The AMA STEPS Forward, Whatever the F That Means

I found this from the AMA:

Committed to making physician burnout a thing of the past, the AMA has studied, and is addressing, issues causing and fueling physician burnout—including time constraints, technology and regulations—to better understand the challenges physicians face. 

The AMA’s STEPS Forward™ is an open-access platform featuring more than 50 modules that offer actionable, expert-driven strategies and insights supported by practical resources and tools. Based on best practices from the field, STEPS Forward modules empower practices to identify areas or opportunities for improvement, set meaningful and achievable goals, and implement transformative changes designed to increase operational efficiencies, elevate clinical team engagement, and improve patient care.  


Fifty actionable, expert-driven strategies and insights? Can they blow more smoke? Let’s see some of these brilliant ideas:


Having fun yet? Did they fix your burnout? Feel free to pick one and mock it in the comments. My favorite, so far:

WORKFLOW AND PROCESS 0.5 Credit CME Identifying the Optimal Panel Sizes for Primary Care Physicians: Determine and adjust panel sizes based on patient and practice variablesAMA STEPS Forward

Really? It’s that simple just to fire half your panel. Yeah, that’s not going to happen.


Your turn.

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  14 comments for “The AMA STEPS Forward, Whatever the F That Means

  1. Bob Riley
    February 14, 2019 at 2:11 pm

    I have a question for the “experts” at the AMA: Does this CME qualify for MOC?

  2. Shelley
    February 13, 2019 at 10:55 pm

    I had to laugh out loud for the 0.5 CME to address social determinants of health (SDOH!)–because you have to have acronyms–this is worthy of a Nobel Prize.

  3. Bob Riley
    February 13, 2019 at 8:38 pm

    Summary: Physician heal thyself!

  4. LJ Sloss
    February 13, 2019 at 5:37 pm

    How about (10 credit units): Acknowledge senior status and retire???

    Whoopeee!!!!

  5. RSW
    February 13, 2019 at 12:12 pm

    We can’t talk about this without acknowledging the mastermind behind it, the evil genius of “Joy in Practice,” the parasite at every money trough, the poster child for everything that’s wrong in medicine today – Dr. Sinsky!

    • Martha Oreilly
      February 14, 2019 at 2:31 am

      He’ll. Yes.

  6. Allyagottadois
    February 13, 2019 at 11:41 am

    Like I have time to read this BS. Hmmmm reading this stuff causes burnout. How about beurocratic drag. It’s they all want us to be employees so they can deflate any power we have.

  7. PW
    February 13, 2019 at 11:02 am

    I get a headache just looking at this stuff.

  8. Pat
    February 13, 2019 at 8:15 am

    This should be required reading for every pre-med student. It might save a few.

  9. Rick Singel
    February 13, 2019 at 7:34 am

    I follow the radio industry in my spare time. Don’t ask me why but I find it fascinating. In any case, the industry began its downward spiral when radio stations/companies went public. From that point on, the emphasis was/is investor profit. Nothing else matters. Buy up hundreds of stations, have one radio announcer, sell ads. Let it rip. Work the few employees to exhaustion. No more local stations who vie to compete, to please and attract listeners.
    Remind anyone of anything? Like how businessmen took over healthcare? How profit is the key motivator. How Docs are just employees? I mean, Providers.
    Somehow we never learn…
    I’m sure radio consultants now publish missives on how station employees can avoid burnout.
    God help all of us.

  10. Jennifer Hollywood
    February 13, 2019 at 7:29 am

    WORKFLOW AND PROCESS 0.5 Credit CME Implementing a daily team huddle: Boost practice productivity and team morale, by communicating in real time about the day’s Events

    Team!?! What team? It’s just me and my husband. A two person huddle?? We communicate all day long. No huddle needed. Who’s going to pay for this team? And the pharmacist listed in another module? Most of these modules are for larger practices. Not for solo and small practices. No one seems to care about solo practices any more. They all want us in giant hospital owned practices.

    • Rick M Singel
      February 13, 2019 at 7:41 am

      Jennifer, we in dentistry have been told to have “huddles” in the morning in order to increase “practice productivity”. Translation: identify the patients who are ripe for upselling expensive treatments.
      How do you increase productivity? You eek max dollars out of each victim, er, patient.
      Like going in for an auto oil change–suddenly you just might need a new transmission.
      It is sickening.

  11. Sheri McCollum
    February 13, 2019 at 7:00 am

    This is my favorite:

    WORKFLOW AND PROCESS 0.5 Credit CME Pre-Visit Laboratory Testing: Improve patient care and enhance the patient experience without spending more time and money.

    Sure, this will work in Rheumatology. Let’s order a comprehensive rheumatologic lab work up on every patient before I evaluate them. Because that will totally save time and money. ????

  12. Martha Clark, RN
    February 13, 2019 at 6:40 am

    OMG these modules are so horrible, it’s hard to choose just one, but I’ll try:

    TECHNOLOGY AND FINANCE 1 Credit CME Electronic Health Record (EHR) Implementation: Ease the transition from paper to electronic health records.AMA STEPS Forward

    Your money at work…sigh!

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