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. Wendy Barr

September 1, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

 As many continue to battle another COVID-19 surge, our thoughts are with those impacted by the surge and/or the recent natural disasters. It is inspiring to see the many ways our members respond to the needs of their communities. Thank you for your continued dedication and strength. Please continue to reach out to each other and let the AFMRD know if we can help.

August 24, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Today, the Coalition for Physician Accountability released recommendations on 2021-22 residency season interviewing. The AFMRD is sharing the below message to inform members and will continue to share news on the upcoming interview season as we receive it.


For Immediate Release: August 24, 2021
Contact: Joe Knickrehm, FSMB
jknickrehm@fsmb.org

Coalition for Physician Accountability Releases Recommendations on 2021-22 Residency Season Interviewing

WASHINGTON, D.C. (August 24, 2021) The Coalition for Physician Accountability has released recommendations on 2021-22 Residency Season Interviewing for Medical Education Institutions Considering Applicants from LCME-Accredited, U.S. Osteopathic, and Non-U.S. Medical Schools. The recommendations were submitted by the Coalition’s Work Group on Medical Students in the Class of 2022 Moving Across Institutions for Interviews for Postgraduate Training (WG).

In developing the recommendations, the workgroup considered the current environment, future forecasts, and the perspectives of those closest to the issues the workgroup sought to address. The recommendations reflect the work group’s collective sense of how to proceed, and the workgroup urges each medical school, sponsoring institution, specialty society, and residency program to carefully consider them and commit to working together to create an equitable, transparent, and successful residency selection cycle that prioritizes the safety of all.

The full guidance document and recommendations are available on the Coalition for Physician Accountability’s website here.

Recommendation 1 ― Conduct Virtual Interviews for the 2021-22 Recruitment Cycle

Interest exists to extend a consistent approach to in-person interviews for the 2021-2022 residency cycle; however, recognizing the current state of the COVID-19 pandemic and the near certainty, given insufficient national vaccination rates, that the pandemic will continue into the winter albeit in unpredictable ways, the WG offers the following recommendation that we hope will minimize public health risks, mitigate inequity stemming from geographic variations in pandemic impact, and provide applicants, their advisors, and programs with guidance to promote consistency and decrease anxiety.

 

Recommendation: All interviews should be conducted virtually for the 2021-22 recruitment cycle due to growing concerns about the delta variant and potential risks and disruptions from potential future variants.

 

  • Programs should work to create a continuous, evidenced-based, standardized process to prioritize safety of applicants and others involved in the recruitment process; to mitigate bias wherever it exists; and to establish a consistent, fair, and equitable approach to reviewing and interviewing all applicants.
  • Programs should communicate their plans to medical schools and applicants as soon as possible.
  • Programs should extend effort to address the concerns about transparency raised during the 2020-21 cycle with a plan to disclose information about culture; community, patient population, physician, and other health care provider diversity; and concerns regarding variations in training and educational models.
  • Medical schools should provide guidance and advice as to best practices for virtual interviewing, and if available offer technical support and space for students who need to complete virtual interviews on-campus.

Recommendation 2 – Increase Our Understanding of Virtual Interviewing

Recommendation: Efforts should be made to assess the value of virtual interviews as well as the concerns associated with them that were evident during the 2020-2021 interview cycle.

A research agenda supporting discovery and mitigation of biases introduced by virtual interviewing should begin this year:

  • A rigorous research agenda will require well-defined metrics and available mechanisms to collect and share data; therefore, specialties, institutions, and programs are encouraged to collaborate to support improvements in the interviewing process and to share findings with the community.
  • Organizations should collect and share data on actual placement impacts during the 2022 interview cycle and changes from previous cycles.
  • Research questions that cover a range of topics that examine the impact of in-person and virtual interviews on recruitment and selection, identify inequities, and share best practices are encouraged. Some examples may include:

 

  • Studying the conditions in the virtual interview environment that affect selection bias by both programs and applicants.
  • Describing applicant characteristics that are subject to bias during virtual interviews and in ranking behavior. Identify best practices for mitigating these biases. Compare and contrast how these same applicant characteristics, biases, and mitigation strategies correlate with in-person interviews.
  • Outlining best practices for identifying and mitigating biases during virtual interviewing for applicants and programs.
  • Determining the impact of time and cost savings on the number of virtual interviews candidates complete. What is the impact on Match rates?
  • Exploring alignment of applicant and program values before and after virtual interviewing.
  • Exploring the impact of cognitive load on interviewers’ scores that result from completing more interviews and establishing best practices for mitigation.
  • Standardizing the Virtual Interview Day: Best Practices.
  • Studying the impact of virtual interviewing on training sites that are historically difficult to fill (i.e., rural, newly accredited, FQHC, etc.).
  • Identifying characteristics (i.e., small vs. large specialty, rural vs. urban) of programs conducting virtual interviews that experienced an increase in the expected number of applicants. Similarly, identify characteristics of programs that experienced fewer applicants than expected.
  • Determining whether virtual (compared to in-person) interviews impact Match rates.
  • Exploring whether applicant training/career choice and satisfaction have changed since the introduction of virtual interviews:
    • Have applicants selected geographic sites they may not have pre-pandemic?
    • Have applicants changed or broadened their specialty options? Impact on satisfaction?

 

August 18, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The AFMRD online discussion forum (formerly the listserv) is a central place for members to share ideas, ask questions, voice concerns, and celebrate accomplishments. To ensure optimal use of the discussion forum, please review the AFMRD Discussion Forum Information and Guidelines document: https://www.afmrd.org/d/do/3319.

This document also includes a list of those who have access to the discussion forum.

The online discussion forum remains one of AFMRD’s most coveted member benefits and we thank you for taking the time out of your busy schedule to share your wisdom and ideas with fellow members!

July 6, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

After engaging with members and stakeholders, the AFMRD joined several family medicine organizations in developing recommendations for the 2021-2022 family medicine interview process. You may view the recommendations here: https://www.afmrd.org/d/do/4660

While we understand that some programs may be unable to follow these recommendations, we believe that these recommendations will increase equity for applicants and allow for continued research on the impact of virtual interviews. We encourage programs to strongly consider these recommendations when planning their residency recruitment and interviews for this year and that we all continue to share ideas, thoughts, and lessons learned with colleagues throughout the upcoming interview season.

To aid in us sharing ideas and potentially best practices and to provide a forum for discussion about the next interview season, we will be scheduling an AFMRD Open Mic via Zoom on Monday, July 12th at 12 pm ET and 7 pm ET. Visit the AFMRD website for more information: https://www.afmrd.org/p/cm/ld/fid=1379. The Mentor Monday planned for July 12th will be rescheduled.

June 22, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Dear Members –

We are sharing the below message from the ABFM concerning what Residency Directors are being asked to do this year as they sign off on resident’s eligibility for Board Certification. We will continue to keep you informed of any changes or updates we hear about.


 Colleagues,

 Greetings, colleagues, and I wish you well as you say goodbye and hello to the new residents.

 I write to let you know you about what ABFM will ask you for this year as you “sign off” on residents’ eligibility for ABFM Board Certification.

 As of June 15th, the platform for certifying residents has opened up in the residency management system. We will again be asking you to certify that each resident has completed the residency and is ready for autonomous practice. Those are the key issues for ABFM Board Eligibility this year.

 As we all know, the COVID pandemic has significantly impacted the clinical experience of residents. Like last year, you will also be asked about the number of total continuity visits, both face to face and televisits. The format of this question will be similar to last year.                                     

We will have two other yes/no questions.  As you know, ABFM is keenly interested in the clinical learning environment and institutional support of dedicated time for residency education. 

  • The first question asks you whether your Program Director and Associate Program Director have been given the appropriate amount of dedicated residency administrative and educational time according to the current residency standards.

 II.A.2.  At a minimum, the program director must be provided with the salary support required to devote 50 percent FTE of non-clinical time to the administration of the program. Additional support for nonclinical time for administration of the program for the program director and the associate program director(s) must be provided based on program size. 

The chart on pages 9-10 of the standards specifies the FTE for PDs and the number and aggregate FTE for associate program directors. For the average size residency, from 6-6-6 to 8-8-8, the total FTE is 1.0. 

What is the time for?

  II.A.4. Program Director Responsibilities: The program director must have responsibility, authority, and accountability for: administration and operations; teaching and scholarly activity; resident recruitment and selection, evaluation, and promotion of residents, and disciplinary action; supervision of residents; and resident education in the context of patient care. (Core) 

  • The second yes/no question is whether your sponsoring institution provides support for dedicated educational and administrative time beyond that for the Residency Director and Associate Residency Director. This could include time for core faculty for residency education, but should not include personal clinical time or precepting time.

 All information will be confidential and reported only in the aggregate. ABFM will use in advocating for dedicated time for education.

 Thank you, as always, for your devotion to your residents and to our specialty. Kathy Botner and all of us at ABFM are available for questions.

 Warren

Warren  Newton, MD MPH
President and CEO
ABFM 

June 14, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Family medicine faculty face increasing expectations for clinical productivity, likely a product of health systems under pressure to address shrinking operating margins, the need for a larger workforce to meet primary care needs in the health care system, and declining physician clinical productivity. A task force convened by the Society of Teachers of Family Medicine (STFM) created national guidelines to protect nonclinical time for family medicine faculty.  Faculty require nonclinical time for essential residency activities that ensure the safety of current and future patients and fulfill accreditation requirements such as resident development, curriculum creation and maintenance, program assessment, and scholarship.

These guidelines were presented at the AAFP Residency Leadership Summit in March 2021 and have now been published. They have been endorsed by family medicine organizations, including the AFMRD.

You may view the guidelines here: https://journals.stfm.org/familymedicine/2021/june/griesbach-2021-0017/

May 24, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The AFMRD has been invited by the American Board of Family Medicine to nominate two individuals for a new advisory panel to assist with the development of a new blueprint for the ABFM Certification Examination. 

The intent of the ABFM examination is to assess whether a candidate demonstrated the cognitive expertise necessary to become an American Board of Family Medicine Diplomate (Board-certified). 

The last major revision of the ABFM blueprint made the transition from a specialty-based framework to one based on organ systems. It has been grounded in an empiric description of what family physicians do as captured by groups of practicing physicians and representative national data. The new blueprint will be built around the clinical activities of family physicians as framed by the Family Medicine Entrustable Professional Activities. It will allow attention to priority clinical and public health problems, permit some customization, and will facilitate better formative feedback. We plan an extensive formal validation process. 

The panel will be advisory to the ABFM Examination committee and the ABFM Board of Directors. It will review and advise on the design and validation of the new blueprint. We anticipate that the panel will meet a total of 3-4 times over 2 years, starting in the summer of 2021, with the new examination coming online in the spring of 2024.

Panel members must be ABFM Board Certified.  A small honorarium will be paid along with all required expenses for travel when needed.

Nominees should practice full-spectrum care and have experience in assessment and evaluation. Members interested in being nominated to the panel by the AFMRD, should submit a completed application by June 2, 2021.

May 3, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Don’t forget to complete the CERA Program Director's survey by May 5, 2021. You should have received an email from rbiggs@stfm.org via Survey Monkey. Please be sure to check your SPAM folder.

The survey topics for this survey include Virtual Residency Interviews, Well-being Curriculum Development, Public Health Interventions Training, and Musculoskeletal and Sports Medicine Training. It takes about 10-15 minutes to complete. 

CERA, the CAFM Educational Research Alliance, focuses on and supports medical education research. Data from these surveys further our voice by generating scholarly work that answers the difficult questions. To date, CERA studies have resulted in 118 published manuscripts and 153 scholarly presentations. Completion of this survey allows scholarly activity for faculty and residents by providing centralized infrastructure to produce research, facilitating collaboration, and providing training and mentorship in educational research methods.

Many thanks to those of you who have already completed this survey. For those who haven't, please consider taking a few minutes to help your colleagues with their research.

More information on CERA may be found herehttps://stfm.org/publicationsresearch/cera/cera/ 

April 12, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The AFMRD is holding a second Mentor Monday via Zoom today!  Join us from 11 am-12 pm CDT for a short presentation and Q&A with Leon McCrea, MD, MPH. Dr. McCrea will present on two topics:

  • Leadership Development
  • Diversity & Health Equity 

This session is created with new PDs in mind, but all members are welcome.

A link to join can be found here: https://www.afmrd.org/page/mentormonday

The session will be recorded for those who are unable to attend. 

March 29, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

As you know, the AFMRD has worked closely with other family medicine organizations to help inform the Accreditation Council for Graduate Medical Education (ACGME) as they work on a major revision of residency requirements for Family Medicine. Dialogue amongst the specialty occurred throughout the summer and fall of 2020. Several themes emerged from these discussions that provide insights into the family physicians of the future and their practice.

The Review Committee for Family Medicine (RC-FM) has prepared a summary of the themes and insights and is asking for feedback. Please review The Summary Themes and Insights document. Once you have reviewed this document, you may submit responses to these follow-up questions:

  1. What, if any, additional educational experiences should be considered in support of meeting the aspirational definition of the family physician, as proposed above?
  2. Describe any potential challenges your program might face in providing the experiences described above. What additional resources might be required to support implementation of these experiences?
  3. In addition to the themes and strategies described, what, if any, additional issues would you like to see addressed in the new program requirements?

All responses must be submitted using the Comment Form. You will email your completed form to fmcallforcomments@acgme.org by April 23, 2021

The AFMRD Board of Directors will also review the summary document and provide an organizational response. Members are invited to share their reactions to these proposed changes with the Board in addition to submitting an individual response. Click here to submit your comments to the AFMRD by April 9, 2021.  

Your responses are critical to help guide the RC-FM as they determine specialty requirements to meet the goals for the future of family medicine.

Here's the official call from the ACGME:

CALL FOR COMMENTS

SHAPING GME: FUTURE OF FAMILY MEDICINE
Every 10 years, Review Committees are required to review their specialty Program Requirements to determine necessary revisions. The ACGME Board of Directors has approved a new process for all such major revisions going forward. This new process, scenario-based strategic planning, involved the Review Committee for Family Medicine, along with members of the family medicine community, leaders from other specialties (surgery, pediatrics, obstetrics and gynecology), as well as advanced practice providers, public safety experts, and government agencies (HRSA), rigorously and creatively thinking about what the specialty of family medicine will look like in the future (recognizing that the future is marked with significant uncertainty). From this process, the Review Committee will propose revisions to the requirements that will prepare the learners for current practice and generations to come. 

The Review Committee needs your feedback. Please review The Summary Themes and Insights document provided, and then submit responses to the follow-up questions below as instructed.

Submit your responses in the form provided to fmcallforcomments@acgme.org, by April 23, 2021. Your responses are critical to help guide the Committee as they determine specialty requirements to meet the goals for the future of family medicine.

 The link to the whole call for comments is: https://www.acgme.org/Specialties/Overview/pfcatid/8/Family-Medicine

March 22, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The ACGME Task Force on Dedicated Time recently proposed focused revisions to the Common Program Requirements that would allow for Review Committees to develop requirements related to support for core faculty members as well as program directors, associate program directors and program coordinators. These proposed revisions are now open for public comment until March 31s.

The AFMRD and other family medicine organizations have been actively advocating to allow the Review Committees to further specify the amount of time core faculty must dedicate to residency programs. This change is particularly important in that it empowers our RC-FM to allow for adequate time for the numerous roles our faculty must fulfill to train the next generation of family physicians for safe and effective practice. We need as many individuals as possible to tell the ACGME that they support this change.

Please show your support for these changes during the open comment period, which closes on March 31, 2021. The more feedback the ACGME receives in support of these changes, the more they will understand the importance of these changes for the health of programs. Individual responses may be submitted to cprrevision@acgme.org using the Review and Comment Form. You may use the General Comments field to state the overall support for allowing Review Committees to develop requirements related to program director, associate program director, core faculty and coordinator dedicated time. Note that comments are open only for dedicated time proposals, not for any other program requirements.

 

Links:

Focused Revision to Common Program Requirements (Residency): https://www.acgme.org/Portals/0/PFAssets/ReviewandComment/RC/CPRResidency_2021-02-15_RC.pdf

Impact Statement: https://www.acgme.org/Portals/0/PFAssets/ReviewandComment/RC/CPR_2021-02-15_Impact.pdf

Review and Comment Form: https://www.acgme.org/Portals/0/PFAssets/ReviewandComment/CPR_Comment_Form_2021.docx

March 15, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

The AFMRD Board of Directors is pleased to announce the appointment of Karen Olmos, MD, MPH to the Associate Program Director Representative position. AFMRD Bylaws approved by the membership in 2020 allow for the Board to appoint an APD to serve a one-year term as a non-voting member.

Dr. Olmos serves as the Associate Program Director at Harbor-UCLA Medical Center.

“I am looking forward to learning from this inspiring group of physician leaders to help advocate for our learners and contribute to the innovation needed to meet their needs,” Dr. Olmos said, “What brought me to Family Medicine and continues to be my passion is providing high quality care to urban underserved communities, like the ones I grew up in. I am also passionate about training our residents to provide comprehensive gynecologic care, contraceptive management, and prenatal care to our patients, in addition to improving the care we provide to patients who identify as LGBTQ+.”

Welcome to the AFMRD Board, Dr. Olmos! We look forward to working with you.

March 6, 2021

AFMRD PREZ RELEASE

FOR IMMEDIATE RELEASE
FROM: WENDY BARR, MD, MPH, MSCE
PRESIDENT, ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS

Congratulations to the newly-elected AFMRD Board Members! Kim Stutzman, MD has been elected President-Elect (to hold office as President in 2022-2023, and Immediate Past President in 2023-2024). Our newly-elected Member-at-Large directors are Sarah Cole, DO, FAAFP, Kelsie Kelly, MD, MPH, and John Waits, MD.

Many thanks to all candidates for their willingness to stand for election. We had an impressive slate of candidates and were inspired to see so many members willing to dedicate their time to the AFMRD.

Steven R. Brown, MD, FAAFP is now AFMRD Immediate Past President. Thank you, Steve, for serving us so well during this challenging year.

I am honored to serve as your 2021-2022 AFMRD President and look forward to working with all of you.

Wendy

Wendy Barr, MD, MPH, MSCE
2021-2022 AFMRD President

See messages from Immediate Past President Steven R. Brown, MD, FAAFP.