Leadership within Academic Family Medicine is fluid and positions 
              often account for more than one domain. Below are special 
              considerations when using the tool. 
                                                                       Special Considerations
                              Use of the Tool
                              •  Although depicted as linear, we acknowledge that progression through 
                                 leadership often accounts for more than one domain
                              •  This tool is aimed to facilitate assessing leadership potential, as well as 
                                 nurturing a pipeline and succession planning
                              •  A key component is to promote balance between the demands of medical 
                                 school/residency/practice and private life to support leadership 
                                 development and promote opportunities
                              Under Represented Minority and Women Leaders
                              •  Role of strong mentoring team is paramount – multiple mentors at different 
                                 levels and with different strengths
                              •  ‘Sponsorship’ identified as the type of guidance most needed for these 
                                 groups
                              •  Individuals may need to be identified and encouraged to pursue leadership
                              •  Recognition and promotion of URMs and women who have progressed 
                                 through non-traditional pathways with strength and skills that support them 
                                 as strong leaders 
                              Student and Resident Leaders
                              •  Most common entry point into leadership is via State AFP and school FMIGs
                              •  Encourage continued leadership development in residency and early career
                              •  Students who trained at schools without strong family medicine support 
                                 may require additional mentorship, guidance, and active recruitment for 
                                 leadership roles by leaders
                              •  Promote curricula in medical school and residency that support leadership 
                                 development skills and highlight opportunities in both within and outside of 
                                 the organizations of family medicine
        There are 4 key domains within academic family medicine leadership. 
        Leaders often hold positions that cross over multiple domains.
                         Key Pathways into Academic Family Medicine Leadership
             Clinician                                                   Educator 
        Primarily patient care focused                                Expanded leadership roles 
           with leadership roles                                    throughout medical school and 
            throughout the                                             residency program 
          department/service lines
                                      Domains of Academic 
                                        Family Medicine
            Researcher                                                     GME
         Focus on scholarly work and                                 Leadership roles within the 
            primary research                                         academic institution, primarily 
                                                                        resident focused
               Subsequent slides depict each track independently for the sake of simplicity; however, 
                 there many examples of individuals crossing over from one pathway to another.
            As a general overview, there are 4 key pathways within Academic 
            Family Medicine. Although depicted as silos, many leaders hold 
            positions in multiple domains throughout their career and the 
            process is often non-linear. 
                                        Key Pathways into Academic Family Medicine Leadership
                                                                      Student
                                                                     Resident
                               CLINICIAN               EDUCATOR                 RESEARCHER                   GME
                     m      Ambulatory doc              Preceptor            Research assistant        Residency faculty
                     a
                     e
                     T
                      
                     g       Inpatient doc          Small group leader             Fellow             Associate program 
                     n
                     i
                     r                                                                                                          y
                     o                                                                                     director             c
                     t                                                                                                          n
                     n     Clinical leader (e.g.         Lecturer             Research faculty                                  e
                     e                                                                                                          d
                     M        clinic chief)                                                            Program director         i
                                                                                                                                s
                     o                                                                                                          e
                     t                                                                                                          R
                                                     Course director           Regular faculty                                  -
                     e                                                                                                          t
                     r    Service line director                                                           GME chief             s
                     u                                                                                                          o
                     s                                                                                                          P
                     o                                Division Chief         Research director                                   
                     p                                                                                                          s
                     x                                                                                                          r
                     e           VPMA                                                                        DIO                a
                                                                                                                                e
                     l                                                                                                          Y
                     a                                 Curriculum             Institute/Center 
                     n
                     i           CMO                    committee                 Director                  Chair
                     d
                     u
                     t
                     i
                     g
                     n           Chair                    Chair                    Chair                    Dean
                     o
                     L
                                 Dean                     Dean                     Dean
                                          STUDENT    RESIDENT    CLINICIAN  EDUCATOR   RESEARCHER     GME
         Student and resident points of entry into leadership are typically through 
         the FMIG or State AFP. It is important to develop a mentorship team during 
         this phase. 
                              Opportunities within the Student and Resident Domains
                                                              RESIDENT
                    STUDENT
                                         Internal             External –       External – National
                                                              Statewide
                  Involvement in:    Recruitment Leader       State AFP              AAFP 
                                                             participation      Elected/Appointed 
                    FMIG/PCP           Chief Resident                              position
                                                           Leadership in AFP
                    State AFP        Housestaf Council                          Representative to 
                                                             State Non-FM      other organizations 
                   AAFP/STFM            Curriculum         Organizations (e.g    (STFM, ADFM, 
                                        committee               AMA)             ABFM, AFMRD)
                     Non-FM 
                   organizations                                                Chapter Delegate
                  (AMA, AAMC, 
                 AMSA, SNMA, etc)
                     Student 
                   Government
                   Curriculum 
                    committee
                                          STUDENT     RESIDENT   CLINICIAN   EDUCATOR   RESEARCHER     GME
         Clinically focused family physicians can assume leadership positions in 
         at multiple levels in the clinical and administrative realms.
                                     Opportunities within the Clinician Domain
                     Clinician            Internal         External – Outside     Extra Training
                                                             of Institution
                   Ambulatory/            Clinician          Local medical       Lean Certification
                 Inpatient Physician                       society committees
                                     Ambulatory Service                              MPH
                 Clinical Leader (e.g.     Chief            State society and 
                    clinic chief)                          legislative advocacy      MBA
                                        Service Line             roles
                   Service Line           Director
                     Director                               Leader of an ACO
                                      Director of Quality 
                     VPMA               and/or Safety       AMA Committee 
                                                               Member
                      CMO             Medical Director
                      Chair
                      Dean