Public Health Impact of FMRPs 14 years ago Bill Burnett 3 minutes Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP (15 March 2006 17:39)Coastal Research Group — Policy StatementsTitle : Public Health Impact of Family Medicine Residency ProgramsKeywordsPublic health impactPublic health benefitsCommunityCommunity context of careSchool healthPopulation-based healthPolicy/Position StatementIn an environment of economic constraints, declining resources, and increasing public health needs, support for a collaborative relationship between family medicine residency programs and their communities’ public health infrastructure will ultimately benefit the public and protect the health of the community.Practice styles and techniques taught in family medicine residency programs, including comprehensiveness, community-orientation, and coordination of resources for their patients, should be used to advance federal, state and local public health priorities.BackgroundIntroduction to the National ProjectSince 2000, the Coastal Research Group National Project on the Community Benefits of Family Medicine Residency Programs has amassed a robust database on the services provided by a diverse sample of family medicine programs. That sample reflects the distribution of residency program characteristics nationally. From this database has been derived a detailed taxonomy of the services delivered to the patient populations served by those programs. In addition, in collaboration with the University of Louisville School of Public Health and Information Sciences, the taxonomy and data set are undergoing detailed analysis to demonstrate the relationship between family medicine residency programs’ clinical contributions to their communities and the meeting of local public health needs.Pertinent DataData from this project support the observation that family medicine residency programs contribute to the public health priorities of communities in:The “sentinel” physician role (community health assessment and protecting the health of the public)Care of special populations (school-based health, low-income elderly)High-quality disease prevention servicesTraining of a professional workforce in appropriate models of careCurriculum in breadth of careCurriculum in public health and epidemiologyCare in the context of community“Community” as part of FMRP mission statementsConclusionsFamily medicine residency programs make material and substantive contributions to meeting the public health needs of the communities they serve through the training of generalist physicians with an “adaptive skill set”.Future ConsiderationsPhysician workforce issues including numbers, training and distribution.The benefits of community partnerships with health systems.The use of family medicine residency programs as sentinel practices.The integration of school health in residency curricula.References1. Starfield B, Shi L, Macinko C — Contribution of Primary Care to Health Systems and Health. The Milbank Quarterly 83(3):457-502 (2005)2. IOM Report — Crossing the Quality Chasm — (http://www.iom.edu/CMS/8089.aspx)3. Goldberg W, Goldfrank L, Smith PC, Green LA, Lanier D, Yawn BP – The Ecology of Medical Care Revisited. N Engl J Med 345:1211-1212 (2001)4. Green LA, Fryer GE — The Development and Goals of the AAFP Center for Policy Studies in Family Practice and Primary Care. JFP 48:905-908 (1999)5. IOM Report — The Future of Public Health in the 21st Century – http://www.iom.edu/?id=152466. Gerberding J — 10 prioritiesGlossaryComprehensive care — Care of women, men, and children that meets all of their health care needs.Adaptive skill set — The clinical skills of a physician that can be applied to a variety of medical problems through the extrapolation of current training.Sentinel physician — That member of the medical community most likely to have early/initial contact with a threat to the public health.________________________________This policy statement is a product of the Coastal Research Group (CRG) Policy Analysis Committee, Task Force on Family Medicine Center BenefitsChair, Working Group on Public Health Impact of FMRPs: Richard Clover, MDLast Updated (18 May 2006 07:51) people found this article helpful. What about you?