Leadership Development and Diversity in Academic Family Medicine

1. Leadership Development and Diversity in Academic Family Medicine CAFM Leadership Development TaskforceDecember 2017 Revision CAFM Leadership Development Taskforce and CAFM Chair:Jeannette South-Paul, MD, Taskforce LeaderKristen Goodell, MD, Taskforce Co-LeaderCatherine Coe, MDCleveland Piggott, MD Alan David, MD Carlos Jean, MD Pablo Joo, MDMyra Muramoto, MD Shannon Pittman, MDArdis Davis, MSW, CAFM StaffMary Hall, MD, CAFM Chair

2. Leadership within Academic Family Medicine is fluid and positions often account for more than one domain. Below are special considerations when using the tool. Special Considerations Use of the Tool Although depicted as linear, we acknowledge that progression through leadership often accounts for more than one domain This tool is aimed to facilitate assessing leadership potential, as well as nurturing a pipeline and succession planning A key component is to promote balance between the demands of medical school/residency/practice and private life to support leadership development and promote opportunities Under Represented Minority and Women Leaders Role of strong mentoring team is paramount – multiple mentors at different levels and with different strengths ‘Sponsorship’ identified as the type of guidance most needed for these groups Individuals may need to be identified and encouraged to pursue leadership Recognition and promotion of URMs and women who have progressed through non-traditional pathways with strength and skills that support them as strong leaders Student and Resident Leaders Most common entry point into leadership is via State AFP and school FMIGs Encourage continued leadership development in residency and early career Students who trained at schools without strong family medicine support may require additional mentorship, guidance, and active recruitment for leadership roles by leaders Promote curricula in medical school and residency that support leadership development skills and highlight opportunities in both within and outside of the organizations of family medicine

3. There are 4 key domains within academic family medicine leadership. Leaders often hold positions that cross over multiple domains. Key Pathways into Academic Family Medicine Leadership Clinician Primarily patient care focused with leadership roles throughout the department/service lines Educator Expanded leadership roles throughout medical school and residency program Domains of Academic Family Medicine Researcher Focus on scholarly work and primary research GME Leadership roles within the academic institution, primarily resident focused Subsequent slides depict each track independently for the sake of simplicity; however, there many examples of individuals crossing over from one pathway to another.

4. As a general overview, there are 4 key pathways within Academic Family Medicine. Although depicted as silos, many leaders hold positions in multiple domains throughout their career and the process is often non-linear. Key Pathways into Academic Family Medicine Leadership Student Resident CLINICIAN EDUCATOR RESEARCHER GME Longitudinal exposure to Mentoring Team Research assistant Fellow Research faculty Regular faculty Research director Institute/Center Director Chair Dean Preceptor Small group leader Lecturer Course director Division Chief Curriculum committee Chair Dean Ambulatory doc Inpatient doc Clinical leader (e.g. clinic chief) Service line director VPMA CMO Chair Dean Residency faculty Associate program director Program director GME chief DIO Chair Dean Years Post-Residency

5. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Student and resident points of entry into leadership are typically through the FMIG or State AFP. It is important to develop a mentorship team during this phase. Opportunities within the Student and Resident Domains RESIDENT STUDENT Internal External – Statewide External – National Involvement in: FMIG/PCP State AFP AAFP/STFM Non-FM organizations (AMA, AAMC, AMSA, SNMA, etc) Student Government Curriculum committee Recruitment Leader Chief Resident Housestaff Council Curriculum committee State AFP participation Leadership in AFP State Non-FM Organizations (e.g AMA) AAFP Elected/Appointed position Representative to other organizations (STFM, ADFM, ABFM, AFMRD) Chapter Delegate

6. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Clinically focused family physicians can assume leadership positions in at multiple levels in the clinical and administrative realms. Opportunities within the Clinician Domain Clinician Internal External – Outside of Institution Extra Training Ambulatory/ Inpatient Physician Clinical Leader (e.g. clinic chief) Service Line Director VPMA CMO Chair Dean Clinician Ambulatory Service Chief Service Line Director Director of Quality and/or Safety Medical Director Local medical society committees State society and legislative advocacy roles Leader of an ACO AMA Committee Member Lean Certification MPH MBA

7. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Educators function at multiple levels in community, residency and medical school environments. Opportunities within the Educator Domain EDUCATOR Internal External – Outside of Institution Extra Training Preceptor Small Group Leader Lecturer Course Director Division Chief Curriculum Committee Chair Dean Preceptor Block Director Course Director Curriculum Committee Admissions Committee Division Director Associate Dean Dean STFM Education Committee Program Chair Medical Education Director Volunteer – student-run clinics State academy education pipeline STFM Board of Directors Leadership courses Extra Degrees Faculty Development Fellowship (UNC) AAMC courses STFM Leadership Program ADFM Chair Development Workshops

8. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Researcher focused faculty build administrative skills through leadership of teams and skills in obtaining grant funding. Opportunities within the Researcher Domain RESEARCHER Internal External – Outside of Institution Extra Training Research Assistant Fellow Research Faculty Research Director Institute/Center Director Chair Dean Research Fellow Research Principal Investigator Research Consortium Director Research Fellowship Director NAPCRG Committee Leader NAPCRG President HRSA Reviewer NIH Study Section National Review Committees Masters in Clinical Research PhD in Translational Science/Epi/other NRSA Primary Care Research Fellowship Robert Wood Johnson Clinical Scholars Program NIH/DoD/Private Career Development Programs

9. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Direct responsibility for training residents builds broad academic and administrative skills across a variety of environments. Opportunities within the GME Domain GME Internal External – Outside of Institution Extra Training AAFP Program Director’s Workshop AFMRD National Institute for Program Director Development (NIPDD) Residency Faculty Associate Program Director Program Director GME Chief DIO Chair Dean OSCE developer Simulation Ctr and Standardized Patient development Assistant Program Director Program Director DIO AAMC Group on Resident Affairs NIPDD Academic Council AFMRD Task Force Member AFMRD Board of Directors RRC/RAP positions ACGME position

10. STUDENT RESIDENT CLINICIAN EDUCATOR RESEARCHER GME Each leader should ensure a multi-dimensional mentoring team fulfilling roles of ‘mentor’, ‘coach’ and ‘sponsor’. This team may evolve over time, but should be present throughout each step in the leadership pathway. Mentoring Team PEER Trusted colleagues who can provide honest feedback MENTOR Shares with the leader potential opportunities and serves as a trusted sounding board Multi-dimensional Mentoring Team COACH Guides the leader as to which opportunities would be best to pursue SPONSOR Shares the leader’s accomplishments with others and promotes their name Longitudinal exposure to Mentoring Team

11. There are many outstanding Leadership Development opportunities within the various Family Medicine organizations. How can we guide potential leaders to these opportunities? Resources for Leadership Development within Family Medicine http://www.stfm.org/CareerDevelopment/FMLeadershipDevelopmentOpportunities