ACOFP Federal Legislation and Advocacy Committee member Stephanie Kidd, DO, MBA, shares why the family medicine model of care matters to her, the importance of this model in patient care and how ACOFP has supported preserving this model.
Stephanie Kidd, DO, MBA; Member, ACOFP Federal Legislation and Advocacy Committee
Family medicine physicians have significant responsibilities that are frequently dismissed or at minimum overlooked and underappreciated. I can relate to this because as an osteopathic medical student, I underestimated the importance of the family medicine model of care until in training and independent practice.
Osteopathic family physicians are entrusted with the overall health of communities at the local, state, national and international levels. Preventive care has moved into the forefront of medicine since the start of the COVID-19 pandemic, and the effect of time spent on keeping our patients healthy has garnered the attention of authorities making regulatory changes—so much so that, recently, the U.S. Centers for Medicare & Medicaid Services (CMS) made a significant change in enhancing and increasing reimbursement for this life-improving role.
Families have shifted priorities to include their own health and a redefined work-life balance. It is still difficult to believe that there was a shortage of exercise equipment and even bicycles as recent as 2020, all a direct result of increased demand by individuals assuming more active lifestyles.
One significant role of osteopathic family physicians within a family medicine model is to maintain and support people living healthier lives, from a healthy birth to a vibrant old age, as free from disease as possible. This life-changing role is inclusive of healthy dietary recommendations, immunization encouragement, recommendations of increased exercise/activity, performing appropriate osteopathic manipulative therapy and prescribing/administering therapeutic agents, as well as supplements, when indicated.
Our osteopathic heritage has taught us to foster the body’s inherent ability to heal itself, so long as all of its parts are in “proper mechanical” repair. On occasion, the body’s inherent healing ability may need additional support because no matter how exquisitely one carries out Dr. Andrew Taylor Still’s vision of osteopathy, there will be times that health care requires additional input from extrinsic sources (e.g., hospitals, clinics, community health services, medications).
During my training years, a few words spoken by a mentor struck a chord that have carried with me into practice: “In the olden days, a patient’s health was the charge of their primary care physician and, as such, I take responsibility for their overall well-being.” As an osteopathic physician continues their career, patients become friends and ultimately like family. Patients seek a physician’s expertise in helping them remain—or sometimes become—healthy. Patients look to their knowledgeable friend and honorary family member—the primary care physician— for advice, informed opinions and trusted approval of “outside” care that they receive. An osteopathic family physician’s patients are the face of their own family members who themselves look to remain healthy, whether it is due to the advice of getting all the preventive care that is recommended or mending from disease. Family physicians are the voice of their patient’s high-quality continuity of care and healthy outcomes.
ACOFP has many useful resources available to the public and to providers on the subject of healthy living and preventive care, as well as access to knowledgeable osteopathic family physicians.
2022 ACOFP Principles of Healthcare System Reform: Preserving the Family Medicine Model of Care
In response to the desire to highlight the unique skills and role of osteopathic family physicians, since late 2020, ACOFP has identified, monitored and pursued advocacy opportunities, including the following:
Endorsed Concordance Recommendations of the Primary Care Collaborative, which addressed continuity of coverage in Medicaid and CHIP; primary care investment in Medicaid, assessing access to primary care using CAHPS; support for community health workers in primary care, translators’ services and a demonstration to expand provider capacity to provide mental health services (as proposed in the FY 2023 HHS Budget).
ACOFP is a community of current and future family physicians that champions osteopathic principles and supports its members by providing resources such as education, networking and advocacy, while putting patients first.
Thank you for your elegant words describing our life’s work and commitment to our patients in every aspect of their humanity. I just learned that we family physicians are paid a lower RVU and Medicare rate as well for the more in depth work that we perform. So, that means I chose the wrong specialty board for Residency. The less appreciated dollars over the years adds up, it makes us less capable to speak up in D.C. Do you think our new physicians are aware of the discrimination ?
Thank you for your comments. I feel we picked the PERFECT specialty, and I say this from having come from an expected surgical specialty by initially myself, my medical school, co-students, and residency directors (before I made the switch). Unfortunately, we are often underappreciated as noted in my blog however, I also feel we have the spotlight in light of the recent pandemic to make changes in how healthcare is delivered as well as to advocate for changes in how our specialty is valued and for equality of pay! Our committees do a fabulous job at advocating our profession. Being a part of several, including the Federal Legislative and Advocacy committee has really enlightened me and invigorated the passion to move our specialty forward.