Family Physicians' Experiences of Administrative Harms
Due to the increase in corporate ownership of primary care practices, decision-making has largely shifted from physicians to administrators. In this qualitative study, family physicians described experiences of administrative harms that contributed to burnout, turnover, and compromised self-care that led to perceived lower quality patient care.
Communities With the Greatest Health Disparities are the Ones Most Likely to be Miscounted
If race and ethnicity fields in EHRs are blank or wrong — and research shows they often are — population health assessments may be systematically off. A new study shows these gaps aren't random noise; they introduce real bias into prevalence estimates.
Independent Practices Are Being Left Behind On Behavioral Health Integration
While health systems build out behavioral health infrastructure, independently owned family medicine practices are navigating the same patient need with a fraction of the resources. A new study documents the structural barriers — cost, workforce, space — that keep integrated care out of reach for many small practices. If we're serious about whole-person care, independent practices can't be an afterthought.
Strengthening the Primary Care Pipeline: A US-Sweden Policy Conversation
Invitation-only Embassy Series event, March 24, 2026, complements National Academies GME Workshop.
Accountability in Graduate Medical Education: Exploring Federal Investment, Policy Momentum, and Strategic Workforce Planning
Discussion Paper for the National Academies of Sciences, Engineering, and Medicine Workshop: Exploring Opportunities to Improve Patient Access to Care through Strategic Changes to Graduate Medical Education
Puffer Fellowship: Celebrating 15 years
The Puffer/ABFM Fellowship at the National Academy of Medicine (NAM) celebrates fifteen years of cultivating leaders in family medicine and health policy.
Reclaiming Medical Professionalism In An Era Of Corporate Healthcare
Medicine’s increasing corporatization has fundamentally altered how physicians practice, yet discussions of medical professionalism often remain anchored in frameworks from decades past. The surge in health care consolidation and sixfold growth in private equity ownership of practices has transformed physicians’ daily operations and decision-making. Any meaningful discussion of professionalism must now address these material and environmental contexts.
PRIME Registry
PRIME was established to help provide family physicians and primary care clinicians a faster, easier way to evaluate practice performance, with built in tools for population health, risk stratification, empanelment and more…
We're Making Progress on the Measures That Matter to Primary Care Initiative!
The Core Quality Measures Collaborative recently announced that the Person-Centered Primary Care Measure and the Continuity of Care measure, both developed as part of the Measures That Matter to Primary Care initiative, have been included in the core measure set for Accountable Care Organizations, Patient Centered Medical Homes, and Primary Care.
Professionalism
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Professionalism
In a season of rapid delivery system transformation, the United States is already experiencing some of the negative consequences that pursuing quality and value measurement have had on professionalism in health care.
Social Accountability in Medical Education
Social Accountability in Medical Education
A century after the seminal Flexner report redefined medical education, its institutions face new challenges to demonstrate their alignment with the needs of patients and populations, their relevance to societal priorities, and their measurable impact on health.
Transforming Clinical Practice & Population Health
Transforming Clinical Practice & Population Health
A mix of social, environmental occupational and economic factors collectively labelled the social determinants of health (SDH) have a greater combined influence on the morbidity and mortality of our patients than the services we deliver in traditional medical care.
Measures That Matter to Primary Care
Measures that Matter
The Center is working to develop, implement and collaborate on quality measures that improve patient care and promote professionalism. The measures are focused on capturing the real value of primary care and reducing administrative burden.
Vision & Mission
We aim to align how the health care professions are valued with the values of the professions.
What we do: We’re working to align professionalism with enhancing value in the care of patients and the public, while reducing burden in clinical practice. Working with a variety of partners, the Center will help to shape both the public’s and the provider’s understanding of the Social Contract as well as policies that better support its success.
Key aims of our work are:
Testing the state of the social contract between health professionals and the public
To identify relationships between burnout, shame and professionalism
- To assess growing commoditization of health professionals and the impact on professionalism
To understand alignment between how value is measured and paid for and professionalism
To call out expectations of health professionals to routinely sacrifice well-being or financial solvency
To explore interprofessional understandings of professionalism
What Does Professionalism Mean to You?
Professionalism has meaning for us as individuals and as groups. It can be what drives your decisions and action with patients or in deciding on the policies of your practice or system. What does it mean to you?
What Does Professionalism Mean to You?
Professionalism has meaning for us as individuals and as groups. It can be what drives your decisions and action with patients or in deciding on the policies of your practice or system. What does it mean to you?
