Good Fences


Original Presentation Date: 8/23/2018

Facilitator Lesson Plan

This team-based, active-learning event features Randy Longenecker, MD, Professor of Family Medicine and Assistant Dean for Rural and Underserved Programs. Dual relationships are inevitable in rural medicine, and competent rural practice demands the ability to negotiate those relationships in healthy ways, including healthy boundary setting, boundary crossings, and boundary maintenance. This Grand Rounds will explore practical ways to foster healthy relationships and work-life balance.

Learning Objectives

Participants will be able to:

  • Articulate the difference between boundary crossings and boundary violations
  • Describe and recognize a dual relationship
  • Develop a personal and professional plan for negotiating dual relationships in rural practice
Randall Longenecker

Randall Longenecker, MD
Associate Director, Communities of Practice Lead Rural and Underserved Programs Ohio University, Heritage College of Osteopathic Medicine

Randall is Professor of Family Medicine and Assistant Dean for Rural and Underserved Programs at the Ohio University Heritage College of Osteopathic Medicine, in Athens, Ohio.


Before your ALP Session
  1. Recruit your teams. Ideally, 4 teams of 3-5 participants.
  2. Schedule a room that can accommodate all your participants and AV to play the presentation.
  3. Distribute the Pre-Session link
  4. Download the Presentation Slide Deck.
  5. Review the Slide Deck. Be sure to look at the presenter notes.
During your ALP Session
  1. Arrange your participants into teams within the room.
  2. Facilitate your ALP session by following the prompts in the presenter notes of the Slide Deck.
  3. Facilitate general discussion with the full group. Go over any lingering thoughts.
  4. Evaluate the ALP materials on your experience.
Click to download the presentation slide deck

You will be asked to provide your name, email, and organization prior to accessing the download.

This product was supported by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under cooperative agreement #UH1HP29966. The information, conclusions and opinions expressed in this presentation are those of the authors and no endorsement by BHW, HRSA, or HHS is intended or should be inferred.