Printed from:
2018 Member at Large

Randall Clinch, DO, MS, Wake Forest University

Personal History

Whether it is teaching my patients about how to be healthy, expanding medical students’ awareness of the kaleidoscope of opportunity that is our specialty, precepting students and residents in the inpatient and outpatient setting, or implementing curricula for learners across the medical education continuum, my passion involves teaching and advocating for our specialty. My academic home has been the STFM since the late-1990’s. I have directed family medicine clerkships and electives in the military and at Wake Forest School of Medicine, directed an early primary care experience, and direct a reproductive health course for preclinical students at Wake Forest University School of Medicine. I've had the privilege of being a member of the STFM Research Committee and a founding member of the CAFM Educational Research Alliance (CERA). My work with CERA allowed me to collaborate with several wonderful STFM colleagues on their scholarly projects. I’ve also had the privilege of developing an STFM webinar series that highlights the TeachingPhysician.

My career at Wake Forest University has afforded me a leadership position that, 6 years ago, was almost unheard of at a medical school, that of associate dean for academic accreditation. I’ve led our school through several regional and programmatic (ie, LCME) site visits, sharing what I’ve learned at an STFM Annual Spring Conference. As I now transition out of that leadership role, I am looking forward to applying the skills I’ve acquired throughout my career to serving you in the role of STFM member-at-large.

I live in Winston-Salem, North Carolina, with my wife, Dr Joanne Clinch, also a family physician and the medical director of Wake Forest University Student Health Service. We have three wonderful adult children, ages 26, 23, and 20. To unwind, I enjoy kayak fishing for largemouth bass, fly fishing for trout, and learning how to play the guitar!

Position Statement

I would be honored to serve as member-at-large of the Society of Teachers of Family Medicine, representing the interests of STFM and you, its membership.

What energizes me about family medicine is the variety and complexity of the care we provide. As faculty advisor to our family medicine interest group, I regularly highlight the myriad opportunities family medicine has to offer. It is up to all of us to engage with students whenever possible so that we can maintain the record numbers of graduates matching into our specialty.

While the complexity of our specialty energizes me, it is also a factor contributing to physician burnout. 90% of visits in primary care address four diagnoses (whereas 70% of visits in specialty care address one diagnosis). If complexity of care is coupled with fragmentation of care, then the system in which we work contributes to both burnout and waste (~ $130 billion of waste is attributable to inefficiently delivered services). The continuity of care we are skilled at providing is a key feature associated with successful, coordinated care management; that which demonstrates better health outcomes, lower cost, and increased patient and provider satisfaction. I have experienced this kind of care management in action as the physician leader of a home-based primary care team for veterans. Together, we can improve the system.

As member-at-large, I stand ready to serve as liaison to external groups, assume leadership for new or ongoing STFM projects, and assist the President and the Nominations Committee in identifying talented candidates for elected and appointed offices. If elected to the Board of Directors, I will apply my skills to help further the priorities of STFM and serve as liaison to task forces, groups, and committees that do not have direct representation to the Board of Directors.

Answers to Candidate Questions

1. What actions does STFM need to take to move STFM toward the goal of becoming the indispensable professional home for all family medicine educators?

STFM’s benefit to a family medicine educator continues to grow as new resources are offered. I would like to see an “STFM Communications Liaison” in each family medicine residency program, in each department of family medicine, and at the ten schools without a department of family medicine. A liaison position could be a formal STFM position with a set of expectations, enhancing awareness about all STFM has to offer, which is central to making STFM one’s professional home. These liaisons could also facilitate getting members to join STFM Connect and utilize this well-designed platform to stay engaged.

We must make engaging with STFM a priority for students, faculty, and staff so they recognize the positive impact STFM can have on their professional development and career path. The development and networking one can obtain by engaging with STFM must be highlighted to potential and current members, so they prioritize making STFM their professional home where they can amass evidence of regional and national impact while helping to further STFM’s strategic goals.

2. One or two key challenges I anticipate STFM will face in the next 3 years and a potential course of action to address each challenge.

One of the STFM Strategic Plan’s “Big Rocks” is to, “Provide family medicine faculty with the skills needed to train students, residents, and health care teams to achieve the Triple Aim of better care, better health, and lower cost.” The “…health care teams…” component of this goal is both a challenge and an opportunity. Given the complexity of our patient care and the fragmentation of our health care system, our ability to collaborate across STFM and develop and provide training for health care teams about value-based healthcare will become of even greater importance.

Another “Big Rock” in our Strategic Plan is to, “Engage members, residents, and students in activities related to Family Medicine for America’s Health” and one of FMAHealth’s priorities includes, “Increase the value of primary care”. Utilizing CERA to identify and describe ways our members are working to increase the value of primary care and partnering with NAPCRG and the Robert Graham Center to conduct research assessing the value of primary care will be critical to provide the data necessary to support this FMAHealth priority. Each of us can work to participate on committees and on projects locally, bringing a family medicine voice to important decisions that impact our organization and our community.

3. Share my experience at bringing people together with diverse agendas and finding common ground.

One example involves my experience as associate dean for academic accreditation where I learned to lead through influence since I did not possess any authority over my fellow deans in academic affairs, student affairs, or admissions. Each of my fellow deans had their own agendas to ensure their units were functioning efficiently and being innovative; attending to the requirements of accreditation standards could often be perceived as additional “administrivia”. By focusing upon what accreditation means to them, our institution and our students, and by building relationships through appreciative inquiry, I was able to develop common ground with my colleagues as well as numerous other leaders across our institution whose participation in our LCME accreditation preparations was critical to the ongoing success of our MD degree program.

Copyright 2018 by Society of Teachers of Family Medicine