May 12, 2021, 4:13 p.m. News Staff ― Family physicians from around the country weighed in on a wide range of issues important to family medicine during the 2021 National Conference of Constituency Leaders, held virtually April 29-May 1.
Each year, the conference brings together chapter delegates representing the five NCCL constituencies: women, minorities, new physicians, international medical graduates and LGBT physicians and physician allies. Registrants to this year’s meeting totaled 361, including 183 new physicians and 207 first-time attendees.
Members who participated in reference committee hearings on April 29-30 testified on dozens of resolutions covering topics such as promoting diversity and health equity, encouraging continued use of telehealth and telemedicine, and bolstering the primary care workforce. NCCL delegates voted on recommendations from those reference committees during the business session on May 1. They also elected new leaders to fill various leadership positions in the coming year.
Here’s a look at topics discussed during the April 30 Reference Committee on Practice Enhancement hearing and voted on by delegates the following day.
Not surprisingly, given the myriad practice changes mandated by the COVID-19 pandemic during the past year, issues related to telehealth drew a good deal of discussion, with two resolutions submitted on this topic.
One of those measures highlighted multiple problems that have plagued widespread adoption of this technology to date, including
Even as physicians have come to recognize the importance of telehealth technology in optimizing performance in payment reform models that utilize a team-based model of care, these obstacles have persisted to one degree or another, according to the resolution’s authors.
In light of these and other factors “inhibiting the success of telehealth” in some communities, the resolution asked the AAFP to “actively study the role of barriers in preventing telehealth from becoming a mainstay in the repertoire of family physician practice settings across diverse communities.”
In addition, it called for the Academy to collaborate with other entities to mitigate those factors and work toward achieving universal telehealth access in keeping with the overarching goal of providing health care for all.
Testimony was overwhelmingly in support of the resolution, and reference committee members put forward a slightly streamlined substitute measure, which delegates adopted without further discussion.
The second resolution focused on the need for telehealth education, asking the AAFP to “expand on existing telehealth education resources to develop continuing medical education courses on safe, effective, high-quality telehealth care.”
Again, participants strongly supported the measure, stressing the importance of providing physicians with CME that highlights telemedicine best practices. Testimony also cited the challenges involved in providing care to diverse communities that may lack safe, private spaces to access care or have limited broadband capabilities when it comes to offering video services.
After considering the testimony provided, along with the AAFP’s existing and planned CME activities on this topic, the reference committee offered a substitute resolution that called for the Academy to “continue to develop telehealth education resources and continuing medical education courses on safe, effective, high-quality telehealth care across diverse communities.” Delegates summarily adopted that substitute.
Noncompete clauses and other restrictive employment-related actions have long been hot-button issues among physicians, who have all too often found themselves on the short end of the stick when seeking to change their employment circumstances.
So when a multifaceted resolution addressing these issues came before the reference committee, participants threw their support behind it.
The resolution asked the AAFP to
In often impassioned testimony, hearing participants highlighted such problematic issues as role discrimination in employment contracts, damage caused by restrictive covenants and difficulties posed by arbitration clauses.
Reference committee members weighed those considerations, along with current policy and additional background Academy staff provided, as they assessed the feasibility of each of the four resolved clauses. Noting the emotional nature of the issue for many members, they stated that although part of the measure’s first resolved clause reflects current policy, that policy doesn’t go far enough. Therefore, they recommended adoption of the resolution in its entirety. Delegates unanimously agreed.
Delegates took the following actions on other measures considered by this reference committee: