President's Message

For the past 32 years, our residency program (University of Missouri-Kansas City) has graduated residents and welcomed incoming residents during a "Hail and Farewell" ceremony.
Those of you who have been doing this for a while would probably agree that it is rewarding to see the great things our residents have accomplished, and, at the same time, see the eager faces of those about to take the residency journey.
In preparing for this year's graduation, I compiled a list of our residents' accomplishments to share during the ceremony. I also quantified some of what residents accomplished in their education and will accomplish over their lifetime in family medicine and caring for populations of the future. Since the ACGME has given program directors a greater role in bean counting, I thought I would share some of my beans with you, so that you might celebrate your future graduates and demonstrate the worth of family medicine in your communities.  
Each year, I track my residents in about 60 different areas, including babies born during residency (theirs!), number of nights in hospital, number of meals away from home, and so on. Here are a few of the 2014 class stats: Each of our 14 residents invested at least 11 years (22,000 hours) of their lives in higher education. Combined, that's roughly 154 years and 308,000 hours of education. They have accumulated over two million dollars of debt to secure this education. I also have estimated this class will provide over two million face-to-face visits and millions of asynchronous contacts with their patients during their careers.
We, as faculty, hope our residents will go out and enjoy successful careers in a field that is rapidly changing. To this end, we must be confident that we not only trained residents for today's medicine, but instilled in them ways to constantly evolve and change as medicine and technology change over the course of their careers.
Although much of what family physicians do in the future may involve visits that are not face-to-face, there will still be a need for the personal physician to hold the hand and guide their patients empathetically through their lives. They will touch lives and save lives and will be able to adapt to changing times better than any other specialty. They will provide what patients want and need.
Celebrate graduation well with your graduates. Let them know they really helped your program evolve and that their legacy will be everlasting. Keep in touch with them and make sure they know they are always welcome to come back and visit.
As you show your appreciation and gratitude for graduating residents, it is likely your new residents will be looking on, appreciating they are entering a program dedicated to them and their goals, and stirring in them a sense of dedication to the program's success.

Todd Shaffer, MD, MBA, FAAFP
President AFMRD



President's Message Archive

Nomination Period for Zervanos Award Open Now Through August 22.

We invite residency directors, program faculty, residents, and AAFP constituent chapters to submit names for consideration for the 2015 Nikitas J. Zervanos Outstanding Program Director Award. Nominate someone today!

Volunteers Needed for CV Consultation

The AFMRD is seeking program directors to volunteer for 1-1 1/2 hours to review student CVs during the National Conference for Family Medicine Residents and Students, Friday, August 8 and Saturday, August 9, 2014, in Kansas City, MO. To be a part of this important AFMRD service, simply complete the application by July 25.

PDW-RPS Call for Proposals

Don't forget to submit your proposals by email between now and Friday, August 1, 2014, for workshops, posters, and Innovation Showcase presentations you would like to share during the 2015 PDW and RPS Residency Education Symposium. Visit the website for details.

RC-FM Updates FAQs

The Review Committee for Family Medicine has posted an updated version of the Family Medicine FAQs (effective July 1, 2014) on its web page.

Allopathic and Osteopathic Medical Communities Commit to a Single Graduate Medical Education Accreditation System

The Accreditation Council for Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), and the American Association of Colleges of Osteopathic Medicine (AACOM) have agreed to a single accreditation system for graduate medical education (GME) programs in the United States.

After months of discussion, the allopathic and osteopathic medical communities have committed to work together to prepare future generations of physicians with the highest quality GME, ultimately helping to ensure the quality and safety of health care delivery.

“The commitment to a single accreditation system comes at a watershed moment for medical education in the U.S.,” said Thomas Nasca, MD, MACP, chief executive officer of the ACGME. “As we move forward into the Next Accreditation System, this uniform path of preparation for practice ensures that the  evaluation of and accountability for the competency of all resident physicians – MDs and DOs – will be consistent across all programs.” Nasca added, “A single accreditation system provides the opportunity to introduce and consistently evaluate new physician competencies that are needed to meet patient needs and the health care delivery challenges facing the U.S. over the next decade.”

The single accreditation system will allow graduates of allopathic and osteopathic medical schools to complete their residency and/or fellowship education in ACGME-accredited programs and demonstrate achievement of common Milestones and competencies. Currently, the ACGME and AOA maintain separate accreditation systems for allopathic and osteopathic educational programs.

“A single system standardizes the approach to GME accreditation, and ensures that all physicians have access to the primary and sub-specialty training necessary to serve patients,” said AOA President Norman E. Vinn, DO. “Importantly, the system recognizes the unique principles and practices of the osteopathic medical profession and its contributions to the health of all Americans.”

Stephen C. Shannon, DO, MPH, President of AACOM commented, “Healthcare and medical education in the U.S. today face many challenges. We feel that this approach to GME accreditation not only streamlines but strengthens the postdoctoral education process, and will produce physicians who are  able to meet those health care challenges, enhancing the ability for all physicians to learn the unique characteristics of osteopathic medical practice.”

Under the single accreditation system:
  • AOA and AACOM will become ACGME member organizations and will nominate members to the ACGME Board of Directors.
  • Two new osteopathic Review Committees will be created to evaluate and set standards for the osteopathic aspects of GME programs seeking osteopathic recognition.
  • July 1, 2015, to June 30, 2020, is an extended transition period for AOA-accredited programs to apply for and receive ACGME recognition and accreditation.
  • Opportunity is created for MD and DO graduates who have met the prerequisite competencies to access any GME program or transfer from one accredited program to another without being required to repeat education.
  • Efficiencies are realized since there is no need for institutions to sponsor “dually accredited” or “parallel accredited” allopathic and osteopathic medical residency programs.

For more information on the ACGME visit, on the AOA visit and on the AACOM visit
See also: List of FAQs about the single accreditation system.

Advocacy Scholarships for Family Medicine Residents

AFMRD has provided 10 family medicine residents with scholarships of up to $1,500 each to participate in the Family Medicine Congressional Conference April 7-8, 2014, in Washington, D.C.

Meet our 2014 FMCC Scholarship recipients

Family Medicine Residency Curriculum Resource (RCR)

Phase I of the  Residency Curriculum Resource is live and has all the core topics for your PGY-1 residents organized by rotation and knowledge area with links to key readings. They can use this to supplement their learning on the wards from day one.  At this point, residents don't have direct access to the site, but if you login as an AFMRD member, you'll see a PDF you can download and share with them.  Download it today and pass it along.  Stay tuned for more content this fall when we roll out the senior resident level (PGY-2/3) topics.  The call for proposals for submissions to the RCR is live as well - a great academic project for your faculty that will support everyone's teaching.  Click here to learn more about RCR.

For a list of archived Features, click here


NEW in the PD Toolbox! AFMRD's input to the RC-FM on program requirements FAQs, Next Accreditation System resources, The Patient-Centered Medical Home’s Impact on Cost and Quality report, and sample family medicine job descriptions. Take a look.

Get Your News Here: Read PDF issues of AFMRD e-newsletters, posted in the Newsletter Archives.

Not a Member?
Stay connected with other program directors, associate program directors, and NIPDD graduates via the AFMRD lis tserve, member directory, and Members Only portions of the website. Join now and connect with over 500 of your colleagues who have discovered the benefits of AFMRD membership. Each ACGME accredited program may have a program director member and up to three associate program director memberships.   Are you the program director of a new, developing program?  You may join as an associate member and have access to AFMRD's resources. If you have individuals in your program interested in joining for the first time, please call the AFMRD office. Questions about membership? Contact Sam Pener at 800-274-2237, ext 6707.

Program Director List Serve
Click here to learn how to use the discussion forum and access the archive feature.

Online Advocacy Course
Click here to take an Online Advocacy Course developed by AFMRD in conjunction with STFM and CAFM.  You'll learn more about being an advocate for family medicine education. These courses are free for a short time.

Who is your Advocacy Representative?
Arm your program with tools and strategies for more effective, unified advocacy. This new advocacy initiative encourages all programs to identify a Advocacy Representative. Read more.

 Family Medicine Milestones. Download here.

For a list of archived Highlights, click here.