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Wednesday Apr 23, 2014

Regional Meetings Offer AAFP Chapters Chance to Share, Learn, Lead

You might already know that each fall, the AAFP's State Legislative Conference offers a national venue for family physicians, constituent chapter leaders and staff to come together to discuss state health policy issues and share best practices for tackling legislative challenges. And during the Annual Leadership Forum each spring -- the 2014 meeting convenes next week, actually -- chapter executives and staff from across the nation gather for leadership training and to trade advocacy tips and other insights with their counterparts in other states.

But what you may not know is that you might be able to find this same sort of interaction -- albeit it on a smaller scale -- within your own region.

I recently had the honor of serving as the AAFP Board of Directors' liaison to the Multi-State Forum in Dallas. There are a number of such events that gather several Academy chapters throughout the year. These events are different from state chapter meetings, but they do have some similarities.

Regional meetings for AAFP chapters offer an opportunity for leaders from several states to come together and share their challenges and solutions. Here I am with California AFP President-elect Delbert Morris, M.D., during the Multi-State Forum in Dallas.

Perhaps the most important thing to recognize is that “All politics is local.” For the AAFP, this means that big impacts start with the state chapters. I encourage each of you to consider how you are getting your messages out, and whether you have considered becoming a more active part of your state chapter to best advocate for your patients, your practice and your community.

Our chapters have many different venues for addressing the kinds of issues that may seem to be unique to individual states. Multi-State is an annual gathering in Dallas of the Arkansas, Arizona, California, Colorado, Iowa, Illinois, Kansas, Missouri, Nebraska, New Mexico, Oklahoma and Texas chapters.

Similar meetings include:

  • Ten State Meeting: This event is held in February at rotating sites and involves the Connecticut, Illinois, Indiana, Kentucky, Massachusetts, Michigan, New Jersey, New York, Ohio, Pennsylvania and Wisconsin chapters.
  • The Southeast Forum: Held in August at rotating sites, this meeting involves the Alabama, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia and West Virginia chapters.
  • Western States Forum: This forum is meets each year to review resolutions slated to go to the AAFP’s Congress of Delegates and involves the Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, New Mexico, Nevada, Oregon, Utah and Washington chapters.

Typically, chapters select up to five members -- often those involved in leadership positions -- to represent their states at these regional meetings.

Unlike state chapter meetings, CME is not a main focus of these events, although there may be some sessions offered that provide educational credits. The most important aspect of these meetings, however, is for everyone to come together and share. This includes a focus on state legislative challenges and issues. In these sessions, chapter representatives discuss legislation in their states that may impact family medicine or that have been a focus of their chapter's advocacy efforts, including bills the chapters supported and those that generated concern.

Right now, many topics dominate our discussions nationally, such as physician payment, graduate medical education, malpractice and scope-of-practice issues. What is interesting is that at these group meetings, these issues are seen quite differently depending on the state that is presenting about them.

From my perspective, the most important benefit of these gatherings is the opportunity to share best practices. Most of these sessions offer a chance for chapter representatives to talk with one another about what successes they have had in different arenas. One of the biggest challenges for our national organization is how to help connect the chapters. In one important way, we need to make parallel in our organizations what we are asking for in our advocacy efforts. And we need to be sure that we are not duplicating our efforts. The more we can share opportunities, solutions and processes with each other, the better off we all will be.

Some of the other benefits of attending these meetings include the presentations they involve. For example, at Multi-State, we heard from Marci Nielsen, CEO of the Patient Centered Primary Care Collaborative, as well as our own Shawn Martin, AAFP vice president of advocacy and practice advancement. These speakers provided an outstanding framework for some of our discussions. In fact, these discussions preceded a recent JAMA article on the patient-centered medical home (PCMH) that suggested that the PCMH may not produce the outcomes we hoped for. However, we had a chance to consider more recent data than what was included in the article. This demonstrates the ability of these meetings to be on the cutting edge of important discussions.

These meetings also offer an opportunity to meet leaders from around the nation. Many future AAFP Board members and national officers saw some of their early involvement at these meetings and were able to hear the critically important broad view of issues that national leadership requires. But it is also important to note that the representation at these meetings often includes members who may not attend national meetings. These are state leaders who are essential to the function of our chapters. When I go to these sessions, I often meet people who are part of the national delegations, or who come to other national meetings; however, I am also blessed to meet many other family physicians who are working hard in their state chapters to make a difference for their patients, their state and their member colleagues. Ultimately, I leave these meetings feeling energized and optimistic about family medicine.

I am hopeful that you will discover the opportunities that are available to make a difference. Of course, you are involved now as you provide care for your patients and negotiate the challenges that you face every day. But I hope you realize there are also opportunities at the state chapter level to get involved beyond your practice. Step up and contact your chapter executive and move forward in your local leadership. From there, the next step as a chapter leader is to come to some of these larger gatherings where you can work with other family physicians to change things for the better. I look forward to seeing you at one of these meetings.

Reid Blackwelder, M.D., is president of the AAFP.

Posted at 09:18PM Apr 23, 2014 by Reid Blackwelder, M.D.

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