Presented by Joseph E. Scherger, MD, MPH; Restore Health Disease Reversal
STFM Conference on Practice and Quality Improvement 2024 Opening Session | Tuesday, September 17, 2024

Scientific Wellness is described by Leroy Hood and Nathan Price as predictive, preventive, personalized and participatory (4Ps). Scientific Wellness is data rich with recommendations based on the latest information from human biology and aging. Scientific Wellness is a transformation from a disease center model of care to one that focused on health and wellness. With a focus on comprehensiveness and healing relationships with patients, Family medicine is ideally suited to lead this transformation. In order to be successful in the development of Scientific Wellness, leaders and educators in family medicine will need to embrace this futuristic model of patient care. This presentation will provide a vision and strategies for transforming to Scientific Wellness.

Learning Objectives: Upon completion of this session, participants should be able to:

• Understand the 4P principles of Scientific Wellness
• Have a vision for transforming patient care from being disease centered to wellness centered
• Understand strategies for teaching and providing Scientific Wellness to a group of patients and a community

Presentation Slides

Copyright © Society of Teachers of Family Medicine, 2024

Presented by Kathryn Fraser, PhD, Halifax Health FMR, and Jeffrey Ring, PhD
STFM Conference on Practice and Quality Improvement 2024 Opening Session | Sunday, September 15, 2024

“Why be a star when you can make a constellation?” (Mariam Kaba) This simple phrase alludes to the power of inclusivity, which can allow your organization to shine brighter and be better. We are often challenged in health care to bring people together across disciplines because there is so much we may not understand about each other’s work. Add to that our fundamental differences that vary by racial ethnic background and other areas of difference, and we stand to lose a lot through staying surface-level in our interactions and hiding behind our differences. Medicine is an industry steeped in hierarchy and inequity, and thus requires intentional approaches to building equitable practices. Fostering inclusivity can push workers to get through biases and blind spots, and develop equitable ways of working that maximize everyone’s skills and talents.

This presentation will illustrate ways to help team members actively listen to diverse perspectives, share their own experiences, and engage in collaborative discussions and practices in their workplace. Organizations should be intentional when teaching interprofessional teams to work to their highest potential, as there is evidence that inclusivity promotes success and helps organizations thrive. The presenters will share personal experiences that shaped their unique approaches to promoting inclusion and equitable practices. Participants will gain skills to examine their own biases and build respectful, equitable practices with their co-workers. They will go through an exercise to help create authentic ways of interacting with interdisciplinary, diverse teams to achieve common goals.

Learning Objectives: Upon completion of this session, participants should be able to:

• Identify ways that interdisciplinary work groups can enhance productivity, innovation and effective patient care
• Describe common challenges that interdisciplinary teams face through a lens of equity and inclusion
• Effectively harness self-reflection to create enhanced communication and collaborations that will benefit their organizations

Presentation Slides

Copyright © Society of Teachers of Family Medicine, 2024

Faculty development is always evolving, and new faculty development techniques like Master Adaptive Learning (MAL) equip educators to adapt their teaching to fresh, evidence-based methods. In this episode, Drew M. Keister, MD, shares the ongoing work of STFM’s Faculty Development Collaborative to develop faculty development competencies, and facilitate discussions on faculty development, competency-based medical education, as well as how to create an environment conducive to master adaptive learning.
Hosted by Saria Saccocio, MD, MHA, FAAFP
Copyright © Society of Teachers of Family Medicine, 2024

Resources:

• STFM Collaborative List - sign up for the Faculty Development Collaborative (note - you will need to sign into your STFM account)
• The Master Adaptive Learner - eBook by by Cutrer et al
• Training Future Family Physicians to Become Master Adaptive Learners - Family Medicine
• Envisioning the Master Adaptive Learner - Resources from the AMA
• STFM Competency-Based Medical Education Toolkit
• Why the Physician of the Future is a Master Adaptive Learner - AMA
• 4 Personal Traits that Boost the Master Adaptive Learner Process - AMA

Guest Bio:
Drew Keister, MD, is a Lehigh Valley native who returned to join the LVHN Family Medicine Department in 2008. He attended Cornell University and attended Penn State College of Medicine in Hershey, the sweetest place on Earth. He completed his residency at the Andrews Air Force Base (AFB), where he was introduced to the fundamentals of Osteopathy. He joined the faculty at Offutt AFB’s family medicine residency, in Nebraska. He attended the UNC Faculty Development Fellowship. Drew participated in the LVHN FM residency's P4 (Preparing the Personal Physician for Practice) national pilot experiment. He has served as the primary care clerkship director, the Associate Program Director and Program Director. In 2017, he became Vice Chair for Education. He remains an active faculty member in the residency and has broadened his focus to include CME, fellowship programs, medical student education, predoctoral training, and the new family medicine residency in Schuylkill County. In addition, he serves as the Vice CHair of the STFM Faculty Development Collaborative and presents nationally on faculty development topics, especially around Master Adaptive Learning, Individualized Education Plans, and Competency-Based Medical Education.
Link:
https://www.stfm.org/stfmpodcast092024

Welcome to part three of our limited series where we pull back the curtain on the publication process. This episode features Family Medicine editors Sarina Schrager, MD, MS, and Octavia Amaechi, MD, advising on what to do upon receiving that dreaded rejection notification. Everybody gets papers rejected, and the reviewer’s comments provide an opportunity to grow, refine your paper, and make it stronger for the next journal submission. Our editors share opportunities to refine your writing skills and keep your work out of the rejection pile. Above all else, they encourage you to remember your “why” and to keep going!

Hosted by Saria Saccocio, MD, MHA, FAAFP
Copyright © Society of Teachers of Family Medicine, 2024

Resources:

• Quick Consult - formerly the Virtual Coaching Program
• STFM Leadership through Scholarship Fellowship
• STFM CERA Fellowship
• STFM Medical Editing Fellowship
• STFM URM Mentorship Program
• PRiMER Author Mentorship Program
• American Family Physician Jay Siwek Medical Editing Fellowship
• Journal of the American Board of Family Medicine Research and Editing Fellowship
• Annals of Family Medicine Editorial Fellowship

Guest Bio:
Sarina Schrager, MD, MS
Editor in Chief Family Medicine
Sarina Schrager, MD, MS, is a professor in the University of Wisconsin’s Department of Family Medicine and Community Health (UW DFMCH). She also serves as UW DFMCH’s director of promotions and mentoring and as Wisconsin Research and Education Network’s medical director. Prior to becoming the editor in chief of Family Medicine, she served in the same capacity at Wisconsin Medical Journal, as an editor for FPM, and on the editorial board of the Journal of the American Board of Family Medicine. Her research expertise is in residency education and faculty development, and her recent work has focused on shared decision-making in cancer screening. She obtained her MD at the University of Illinois, Chicago, her residency training as well as a primary care women’s health fellowship at MacNeal Hospital, and a faculty development fellowship at UW DFMCH.

Octavia Amaechi, MD
DEIA Editor Family Medicine
Octavia Amaechi, MD, serves as the chief of staff, a hospitalist, and Health Equity Committee chair at the Spartanburg Regional Healthcare System and as a faculty physician in the Spartanburg Regional Family Medicine Residency (SRFMR) program. She holds positions as a mentor in STFM’s Leadership Through Scholarship Program, a board member of the Spartanburg County Medical Society, an annual delegate and reference committee chair of the South Carolina Medical Association, and member of the South Carolina Academy of Family Physicians Committee on Diversity, Equity, and Inclusiveness. Her expertise is in diversity, equity, inclusion, antiracism, patient and community advocacy, inpatient/hospital medicine, and MAT for Opioid Use Disorder. She completed her MD at the University of Health Sciences Antigua, her residency training a

Family Medicine editors Sarina Schrager, MD, MS, and Octavia Amaechi, MD, are back for part two of our series where we pull back the curtain on the publication process. In this episode, our editors describe the types of publications available for authors, while giving special attention to great options for novice authors. They also delve into the issues of using AI in the writing process and explain the benefits serving as a peer reviewer can have on your writing skills.

Hosted by Saria Saccocio, MD, MHA, FAAFP
Copyright © Society of Teachers of Family Medicine, 2024

Resources:

• Demystifying the Publication Process - Part 1 with Sarina Schrager, MD, MS, and Octavia Amaechi, MD
• Draft No. 4: On the Writing Process by John McPhee
• PRiMER Author Mentorship Program - URM authors can receive mentorship on submissions to PRiMER
• Writing an Effective Peer Review - Family Medicine Infographic
• Why Should I Be a Peer Reviewer? - STFM Blog
• Sign Up to be a Peer Reviewer for Family Medicine
• Become a PRiMER Reviewer
• Family Physicians Inquiries Network - fpin.org
• Journal/Author Name Estimator (JANE)
• Quick Consult - this program links STFM members in search of guidance/advice withseasoned peers interested in sharing their wisdom and expertise
• STFM Collaborative List - sign up for Point-of-Care Ultrasound Collaborative (note - you will need to sign into your STFM account)

Guest Bio:
Sarina Schrager, MD, MS
Editor in Chief Family Medicine

Sarina Schrager, MD, MS, is a professor in the University of Wisconsin’s Department of Family Medicine and Community Health (UW DFMCH). She also serves as UW DFMCH’s director of promotions and mentoring and as Wisconsin Research and Education Network’s medical director. Prior to becoming the editor in chief of Family Medicine, she served in the same capacity at Wisconsin Medical Journal, as an editor for FPM, and on the editorial board of the Journal of the American Board of Family Medicine. Her research expertise is in residency education and faculty development, and her recent work has focused on shared decision-making in cancer screening. She obtained her MD at the University of Illinois, Chicago, her residency training as well as a primary care women’s health fellowship at MacNeal Hospital, and a faculty development fellowship at UW DFMCH.

Octavia Amaechi, MD
DEIA Editor Family Medicine

Octavia Amaechi, MD, serves as the chief of staff, a hospitalist, and Health Equity Committee chair at the Spartanburg Regional Healthcare System and as a faculty physician in the Spartanburg Regional Family Medicine Residency (SRFMR) program. She holds positions as a mentor in STFM’s Leadership Through Scholarship Program, a board member of the Spartanburg County Medical Society, an annual delegate and reference committee chair of the South Carolina Medical Association, and member of the South Carolina Academy of Family Physicians Committee on Diversity, Equity,

Generative AI for Research and Education: From Theory to Practice

Presented by Tanner Dean, DO, University of Kansas, Wichita
STFM Annual Conference 2024 Closing Session | Wednesday, May 8, 2024

Generative AI, especially tools like ChatGPT, is changing medicine. In this talk, we'll explore ChatGPT's background, its underlying mechanics, and its strengths and weaknesses. Beyond mere understanding, we will explore frameworks needed to safely and efficiently use this technology. Grasping the AI behind ChatGPT as well as best practices will enable us to look at practical uses in primary care research and teaching. This includes using AI for quick Q&A sessions, help in writing, creating visuals, summarizing articles**, and exploring its broader potential.

The future of medical education will blend traditional teaching with AI tools. It's vital for today's educators to have working knowledge of these new technologies. This talk urges primary care professionals to not just watch, but actively join in the AI revolution. By equipping the educators, this talk hopes to inspire participants to dive in to discover the simple yet powerful ways AI can boost their work in medicine. Participants should walk away with a introductory understanding of ChatGPT works, how they can write effective prompts and several ways they can use ChatGPT in their practice.

Learning Objectives: At the end of the session each participant should...

• Explain the methodology and principles behind how ChatGPT is trained.
• Identify common pitfalls and limitations associated with ChatGPT and similar AI models.
• Recognize several various potential uses of ChatGPT in a research and teaching environment.
• Discuss the predicted trajectory and role of ChatGPT in the future landscape of primary care research and education.

Presentation Slides
https://stfm.org/stfmpodcastAN24ClosingSession

Copyright © Society of Teachers of Family Medicine, 2024

Tanner Dean, DO:

Dr. Tanner Dean is an Assistant Professor of Internal Medicine at the KU School of Medicine in Wichita. Trained as a Doctor of Osteopathic Medicine from A.T. Still University, he completed his Residency in Internal Medicine at KUMC-Wichita. Dr. Dean's unique blend of clinical acumen is further enriched with a certification in Artificial Intelligence (AI) from the American Board of Artificial Intelligence in Medicine. He teaches students both on rotation in the hospital as well as leads the 3rd year neurology clerkship for the KU School of Medicine - Wichita. His research stands at the confluence of technology and medicine. Notably, he has undertaken innovative projects to enhance clinical care through technological advancements. A central theme of his current investigations is understanding physician perceptions of AI in healthcare and the potential of large language learning models in all aspects of medical practice, research, and education. Dr. Dean is very optimistic about AI in healthcare and is working on building the educational structures to equip educators and physicians of the future with the confidence and knowledge to use AI in their medical practice.

Family Medicine and the Counterculture Revolution for our Times

Presented by Kevin Grumbach, MD, University of California, San Francisco
STFM Annual Conference 2024 Blanchard Lecture | Monday, May 6, 2024

Family medicine was forged in the crucible of social movements of the 1960s. The consequential issues of our times—climate change, systemic racism, inequality of wealth, gun violence, reproductive rights, among others—are all contests for the common good that require social movements to achieve systemic reform. Primary care, according to the National Academies of Sciences, Engineering, and Medicine, is also a common good. Is family medicine ready to tap its brash, founding energy to reignite a second counterculture revolution to challenge profits, power, and privilege that harm society’s collective wellbeing? This presentation will address the essential ingredients of a counterculture revolution, including daring to be radical and not settling for incrementalism; speaking truth to power; identifying and dismantling structures that reinforce the status quo; democratizing alliances; and acknowledging one’s own complicity in harmful systems. If the speaker and audience do not feel uncomfortable at some point during the session, then the presentation will not have achieved its objectives.

Learning Objectives: At the end of the session each participant should...

• To recognize the roots of family medicine as a countercultural specialty
• To be able to characterize primary care as a common good
• To identify the key elements of a counterculture revolution
• To incorporate revolutionary acts into one’s professional life while being able to continue to earn a livelihood in family medicine

Presentation Slides

Copyright © Society of Teachers of Family Medicine, 2024

Kevin Grumbach, MD:
Kevin Grumbach, MD is Professor of Family and Community Medicine at the University of California, San Francisco. He served as Chair of the UCSF Department of Family and Community Medicine from 2003-2022, and as Vice President for Population Health for the UCSF Health system from 2015-2018. He is a Founding Director of the UCSF Center for Excellence in Primary Care and Director of the Community Engagement Program for the UCSF Clinical and Translational Science Institute. His research and scholarship on the primary care workforce, innovations in primary care, racial and ethnic diversity in the health professions, and community health improvement and health equity have widely influenced policy and practice. With Tom Bodenheimer, he co-authored the best-selling textbook on health policy, Understanding Health Policy - A Clinical Approach, now in its 8 th edition, and the book, Improving Primary Care – Strategies and Tools for a Better Practice, published by McGraw Hill. He received a Generalist Physician Faculty Scholar award from the Robert Wood Johnson Foundation, the Health Resources and Services Administration Award for Health Workforce Research on Diversity, the Richard E. Cone Award for Excellence and Leadership in Cultivating Community Partnerships in Higher Education, and the UCSF Chancellor’s Public Service Award, and is a member of the National Academy of Medicine. Dr Grumbach has been an advisor to Congressional Committees and government agencies on primary care and health reform and a member of the National Advisory Council for the Agency for Healthcare Research and Quality, and currently serves on the California Health Workforce Education and Training Council. He cares for patients at the family medicine practices at San Francisco General Hospital and UCSF Health.

Family Medicine as Social Justice

Presented by PJ Parmar, MD, Ardas Family Medicine
STFM Annual Conference 2024 Opening General Session | Sunday, May 5, 2024

Many family medicine providers enter the field with significant idealism, and over the course of their career, they get jaded and burned out. For some this happens by the end of their training. This is not the outcome we want. Historically we have been known as community leaders in social justice. Returning our focus to social justice can provide motivation and variety to keep us engaged. To get there, we will need to shift the culture of our practices. This can happen by taking accountability for our privileges, understanding the barriers our patients face, and considering how we can use our training to shift our privileges to those with less. There are tools of patient flow which we can use to improve our encounters and reduce barriers, but the tools also include those which are not just medical. The goal is not just health equity, where we focus on all patients, but health justice, where we focus on the more disadvantaged.

Learning Objectives: At the end of the session each participant should...

• Identify 3 elements of your current practice that are causing barriers to underserved medicine.
• Brainstorm ideas for reducing those barriers
• Identify one ideal that you had, when going into medicine, which you have not pursued as much as you have wanted. Consider what you can do to return to that ideal.

Presentation Slides

Copyright © Society of Teachers of Family Medicine, 2024

PJ Parmar, MD:
PJ Parmar is a family doctor for refugees, asylees, y los sin papeles in the Denver area. He started and runs Mango House, which has primary care medical, dental, and pharmacy services, and dozens of refugee tenants including restaurants, stores, offices, youth programs, and religious gatherings. His endeavors are intentionally not nonprofit. He has been covered by media dozens of times for his medical work, refugee Scout Troops, social justice efforts, and refugee restaurants, including by CNN, People, and the documentary movie Mango House. He has spoken widely on primary care underserved medicine, including in his TED Talk. He attended the University of Colorado School of Medicine and the nearby St. Anthony Family Medicine residency, and occasionally precepts trainees from both. He is father to a wonderful 9 year old boy named Alex.