Archives / 2014 / June
  • Slow medicine: Taking time to practice the art of family medicine

    Tags: hawkins, president's letter

    By Clare Hawkins, M.D., M.Sc.
    TAFP President, 2013-2014

    Do you ever think that your day is going slowly? Do the mundane features of patient care make you feel slow? Or perhaps, by contrast, you feel it is going too fast, like that proverbial hamster on the treadmill.

    My treadmill involves dealing with difficult patients, paperwork requests, and the idiosyncrasies of the electronic health record. In spite of the speed, however, I don’t always feel efficient. Even when I feel I can complete a patient encounter quickly, this does not feel like a triumph. The speed comes at the expense of a lack of connection with the patient, or less fulfilment with medicine than I had expected.

  • Let’s be bold for family medicine

    Tags: hurley, perspective

    By Janet Hurley, M.D.

    It’s time for boldness in family medicine. As I turned to hug Jim Martin, M.D., at the last TAFP C. Frank Webber Lectureship, I was touched by his heartfelt concern. He and other dedicated leaders before me have endeavored to set the stage for family medicine to have its time in the spotlight. Yet many family physicians do not seem willing to demonstrate the leadership skills or “fire in the belly” during this pivotal time of health care change.

    In the past, family physicians were seen as feeder mechanisms for the procedural and hospital cash machine. We were disrespected in the academic centers and our value was minimized by payers and the Relative Value Scale Update Committee. Specialists desired our referrals for lucrative procedures that are reimbursed under an inflated fee-for-service price. The hospitals have been hiring family physicians to ensure referral sources to their admission beds, imaging centers, and operating rooms. But the day of reckoning is coming for that payment methodology.