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Wednesday Oct 22, 2014

Want Change? Get Involved in Your Academy

Peter Sundwall, M.D., wasn't totally satisfied with his AAFP membership a few years ago. Specifically, he thought the Congress of Delegates -- the Academy’s policy-making body -- was spending too much time on certain issues at the expense of others that were more important to him.

A conversation with (then) AAFP President Jeff Cain, M.D., encouraged Sundwall to do something about it, so the Alpine, Utah, family physician got involved with the Utah state chapter and became a delegate to the Congress. This week, he is back at the Congress for the second time, working to ensure that the AAFP's policies address the issues he sees in his practice and those of his fellow chapter members. That's important, because he now is president-elect of the Utah AFP.

 Here I am testifying during the Reference Committee on Practice Enhancement at the Congress of Delegates.

I share Peter's desire to improve the care we provide to our patients, and being involved in developing Academy policy can help achieve that goal on a broad scale. Although I am still a new physician, I served two years as an alternate delegate for the Utah AFP and am now experiencing my first year as a full-fledged delegate.

Unlike Peter, my path to the Congress was not sparked by one specific issue, but by a general desire to improve the state of health care. And many positive changes can come from this meeting.  This week, the Congress considered dozens of issues. Here are just a few examples of topics that were debated that could directly impact our patients' health:

  • simplifying the preauthorization process;
  • studying and regulating electronic cigarettes and second-hand vapor; and
  • reforming the DEA's ruling on electronic prescribing of controlled substances to ease the regulatory burden.

Resolutions such as these inform the AAFP's Board of Directors and Academy staff about members' priorities for the coming year. That, in turn, allows the Board and staff to best direct the Academy's action on various issues, which could involve work by one of the AAFP's commissions, the Board and/or staff. The result could conceivably be the development of a program or resource or advocacy with the appropriate regulatory agencies or Congress.

This experience is giving me the ability to help my patients outside the clinic. Many of us chose family medicine, in part, so we could make a difference, and participating in the Congress of Delegates provides avenues to accomplish this. I submitted my first resolution this week, and I enjoyed the process of testifying to the reference committee and working with others to get it passed.

Even outside of the formal parliamentary procedure, those who participate in the Congress can seek out and interact with others with similar interests -- a process that often leads to other positive outcomes. For example, I met a colleague at a previous Congress, and together we developed and submitted a research proposal to the Council of Academic Family Medicine's Educational Research Alliance. We should find out in the next month or two if our idea is accepted.

It's worth noting that the Congress coincides with the AAFP Assembly, so thousands of family physicians are already traveling to the same city for the Assembly experience. That means members interested in sharing the Congress experience can simply add a couple of days on the front end of their trip to catch all the action. Although only delegates may vote during the Congress business sessions, any AAFP member present may give testimony during reference committee hearings.

I also have the privilege of working on the Commission on Governmental Affairs, one of seven AAFP commissions that provide feedback to the Board and assist in its efforts to implement resolutions the Congress adopts. That opportunity has offered me significant insight into the behind-the-scenes work required to improve our Academy and, consequently, our practices and the health of our patients.

Not only has participating in the Congress and on the commission fulfilled my desire to work for my patients and practice on a broader scale, it has also been a lot of fun. I would encourage anyone who would like to get involved this way to talk with your chapter leaders about potential roles in the Congress or commissions.

Kyle Jones, M.D., is a faculty member at the University of Utah Family Medicine Residency Program in Salt Lake City. He is the director of primary care at the Neurobehavior HOME Program, a patient-centered medical home for those with developmental disabilities. You can follow him on Twitter @kbjones11.

Posted at 07:50PM Oct 22, 2014 by Kyle Jones, M.D.

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