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Family Medicine Myth Busters-or-Huh, I didn’t know that! Vince WinklerPrins, M.D. MSU College of Human Medicine Myth: We aren’t a specialty 20 th recognized medical specialty in 1969 Second largest number of board certified members after internal medicine Legacy of general practice

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Family medicine myth busters or huh i didn t know that l.jpg

Family Medicine Myth Busters-or-Huh, I didn’t know that!

Vince WinklerPrins, M.D.

MSU College of Human Medicine


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Myth: We aren’t a specialty

  • 20th recognized medical specialty in 1969

  • Second largest number of board certified members after internal medicine

  • Legacy of general practice


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Myth: We’re not really an important specialty

  • Ask our patients!

  • We see more patients than any other primary care specialty-24.6% of all outpatient visits—210 million patients in 2001 (76 million more than internal medicine) Source: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control  and Prevention, National Center for Health Statistics,  2002 data. Unpublished data

  • Provide majority of primary care to underserved rural and urban populations



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Myth: We don’t do research

  • Practice-based research networks (PBRNs)

    (AHRQ director of this is a family physician)

  • GRIN is Michigan’s PBRN—ongoing projects

  • Our department:

    • Cancer

    • AHEC

    • Geriatrics


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Myth: We don’t do hospital work

  • 83% of family doctors do!

  • 20-30% of us deliver babies

  • Manage and coordinate care

  • Patients are often lost in hospital system—we can help


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Myth: We don’t get paid enough

  • Relative to whom?

  • 150K mean (similar to primary care internal medicine and more than pediatrics)

  • Reimbursement options

    • National Health Service Corps

    • Community health centers

    • Indian health


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Myth: We have no free time

  • Average 5 weeks of vacation a year

  • Average work week 51 hours (40 hrs direct patient care)

  • Most family physicians in group practices

  • Feminization of medicine

  • Continuous availability no longer the norm


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Myth: We are a dead-end specialty

  • Fellowships—many!

  • Certificates of added qualifications (CAQs)

    • Geriatrics

    • Sports Medicine

    • Adolescent medicine

    • Sleep medicine

    • Hospice and Palliative



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Myth:Our patients don’t do as well


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Resort doctor

Prison doctor

Free-range doctor

Med director

Locum tenens

Leglislator (please!)

Urgent care/ER

Hospitalist

Administrator

International work

Focused practice

1. Procedures

2. Sports med

3. Geriatrics

4. Women’s health

Myth:All we do is sit in an office and see patients


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Public health

Research

Education

Myth:All we do is sit in an office and see patients


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Myth: We have no future

  • What is our future?


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21st Century Concerns

System

hassles

Health

disparities

High healthcare

costs

45 million

uninsured

Medical

errors

Low health

statistics

Quality

Reimbursement

Student interest

Maldistribution

Public understanding

Anticipating the future

Ref: Norm B Kahn Jr., M.D. AAFP


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Patient focus

Access to care

Team approach to care

Basket of services

Electronic health record

Open scheduling and communication

Redesigned offices

Focus on quality and safety

Enhanced practice finance


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Truths!

  • We get to take care of our friends!

  • You can tailor your practice to your interests

  • A specialty defined by people and relationships--not disease states


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Fun stuff

  • National Conference of Family Medicine Residents and Students—annually in July in Kansas City, MO

  • WONCA-world organization of family doctors

  • AAFP Leadership-lots of local and national opportunities


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