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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) Achieving Health System Goals, and Education & Training Keyword(s) Graduate Medical Education Volume 53(7):506-515 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 2004 Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up Go to Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up 2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities 2017 The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce Go to The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce 2020 Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services Go to Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services
Author(s) Bazemore, Andrew W, and Grunert, Timothy Topic(s) Achieving Health System Goals, and Education & Training Keyword(s) Graduate Medical Education Volume 53(7):506-515 Source Family Medicine
ABFM Research Read all 2004 Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up Go to Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up 2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities 2017 The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce Go to The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce 2020 Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services Go to Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services
2004 Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up Go to Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-up
2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities
2017 The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce Go to The Single Graduate Medical Education (GME) Accreditation System Will Change the Future of the Family Medicine Workforce
2020 Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services Go to Despite Adequate Training, Only Half of Family Physicians Provide Women’s Health Care Services