  Participants:  Employers (e.g. Paul Grundy, IBM)  Policy makers (e.g. Mary Wakefield, HRSA)  Health System leaders (e.g. Jay Crosson)  Program directors  Primary care specialty societies  Educators  Many others

PCFDI (Primary Care Faculty Development Initiative) Conceptual Model

PCFDI (Primary Care Faculty Development Initiative) Our Vision  Application of learning in a competent local clinical environment  Train the trainers back home  Create and evaluate a learning community approach at the local/regional level  All three disciplines collaborate and speak with one voice…more likely to obtain support at the institutional level

PCFDI (Primary Care Faculty Development Initiative) Our Funders  HRSA  Josiah Macy Foundation  American Board of Internal Medicine  American Board of Pediatrics  American Board of Family Medicine

PCFDI (Primary Care Faculty Development Initiative) Public-Private Funding Partnership  Allows for enhancements to the program  Sustainability  Commitment of three primary care boards to broader dissemination IF initial pilot demonstrates promise of effectiveness  Policy makers, educational community and funders watching with great interest

PCFDI (Primary Care Faculty Development Initiative) PCFDI Program  April 2013: 3 day face to face meeting  June 2013: Check-in Webinar  Aug-Sep 2013: Core faculty members visit each of the 4 teams to provide further guidance and training  Oct 2013: Post-site visit webinar  Jan 2014: 1 day face to face “Booster” meeting  Ongoing: Core faculty coaching

PCFDI (Primary Care Faculty Development Initiative) Steering Committee  Family Medicine  Larry Green, Perry Pugno and Sam Jones  Pediatrics  Gail McGuinness, Carol Carraccio  Internal Medicine  David Gary Smith, Eric Holmboe, Leslie Tucker  Wisdom: Kathleen Klink  Evaluation  Patrice Eiff (Project Director), Patty Carney