Category Archives: Education

Is It OK if Our Residency Graduates Work for Walmart?

Joseph Scherger, MD, MPH

Joseph Scherger, MD, MPH

I attended a health care forecast conference recently and learned a sobering new reality. In the near future, Americans will be getting their primary care services in many different locations.

Walmart has announced that it soon will be offering comprehensive primary care in many of its stores. Walgreens, already the largest provider of immunizations outside the government, will expand its Take Care clinics and manage four common chronic diseases: diabetes, hypertension, hyperlipidemia, and asthma. A longtime colleague and family medicine educator recently went to work for Kroger’s new clinic system, The Little Clinic. Large employers are setting up workplace clinics to provide common health services while keeping their employees on the job.

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Faculty Development and the Family Medicine Milestones: What Do They Have to Do With Each Other?

Joseph Brocato, PhD

Joseph Brocato, PhD

If you are like me, I am sure that many of you are vacillating between denial and avoidance—and perhaps even outright hostility—when contemplating the new ACGME Family Medicine RRC Milestones and Next Accreditation System (see http://www.acgme-nas.org/family-medicine.html). While indeed they involve a new way of tracking residents’ attainment of fundamental knowledge, skills, and attitudes, it also suggests that we as faculty need to make efforts to examine how much we know about evaluating our residents in this new era of competency-based education. What are some of the faculty skills we need to hone?
While there are the traditional academic roles of teaching, research, and scholarship and embedded skills within each, we now find ourselves needing to become much more proficient in the area of evaluation: how do we do a thorough evaluation of our trainees, and how do we take a potentially large bolus of evaluation data points for each resident/fellow and make a objective decision about residents/fellows reaching the sometimes seemingly elusive marker of being “competent to practice independently”?

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Experiencing Primary Care From Opposite Sides of the Spectrum: Clerkships Can Influence the Career Path of Medical Students

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Danial Jilani, MPH

The uncertainty surrounding primary care is arguably the highest it has ever been. Many medical students entering their third-year clerkships have preformed conclusions about primary care. At the face of a federal health care overhaul, declining reimbursements, and a workforce shortage estimated to reach 21,000 by 2015, for some medical students the future of primary care seems unpredictable. A third-year experience in family medicine and ambulatory medicine can be an imperative influence in the career path of a medical student.

Third-year students at Wright State University Boonshoft School of Medicine (WSU-BSOM) complete a 6-week family medicine rotation where they spend time with preceptors in a variety of settings, including private offices, indigent clinics, academic settings, and more. During my clerkship, I had the honor of working with Dr Joseph Allen, a recipient of the AAFP Foundation’s 2012 Pfizer Teacher Development award.

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