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Wednesday Apr 08, 2015

FPs Have Ability to Inspire, Be Inspired by, One Another

During a recent review course at our local medical school, my practice partner gave a lecture about the patient-centered medical home (PCMH). My partner -- who also happens to be my wife -- was not too keen on making the presentation at first. She doesn't think of herself as a public speaker, but after a bit of encouragement, she agreed to share the story of our journey through practice transformation with an audience of about 250 people. And she was magnificent.

Every practicing physician has interesting and valuable stories that other physicians could learn from, but too often, we don’t seize the opportunities in front of us. Likewise, I think many family physicians fail to realize the value we bring to the health care system. But if our nation is to transition from a specialty-driven health care system to one built on primary care, family physicians must be the change agents in that revolution. We cannot wait for permission or validation from others; if we do not believe in ourselves, who will?

In medical school, we often heard the mantra, “see one, do one, teach one,” which emphasizes student learning through practice. A similar approach of “imagine one, do one, inspire one” could be applied to the changes that are needed in our health care system.

One of the experiences I enjoy most of late is when other physicians come to visit our practice to see what we’re doing. Some come to see what we’ve done with our electronic health record system. Others want to know how a small, rural practice became a recognized PCMH. Still others want to hear about our accountable care organization (ACO).

Being around people who are making changes and succeeding can give us the confidence, courage and inspiration to embark on our own transitions. And that doesn’t have to be a transition to a PCMH or an ACO. A growing number of our members are pursuing other practice alternatives, such as direct primary care(www.dpcsummit.org).

We can create the change we want to see, but first we have to understand the possibilities. We can’t just sit back and wait to see what happens next. Of course, every family physician doesn’t have to run for a chapter presidency or testify before a congressional committee to consider him- or herself "involved," but we can all share our success stories with our colleagues and work with our staffs to provide the best care possible.

The Academy has pledged to deliver "strong medicine for America." So long as we inspire our family physician colleagues, and allow ourselves to be inspired by others, we will deliver on that promise.

Lloyd Van Winkle, M.D., is a member of the AAFP Board of Directors.

Posted at 01:45PM Apr 08, 2015 by Lloyd Van Winkle, M.D.

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