The Time Is Now: A Plan to Redesign Family Medicine Residency Education.

A new graduate medical education program in family medicine is urgently needed now. We propose an innovative plan to develop community-based, community-owned family medicine residency programs. The plan is founded on five guiding principles in which residencies will (1) transition to independent, community-owned organizations; (2) sustain comprehensiveness and generalism; (3) emphasize collaborative learning and interprofessional education; (4) develop local educators with national guidance; and (5) share resources, responsibilities, and learning. We describe actionable steps to begin the process of transforming residencies and strengthening primary care. As community-based and locally-run organizations, residencies will gain self-determination in how time is allocated, budgets are spent, and teams function. Building on the momentum of the National Academy of Medicine's 2021 primary care implementation plan and recommendations by family medicine organization leaders, we propose a Decade of Family Medicine Residency Transformation. We encourage individuals and organizations spanning disciplines, health care systems, and communities, to join forces to reimagine and recreate the preparation of outstanding personal physicians dedicated to individual and community health and well-being.

Preparing educators for adaptive education (AE) programs.

CONTEXT: There has long been awareness that educational experiences should be individualized. In the health professions, this tenet remains inconsistently implemented. Adapting to the widely diverse characteristics of different learners requires educators who are prepared for planning and implementing adaptive education (AE). RATIONALE: Learning experiences, for both educators and health professions students, can be substantially enhanced by mirroring clinical care, where we respect the uniqueness of each person and increasingly approach care as a collaboration. We are continuously "diagnostic," striving to understand our patients' clinical and life circumstances, adjusting to new findings. Learners are also unique in multiple, relevant ways. They deserve educators who work with them collaboratively and "diagnostically," adapting to changing information. IMPLEMENTATION: Until recently, having educational programs that adapt to learner uniqueness was logistically and economically unrealistic. Now, thanks to deeper understandings of the learning process and new technologies, individualization is feasible. Here, we focus on the foundation step of preparing educators. Educator development: Suitably prepared educators are indispensable to success in becoming appropriately adaptive to learners' needs. For some educators, becoming more adaptive can be contrary to long-held assumptions and habits. We offer recommendations for effective educator development, without which authentic AE is unlikely.