The Undifferentiated Medical Student Ep 016 - Family Medicine with Dr. Steve Brown
Jan 13, 2017
Dr. Steve Brown, a family medicine program director and educator with rural Indian Health Service experience. He discusses what family medicine truly means, the five C's of primary care, generalism versus specialty care, varied practice settings and routines, training and fellowships, burnout and designing a sustainable practice, payment challenges, and tools for staying current.
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Primary Care Share Drives Health System Value
- The US health system is specialty-heavy and expensive; boosting primary care share improves quality, equity, and lowers cost.
- Brown notes other systems have ~50% primary care vs ~20% in US and calls payment reform a central challenge/opportunity.
Pursue A CAQ Or Fellowship To Subspecialize
- Family doctors can subspecialize via fellowships and CAQs in fields like geriatrics, palliative care, sports medicine, addiction, toxicology, and informatics.
- Brown points out many family physicians pursue CAQs or fellowships to deepen focus while retaining generalist orientation.
Use Primary Care Evidence Resources Regularly
- Use primary-care-focused evidence sources: Essential Evidence, DynaMed, and American Family Physician for ambulatory decision making.
- Brown recommends AFP journal and the AAFP national conference (Kansas City) to meet residents and explore program scopes.
