Author Archives: stfmguestblogger

My Gratitude: Poetry and Prose Celebrating STFM’s Anniversary

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Colleen T. Fogarty, MD, MSc

When Mary Theobald, the Society of Teachers of Family Medicine Vice President of Communications and Programs, asked me to write a blog in celebration of the 50th anniversary of STFM, I was happy to oblige.

This month marks my 25th anniversary of medical school graduation and entering family medicine residency, so my career represents the second half of STFM’s lifespan!

STFM has been part of my professional development since my early clinical training. As a resident, I attended my first STFM meeting, the Families in Health Conference at Amelia Island. I will never forget the warm welcome I received from everyone I met there including senior colleagues who were well known in the field. My experience at the Families and Health meeting hooked me and I attended the annual meeting later in residency. STFM rapidly became my professional home and solidified my nascent desire to enter a career in academic family medicine. Even in my first practice after residency, as a full-time family physician in a rural community health center, I stayed involved and attended STFM meetings several times.

I have made many important professional relationships over the years through my involvement with STFM. These would not have been possible without this network of accomplished national colleagues. In 2004, I served as the conference chair for the 24th Annual Conference on Families in Health and have been a mentor and served on the steering committee for the Behavioral Health/Family Systems Educator Fellowship over the last several years.

As a member of the 50th Anniversary Task Force, I was once again privileged to meet exciting colleagues both from across the country and the life span of family medicine educators. At the recent annual meeting, during a reflective writing preconference that I was facilitating, I experimented with writings for this blog.

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The Great Family Doctors

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Adam Lake, MD

Precepting is a sieve that catches all the most complex pieces of the clinic day. A man with liver failure, who is somehow still alive, is present for a hospital transition of care visit with our nurse practitioner.  He is dying, and while no one has yet told him this, it could be surmised from a quick glance at his chart.

The resident presents a patient with a history of opiate addiction who has a severe ankle sprain, and only the most tenuous employment. The resident wants to know if the risk of relapse is higher if we prescribe an opioid or if the patient loses their job.

Another resident would like to order a patient’s sixth CT scan of the abdomen this year for their non-specific chronic abdominal pain. The treatment here is in first taking a history of the resident’s fears, and in assessing the therapeutic value of another CT.

I am fortunate to rarely precept alone. Our clinic is large enough that I get to eavesdrop on many of the preceptors who trained me. I look up to them as mentors. I see them as The Great Family Doctors, with whom I hope to someday be held in similar esteem. What makes for a Great Family Doctor?

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To My Fellow Introverts at STFM Conferences

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Sonya Shipley, MD

Furtive glance on the elevator whispers, “I see you.  I know you.  I am you, and I am glad that you are here.” Your mutual silence is comforting to my decidedly stimulated brain.  I see you artfully arranged on strategically placed couches with your noise canceling headphones in place. I am, admittedly, a little envious of your first claim of right to the couch. Though there is ample room for another body, I dare not interrupt your solitude.  I respect your space; your battery is recharging.

The elephant in the room, albeit an often very quiet elephant, is the introvert. But, I see you soaking in the new angles of old information and familiar angles of the new.  I hear your thoughtful probing of the presenters, and I can see the speed of your mind formulating unheard of combinations of inquiry. I see your new ideas, your new projects, your new plans; your newness. I, too, have claimed this newness.  This new invigoration, this new energy, this new resolve, this new commitment. The kind of newness that is only barely adequately described by sentence fragments because it defies and even mocks correct grammar and syntax.  It just IS.  And it IS comfortable in its own skin & its own presence.

We are basking in this new. We have quietly recommitted ourselves to this weighty mission and the ideals of family medicine. We are doing whatever it takes. We are stepping out of our comfort zones—putting ourselves out there. We are taking to heart the lessons of the day.  

To the presenters of the writing session, I heard you. We all heard you. I am bettered by your take home message; someone somewhere always wants to listen—needs to hear.

To my fellow introverts, thank you for bringing your offerings to the table. Thank you for the caffeine you ingested and the brief sojourns into the sunshine and the corners that you occupied in the name of recharging. Though I do not know all of your names, I saw you. I know that you will all go home and earn Tomatoes (especially, my new east coast friend who inspired this turn of phrase). Tomatoes, you say?  Yes, Tomatoes.  From the grateful patients who will bring you the work of their hands—these treasures born of gratitude—for the work that you will do.