PA – “Provider” or Professional?

The term “provider “is a cynical corporate strategy to divide and conquer professionals and patients.
We should all – across professions – insist on being called clinicians or professionals, with our own hard-earned credentials recognized.

See this new essay in the Physician Assistant Journal – JAAPA.

Phillips WR. PA Provider or professional? JAAPA: December 2022 – Volume 35 – Issue 12 – p 8

Doi: 10.1097/01.JAA.0000892744.97285.d3

https://journals.lww.com/jaapa/Fulltext/2022/12000/PA__Provider_or_professional_.1.aspx

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UW Interprofessional Primary Care Course – final reports

I want to bring you up to date with the evaluation of our Interprofessional Primary Care Course at the University of Washington.* Our final report just came out, showing long-term success in changing primary care knowledge, attitudes, and career plans across health professions, including dentistry, medicine, nursing, nurse practitioners, pharmacy, physician assistants, social work, and public health. 

This new study follows students over five years and documents long-term, sustained increases in learners entering careers in primary care, direct PC patient care, and service to vulnerable communities. A parallel controlled study backs up these results.

Phillips WR, Keys T. Interprofessional Primary Care Course Impact on Knowledge, Attitudes, and Careers. Fam Med. 2022;54(9):722-728. doi.org/10.22454/FamMed.2022.167204.

https://journals.stfm.org/familymedicine/2022/october/phillips-2021-0520/

I’m also including a report on one key component of the course, life-changing visits to observe practicing a family doctor taking care of real patients with real problems.

Phillips WR, Fitch JG, Keys T. Practice observation visit for interprofessional training in primary care. Journal of Interprofessional Education & Practice 2022;29: 100558. doi: 10.1016/j.xjep.2022.100558.

https://www.sciencedirect.com/science/article/pii/S2405452622000659

*Our initial description and evaluation of the UW interprofessional primary care course:

Phillips WR, Keyes T. Interprofessional Primary Care Course Curriculum and Evaluation. Family Medicine. 2018;50(3):217-22. doi: 10.22454/FamMed.2018.998057.

https://journals.stfm.org/familymedicine/2018/march/phillips-2017-0202/

Thanks for your interest.

Please share with your co-authors and colleagues.

• Bill Phillips

Interprofessional Primary Care Course Changes Knowledge, Attitudes, Career Choices Across Health Professions

Our University of Washington Interprofessional Primary Care Course is linked to lasting impacts on knowledge, attitudes, and career choices for learners in dentistry, medicine, nursing, pharmacy, physician assistant, social work, and public health. This 5-year study shows these effects have long lasting impacts on professionals, patients, and teams.

Phillips WR, Keys T. Interprofessional primary care course impact on knowledge, attitudes, and careers. Family Medicine. 2022;54(9):722-728.  doi: 10.22454/FamMed.2022.167204

https://doi.org/10.22454/FamMed.2022.167204

Seeing a Family Physician Care for Patients Changes Health Professional Careers

Observation of family physicians in practice – for just a half-day – led to career-changing revelations for students in dentistry, medicine, nursing, pharmacy, physician assistant, social work, and public health.

Never underestimate the impact of real experience with real clinicians taking care of real problems in real patients.

Phillips WR, Fitch JG, Keys T. Practice observation visit for interprofessional training in primary care. Journal of Interprofessional Education & Practice. 2022;29 (December 2022): 100558. doi: 10.1016/j.xjep.2022.100558

https://doi.org/10.1016/j.xjep.2022.100558

Writer’s block is not the only barrier to getting your academic writing into print.

Phillips WR. Publicatus Interruptus: An Endemic Syndrome Disabling Research and Researchers. J GEN INTERN MED. 03 January 2022

https://doi.org/10.1007/s11606-021-07291-6

Published with @SpringerNature in @JournalGIM. Read at https://rdcu.be/cEgPR

New report from CRISP

Consensus Reporting Items for Studies in Primary Care – our international team developing new guidance to help improve the reporting of PC research.

Phillips WR, Louden DN, Sturgiss E. Mapping the literature on primary care research reporting: a scoping review. Family Practice, 2021, 1–14. 

doi:10.1093/fampra/cmaa143

https://academic.oup.com/fampra/advance-article-abstract/doi/10.1093/fampra/cmaa143/6144245

GPs are not FPs in the US

General practitioners are not family physicians in the US.  The distinction is important for patient care, research, reporting and health policy. Read the new research that documents the important differences.

http://www.annfammed.org/content/18/2/127

Pursuing personal passion: Learner-centered research mentoring

A fresh approach to mentoring can empower new researchers to focus research questions with personal passion to create successful studies and sustainable careers. https://doi.org/10.22454/FamMed.2018.952474

Just published, this Special Article outlines how mentors can use the Pursuing Personal Passion P3 Learner-Centered Mentoring Model to help new researchers overcome the common challenges of finding and focusing research questions.

Phillips WR. Pursuing personal passion: Learner-centered research mentoring. Family Medicine. 2018; 50:7. https://doi.org/10.22454/FamMed.2018.952474

Mentors can use the P3 Interview tool to help researchers identify their key concerns and focus their interests into researchable questions that are aligned with their personal and professional priorities.

Built on the foundations of learner-centered teaching and patient-centered care, the P3 Mentoring Model can help researchers organize their curiosity into researchable ques­tions, successful studies and organized programs of scholarship.

The P3 Mentoring Model is particularly helpful for:

• new researchers
• early career academics
• students and trainees
• clinician-educators
• community based researchers
• generalist scholars

Download the complete article for free. Share with mentors and mentees. Post your comment.

William R. Phillips, MD, MPH, is Professor Emeritus of Family Medicine, University of Washington, and was recognized by the North American Primary Care Research Group (NAPCRG) with its 2018 Distinguished Research Mentor Award.

Final Touches

Final Touches – The art of care at the end of life.

Read the essay – Final Touches.

Excerpts

One of the great gifts given to us as family doctors is the opportunity to learn: about the lives of our patients, about the nature of health and illness, and—one can hope—about ourselves.

We learn our most valuable lessons from our patients and their families, particularly in working with them over time and through the transitions in their lives.

We had touched each other’s lives in an eternal way …
It helped me learn again the importance of time, the art of the question and the power of details.

As family doctors, we cannot overestimate the impact our patients have on our learning and our lives. We should not underestimate impact we can have on theirs.

Copyright ©2014 W.R. Phillips.
Used with permission. Originally published in:
Phillips WR. The Heart of the Matter. Washington Family Physician. 41(3):10-11, July 2014. http://www.wafp.net/News/Washington-Family-Physician.aspx

Read the essay – Final Touches

Please leave a comment. Thank you.

Working at the Wheel

The family physician takes many turns though a life in practice.
Cycles through our patients’ lives and our careers.

….  Read more – Working at the Wheel

 Excerpts

As the wheels of progress spin faster, steered by managers and lubricated by information technology, we must work to keep the patient always at the center. They deserve care that is better, not just cheaper.
. . .
What sustains us over the long run is the excitement of variety and the rewards of continuity. It is knowing and growing with our patients and their families around the cycles, across the transitions and over challenges of their lives. We have the great privilege to share their joys and sorrows as we together turn, turn, turn through every season of life.
. . .
Vital parts of medicine’s future will come around from family medicine’s past. As the wheels of progress turn toward organized systems of better patient care, we must be at the center, surrounding the patient with care and radiating the power of the personal doctor.

Read the essay – Working at the Wheel
Please comment and share.

Copyright © 2014 W.R. Phillips. Originally published in:
 Phillips WR. Working at the Wheel. Washington Family Physician. 2014; 41(2):9-10. Used with permission.