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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Assessing the Current Primary Care Situation, I Choose Hope Over Despair

Carlos Roberto Jaén MD, PhD

Carlos Roberto Jaén MD, PhD

According to Merriam Webster’s dictionary, tipping point is “the critical point in a situation, process, or system beyond which a significant and often unstoppable effect or change takes place.” It’s not when the change is fully apparent, it is when it starts irreversibly. As the Affordable Care Act and 2014 loom in the horizon, some of our academic colleagues in the ROAD specialties are describing the local professional scene as one of “suffering” for their colleagues (“They’re losing their shirts”), probably an exaggeration but nevertheless a change. Many of their graduates, after years of “investment” in their training, will be disappointed.

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Breast-feeding and Family Medicine Faculty

WomenInFM

This is the third in a work/life balance series written by members of the STFM Group on Women in Family Medicine.

Colleen Fogarty,MD, MSc

Colleen Fogarty,
MD, MSc

Returning to work after the birth of a baby challenges all mothers, regardless of the age of the child. However, for breast-feeding mothers, there are special considerations.

Compared with 25 years ago, we’ve made substantial progress in returning to breast-feeding as the best method of infant nutrition. The World Health Organization Guidelines of exclusive breast-feeding for 6 months, followed by weaning foods and continued breast-feeding until 2 years, are widely promulgated by us in family medicine.

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