The AFMRD president communicates with members by posting messages on the discussion forum as well as on this website. The following is a message from President Dr. Steve Brown

July 28, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The updated AFMRD Bylaws, approved by membership in April 2020, allows public members to chair committees and task forces. Historically, committees and task forces have been chaired by board members.

The AFMRD Board of Directors is pleased to announce the appointment of three new chairs:

Program Director Toolbox Committee - Rob Danoff, DO, MS, FACOFP, FAAFP

Membership Committee – Shantie Harkisoon, MD, FAAFP

Diversity and Health Equity Task Force – Santina Wheat, MD, MPH

Click here to learn more about the new AFMRD chairs. We are grateful for their commitment to the AFMRD and look forward to working with them!

July 24, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Please see the below message from the ABFM regarding a short survey on the impact of the changes in Family Medicine Program Requirements made in June 2019. The survey will need to be completed by July 28, 2020.


Colleagues, 

Greetings, and I hope you are well! I hope that orientation of your new interns under COVID has gone as smoothly as it can. 

I write to ask for your participation in a short ABFM survey on the impact of the changes in Family Medicine program requirements made in June 2019. 

As you know, the ACGME June 2019 requirements eliminated the requirement for protected time for core faculty, reduced the amount of time for Program Directors and added the role of Associate Director. In addition, the 2019 standards lowered the standard for passing board exams from 90% to 80%-either ABFM or AOBFM examinations-and eliminated the requirement that 95% should take the Board examination. 

ABFM is interested in whether these changes have had any practical impact on Family Medicine residencies and the education they provide. We have heard occasional anecdotes, but as we engage with the ACGME and consider the requirements for Board Eligibility, it is important to have data systematically collected from across the country. 

AFMRD and all the Family Medicine organizations are very concerned about this issue. 

The survey link is:  https://www.surveymonkey.com/r/BFDL3FF 

Please respond by July 28. This will allow our ABFM Board Eligibility Task Force to consider what steps to take, if any, to support the educational environment for Family Medicine residencies. We will, of course, report the results back to you and to the AFMRD. 

We understand that this is a very challenging time for you-thank you for your time! 

Warren Newton, MD MPH

President and CEO

American Board of Family Medicine

July 20, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The Centers for Medicare & Medicaid Services (CMS) recently put out information concerning billing by teaching physicians during the public health emergency for services in which a resident is involved:

Teaching Physicians and Residents: Expansion of CPT Codes that May Be Billed with the GE Modifier 

Teaching physicians and residents: Expansion of CPT codes that may be billed with the GE modifier under 42 CFR 415.174 on and after March 1, 2020, for the duration of the public health emergency:

         Residents furnishing services at primary care centers may provide an expanded set of services to beneficiaries, including levels 4-5 of an office/outpatient Evaluation and Management (E/M) visit, telephone E/M, care management, and some communication technology-based services

         This expanded set of services are CPT codes 99204-99205, 99214-99215, 99495-99496, 99421- 99423, 99452, and 99441-99443 and HCPCS codes G2010 and G2012

         Teaching physicians may submit claims for these services furnished by residents in the absence of a teaching physician using the GE modifier

Medicare Administrative Contractors will automatically reprocess claims billed with the GE modifier on or after March 1, 2020, that were denied. You do not need to do anything.

Additional CMS updates can be found in the latest issue of MLNConnects: https://www.cms.gov/files/document/2020-07-09-mlnc.pdf

July 8, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

AFMRD members are invited to offer input on the future of clinical skills assessment by completing the survey below from the Clinical Skills Evaluation Collaboration (CSEC). If you are interested in participating, please complete the survey by July 12, 2020. The survey takes approximately 15 minutes to complete.


As you may know, the COVID-19 outbreak and the need to social distance has caused the United States Medical Licensing Examination® (USMLE®) program to suspend administration of the Step 2 Clinical Skills (CS) examination. Its suspension provides the opportunity to accelerate work aimed at charting the future of clinical skills assessment for licensure, and we are asking stakeholders like you who have expertise and insights for their input.  

You are invited to participate in a survey to help identify clinical skills important for licensure. This survey serves as a critical means to gather community feedback and make meaningful steps forward for performance-based assessment. Please let us know your thoughts and opinions by completing the survey through the link below:

https://www.viewpointforum.com/survey/?s=14023&ss=21

 The deadline for completing the survey is July 12, 2020. We value your input and will consider it carefully in the development of a revitalized component of a performance-based licensure exam.

Information gathered will inform the future competencies and constructs to be assessed for licensure purposes.  Our goal is to deliver a revised performance-based assessment in the next 12-18 months, as well as a plan for continuous improvements over the next 5 years.   

We appreciate your time and contribution to this important area of work.

 Kindest regards,

Chris Feddock, MD, MS
CSEC Executive Director

 June 23, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Wendy Barr, MD, MPH, MSCE and I are looking forward to our two remote Open Mic sessions tomorrow, Wednesday, June 24th. .

Session 1: 1:00 PM EDT; 12:00 PM CDT; 11:00 AM MDT; 10:00 AM PDT
Session 2: 8:00 PM EDT; 7:00 PM CDT; 6:00 PM MDT; 5:00 PM PDT

Information on how to join the remote Open Mics can be found on the AFMRD website.

With the cancellation of the AAFP’s Program Directors’ Workshop we all missed the opportunity to be together. We hope these online sessions will give us a chance to recreate the Open Mic portion of the AFMRD Annual Meeting.

We’d like to hear:

  • What is on your mind?
  • What is most important in the work of the AFMRD over the next year?
  • What are the most important challenges of your work right now that the AFMRD might be able to help with?
  • Anything you would like to celebrate with your colleagues?

June 11, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

As you may recall, Wendy Barr, MD, MPH, MSCE was elected to the President-Elect position during our April virtual elections. This left the final year of her two-year Member-at-Large term open.

The board is pleased to announce that Leon McCrea II, MD, MPH, FAAFP, has been appointed to fill this one-year position. Dr. McCrea serves as Program Director at the Family Medicine Residency Program at Drexel University College of Medicine in Philadelphia, PA. He also serves as Assistant Dean for Diversity, Equity and Inclusion at Drexel University College of Medicine.

The new AFMRD Bylaws, approved by the membership in April, allow for the board to appoint an Associate Program Director to serve a one-year term as a non-voting member. We are excited to welcome Katina Rue, DO, FAAFP, FACOFP, as the new Associate Program Director Representative. Dr. Rue is the Associate Program Director – Osteopathic Education at Central Washington Family Medicine Residency in Yakima, WA where she also serves as the Medical Student Director.   

We look forward to working with our new board members. Welcome, Leon and Katina!

June 3, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

On May 11, 2020 the Coalition for Physician Accountability’s Work Group on Medical Students in the Class of 2021 Moving Across Institutions for Post Graduate Training made recommendations related to the impacts COVID-19 will have on the upcoming residency interview season. Five Family Medicine Organizations have responded to those recommendations through an open letter to the Family Medicine Community.

Recognizing the many challenges programs face related to training and the upcoming recruitment season, AFMRD has added new file drawers in the PD Toolbox. 2020-21 Best Practices for Residency Interviews and 2020-21 Students in the Clinical Learning Environment have been added directly below the COVID-19 drawer. We hope members will share resources in the Toolbox and continue to solicit ideas, tips and support via the AFMRD discussion forum. 

If you would like to volunteer something for these sections of the PD Toolbox contact Kathleen Ingraham or Chris Pyle.

June 2, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Our Family Medicine Residencies are the hearts of our communities. Right now, our communities are suffering. As family physicians, we are suffering along with our patients and communities.

The horrific death of George Floyd is another example, in a long line of examples, of the consequences of racism in our country. Our residents, staff, and faculty are facing a range of painful emotions including grief, anger, helplessness, and fear.

As leaders we should support colleagues and residents in a way that reflects the diversity of our communities.  We must commit to having tough conversations about institutional racism and privilege. We cannot stand by and silently observe the terrible acts of violence and hatred around us. We can no longer tolerate the terrible inequities in our system.

The Association of Family Medicine Residency Directors exists to support program directors through successes and challenges.  We hope each program will find a way to address racial injustices. We hope that the AFMRD can be part of helping programs take steps forward. We are here to support each other and to help each other improve. Family physicians can lead the way.

We can and we must do better.

May 19, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Program Directors are invited to submit proposals for CERA survey questions from May 26th – June 9th.

Studies through CERA, the CAFM Educational Research Alliance, have now resulted in 102 published manuscripts and 138 completed presentations. Click here to learn more.

Please also remember to complete the current CERA survey, in your inbox now! You received an email on Monday 5/11 titled: "Spring 2020 CERA Program Directors Survey: Please complete before May 30" from rbiggs@stfm.org via Survey Monkey. Dr. Heather Paladine, one of our fellow PDs, and a member of the CERA Steering Committee reminds us “it's important to have a high response rate that so that we can have quality publishable research through CERA” and CERA helps us “to decrease the frequent, random, often lower-quality surveys that we are asked to fill out.”

May 4, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The AFMRD is accepting requests for Resident Award Certificates through June 30, 2020.  

The Resident Award for Scholarship gives family medicine residency directors the opportunity to recognize a resident who has engaged in scholarly activity. Click here to learn more about this award and submit a request. 

The Resident Award for Advocacy allows residency directors to recognize a resident who has demonstrated skills and interest in advocacy. You may view the criteria for this award and request a PDF certificate here.  

Upon request, the AFMRD will provide each family medicine residency program with an award certificate (PDF format) suitable for printing and framing. We will email your certificate to you within two weeks of your order. Please enter the recipient's name exactly as it should appear on the award certificate.

Questions? Contact Kathleen Ingraham at kingraham@aafp.org.

April 23, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The ADFM has partnered with the Annals of Family Medicine to create a blog for primary care clinicians and health care workers to share stories and resources from the frontlines of COVID-19 patient care. Please see below for the official press release, which includes information on how to pitch your own story. 

Annals of Family Medicine / ADFM Creates Blog for Primary Care Front Line Case Notes. 

April 14, 2020 9:43 am – In response to the ongoing COVID-19 pandemic, the Annals of Family Medicine and the Association of Departments of Family Medicine (ADFM) have created a primary care community blog for clinicians and health care workers to share personal reflections, best practices, resources, and lessons learned from the frontlines of COVID-19 patient care. 

The Annals of Family Medicine and the ADFM invite health care workers and clinicians on the front lines of primary care practice to submit COVID-19 blog posts. The stories are vetted and edited by a team of physicians and editors associated with the Annals of Family Medicine and the Association of Departments of Family Medicine.

The Annals of Family Medicine has put out a separate call for original research, open research data, practice innovations, and essays for a COVID-19 Collection, with the option of being peer-reviewed and considered for publication in the journal. Unlike that collection, the Case Notes blog is a space for non-refereed, community-based posts. Posts do not qualify as Annals of Family Medicine submissions or publications. Here’s a guide from the Annals of Family Medicine to help authors choose which publication is right for their COVID-19 submission.

How to write for the Family Medicine Case Notes from the COVID-19 Frontlines:

  1. Email your story pitch or draft submission (300-5000 words) to the blog team at covidcasenotes@umich.edu.
  2. Once it is approved, create a free Medium account and let us know your Medium handle.
  3. Compose a draft post in Medium.
  4. Submit your draft to the COVID-19 case notes blog team.
  5. The blog editorial team will review your draft, make final copy edits and online additions, and publish to the blog.

The idea for the blog arose out of family medicine listserv conversations among members of ADFM, the Annals, and the Journal of the American Board of Family Medicine. The group identified a need for a forum to publicly share the high volume of useful, practice-based knowledge that was circulating privately within their immediate email contacts.

The goal of the blog is to provide a centralized, community-supported forum that enables primary health care workers to share knowledge and learn from each other during the COVID-19 pandemic.

Individuals can also receive push notifications when new content is added to the Annals of Family Medicine COVID-19 collection and the Family Medicine Case Notes from the COVID-19 Frontlines blog by following @AnnFamMed on Twitter or subscribing to email updates

The Annals of Family Medicine is a peer-reviewed research journal, and it is important to note that all written posts published on the Case Notes blog will be open-access, preprint and non-peer review.

April 20, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

As we continue to struggle with the challenge of COVID-19 and how it impacts our residencies, I find myself thinking a lot about physician wellbeing. The AFMRD’s Action Plan for Residency Wellness has several recommendations that seem especially important right now.

  • Accessible, confidential, affordable mental health services.
  • Appreciation for high functioning interprofessional teams
  • Make time to connect
  • Make time to reflect

I heard an audio interview with Dr. Stuart Slavin from the ACGME’s Aware Wellness series that I also found very helpful. There are lots of great tools in here for physician wellbeing. I would encourage you all to listen to this here or on Spotify under the “ACGME Aware” podcast. In particular a quote from the 24:00 mark made an impression on me, from the field of peer support: “Remember this: when you work with others in times of pain and distress, the most important thing you can give them is your loving presence.” 

I wish you all well. Please continue to connect with each other and let the AFMRD know how we can help.

April 17, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Please see the below message from ABFM President and CEO Warren Newton, MD, MPH:


Colleagues,

We understand that, with increasing numbers of hospitals/health systems going to level III status, the implications for both clinical activity and residency education are more acute than ever. We understand that the ability to meet the requirements for ABFM eligibility for Board Certification may be challenging for many residents.

ABFM is extending maximal flexibility to graduating residents. Residents will not lose board eligibility on the basis of what happens during the last four months of this academic year.

We are leaving the decision to certify each resident’s preparation for autonomous practice to you and your Clinical Competency Committee.  We will ask you to document the number of continuity visits, including virtual care visits, in the same way you do for the ACGME. We will not require training extensions this year based on a total number less than 1650.

We also understand that there have been significant shifts required in what you can offer for specific rotations.  We have full faith in you to balance clinical need and resident education and make the best choices possible. We will ask you to document  major rotation changes, but will limit documentation burden in reporting to ABFM.

The bottom line is that judgement about readiness for practice is the most important consideration as you deliberate about each graduating resident. In this time of dramatic changes in care, you know better than anyone the competence of your graduating residents. We trust you.

We know that many residents have been concerned about the inability to take the examination in April. Working with our test vendor, Prometric, we have arranged for new block for examinations—July 7-28, COVID permitting. Residents can schedule their examination now, as many already have.

We also understand that the COVID pandemic will not end on June 30, and we are committed to working with you around the residents graduating in 2021.

The AAFP is arranging for a virtual presentation on April 30 of our typical ABFM PDW podium talk. We are sorry not to have the opportunity talk with you face to face and in the halls, but we look forward to your comments about this issue and the many other challenges and opportunities our specialty faces. You can also find all of our COVID communication on our website at: https://www.theabfm.org/covid-19.

Warren Newton, MD MPH
President and CEO
American Board of Family Medicine

April 13, 2020

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: STEVEN R. BROWN, MD, FAAFP
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

I am honored to serve as your AFMRD President for 2020-2021. As I mentioned in my video address to the membership, the AFMRD is here for you and will continue to be a community inspiring and empowering each other to achieve excellence in our programs.

During this challenging time, the AFMRD is posting resources on our COVID-19 resource page and in the PD Toolbox. Please keep sharing resources, information, and ideas. Together we will see it through!

See messages from Immediate Past President Deborah S. Clements, MD, FAAFP.