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Tuesday Nov 24, 2015

Tales From the Road: Giving Thanks for Family Medicine

In the eight weeks since I became AAFP president, I have visited nine states; Washington, D.C.; and Canada on Academy business. Along the way, I've met with governors, members of Congress, medical students, journalists and many, many family physicians.

Although these are trying times for family medicine, I've seen many things to be thankful for, and I want to share some of those bright spots.

During the recent interim meeting of the AMA House of Delegates in Atlanta, Neil Brooks, M.D., of Vernon, Conn., announced that he was participating in his last AMA meeting. That's significant because the former AAFP president has been representing family medicine in the House of Medicine for more than a quarter of a century, including the past 12 years as a member of the AAFP's delegation.

(Coincidentally, Rep. Joe Courtney, D-Conn., spoke highly of Neil and his wife, Sandi, during a recent meeting with AAFP leaders. Courtney is a co-founder of the new Primary Care Caucus, which seeks to advance public policy that establishes, promotes and preserves a well-trained primary care workforce and delivery system as the foundation of our health care system.)

When experienced physicians like Neil Brooks leave leadership roles, who will take their place? Well, for one, I was impressed by Allen Rodriguez, a second-year medical student from UCLA who was part of our AMA delegation. Student interest in family medicine is increasing, and I try to meet with medical students wherever I go. Students are excited by the idea of family medicine -- taking a holistic approach to caring for people in the context of their community, family and life rather than defining them by their disease state.

The students I have met with (most recently at Virginia Commonwealth) are passionate about addressing the social determinants of health, show great leadership skills and are committed to lifting the profile of family medicine. We recently saw students and residents at Columbia University and NewYork-Presbyterian Family Medicine Residency rally around their programs when those organizations announced misguided plans to divest from primary care. Columbia and NewYork-Presbyterian backpedaled from those plans after a fierce, and well-deserved, backlash.

And, of course, I'm thankful for the family physicians who are out there helping people every day. I've visited several state chapters in the past few years, and one of the things I look forward to on these trips is hearing the inspiring stories of each state's family physician of the year.

In Illinois, I heard about Elba Villavicencio, M.D.(www.iafp.com), of Buffalo Grove, who was nominated by a patient who said "Dr. V" helped her quit using tobacco after 35 years of smoking and also helped her lose weight. Villavicencio trained in Ecuador and practiced in her home country and Colombia for several years before coming to the United States, a move that required not only additional training but learning a new language.

In Iowa, I heard about Mark Haganman, D.O.(globegazette.com), of Osage, who was praised not only for being a good doctor but also a good citizen. Haganman was humble about accepting the award, but others praised him for going above and beyond what any patient would normally expect from his or her physician. For example, Haganman mowed a patient's yard, not because the patient had asked but because help was needed after a surgery. Stories like that are inspiring, and we need to hear more of them.

Studies tell us that more than one-third of physicians are struggling with burnout. During my speech in Denver at the Family Medicine Experience, I said that we need to look out for each other. I was pleased recently when one of our members took me literally and asked me to call a colleague who was struggling. I made that call last week and offered a sympathetic ear and some mentoring. It's rough out there, and we need to continue to look out for each other.

We also need to continue to share the stories of our colleagues who are doing incredible things in their communities. Doing so helps inform the press, the public, payers and politicians about why primary care matters.

Happy Thanksgiving, and thank you for all that you do.

Wanda Filer, M.D., M.B.A., is president of the AAFP.

Posted at 01:58PM Nov 24, 2015 by Wanda Filer, M.D.

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