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Preconference Workshops

Thursday, December 5
1–5 pm                           

PR01: Extreme Makeover: Ambulatory Practice Edition 2.0—Achieving the Quadruple Aim Through Transformational Practice Redesign
Drew Ashby, MD, University of Colorado, AF Williams Family Medicine Center; Kathy Cebuhar, MA, University of Colorado; Aimee English, MD, Corey Lyon, DO, University of Colorado, AF Williams Family Medicine Center; Peter C. Smith, MD, University of Colorado

In 2014, the University of Colorado (CU) developed APEX–an advanced team-based care model based on the University of Utah’s CareByDesign. Our goal was to simultaneously improve clinical quality, access to care, patient, staff, and provider experience, and care team burnout through enhanced clinical teams. Our mixed-methods evaluation has demonstrated improvements in all of these domains without negative financial implications.

Since winning the 2016 STFM Practice Improvement Award for APEX, we have hosted academic delegations to learn from our success as they begin their own transformations. Five key questions have emerged from these visits: What is your model and how did you choose it? How did you get permission from your sponsoring institution to proceed? How did you pay for it? What were the operational challenges to implementation and how did you overcome them? How did you sustain change and spread the innovation?

In this interactive preconference, participants will work in small groups to address these questions in their own institutional context, guided by the CU experience. Participants can expect to end the day energized to build their own transformed medical home with a strategic blueprint in hand.

This year’s preconference has been updated for 2019, including (1) more direct interaction between participants and presenters to help both new and prior attendees in their current state of progress (2) implications of new CMS regulations on E&M coding and Medical Student documentation in a team-based context and (3) new lessons learned in regarding maintaining change in a complex environment.

Learning Objectives

After the session, participants should be able to:

  1. Describe the three major change management tactics used in the University of Colorado’s (CU) successful APEX team-based care transformation 
  2. Translate CU’s transformation experience to their own institutional context through small group discussions and interactive exercises
  3. Develop a strategic plan for transformational practice redesign using the key strategies, tactics, tools, and experiences that we explore during the session

Additional fee: $150; includes training materials and refreshments


Thursday, December 5
1–5 pm

PR02: Dermoscopy: Expanding “Scope” of Practice and Preventing Skin Cancer Deaths
Richard Usatine, MD, University to Texas Health Sciences Center at San Antonio; James Holt, MD, East Tennessee State University FMR; Miranda Lu, MD, Swedish Medical Center, Seattle, WA; Alexandra Verdieck, MD, Oregon Health & Science University

In this hands-on preconference workshop, we will introduce dermoscopy, a proven adjunctive tool that increases sensitivity and specificity of melanoma detection and improves diagnostic accuracy for basal and squamous cell carcinomas. Participants will learn how to use a dermatoscope in clinical practice and learn the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy. Biopsy techniques will be taught with a hands-on evidence-based approach that can be applied at one’s home institution. Participants will leave with fundamental competence in the use of dermoscopy for early skin cancer detection, improved understanding of biopsy techniques, tools to train others, free apps, Dermoscopedia, online resources, and online and in-person courses.

Learning Objectives

After the session, participants should be able to:

  1. Demonstrate the use of a dermatoscope and explain its basic function
  2. Apply the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy
  3. Identify and take the next steps to implement a training program in dermoscopy at their home institution

Additional fee: $150; includes training materials and refreshments


If you have questions about the Conference on Practice and Quality Improvement, contact 800.274.7928 or email

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11400 Tomahawk Creek Parkway

Leawood, KS 66211






December 20: Deadline to apply to be CERA Mentor Director

December 30: Early Registration for the Conference on Medical Student Education Ends 

December 31: Deadline for applications for Instructor for Certificate Program for VA Faculty Due

January 2: Deadline to Submit Works-in-Progress Posters for Fellows, Residents, and Students

January 17: Last day to apply to be STFM Education Column Co-Editor

February 14: Applications due for the Medical Editing Fellowship

March 2: Deadline to Apply to the Medical Student Educators Development Institute