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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

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
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
myth we re not really an important specialty
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 Unpublished data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
myth we don t do research
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
myth we don t do hospital work
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
myth we don t get paid enough
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
myth we have no free time
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
myth we are a dead end specialty
Myth: We are a dead-end specialty
  • Fellowships—many!
  • Certificates of added qualifications (CAQs)
    • Geriatrics
    • Sports Medicine
    • Adolescent medicine
    • Sleep medicine
    • Hospice and Palliative
myth all we do is sit in an office and see patients
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
myth we have no future
Myth: We have no future
  • What is our future?
21st century concerns
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

slide19
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

truths
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
fun stuff
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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