Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
Phoenix Newsletter - July 2025 Available Now: 2026 5-Year Cycle Registration Read Available Now: 2026 5-Year Cycle Registration
Home Research Research Library Sailing the 7C’s: Starfield Revisited as a Foundation of Family Medicine Residency Redesign Sailing the 7C’s: Starfield Revisited as a Foundation of Family Medicine Residency Redesign 2021 Author(s) Bazemore, Andrew W, and Grunert, Timothy Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Graduate Medical Education Volume Family Medicine Source Family Medicine Amidst a pandemic that has acutely highlighted longstanding failings of the US health care system and the graduate medical education (GME) enterprise that serves it, educators prepare to embark on another revision of the program requirements for family medicine GME. We propose in this article a conceptual framework to guide this endeavor, built on a foundation of the core functions that Barbara Starfield suggested might explain primary care’s salutary effects. We first revisit these “4C’s”—first Contact, Continuity, Comprehensiveness, and Coordination—and how they might inform design thinking in primary care GME guideline revision. We also propose the addition of Community engagement, patient-Centeredness, and Complexity. Training residents to deliver on these “7C’s,” functions critical to the delivery of high-performing primary care, is essential if family medicine residency graduates are to serve the clearly articulated, but unrealized, quadruple aim for US health care: improved patient experience and population health at lower costs while preserving clinician well-being. Finally, we highlight and illustrate examples of four critical enablers of these 7C core functions of primary care that must be accommodated in training guidelines and reform, suggesting a need for resident competencies in Team-based, Tool- and Technology-enabled, Tailored (“4T’s”) care of patients and populations. Read More ABFM Research Read all 2018 Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go Go to Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go 2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care 2020 Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study Go to Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study
Author(s) Bazemore, Andrew W, and Grunert, Timothy Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Graduate Medical Education Volume Family Medicine Source Family Medicine
ABFM Research Read all 2018 Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go Go to Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go 2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care 2020 Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study Go to Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study
2018 Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go Go to Preparing the Personal Physician for Practice: What We’ve Learned and Where We Need to Go
2022 Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Go to Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S
2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care
2020 Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study Go to Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study
