Summary Notes Family Medicine Leadership Retreat: Better Together October 2, 2015 Attendance Faculty: Dr. Mary Coleman, Dr. Pamela Wiseman, Dr. Herbert Muncie, Dr. James Campbell, Dr. Michele Larzelere, Dr. Jeffrey Mohr, Dr. Linda Oge’, Dr. Alan Lebato, and Dr. Jule Asserq Staff: Barbara Scarbrough, Angela Boseman, , Katherine Martinez, Julie Hutchinson, Summer Woods, Susan Pieno, Shenita Dyson, and Daisy Cormier Introductions Dr. Coleman and Angela Boseman provided updates to the group on departmental initiatives, such as approval to pursue a primary care track, curricular efforts in dermatology, nutrition, and global health, and achievement of CME from both AMA and AAFP for the faculty development series. Each individual participant introduced themselves and shared a successful story about collaboration. Faculty and staff split into two separate groups for the half day. Staff Staff members met together and shared information about New Innovations, Moodle, processes for residency matching interviewing, and completing forms such as time sheets and finance processes. Faculty Mission Statement Faculty reviewed the departmental mission statement and made edits to it before distributing to the entire department. A draft of the revised statement is below. Family Medicine Departmental Mission Statement The Department of Family Medicine aims to train family physicians to provide high quality, relationshipcentered, comprehensive, and continuing healthcare for all the people of Louisiana. The Department of Family Medicine at LSU School of Medicine employs multiple sites at which faculty, residents, and students teach, learn and practice family medicine. The department seeks to enhance medical undergraduate and resident graduate education in family medicine, research and service through deliberate collaborative work with each other and with communities and community organizations to improve health care teaching and learning, practice, and delivery. SWOT Analysis Educational/Clinical Family Medicine Clinical Educational/ Community Service SWOT Analysis October 2015 Undergraduate Strengths Weaknesses Opportunities Threats Early exposure to students who may nor may not have interes in primary care Med Ped residents have an established presence Other specialties will respond Established, interprofessional (dentistry) Students are not assigned based on interest in primary care Physical Diagnosis Class Small group contact Faculty/Resident Participation limited Joint Injection Clinic Part of clerkship; new mannikins purchased Application of learned skills is limited Invitation to participate has been extended Provide students opportunities to apply skills Must get grant funding to purchase materials needed Greater FM exposure to students in second year If not well done, could be harmful. Lack of funding Community component will require organization and pairing FM exposure to students in second year If not well done, could be harmful. Lack of funding FM exposure to Students that highlights clinical care Potential for FM Faculty from all sites to participate. Greater exposure to Students early on. More opportunities to foster FM interest. Inability to carry through could be harmful. Insufficient students show interest. Faculty do not devote time to developing and nourishing. Student Run Free Clinic Dermatology workshop Planned Planned Elective Nutrition course Global Health Elective Primary Care Track Required 4 week clerkship Dr. Haas has expertise Nutrition in Medicine online modules available; contacts with community in the making; interprofessional Strong Bogalusa leadership; Builds on existing "Healing Peru"; approval of dean Curricular deans and Dean are supportive Logistics of insurance. Fundraising required. Time intensive preparation. Need leadership assistance to nurture and develop, prepare paperwork. Research SWOT Strengths Regular representation in discipline journals Scholarly Activity Ongoing relationships with editors at several journals Growing number of faculty with publication experience Wide variety of interests represented within the department Meets RRC/ACGME needs Weaknesses Opportunities Threats Uneven participation within/between programs Lack of collaboration between faculty and residents Lack of interest in publication by some residents/faculty Identify a faculty champion for scholarly activity at each location Lack of time to dedicate to scholarly activity Set benchmarks for each residency, each year Competing clinical demands Faculty continuing education to develop skills Perceived lack of benefit to the program Perceived lack of individual professional benefit Frustration with academic promotion/tenure process Currently funded grants increase our experience and departmental expertise Uneven participation within/between programs Strong interests by several faculty in increasing grantfunded research Mentorship by senior faculty re: grantsmanship Lack of collaboration between faculty and residents Lack of interest in research by some residents/faculty Areas of interest overlap across the department (DM, adolescent health, addiction, hepatitis C) Lack of secretarial/administrative support for research activities Identification of a faculty champion at each residency Perceived minimal departmental support (possible future) Financial support for secretarial/ Perceived minimal school support administrative Grants/Funded Research LSUHSC personnel resources (Dr. Paula Gregory, Dr. Erwin Aguilar) Developing collaborative relationships with community partners Strong community needs/populations of significant national interest (e.g., disparities research, DM, HTN, Acadian population) Meets RRC/ACGME needs Lack of agreed research focus areas across the department Minimal collaboration between residencies Quality Improvement Projects Minimal formal QI training in faculty Perception of research as unfunded/unsupported mandate Lack of time to dedicate to research Minimal communication between residencies Benefits clinical care Meets RRC/ACGME /Clinic accreditation needs tasks through grants Competing clinical demands Teaching opportunity for residents Use QI projects to collect baseline data for research endeavors Use QI projects to anchor publications Faculty continuing education to develop skills Perceived lack of benefit to the program Perceived lack of individual professional benefit Multiple institutions (multiple IRBs, distance from LSU-NO) Frustration with academic promotion/tenure process Time pressures/conflicting demands 1-2 faculty at each residency bear most of the QI burden Perception of no incentive (pay, promotion, etc.) for effort Promotes PCMH Action Items Increase exposure of FM to L1 and L2 students. Increase awareness of the activities of our programs and department. Engage community organizations such as LAFP and AHEC in identifying funding resources for students. Create a taskforce to look at payment reform. Complete one project such as gathering demographic data on each site. Find ways to support faculty scholarly work, including addressing research questions that arise in practice. Faculty and staff joined together at lunch and at the conclusion of the day for a summary and evaluation. Evaluation Evaluations were unanimous that an annual retreat should be continued. Staff thought that the retreat was a great professional event that allowed everyone to meet since they are all at different sites. The staff definitely think that this event should be held annually.