{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/v11vd6r45r/manifest","type":"Manifest","label":{"en":["Dr. Jeffrey S. Grove"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Date"]},"value":{"en":["2014-03-14 (created)"]}},{"label":{"en":["Type"]},"value":{"en":["oral history"]}},{"label":{"en":["Format"]},"value":{"en":["audio file"]}},{"label":{"en":["Keyword"]},"value":{"en":["family medicine","family physician","American College of Osteopathic Family Physicians Archival and Historical Committee"]}},{"label":{"en":["Subject"]},"value":{"en":["Jeffrey S. Grove, DO (personal name)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collections/default_thumbs/000/003/490/small/99a7dba6bcf58e616716a67ff93a.png?1760558877","type":"Image","format":"image/png"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019","type":"Canvas","label":{"en":["Media File 1 of 1 - Dr._Grove's_Interview.MP3"]},"duration":3472.50933,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collections/default_thumbs/000/003/490/small/99a7dba6bcf58e616716a67ff93a.png?1760558877","type":"Image","format":"image/png"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/295/019/original/Dr._Grove's_Interview.MP3?1760543004","type":"Audio","format":"audio/mpeg","duration":3472.50933,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/transcript/85333","type":"AnnotationPage","label":{"en":["Dr. Grove Interview Transcript [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/transcript/85333/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"1\n\n2\n\n3Archival \u0026 Historical Committee\n\n4March 14, 2014\n\n5Philadelphia Marriott Downtown\n\n6Philadelphia, Pennsylvania\n\n7\n\n8Interview with\n\n9Jeffrey S. Grove, DO, FACOFP dist.\n\n10(ACOFP President 2013-2014)\n\n11\n\nCommittee Chair: Dr. Grove, it’s been a whirlwind of a year for you and what was your theme\n\nthis year as president?\n\nDr. Grove:I’m the 60th president and this was our 50th Anniversary Convention year.\n\nSo for those reasons, my theme was ‘Remembering the Past, Celebrating\n\nthe Present, and Anticipating the Future’, a time-related theme.\n\nCommittee Chair: What kind of things did you do to help that theme come to fruition?\n\nDr. Grove:During the year we looked back at things in our past that made our College\n\nstrong. I talked about these things in both my inaugural speech and my\n\nclosing speech. I broke them down into categories of Advocacy, Education,\n\nand Leadership (which is our ACOFP mission). It started with examining\n\nthe committee structure…. a look back to the past. What made us strong?\n\nWhat made us distinctive? That is our osteopathic principles and practice.\n\nAnd so I tried, particularly in view of some of the challenges that we're\n\ncurrently facing, to reinforce our College’s foundation! For instance with\n\nour committee structure, on the OP\u0026P Committee, I rearranged it by\n\nsubdividing it into three different subcommittees to try to reinforce our\n\nactivities in that area. Again, depending on how things move forward with\n\nour profession and the ACGME merger, we are still the singular\n\nOsteopathic Specialty College that does the most OMT. Yet with the\n\nACGME merger will we even be allowed representation on that RRC?\n\nCertainly we have the resources. Certainly we're the College that does the\n\nmost OMT, but there's a lot of talk right now that moving forward we\n\nwouldn't have representation on that committee. Again, trying to position\n\nourselves appropriately by looking back at the past about what makes us\n\nstrong and distinctive, that's one example of trying to be true to that\n\ntheme. On the other hand, looking forward to the future I talked a lot, in\n\nboth of those speeches, about everybody having a “home.” I was in this\n\nhotel (Philadelphia Marriott) two years ago now at my first ever AAFP\n\nmeeting and they had this group called ‘The Council on Special\n\nConstituencies’ which represents minorities and LGBTQ. We don't have\n\nanything like that in the entire osteopathic profession! I felt strongly that\n\nthis was something that needs to happen within the ACOFP and also\n\nwithin the AOA for that matter. So again in my committee structure, that\n\nwas something that I started. I know that we need diversity in our\n\nprofession! We need to ensure that everybody has a “home” within the\n\nACOFP and AOA. For a long time, our ACOFP membership has been flat.\n\nWe take in as many as we lose, so I hope that this will help engender some\n\ngrowth.\n\nCommittee Member: If you could, give us kind of a verbal history to put in the transcript (as\n\nmuch as you feel necessary) how the ACGME merger discussion came into\n\nfruition? Did it detract or change your direction over the presidency year?\n\nDr. Grove:Well first of all, this whole thing first came up suddenly… I mean it wasn't\n\nanything that anybody was talking about or knowing about at all!\n\n55\n\nIt was just months before my presidency began that it really erupted.\n\nThen yes, it has dominated most of my year up until July 2013 at the AOA\n\nHouse of Delegates when we thought it was over. The AOA House of\n\nDelegates unanimously defected the merger proposal. Certainly I know\n\nthat our College thought that those discussions were over. Even in talking\n\nwith many AOA board members and staff members by asking, \"Anything\n\ngoing on?” we didn't hear that anything was. It wasn't until January when\n\nwe were at the OME Conference/CME Sponsors Conference (whichever\n\nside of that now combined conference you want to talk about), that I was\n\ntalking to an AOA staff member and that person mentioned that something\n\nmight be imminent. We didn't even know that anything was going on!! So\n\nwe started trying to find out what was happening. Then just a couple of\n\nweeks later I went to San Juan, Puerto Rico where Dr. Norman Vinn's AOA\n\nboard retreat was being held. This was where the announcement was\n\nsuddenly made. The AOA board met with Dr. Nasca to have a last question-\n\nand-answer session. I'm told by many of the AOA board members that\n\nthey really hadn't made up their mind until they could see him and have\n\nhim answer questions and see how he reacted with his body language\n\n(those sorts of things). Even going there, it is my understanding that it was\n\nvery debatable whether it was going to pass there. Of course it did, and\n\nthe net result of that has been seen at this convention with literally scripts\n\nand speeches within these past couple weeks (even within the last several\n\ndays) needing to be rewritten and redone because of the announced\n\nmerger. An example of this, it was while we were at this ACOFP\n\nconvention is that we decided to have a student forum, which happened at\n\nnoon today! I haven't heard the results of those discussions. And we had a\n\nmembers' forum for the general membership last evening, among other\n\nthings we have just added since we've been here in Philadelphia. Our new\n\nACOFP President Carol Henwood and I felt that it was very important to\n\ngive every opportunity we possibly can as a College to get as educated on\n\nthese changes because this certainly is historic within our Osteopathic\n\nprofession. It certainly has the ability to hold great promise, but it also has\n\nthe ability to hold great peril. So I think that becoming educated is the\n\nbest thing that all of us as members can do right now. I think that during\n\nthis brief period while we've known about it, we've done the best job that\n\nwe possibly could trying to get information into people's hands. The\n\nACOFP Board of Governors itself has met here in Philadelphia with Dr.\n\nVinn, Dr. Shannon, and Dr. Buser on numerous occasions just this week.\n\nWe have had a program directors' workshop where Dr. Buser and Dr.\n\nShannon were present to answer questions. Of course we had the other\n\ntwo venues that I already mentioned. So, those were the sorts of things\n\nthat we're trying to do to get information out to the membership. I have\n\nalso mentioned things on my presidential blog and I'm sure that Dr.\n\nHenwood will continue to do the same. As information comes up, we'll\n\ncontinue to try to get it to the membership.\n\nCommittee Member: Who is Dr. Nasca?\n\nDr. Grove:Dr. Nasca is the Executive Director ACGME.\n\n\nwho did the same thing: writing a letter and calling down to the school. I\n\nwas accepted very quickly into Nova- Southeastern (Southeastern), and\n\nnever did even go for an interview at Chicago because I knew I wanted to\n\nstay right here in Florida where my family was. So once I became a DO, I\n\nwent to Sun Coast Hospital to do my internship and then the family\n\nmedicine residency. The first person that really got me involved in the\n\nwhole osteopathic political process was Dr. Kenneth Webster. Kenneth\n\nWebster is the Executive Director of the Pinellas County Osteopathic\n\nMedical Society and he said that I should get involved. I'd always been\n\ninvolved in different organizations in my life such as the Boy Scouts and\n\nstudent government in college, so it wasn't a big stretch. That was\n\nsomething that I enjoyed doing and so I gladly accepted his offer to be\n\nthere as part of the board of the Pinellas County Osteopathic Medical\n\nSociety, (PCOMS). That's where everything started. I'd like to think that\n\nthis is a great profession which if you get involved and you try to do a good\n\njob and show some effort, the effort is rewarded. Soon I was on the board\n\nof the Florida Society of ACOFP, and that's a story in and of itself! I talked\n\nto Plato Varidin once upon a time. Again with that family medicine\n\nheritage, I wanted to be a Fellow of our College. I asked Plato because I\n\nknew he was involved with national ACOFP politics. \"Well how do I\n\nbecome a fellow?\" Believe it or not, at the time, the rule in Florida was that\n\nthe only way that they would provide a letter of support was for you to\n\nhave been president of our Florida chapter! I said, \"Okay, Plato, so how do\n\nI do that?\" He stated that, \"Well you write to the Florida Society president\n\nwho will put you on a state committee for the Florida Society of ACOFP.”\n\n\n\nwanted to sit in the back of the banquet hall with the other students. They\n\nwanted to switch tickets with us because they were going to be up front\n\nsomewhere. So once we switched tickets with them, now we're trying to\n\nfind where our seats are located. We kept walking forward. We kept\n\nwalking forward in the banquet hall and we see the table that we're\n\nsupposed to be sitting at. In retrospect, the students must've been student\n\ngovernment presidents or something, but I'm walking forward and as we\n\nwere going to sit down, I said, Wow! That's Dr. Oliva's table. That's where\n\nDr. Oliva is sitting.\" I mean, I knew him. I never really had a conversation\n\nwith him at all. He was really more involved with the Florida Osteopathic\n\nMedical Association than he was with the Florida Society ACOFP. So it was\n\nat that table on that night that I really got to meet and talk with Dr. Oliva\n\nand his wife, Laura Lee. That night was very important and formative for\n\nme. I was very impressed with Dr. Pogorelec and he did a great job at that\n\nbanquet. Dr. Pogorelec is certainly an inspirational speaker and leader! I\n\nwould go on to know Dr. Oliva then through the Florida Society of ACOFP.\n\nThrough my involvement and through the involvement of people like Dr.\n\nGreg James, Dr. Oliva then started coming to the Florida Society of ACOFP\n\nmeetings and giving reports and being involved with our group. In time,\n\nwe were with him a lot and he mentored me. There's a lot of great people\n\nin this profession and why do some people get opportunities? Well one is\n\nto have great mentors and people to show you the way and be an advocate\n\nfor you, and Dr. Oliva was certainly that for me! I guess the rest is history.\n\nI love politics. He loved politics.\n\n\nthose organizations. That's certainly been a strong influence on me that I\n\nneed to mention. Once you get on the ACOFP Board there's a great sense of\n\nfamily. I went to that first ACOFP Board meeting at the end of the Tampa\n\nconvention which was really my first interaction with the ACOFP Board!\n\nYou are elected the day prior at the Congress of Delegates. Once you get\n\nelected, you stand up and nobody knows who you are! Next, you are going\n\nto a Board meeting later on in that week. Suddenly you are discussing\n\nhigher level policy and you still don’t really feel like you know what is\n\ngoing on! Okay, I'm governor now yet you don’t feel as if you are! The first\n\ntime that you really feel involved with the ACOFP Board as a new\n\nGovernor is at the ACOFP Board retreat.\n\nSo I went to our first Board retreat in Hawaii. At the time, I guess, budgets\n\nmust've been better than now because we went to Maui (which is not even\n\na consideration these days). I went there as the new kid on the block, not\n\nreally having a great national presence at all. And my son, Garrett, my\n\ndaughter, Victoria, were there as well. Everyone was so welcoming! It was\n\nthe, Martin, Miller, Rubin, and Heiles families and the kids that were there\n\nat that Board retreat who had an instant friendship with me and my kids.\n\nTheir kids surrounded my kids. Their kids had grown up at these retreats\n\nand conventions and meetings together. Yet all they wanted to do now was\n\nbe with my kids! It was just so warm and welcoming and I think that was\n\none of the reasons that we all continue to be so close! You have special\n\nfriends even amongst the Board and so that's why I made a special point to\n\nmake sure that Dr. Martin and Dr. Miller and Dr. Rubin and Dr. Heiles (all\n\nimportant mentors for me) were there at my inauguration. During my\n\ninauguration, I had a special family dinner and they were all there. It's a\n\nlong process once you join the Board. It takes around a decade to become\n\nPresident and then rotate off the National ACOFP Board. In comparison, I\n\nwas talking to Dr. Reid Blackwelder, the AAFP President today. On the\n\nAAFP board it’s a big election by their membership (even with\n\ncampaigning)! You're only there for three years and after that third year,\n\nyou can decide to move up to the presidency or you just go away. Much\n\ndifferent than our system where it takes around ten years before you\n\nfinally get up to be President! In our system you know you're going to go\n\nup to be President. I think it's a wonderful system. I can't imagine having\n\nto go through their process!! Bless the hearts of the AOA Board that only\n\nhalf of them get to go up to be President. I really like our ACOFP system\n\nand you know you're going to go up the Chairs so you're watching and\n\nyou're learning and observing as you see these people be President. This is\n\na huge influence on you when it's your turn to be President. I think that,\n\nfor instance, one of the things that I learned is communication and the\n\nimportance of talking to the membership. One of the ways we do this is\n\nthrough our Presidential blog in our ACOFP Newsletter where we have a\n\ndirect pipeline to our membership. Our College can do all the greatest\n\nthings in the world, but if we don't communicate it to the members, it\n\ndoesn’t mean anything!! We have to create that value proposition. Why do\n\npeople even belong to the ACOFP? We have to tell them why and tell them\n\nthe great things we're doing! Otherwise they just think they're sending in a\n\ncheck so that the Board can go on trips! Other things you learn through\n\nour system and going up the chairs are the different issues. You also learn\n\n\nannual AAFP meeting. The AAFP didn't invite Paul or I anywhere! We\n\nnever went to anyone's suite. We never went to anyone's dinner. We never\n\nwent to anything. We were never invited! The one thing they invited us to\n\ndo was that we were one of 30 “visiting leader” speeches in their Congress\n\nand we were darn near the end of the day. They told us that \"You have two\n\nminutes to give your speech.\" So we did and that was it. I didn't feel that it\n\nwas worthwhile! What a contrast to how we handled their relationship!!!\n\nSo therefore, I asked Pete. \"Pete, I want an audience with them when I go\n\nto their annual meeting as our President. I want an audience and I want to\n\ntalk to the AAFP leadership. Reach out to them and make that happen.\n\nSure enough Pete did…. when I went to San Diego later that year to their\n\nAAFP meeting, I was able to have that meeting. I alone went to breakfast\n\nwith Glen Stream, Jeff Cain, Reid Blackwelder, Douglas Henley, Perry\n\nPugno, Julie Wood* and I basically said something to the effect of: “We can\n\ncontinue our polite exchange or we can try to make something more\n\nmeaningful out of our relationship. What I would like to try is to make\n\nsomething more meaningful out of this”. I told them how impressed I was\n\nwith their conference in Philadelphia, and that honestly when I walked\n\naround their convention, it seems so much like ours. I continued to say we\n\nhave so much in common. There's so much we can do together! “Why can't\n\nwe work on this?” Because of this conversation, we had the first ever joint\n\nmeeting of our Executive Committees in Kansas City months later. One of\n\nthe specific things they mentioned at their convention that week in San\n\nDiego was this future of family medicine project. They were talking about\n\nforming the “second generation” of this to advance Family Medicine. I also\n\n\nvery beginning! So far that still isn't happening. How many times do we\n\nneed to ask the “AOA is going to meet in Washington with policy makers,\n\nwhy you don't invite us along? Or the AOA is writing a letter to these\n\npeople, why don't you have the ACOFP be a part of that?”\n\nIt's time that their actions equal their words! I hope this year helped to\n\nfoster that type of change in our relationship.\n\nWith both the ACGME merger and The Blue Ribbon Commission, the status\n\nquo was changed by our ACOFP Congress of Delegates. The Blue Ribbon\n\nCommission we rejected. We do not need a new primary care specialty\n\ncollege “class” of physician. This will be detrimental to the healthcare of\n\nour patients, the citizens of the United States. It will be detrimental to our\n\nCollege. It will be detrimental to the AOA. So I'm very proud of our College\n\nand the resolution that they passed. Again, that relationship with the\n\nAAFP, going back to that, was very helpful because they've wrote a very\n\nstrongly worded letter against that Blue Ribbon Commission as did their\n\nCouncil of Academic Family Medicine (CAFM). So that relationship came\n\nin handy. Again, the ACOFP agrees that the merger can be a great thing.\n\nOur resolution on the merger didn't say, \"Cease and desist\"! There were a\n\nlot of people that stood up in our ACOFP reference committee that wanted\n\nto just stop it right now. However, we said, \"We just realized that there's\n\nlimitations with what's been presented so far.\" Of course we still haven't\n\nbeen able to even see the memorandum of understanding, which the AOA\n\nleadership says has been presented as a contract. I will challenge\n\neverybody in this room to Google “memorandum of understanding” and\n\nsee if that means contract. Actually it's not a contract! It's a letter of intent.\n\nBut that's an aside. I don't know, it could be a great thing, but we have to\n\nmaintain DO certification. We've always controlled our own destiny and\n\nthat's been one of the reasons why we've been so able to overcome the\n\nmany challenges we have faced as a profession. The current AOA\n\nPresident Dr. Norm Vinn says that future generations will describe the\n\ntimes we are going through now as the time when the profession was\n\nrising above difficult challenges. That this will be one of the greatest\n\nmoments in the history of the Osteopathic profession. He tells us the OPTIs\n\nare going to be more important now and how this will have codified the\n\ntenets of osteopathic medicine into allopathic medicine. He tells us how\n\nwe're going to have even more Family Medicine programs with even more\n\nFamily medicine slots for our students. I stated to Norm that as we faced\n\nour current challenges, there could have been another narrative that\n\nunfolded about the ACGME merger. That when the ACGME shut us out of\n\ntheir specialty fellowships, the result was that the AOA had to instead\n\nsimply focus on their strong suit… primary care residencies. In my\n\nnarrative for the future our profession controls primary care in medicine!\n\nEven though we don’t have an abundance of specialty slots we instead\n\nkept working and we built more specialty residencies and fellowships. As\n\na result of this the osteopathic profession and our colleges of osteopathic\n\nmedicine got to be known as the premier choice of primary care oriented\n\nphysicians. That if as a medical student you wanted to be a primary care\n\ndoctor, you desire most to apply to a college of osteopathic medicine\n\nbecause they're the experts in that. If you wanted to be a specialist\n\nperhaps you applied to our schools or perhaps to a college of medicine\n\nsince they are best at producing specialists. This narrative also looks\n\nfavorably to these difficult times. That due to these different choices….look\n\nat the AOA 20 years later! For the past 20 years now, as medicine has\n\nshifted to global payment, as it has shifted to primary care, now not as\n\nmany students want to be specialists. We in the future won’t need as many\n\nspecialists, but we do need many more primary care physicians. The focus\n\nin the future is about primary care and the money to be made is in primary\n\ncare. That could have been how this story was told. The story could have\n\nbeen how fortunate we were that the AOA was shut out of the allopathic\n\nfellowships back then! They forced us to be an even more primary care\n\noriented profession. Just as in the beginning of our osteopathic profession\n\n(our past), primary care continues to be our osteopathic professions\n\n“present”. The question is what will be our osteopathic professions future?\n\nIf the healthcare movement is going in the direction of primary care, why\n\nis the AOA running away from it? I love specialists. Don't get me wrong. I\n\nmean we need great specialists. I'm just saying that, as the ACOFP\n\nPresident, I care about primary care! I care about family medicine. I think\n\nfamily medicine is the answer in solving our nation’s healthcare problems.\n\nI believe in my heart of hearts that the next 20 years is going to be all\n\nabout family medicine and the type of healthcare contracting that I\n\npersonally lived all my life! Global payment is the future! In fact, I think\n\nyou will see the Future of Family Medicine recommend that our country\n\nneeds medicine to change away from fee-for-service and we need global\n\npayment for primary care. This is how we will save healthcare in the\n\nUnited States.\n\n\nlunch with them alone in the congressional private dining room. Ken\n\nWebster and I were able to talk to them and therefore I got to know both\n\nof them… but in particular Michael Bilirakis. That's just been a great\n\nfriendship ever since. I have supported his campaigns. I have held\n\nfundraisers for him. He's a good friend. He has called me for advice. We\n\nalso got to know his son, who at the time was a Florida state\n\nrepresentative. We held fundraisers for him as well. Both of them were\n\nthere at our Tampa ACOFP Convention when I was brought onto the Board\n\nand they even spoke at that Presidential Inauguration banquet. I'm happy\n\nto say Michael was able to come with his wife, Evelyn, to my ACOFP\n\nPresidential inauguration in Las Vegas. So, I think my involvement with\n\nhim certainly has been a highlight of all of my political involvement. I\n\nbelieve that there's different levels of political involvement in medicine.\n\nThere's voting. That's about the lowest level that's acceptable. At least our\n\nphysicians must vote! What's the next advanced step up from that? The\n\nnext advanced step is just giving to our PAC. Just send in a check to OPAC\n\nevery year. Perhaps, you're voting, perhaps you're sending money to the\n\nPAC every year, but are you sending money in to your colleagues who are\n\nhosting fundraisers for the politicians so that you make them more\n\nsuccessful? The highest level of political involvement is actually hosting a\n\nfundraiser yourself and becoming friends with your elected officials. Add\n\nin there somewhere going to DO Day on the Hill, those sort of things: that's\n\nthe spectrum of political involvement. We need to get as many physicians\n\non the highest order of that political involvement spectrum as we possibly\n\n\ninstead. If I understand things correctly, the ACOFP now has more cash in\n\nreserves than the AOA. And by the way, for our reserves, we don't count\n\nthe value of our fully owned Algonquin building and we certainly haven't\n\nand won’t take anybody else's money! So we have a very strong financial\n\nposition and I think it's important for our future ACOFP boards to continue\n\nto maintain that level of reserve. It is always so easy to go and spend that\n\nmoney! I hope that ACOFP Boards will always resist it. The ACOFP\n\nreserves should be treated as an endowment and it should only grow. The\n\nACOFP Board should only spend interest from that. This interest income\n\nspins off of our stock portfolio every year. We never know how much that\n\nit is going to be. We don’t budget for that. And if it spins off a lot of money,\n\nthat's great. You have more money to spend that year! However you\n\nshould not spend it all! You should leave some of that in the reserves and\n\nthen you're going to grow your endowment even more! That's what we\n\nneed to do. We need to resist all temptations to let that endowment go\n\ndown. Of course we want to spend money on the members and\n\ninnovations that advance our College. EveryPatientCounts.org was spent\n\nout of reserves. That was not a part of the budget. This is a good example\n\nof a very important and historic project that needs to continue to happen.\n\nCommittee Chair: I have one more question about the hospitalist movement. How has this\n\n\nthe hospital. I remember 10-15 years ago when Humana tried to bring in a\n\nforced hospitalist system throughout Pinellas County called HIMS. The\n\nother family physicians and I resisted and fought this program until we\n\nkilled it. However, obviously hospitalists are still around nationally and I\n\nthink that a lot of our fellow family physician colleagues have given up\n\ntheir hospital practices in lieu of allowing the hospitalist to take over those\n\npatients. As healthcare moves toward a model of global payment… being\n\nable to take care of your own patients in the hospital and being involved in\n\ntheir care is very important for success. In any payment model whether a\n\nrisk capitation model or in a fee-for-service system, it is important for\n\nprimary care physicians to stay involved with our patients care. I just\n\ndon't believe the claim that “the health system saves money using\n\nhospitalists.” I understand that there are studies, but I'd love to dissect\n\nthose…that certainly has not been my experience! The United States is\n\nbest off in a primary care global capitated payment system where family\n\nphysicians are taking care of our own patients in the hospital. Our ACOFP\n\nBoard and our AOBFP certifying board need to continue to examine about\n\nthe need for a hospitalist CAQ. The problem right now is that the\n\nhospitalist movement is being dominated by the internist. There are a\n\ngreat number of family medicine physicians who are willing to serve as\n\nhospitalists but currently they are being shut out. I think a hospitalist CAQ\n\ncould help prevent that from happening. I think that if this is something\n\nthat our students and future doctors want to pursue then it's important for\n\nus to develop those CAQ’s. I don't know if hospitalist movement will last\n\nforever. I believe that our family physician colleagues are going to try to be\n\nin the hospitals as long as they can, even in an urban/suburban setting\n\nsuch as us. I believe that the hospitalist movement may evolve into more\n\nof where it may not be a hospitalist group owned by the hospital, but it'll\n\nbe your hospitalist from your own primary care group. He or she would be\n\nan affiliated family physician or internist an employee of the family\n\nmedicine primary care group. That is what I believe is the best hope for\n\nthe hospitalist movement. I feel something like that is going to happen as\n\nwe move into capitated global payment.\n\nCommittee Chair: Well thank you very much, Dr. Grove. We've appreciated having you as\n\nPresident and we look forward to seeing what the future holds for our\n\ncollege.\n\nDr. Grove:Thank you.\n\nCommittee Member: Thank you.\n\nCommittee Chair: Thank you so much for your time.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019#t=0.0,3472.50933"}]},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/transcript/85334","type":"AnnotationPage","label":{"en":["Dr. Grove Interview Summary [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019/transcript/85334/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Interviewee: Jeffrey S. Grove, DO, ACOFP President, 2013-2014\n\nInterviewers: Archival \u0026 Historical Committee\n\nDate: March 14, 2014\n\nLocation: Philadelphia, Pennsylvania\n\nAs the 60th president of the ACOFP in 2013-2014, Dr. Jeffrey S. Grove’s theme has been Remembering the Past, Celebrating the Present and Anticipating the Future. In looking at the Past, he recognizes that the osteopathic principles and practice have made the organization strong and distinctive. Concerning the Present, he knows that the organization is still the singular Osteopathic Specialty College that does the most OMT. For the Future, he sees a need for diversity in the DO profession which should include minorities and LGBTO. He also knows that there will be a need for more primary care which “…continues to be our osteopathic profession’s ‘present’.” Therefore, it will be important for DOs to stay involved with their patients’ care. \n\nReaching out to other organizations and building relationships have also been priorities for Dr. Grove, who is the youngest person ever elected to the Board. “Our relationship with the AOBFP certifying board is stronger than it has ever been,” he relates. Even more historic is the invitation from the AAFP to collaborate on the Future of Family Medicine 2 project. The ACGME merger and the Blue Ribbon Commission have dominated his year in office. At the present time, the impact of the merger is still uncertain while the Commission has been rejected by both the ACOFP and the AAFP. Dr. Grove believes that it is crucial for the ACOFP to maintain its DO certification because it has helped the organization to overcome many of the challenges faced by the organization during the past 50 years of its existence.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3490/collection_resources/162258/file/295019#t=0.0,3472.50933"}]}]}]}