Category Archives: interview

Looking Back to Look Forward: In Support of the STFM Foundation

by Peter Coggan, MD

Peter Coggan, MD, pictured in fall 2023 at STFM headquarters in Leawood, KS.

Editors Note: The Winter 2023 STFM Blog features guest author and long-time STFM member Peter Coggan, MD, on the importance of preserving the sanctity of the physician-patient relationship through financial support of the STFM Foundation.

At the beginning of my career, looking back on it, like many faculty in the 1970s I was recruited out of private practice where I had enjoyed teaching medical students and residents rotating through my office. I approached my new role as full-time faculty with enthusiasm and rapidly realized that I was ill-prepared for it.

My first STFM meeting in 1979 was a revelation that was both exhilarating and intimidating. The plethora of workshops, presentations, and other activities were exactly what I needed, and, equally important, were the casual hallway conversations with other attendees – all of us struggling with many of the same questions. These were conversations in which shared problems were openly discussed, mistakes freely disclosed, and solutions offered but, perhaps most important of all, these were conversations that grew into mentorships and friendships over the years. I had found my academic home and in it a place that, at the heart of it all, would help me to realize my desire to teach the physicians of the future to provide better care and in doing so, become a better physician myself.

The middle of my career, as I look back on it, was marked by an increasing involvement with STFM – an almost unbroken attendance for 35 years at the national meeting – the privilege of running the Pre-Doc meeting (now retitled as the Conference on Medical Student Education), participating in multiple presentations, serving on STFM committees and the STFM Board of Directors (twice, in fact) and, with each experience, learning skills that were invaluable to my career.

In the autumn of my career, as I look back on it, the urging of Roger Sherwood (our then Executive Director), led me to the Foundation Board and the discovery of a wonderful opportunity to pay back for all that I had received through my membership in STFM through the Foundation’s many programs and initiatives.

Today in my dotage, as I look back on it, there is the grateful recognition that I could not have had the career opportunities that came my way without STFM. It is also gratifying to reflect on the many members I have met along the way who have become leaders in our field, with successful careers of their own as they carry the STFM mission forward.  Their innovations in presentations and projects first aired in the early and middle years of my STFM membership have, in many instances, joined the mainstream in teaching and patient care. And our specialty is much the better for it.

As for tomorrow, as I look forward to it, I close this brief homily. I hope you will forgive me for a reflection born of, as William Wordsworth expresses it “the inward eye that is the bliss of solitude”. Excellence in the care of patients and their families is the goal we all share in our teaching and our personal practice. Within that, and central to it, is the importance of the doctor-patient relationship, which is a core value for STFM, its Foundation, and the specialty of family medicine. As the practice of medicine continues to evolve as it must, new ways to identify and treat medical problems and ways to communicate with our patients will become everyday tools and, in this context, I look with confidence to STFM to ensure the doctor-patient relationship is preserved. After all, that relationship is central to the practice of medicine, the most intimate and personal of the professions, and, should it not survive, our profession will fade into obscurity.

That, as I look forward to, is the context in which I hope you will join me in supporting the STFM Foundation. My motivation, at the heart of it all, is my wish for you to teach the physicians of the future to provide better care and in doing so, become a better physician yourself, enhancing and preserving that essential quality of our profession – the sanctity of the physician-patient relationship.

We invite you to join Dr Coggan in ensuring future generations of family medicine educators continue to have access to the invaluable STFM resources. Just as the personal and professional contributions you’ve made to family medicine education have undoubtedly had a profound impact on those you’ve met, mentored, led, and collaborated with throughout your journey, a bequest to the STFM Foundation Endowment ensures that impact for generations to come. Your contribution directly supports STFM initiatives and programming like scholarship opportunities for underrepresented in medicine (URM) learners and educators, research grants, conferences, curricula, and more. The STFM Foundation Trustees created the Foundation Endowment to provide a mechanism for passionate family medicine educators to contribute to the long-term success of the STFM Foundation and STFM as a whole.

Get to Know Incoming STFM President Renee Crichlow, MD, FAAFP

As the 2022-2023 term comes to a close, we sat down with incoming STFM President Renee Crichlow, MD, FAAFP to learn about her journey to family medicine education, her plans for the presidency, the importance of good conference snacks, and her love of Audible.

“We are a community of learners and teachers from and for each other. STFM never stops working for Family Medicine or our learners, teachers, and patients. From clinical teaching through the ranks of academia, the bureaucracy of medical schools, and amid policymakers, STFM is working for you and with you. We are you; together, we are thoughtful, strong, and persistent.”

Renee Crichlow, MD, FAAFP

When you were a child, what did you want to be when you grew up?

As a child, the first job I wanted growing up was to be a rodeo rider. I don’t know why, but I remember writing about it in my journal when I was six. Then I wanted to be an oceanographer because Jacques Cousteau was one of my heroes in the 70s, then I fell in love with rocks. As a kid, I could probably name every rock or crystal you could find. My favorite was feldspar. Then came the point in my life when someone I respected a great deal asked me what I wanted to be when I grew up. I was 12. I was pretty good at science, and people liked to talk to me, so I said I would like to be a doctor. Mrs. Rutherford said I would be an excellent doctor. She was a nurse and someone I admired, so I figured if she said I could be a doctor, I could probably be a doctor. My first job in healthcare was as a phlebotomist in Boston. It was there I worked side-by-side with doctors. I appreciated that they supported and encouraged me to attend medical school. So, I left Boston and went to UC Santa Cruz as an undergraduate. After that, I went to UC Davis, which had a strong family medicine focus.

What drew you to medicine and family medicine education in particular as you grew?

The people I admired were the family docs that worked and taught at UC Davis. The specialists at UC Davis were very kind, compassionate people, but the folks that were doing the kind of work that I thought the doctor was supposed to do (take care of people from the time they were born till the time they die and everything in between) were the family docs. The department Chair at the time, Dr Klea Bertakis invited me to interview after she heard my Grand Rounds in my chief resident year. She asked me to consider becoming an attending at the UC Davis Dept of Family and Community Medicine. I’ve always enjoyed teaching, tutoring, and mentoring. I come from an academic family, so the thought of teaching at the graduate level sounded like an excellent way to continue learning and growing as a physician and a person, so I jumped in and never looked back.

When you’re not revolutionizing family medicine education, how do you like to spend your time?

I like to spend my time traveling with my family and reading books or having books read to me. My wife and I have three teenagers, and they are each fantastic in their own way; traveling the country with them has been filled with surprising and wonderful adventures. Also, I am quite likely emotionally dependent on Audible.com in ways that others might consider unhealthy; what do you mean you can’t listen to books in the shower? Why else would one have waterproof earbuds?

What do you wish all members and non-members knew about STFM?

The Society of Teachers of Family Medicine is shaped by and shapes the specialty of Family Medicine. We are a community of learners and teachers from and for each other. STFM never stops working for Family Medicine or our learners, teachers, and patients. From clinical teaching through the ranks of academia, the bureaucracy of medical schools, and amid policymakers, STFM is working for you and with you. We are you; together, we are thoughtful, strong, and persistent. That’s what I’d want them to know. Also, they should know that when I’m typing, my autocorrect flags “STFM,” which always suggests “storm” instead.

If you could impart your past self with any wisdom from the future, what would it be and why?

I would tell past Renee that loving who you are now is a path to becoming who you can be. It may not be the only or easiest path, but it will sustain you. I would tell her that building joy is courageous and starts with me. I would look her straight in the eye and say, “Stillness is the ground, fear is the noise, and Love is both the signal and receiver.” Past Renee would then look at me, think I was a little eccentric, and then she would go out and make the same mistakes I made in the past that I have now learned from, allowing me to become who I am today. That is the other path; experience plus reflection equals wisdom.

What accomplishment are you most proud of in life, and why?

My children are kind and courageous. My learners are innovative and bold. I can, have, and will be a catalyst for systems change, and I have learned to lead from love and help unleash people to claim their own power.

What drives you to show up every day?

Black Jeep with seat warmers and remote starter…just kidding. I show up. I understand that change is the only constant, and we must help shape that change. But that was a journey; first, I showed up because I wanted to survive, and if I didn’t, only bad things would happen. Then, I started realizing I needed more than survival. I wanted to live, which meant showing up for myself too. Then, I understood that I needed more than just survival and more than just to live. I want to thrive, which means showing up for myself and showing up for and with others. I show up to shape change.

What is your most used STFM resource?

My colleagues, this community of learners is my most useful STFM resource. Other than the members, I would say STFM Connect, which helps me stay connected with those colleagues.

What would you tell medical students and residents about their journey ahead?

Family Medicine is THE FUTURE of Healthcare. Machines or Artificial Intelligence can never replace us. We are a critical component in a compassionate and functional healthcare system. We need to build that compassionate and functional healthcare, and together we can.

Has a lesson you’ve learned stuck with you your whole life?

Be kind. Be kind to me and others.

What do you most look forward to most in your term as STFM president?

I look forward to shaking the US medical and educational system to its core, reshaping it into a model for the world, and choosing snacks at conferences.