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

2. 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

3. Disclosures
Nothing to disclose

5. 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

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

7. Process Faculty meeting using walkabout brainstorming process
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

8. 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

9. 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.”

10. Discussion

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