Georgetown University Medical Center Michelle Roett, MD, MPH, FAAFP - - PowerPoint PPT Presentation

Georgetown University Medical Center

Michelle Roett, MD, MPH, FAAFP Professor and Chair

Medical Student Interest in Family Medicine

DEPARTMENT OF FAMILY MEDICINE GEORGETOWN UNIVERSITY MEDICAL CENTER MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL

Georgetown University Department of Family Medicine

MISSION 1. Teach Family Medicine as a model of excellence in primary care and community health to medical students, residents, fellows, and other health care professionals 2. Foster national leaders and educators in Family Medicine 3. Provide personalized evidence-based patient-centered care in a medical home model, with special emphasis on care to the underserved 4. Conduct community oriented, patient-based, and interdisciplinary research 5. Create and sustain campus/community partnerships that recognize our mutual assets and improve the health of our community

FMA Health: Sustaining Student Interest in Family Medicine1

1. Fostering community-oriented mission; 2. Incorporating ethics and social determinants of health in the curriculum; 3. Introducing community learning and service into medical education, as well as training in advocacy; 4. Connecting students with dedicated, full- scope family physicians and peer mentors; 5. Mitigating any environment that permits specialty disrespect about students’ career choices; 6. Exposing students to new models, sustainable examples of patient-centered care 7. Establishing diverse outpatient training settings, including rural offices and CHCs 8. Creating opportunities to train students in a team-based, interdisciplinary setting; 9. Developing rural tracks, tailored electives,

• r advanced clerkships with full scope of

Family Medicine, including procedures, in different settings.

Georgetown University Department of Family Medicine

1. Fostering community-oriented mission

• Lead Community-Based Learning required first year course

2. Incorporating ethics and social determinants of health in the curriculum;

• Lead Patients, Populations and Policy M1 required course and Health Disparities and Health Equity M1 required intersession
• Lead Population Health Scholar Track

3. Introducing community learning and service into medical education, as well as training in advocacy;

• CBL, P3, faculty mentors for longitudinal Scholar Tracks in Health Justice, Population Health

4. Connecting students with dedicated, full-scope family physicians and peer mentors;

• Required Ambulatory Care M1 course, new AHEC Primary Care Mentorship Program

5. Mitigating any environment that permits specialty disrespect about students’ career choices;

• Admissions Committee, Preclinical Advising, Clinical Advising, Committee on Medical Education, Medical Student Life Advisory

Committee, Mind-Body Medicine, medical center Strategic Planning Committees

Georgetown University Department of Family Medicine

• 6. Exposing students to new models, sustainable examples of patient-centered

care

• Expand preceptor pool, faculty development opportunities for community preceptors (AHEC)
• 7. Establishing diverse outpatient training settings, including rural offices and

CHCs

• Expand and formalize FQHC partnerships, IHS opportunities for students (AHEC)
• 8. Creating opportunities to train students in a team-based, interdisciplinary

setting;

• Expand clinical pairings of students with resident experiences (e.g. inpatient, obstetrics, nursing home, home visit, procedures)
• 9. Developing rural tracks, tailored electives, or advanced clerkships with full

scope of Family Medicine, including procedures, in different settings.

• Expand tailored electives in COPC, Social Determinants of Health

Mentorship, Pipeline Programs

High School Students

• Introduction to Community-Based Learning
• Summer clinical and operational shadowing
• Summer Health Disparities projects
• Health careers summits
• Leadership summits

College Students

• Summer Community-Based Learning
• Summer clinical and operational shadowing
• Summer Research
• Leadership summits
• Mind-Body Medicine

Funding Mechanisms

FEDERAL FUNDING

• HRSA Primary Care Training

Enhancement

• HRSA Area Health Education

Center

• HRSA PCTE Primary Care

Champions

• HRSA Academic Unit

PHILANTHROPY/PRIVATE FOUNDATIONS

• Alumni or general donations toward

department

• Capital Campaigns around social

mission

• LOIs to private educational foundations

with overlapping interests (e.g. social determinants of health, health equity, under-represented minorities in medicine)

• Speaker’s Bureau honoraria

Predictors of Family Medicine choice or Primary Care

• Strong Predictors:
• Required first-year clinical experience with family

physician1

• Rural medical education2
• Dual MD/MPH2
• Early and longitudinal community-based learning3
• Less helpful predictors:
• FMIG officership2

2016;48(5):385-388.

Predictors of Choosing Primary Care

• 1. Pipeline programs
• Rural and underserved medical school settings have targeted high school, college and pre-medical

students, successfully increasing the medical school acceptance rates for pipeline participants1

• 2. Participatory community-based learning for medical

students:

• Increases public health skills and knowledge
• Enhances understanding of communities
• Increases appreciation of social determinants of health and the local community
• Increases choice of primary care specialty

Poor Underserved 2016;27:8-18.

https://Familymedicine.Georgetown.edu https://familymedicine.georgetown.edu/annualreport Michelle.roett@Georgetown.edu