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The STFM Podcast

February 2025: The Life-Giving Act of Advocacy with Joseph Gravel, MD

STFM President Joseph Gravel, MD, illustrates how he has staved off burnout by building a career around the life-giving practices of advocacy, service, and gratitude. Dr Gravel gives us a sneak peek into the strategic plan which will guide STFM in the coming years, centered around topics such as artificial intelligence (AI). He also lets us know about his dislike of the “P-Word” (“provider”) and why the labels used for family medicine professionals are so important to maintaining that professionalism which gives agency and appropriate voice to those giving relationship-based care in an era of corporatized medicine.

Hosted by Omari A. Hodge, MD, and Jay-Sheree Allen Akambase, MD
Copyright © Society of Teachers of Family Medicine, 2025

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Joseph W. Gravel, Jr, MD, FAAFP

Dr Gravel is professor and chair of the Department of Family and Community Medicine at the Medical College of Wisconsin in Milwaukee. During his 5-plus years as chair at Medical College of Wisconsin, his department has created three new family medicine residency programs in Milwaukee (2) and Green Bay. He is a graduate of Tufts University School of Medicine in Boston and the Virginia Commonwealth University Fairfax Family Practice Center Family Medicine Residency. Dr Gravel served as a residency program director for more than 20 years; he was founding residency program director of the Tufts University Family Medicine Residency in Malden, MA and was chief medical officer and residency program director at the Greater Lawrence Family Health Center, a Teaching Health Center FQHC in Lawrence, MA. He previously held teaching appointments at the University of Massachusetts Medical School (Worcester) and Tufts University School of Medicine (Boston).

Dr Gravel is currently President of the Society of Teachers of Family Medicine (2024–25). He also serves on the Wisconsin Academy of Family Physicians’ Board of Directors and as the senior Wisconsin delegate to the AAFP Congress of Delegates. He is a technical advisor for the HRSA THCGME program. He is a past president of the Association of Family Medicine Residency Directors (AFMRD), the Family Medicine Education Consortium (FMEC), and the Massachusetts Academy of Family Physicians.

He has also served on the ABFM Board of Directors, the ACGME Review Committee for Family Medicine, the ADFM Finance Committee, the STFM Foundation Board of Trustees, and as chair of the Academic Family Medicine Advocacy Committee.

His department created Wisconsin’s first HRSA-funded Teaching Health Center in 2023. His residency programs participated in three national residency innovation initiatives: the P4 National Demonstration Project, HRSA Teaching Health Center program (one of the original 11), and ACGME Length of Training (LoT) Pilot. He was selected by Governor Deval Patrick to serve as a Commissioner on the Massachusetts Special Commission on Graduate Medical Education, has been deeply involved in national and statewide primary care workforce issues, and received the 2013 STFM Advocate Award.

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AI Chatbot Tips

Tips for Using STFM's AI Assistant

STFM's AI Assistant is designed to help you find information and answers about Family Medicine education. While it's a powerful tool, getting the best results depends on how you phrase your questions. Here's how to make the most of your interactions:

1. Avoid Ambiguous Language

Be Clear and Specific: Use precise terms and avoid vague words like "it" or "that" without clear references.

Example:
Instead of: "Can you help me with that?"
Try: "Can you help me update our Family Medicine clerkship curriculum?"
Why this is important: Ambiguous language can confuse the AI, leading to irrelevant or unclear responses. Clear references help the chatbot understand exactly what you're asking.

2. Use Specific Terms

Identify the Subject Clearly: Clearly state the subject or area you need information about.

Example:
Instead of: "What resources does STFM provide?"
Try: "I'm a new program coordinator for a Family Medicine clerkship. What STFM resources are available to help me design or update clerkship curricula?"
Why this is better: Providing details about your role ("program coordinator") and your goal ("design or update clerkship curricula") gives the chatbot enough context to offer more targeted information.

3. Don't Assume the AI Knows Everything

Provide Necessary Details:The STFM AI Assistant has been trained on STFM's business and resources. The AI can only use the information you provide or that it has been trained on.

Example:
Instead of: "How can I improve my program?"
Try: "As a program coordinator for a Family Medicine clerkship, what resources does STFM provide to help me improve student engagement and learning outcomes?"
Why this is important: Including relevant details helps the AI understand your specific situation, leading to more accurate and useful responses.

4. Reset if You Change Topics

Clear Chat History When Switching Topics:

If you move to a completely new topic and the chatbot doesn't recognize the change, click the Clear Chat History button and restate your question.
Note: Clearing your chat history removes all previous context from the chatbot's memory.
Why this is important: Resetting ensures the AI does not carry over irrelevant information, which could lead to confusion or inaccurate answers.

5. Provide Enough Context

Include Background Information: The more context you provide, the better the chatbot can understand and respond to your question.

Example:
Instead of: "What are the best practices?"
Try: "In the context of Family Medicine education, what are the best practices for integrating clinical simulations into the curriculum?"
Why this is important: Specific goals, constraints, or preferences allow the AI to tailor its responses to your unique needs.

6. Ask One Question at a Time

Break Down Complex Queries: If you have multiple questions, ask them separately.

Example:
Instead of: "What are the requirements for faculty development, how do I register for conferences, and what grants are available?"
Try: Start with "What are the faculty development requirements for Family Medicine educators?" Then follow up with your other questions after receiving the response.
Why this is important: This approach ensures each question gets full attention and a complete answer.

Examples of Good vs. Bad Prompts

Bad Prompt

"What type of membership is best for me?"

Why it's bad: The AI Chat Assistant has no information about your background or needs.

Good Prompt

"I'm the chair of the Department of Family Medicine at a major university, and I plan to retire next year. I'd like to stay involved with Family Medicine education. What type of membership is best for me?"

Why it's good: The AI Chat Assistant knows your role, your future plans, and your interest in staying involved, enabling it to provide more relevant advice.

Double Check Important Information

While the AI Chat Assistant is a helpful tool, it can still produce inaccurate or incomplete responses. Always verify critical information with reliable sources or colleagues before taking action.

Technical Limitations

The Chat Assistant:

  • Cannot access external websites or open links
  • Cannot process or view images
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  • Cannot access real-time information (like your STFM Member Profile information)

STFM AI Assistant
Disclaimer: The STFM Assistant can make mistakes. Check important information.