Summary of Actions: 2010 National Conference of Special Constituencies



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Summary of Actions:

2010 National Conference
of Special Constituencies
2010 Resolutions
To sort by constituency, select the entire table; click on “table”; click on “sort”; sort by “constituency” or column 3. **Actions to be reported by March 11, 2011.


Res.

No.


Title and Resolved

Consti-tuency

Reference Committee

Referrals

Action

1

Improving Awareness and Visibility of NCSC

RESOLVED, That the AAFP direct the Commission on Membership and Member Services to study improved means of marketing and branding the NCSC, including the possibility of a new name that better reflects the leadership development mission of the conference.

Women

Organization & Finance

Commission on Membership and Member Services

Agree. Staff have established a tag line for this year’s conference of “ALF & NCSC – for current and aspiring leaders” to reinforce that leadership development is a key part of conference programming.


2

Cultural Proficiency of American Academy of Family Physician (AAFP) Members

RESOLVED, That cultural proficiency education be modified to include information on the history of racial categories, current controversies about their biological significance, and the limits of their utility, and be it further
RESOLVED, That the American Academy of Family Physicians (AAFP) work to develop programming on cultural proficiency education at future National Conference of Special Constituencies (NCSC) conferences and Scientific Assemblies, and be it further
RESOLVED, That the Cultural Proficiency Work Group establish a strategic plan to present at the National Conference of Special Constituencies (NCSC) in 2011.

Women; Minority

Health of the Public & Science

1st & 3rd Resolved Clauses: Commission on Health of the Public and Science
2nd Resolved Clause: Commission on Membership and Member Services/ Commission on Continuing Professional Development

1st Resolved Clause:

Agree. The commission asked to have the article entitled “Racial Categories in Medical Practice: How Useful Are They?” (PLoS Medicine, September 2007, volume 4, issue 9) posted on the AAFP website in the Cultural Proficiency section of Public Health. In addition, AAFP staff will request a story be written about the article in AAFP News Now and include the website link to the article in the story.

2nd Resolved Clause: (CMMS)—Accept for information. The focus of NCSC is leadership development and there are several other venues (including the Scientific Assembly) where cultural proficiency education sessions are held. It was noted that many of the attendees at NCSC are called upon to present to these other groups on this topic.

(COCPD)—Accept for information. The Subcommittee on Assembly Scientific Program works to ensure that the Scientific Assembly CME addresses the health and educational needs of many diverse populations by encouraging faculty to add information to presentations on cross cultural issues. Cultural Proficiency is one of the Table Topic sessions.
3rd Resolved Clause:

Agree with modification. AAFP staff will update the Cultural Proficiency Plan from January, 2008 and will include the vision, mission, and values of the AAFP Mission and Strategic Plan to fulfill the intent of the clause. Once updated, the plan will be presented to the Cultural Proficiency Work Group of the CHPS for review/comment and approval. The finalized plan will be submitted to the AAFP Board of Directors for review and approval.



3

Corporate Support for Family Medicine Training

RESOLVED, That the American Academy of Family Physicians (AAFP) evaluate creating a partnership with businesses through the Patient-Centered Primary Care Collaborative (PCPCC) to fund medical student scholarships for those who agree to pursue a career in family medicine.

Women

Education

Commission on Education

Agree with resolution. The commission discussed the strategic priorities of the PCPCC and the need for increased funding and buy-in of student loan programs by entities other than government. The strategic priorities of the PCPCC include Primary Care Workforce Pipeline Goals and the SRSI determined that they were in line with AAFP priorities.
The third goal under the PCPCC strategic priority states:

3. In an effort to increase the primary care workforce, the PCPCC promotes:


  1. Increased funding for National Health Service Corps Scholarship and Loan Repayment Programs.

  2. Expanded primary care health professions programs in Sec. 747 of Title VII of the Public Health Service Act.

  3. Providing additional pathways for scholarships and loan forgiveness programs to create incentives for new physicians to choose careers in primary care)

4

National Health Service Corps (NHSC) Scholarship Program Expansion

RESOLVED, That the American Academy of Family Physicians (AAFP) encourage the government to increase the number of National Health Service Corps scholarships available to medical students interested in careers in family medicine, and be it further
RESOLVED, That the American Academy of Family Physicians (AAFP) lobby to increase the number of designated health professional shortage areas, and be it further
RESOLVED, That the American Academy of Family Physicians (AAFP) lobby for increasing the number of family physicians in the health professional shortage areas.

Women

Education

1st & 3rd Resolved Clauses: Commission on Governmental Advocacy

1st & 3rd Resolved Clauses:

Accept for information as current policy and already being addressed to some extent in the Affordable Care Act and by current advocacy action.


2nd Resolved Clause:

Not Adopted by the 2010 NCSC Delegation.

5


Support for State Loans and Loan Repayment Program for Primary Care Providers

RESOLVED, That the American Academy of Family Physicians (AAFP) encourage sharing between constituent chapters regarding successful state loan repayment programs, such as the “Texas Physician Education Loan Repayment Program,” and be it further
RESOLVED, That the American Academy of Family Physicians (AAFP) provide constituent chapters with established successful lobbying tools to lobby state legislatures to provide new and continue existing loan repayment programs, and be it further
RESOLVED, That the American Academy of Family Physicians (AAFP) educate members as to the loan repayment opportunities available nationwide, especially by keeping the existing website updated.

Women

Advocacy

1st Resolved Clause:

Commission on Education


2nd Resolved Clause: Commission on Governmental Advocacy
3rd Resolved Clause: Commission on Education

1st & 3rd Resolved Clauses: Accept for information. The AAFP has multiple resources directed to educating members about the various ways to finance a medical school education. The current Debt Management Guide includes many references to state scholarship and loan repayment programs. The AAFP website contains a section called “Funding Resources for practicing in an Underserved Area”. In 2006, the AAFP discontinued its own database of state scholarship and loan repayment programs and pushes members to the AAMC database. This database is kept up to date and is available to the public and SRSI determined that there was no additional need to provide duplicative services.

2nd Resolved Clause:

Agree with resolution. The Government Relations staff distributed examples of the successful Texas program to all interested chapters.


6

Universal Prenatal Care Regardless of Immigration or Financial Status

RESOLVED, That the American Academy of Family Physicians (AAFP) lobby Congress to include universal coverage of prenatal and postpartum care regardless of immigration or financial status.

Women

Advocacy




Reaffirmed as current policy or already being addressed in current projects.

7

Maintenance of Full Spectrum of Family Medicine Training

RESOLVED, That the American Academy of Family Physicians (AAFP) communicate to the Accreditation Council of Graduate Medical Education Review Committee for Family Medicine (RC-FM) and the Association of Family Medicine Residency Directors to not further reduce the requirements for family medicine residency training specifically related to maternity and perinatal care, inpatient hospital care, and other procedural skills.

New Physicians

Education




Not Adopted by the 2010 NCSC Delegation.



8

Healthcare Delivery Resource for Indigent Population

RESOLVED, That the American Academy of Family Physicians (AAFP) encourage constituent chapters to provide links and resources on their websites for patient assistance programs, social services and other initiatives based on a variety of chronic medical conditions specific to local needs or opportunities.

New Physicians


Health of the Public & Science

Commission on Health of the Public and Science/Commission on Membership and Member Services

CMMS: Agree. AAFP staff will collect best practices from chapters providing resources for patient assistance programs, social services and other initiatives based on chronic medical conditions specific to local needs or opportunities. Staff will share the information with the chapters and encourage the use of the resources on their Web sites.
AAFP staff share the resources and best practices of chapters through the Chapter Executive Web site and Chex Mix, the weekly e-newsletter to chapters. Staff shared an example of Chex Mix and accessed the Chapter Executive Web site to demonstrate the resources available to chapter staff.
CHPS: Agree. Commission members discussed requesting that AAFP constituent chapters provide links and resources on patient assistance programs and social services. AAFP staff will contact chapter relations staff about communicating the request to AAFP constituent chapters. The request to chapters can be posted on Chex Mix, the weekly e-newsletter sent to all chapter executives and chapter staff. CHPS will also request that chapter relations staff encourage constituent chapters to compile information on patient assistance programs and social services available in each state and post the information on the chapter’s website.

9


Sale of Alcohol in Retail Health Clinics

RESOLVED, That the American Academy of Family Physicians (AAFP) advocate for state and federal legislation to ban the sale of alcohol in facilities that provide health care services, including pharmacies and retail outlets housing store-based health clinics.


New Physicians

Health of the Public & Science




Not Adopted by the 2010 NCSC Delegation.

10

Study Attitudes of Residents, New Physicians, and Program Directors Toward New Physician Recruitment to the American Academy of Family Physicians (AAFP)

RESOLVED, That the American Academy of Family Physicians (AAFP), in its efforts to improve membership retention, should continue their study of the attitudes and perspectives of residents going into practice and residency directors’ influence on AAFP membership and to publish the results in a readily available format for national, state and local chapters to recruit and retain new physician members.

New Physicians

Organization & Finance

Commission on Membership and Member Services

Agree; the issue is to be addressed in 2010 staff outreach and activities.

AAFP staff met with the Association of Family Medicine Residency Directors (AFMRD) in February, 2010 to discuss the topic of new physician conversion to Active membership and new physician retention. Staff asked the AFMRD Board to provide any insights into the transitioning resident’s mindset and workload in addition to the role of the program director in promoting continued AAFP membership. Staff also inquired about the feasibility of transitioning residents to pay their first-year membership dues out of any left-over CME funds and the possibility of early-invoicing. Early-invoicing would mean sending the residents their first-year membership dues invoice in late-winter/early-spring before departing their program as opposed to the standard October billing cycle. This would give the program directors the opportunity to discuss the benefits of membership with the residents before they leave.

Overall, the program directors were supportive of assisting the AAFP in this endeavor. They, too, suggested reaching out to first-year new physicians and/or third-year residents to find out what issues are of particular importance to them in their transition. They also suggested not using advocacy as a selling point for the segment and encouraged AAFP staff to strongly emphasize the installment payment plan.
Staff also plans to work collaboratively with the AAFP’s sister organizations (AFMRD and the Society of Teachers of Family Medicine) to help educate third-year family medicine residents on the value of AAFP membership and the new discounted dues structure for first-year new physicians.
In addition, AAFP staff will be conducting a survey of third-year residents in the fall of 2010 to measure the following:


  • Membership valuation as a completing resident (how, in their eyes, the AAFP adds value to their transition to practice)

  • Membership valuation as a professional, post-residency (how the AAFP benefits them in their post-residency career/added value)

  • Membership influences (incentives, benefits, individuals)

The results of the resident survey will be provided, upon completion of analysis, for chapter reference.



11

Using the American Academy of Family Physicians (AAFP) Membership Directory as a Networking Tool

RESOLVED, That the American Academy of Family Physicians allow members to self identify areas of interest and experience including, but not limited to, practice management, patient centered medical home, electronic medical records, and advocacy, and include this information in a searchable field in the online membership directory, and be it further

RESOLVED, That the American Academy of Family Physicians add practice type and community size as searchable fields in the online membership directory.


New Physicians

Organization & Finance

Commission on Membership and Member Services

Accept for information. The AAFP currently provides a number of ways that members can self-identify their areas of interest or experience. There is some concern that members may not be willing to share this information, or other personal/practice data, in the future if it is disclosed in the membership directory. In addition, the AAFP offers several different vehicles, including listservs and online communities, for members to utilize when trying to identify others with similar interests or experiences.
Also of note: The current AAFP Privacy Policy states that only member contact information will be shared through the online Membership Directory and only to AAFP members.
Disclosure to third parties:

The AAFP makes member contact information available in its online Membership Directory only to other members of the AAFP who have verified their membership status before entering the online membership directory. The AAFP shares membership, demographic, CME and/or contact information with AAFP constituent chapters and its Foundation.


Disclosure of additional member specific information as outlined in the resolution would require changes to the current AAFP Privacy Policy. These changes could impact the ability of AAFP to collect important information used in aggregate for advocacy and other purposes because some members may not want this information disclosed in the directory or elsewhere.

12

Advocacy and Leadership Training for Family Physicians

RESOLVED, That the American Academy of Family Physicians (AAFP) create and conduct a needs assessment of employed physicians and develop and distribute a resource guide with suggestions for services for employed physicians and recommendations on how to implement those suggestions to constituent chapters.


New Physicians

Organization & Finance

Commission on Membership and Member Services

Accept for information. AAFP staff is sensitive to the possibility of employed physicians requiring different resources than those who are self-employed. We are currently developing a needs assessment tool that will be sent out in mid-January to a random sample of members. The study will measure the differences, if any, between the membership needs of employed versus non-employed members.

13

Rescind Consumer Alliance Project With The Coca Cola Company

RESOLVED, That American Academy of Family Physicians (AAFP) rescind its contract with The Coca-Cola Company and refrain from affiliating with companies that offer products detrimental to patients’ good health.

New Physicians

Organization & Finance




Not Adopted by the 2010 NCSC Delegation.

14

Creation of Educational Programs and Resources on United States Preventative Services Task Force (USPSTF) Recommendations for Physicians and Patients

RESOLVED, That the American Academy of Family Physicians (AAFP) create educational programs and resources for practicing physicians clearly outlining United States Preventative Services Task Force (USPSTF) evidence based items or services that currently have a rating of ‘A’ or ‘B’ and thus will be mandated for full coverage by group health plans, as well as those services with a ‘C,’ ‘D’ and ‘I’ that may not be covered, and be it further

RESOLVED, That the American Academy of Family Physicians (AAFP) also create educational programs and resources for patients that clearly outline and explain the current Preventative Services Task Force (USPSTF) evidenced-based ratings, and further explain how those items with an ‘A’ or ‘B’ are mandated for coverage, whereas patients may need to investigate with their insurer whether those practices with a ‘C,’ ‘D’ or ‘I’ rating are part of their medical insurance coverage.


Women; New Physicians

Health of the Public & Science

1st Resolved Clause: Commission on Continuing Professional Development
2nd Resolved Clause:

Commission on Health of the Public and Science



1st Resolved Clause:

Accept for information. A session is presented at each annual Scientific Assembly on recommendations of the U.S. Preventive Services Task Force.


2nd Resolved Clause:

Accept for information. Dialogue will occur with staff from AAFP, familydoctor.org, and the American Family Physician journal regarding the value of these materials.



15

Standardizing Residency Training

RESOLVED, That the American Academy of Family Physicians (AAFP) continue to collaborate with other family medicine organizations in the education community to establish recommendations for a minimum and uniform set of procedural skills for family physicians.

IMG

Education

Commission on Education

Accept for information. The COE received extensive background on the efforts of the AAFP, STFM, AFMRD, National Procedures Institute, Accreditation Council on Graduate Medical Education, and American Board of Medical Specialty efforts to emphasize procedural training and competency in family medicine residency education. The COE was impressed by the current efforts of AAFP, organized family medicine, and even the P4 initiative to address this issue. An extensive literature base frames many of the issues and proposed solutions. As such, the COE affirms the AAFP’s current efforts and accepts this resolution as an affirmation of AAFP’s existing efforts.


16



Advocacy and Leadership Training for Family Physicians

RESOLVED, That the American Academy of Family Physicians (AAFP) expand the aafp.org policy and advocacy website to include links to media and advocacy training, as well as links to constituent chapter training programs.

New Physicians

Advocacy

Executive Vice President for appropriate staff referral

The AAFP web site currently includes many training resources related to both advocacy and chapter operations. A sampling of the available links is listed below in both areas. Of course, the AAFP will continue to update and enhance its resources in these important areas; however, given what already is available, we do not believe that further action is necessary at this time.
Training Articles

Host an Event

Meet With Your Elected Representatives

Town Hall Meetings

Write a Letter to the Editor

Hosting a Site Visit

Personalize Your Message

The Legislative Process

Using Speak Out

The AAFP has resources to strengthen your chapter, your chapter leadership team, and your personal leadership skills. Documents such as the Chapter Leadership Guidebook can be copied and modified to meet the specific needs of your chapter.


Annual Leadership Forum -- Gain the knowledge and skills necessary to meet the challenges of leadership.


AAFP Directory of Resources for Chapters -- Discover options and determine who to contact in this directory.

Chapter Leadership Guidebook --Download PDFs or Word documents of the Guidebook of information essential for those in chapter leadership positions.

Chapter Assistance Program (CHAP) (Members Only) -- Learn about CHAP and download a PDF of the Chapter Operations Guidelines Self-Directed Instrument to review your chapter's operational status.

AAFP Awards for Chapter Staff -- Learn about recognition for exceptional service and tenure.

HealthLandscape -- Create and customize maps of primary care data specific to your advocacy needs.

Leadership Reading List -- Access a suggested list of leadership books, some of which have been reviewed by other chapter leaders.

Best Practices (Members Only)

Chapter Leader Feedback -- Find out what other chapter leaders had to say about their experiences as chapter leaders, and read what advice they have to give new leaders.

AAFP Online Resources -- Access a list of AAFP online resources specifically geared toward chapter leaders.




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