Kelly Christina, Coutinho Anastasia J, Goldgar Constance, Gonsalves Wanda, Gutkin Cal, Kellerman Rick, Fetter Gerald, Tuggy Mike, Martinez-Bianchi Viviana, Pauwels Judith, Hinkle B Tate, Bhuyan Natasha, McCrory KrisEmily, Roett Michelle A, Snellings John, Yu Kim, Bentley Ashley
Memorial Health Family Medicine Residency, Savannah, GA.
Santa Rosa Family Medicine Residency, Santa Rosa, CA.
Fam Med. 2019 Feb;51(2):149-158. doi: 10.22454/FamMed.2019.926312.
When the Family Medicine for America's Health (FMAHealth) Workforce Education and Development Tactic Team (WEDTT) began its work in December 2014, one of its charges from the FMAHealth Board was to increase family physician production to achieve the diverse primary care workforce the United States needs. The WEDTT created a multilevel interfunctional team to work on this priority initiative that included a focus on student, resident, and early-career physician involvement and leadership development. One major outcome was the adoption of a shared aim, known as 25 x 2030. Through a collaboration of the WEDTT and the eight leading family medicine sponsoring organizations, the 25 x 2030 aim is to increase the percentage of US allopathic and osteopathic medical students choosing family medicine from 12% to 25% by the year 2030. The WEDTT developed a package of change ideas based on its theory of what will drive the achievement of 25 x 2030, which led to specific projects completed by the WEDTT and key collaborators. The WEDTT offered recommendations for the future based on its 3-year effort, including policy efforts to improve the social accountability of US medical schools, strategy centered around younger generations' desires rather than past experiences, active involvement by students and residents, engagement of early-career physicians as role models, focus on simultaneously building and diversifying the family medicine workforce, and security of the scope future family physicians want to practice. The 25 x 2030 initiative, carried forward by the family medicine organizations, will use collective impact to adopt a truly collaborative approach toward achieving this much needed goal for family medicine.
2014年12月,美国健康家庭医学(FMAHealth)劳动力教育与发展策略团队(WEDTT)启动工作时,FMAHealth董事会交付的一项任务是增加家庭医生的培养数量,以打造美国所需的多元化基层医疗劳动力队伍。WEDTT组建了一个多层次的跨职能团队来推进这一重点项目,其中包括关注学生、住院医师以及早期职业医生的参与度和领导力发展。一个主要成果是采纳了一项共同目标,即“25 x 2030”。通过WEDTT与八家主要的家庭医学赞助组织合作,“25 x 2030”目标是到2030年,将选择家庭医学的美国全科和骨科医学生比例从12%提高到25%。WEDTT基于其对推动实现“25 x 2030”目标的理论,制定了一套变革理念,进而促成了WEDTT及其主要合作伙伴完成的具体项目。WEDTT基于其三年的工作成果,为未来提出了建议,包括改善美国医学院社会问责制的政策举措、围绕年轻一代的愿望而非过往经验制定战略、学生和住院医师积极参与、让早期职业医生成为榜样、专注于同时建设和多元化家庭医学劳动力队伍,以及保障未来家庭医生希望从事的执业范围。由家庭医学组织推进的“25 x 2030”倡议,将利用集体影响力,采取真正的协作方式来实现家庭医学这一迫切需要的目标。