The Article in Brief

Changing Horses Midstream: The Promise and Prudence of Practice Redesign

David A. Loxterkamp, MD, and Louis A. Kazal, Jr, MD

Background Two participants in the pilot project of TransforMED, the American Academy of Family Physicians' practice redesign initiative, reflect on the crisis in primary care and offer insights on practice change. These insights come from their own experience with practice transformation and a retreat for practices in the project's self-directed group. The authors conclude that relationships remain the centerpiece of family medicine.