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

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!

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  1. Family Medicine Myth Busters-or-Huh, I didn’t know that! Vince WinklerPrins, M.D. MSU College of Human Medicine

  2. 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

  3. 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 Unpublished data • Provide majority of primary care to underserved rural and urban populations

  4. Health Power shortage areas

  5. 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

  6. 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

  7. 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

  8. 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

  9. Myth: We are a dead-end specialty • Fellowships—many! • Certificates of added qualifications (CAQs) • Geriatrics • Sports Medicine • Adolescent medicine • Sleep medicine • Hospice and Palliative

  10. Myth: We just refer people

  11. Myth:Our patients don’t do as well

  12. 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

  13. Public health Research Education Myth:All we do is sit in an office and see patients

  14. Myth: We have no future • What is our future?

  15. 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

  16. 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

  17. 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

  18. 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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