2001 21st Annual Conference on Families and Health

	Friday Session Abstracts Back to Conference on Families and Health Schedule Friday, March 2 Seminars 10 - 14 10:45 am - 12:15 pm S10: Visual Art as a Trigger Enhancing Healing and Teaching Alan Drabkin, MD, Rose Goldman, MD, MPH, Harvard Medical School This seminar will demonstrate the use of visual art-work (eg, photographs, sculpture, painting) in evoking the responses of patients, health care professionals, and trainees to illness. Participants will view examples, record and share their responses, and collectively identify oppor-tunities for applying this exercise in teaching and practice. S11: When Patients' Religious Beliefs Clash With Treatment RecommendationsRecognizing and Resolving the Conflicts James Wagner, PhD, Robert Hatch, MD, MPH, University of Florida Patients' religious beliefs usually enhance coping, but they may, at other times, lead to sharp conflicts with the treatment team. Using discussion of actual cases, this seminar will enhance participants' ability to identify such conflicts and resolve them while maintaining professional integrity. S12: Racial Disparities in Health Care Some Solutions for Family Physicians Yvonne Hipps, PhD, Patrick Griffith, Morehouse School of Medicine; Mary Valley, RN, Atlanta Caucus and Center on Black Aged; Crystal Cash, MD, Loyola University; Phelippe Cunningham, PhD, Medical University of South Carolina; Thaddeus Bell, MD, Trident Urban League, Charleston, SC; Maria Cordova, DDS, Charleston, SC Health care disparities are evident in hospital, clinic, and home care treatment. Healthy People 2010 reflects our inability to meet 2000 objectives for minorities and the underserved. How will we begin to decrease racial disparities among these groups? This seminar will present current federal, state, and community overviews of the racial disparities in health care. Presenters will frame steps toward goal solutions for family physicians to include in addressing racial health care disparities in practice. Faculty will gain teaching techniques to alter racial disparities in residency programs. A community racial unity health care healing approach will be discussed. S13: Keeping a Marriage Swinging: Thoughts on Long-term Partnerships Amy Begel, CSW, Lutheran Family Practice, Brooklyn, NY; Eugene Farley, MD, MPH, Linda Farley, MD, University of Wisconsin Family therapists and physicians are in the business of studying dysfunction, both physical and emotional, but little attention is paid to understanding what makes re-lationships work. In this seminar, an experienced family therapist will interview two couples, each married more than 50 years, to explore those factors involved in keep-ing long-term partnerships alive and swinging. S14: A Death in the Family Teaching Exploration of End-of-life, Cross-cultural, and Intergenerational Issues Around Death and Dying for Faculty and Residents Chinita Fulchon, PhD, Latha Brubaker, Loyola University Terminal illness and death in a resident's family of origin can provide a powerful teaching venue for joint faculty-resident exploration of end-of-life, cross-cultural, and intergenerational perceptions. Discussion of physician, family, and patient roles in care and decision making are explored. A tool to trigger discussion will be demonstrated. Lecture-Discussions 4 - 6 10:45 am - 12:15 pm L4A: Singing the Blues: "My Doctor Done Gone and Left Me Here All Alone" Arnold Goldberg, MD, Kim Salloway, MSW, Brown University Family practice residency programs advocate establishing continuity in the physician-patient relationship. Paradoxically after 3 years, the relationship abruptly ends. The experience of termination impacts the patient and physician in multiple ways. This lecture-discussion will ex-plore the importance of consciously addressing issues of termination at the end of residency and the implications for the resident's future medical practice. L4B: Touched by a Patient Tuning in With Patients Through Relationship-centered Care John Cavacece, DO, Grand Rapids Family Practice, Grand Rapids, Mich The art of family practice requires skillful communication with patients. Discovering connections early in patient encounters helps us harmonize with their con-cerns. Using a health history instrument that highlights relationship-centered care, participants will practice tuning in with each other by learning improvisational methods of interviewing. L5A: The Quarterback Drops Back for a Grande Plee The Behaviorist as Preceptor Barbara Holstein, MEd, MA, University Medical Center, Lafeyette, NY Residents are so concerned that they get the medi-cine part of their precepting right, that the behaviorist is often ignored, bashed, or bullied into silence. This session explores the fun, laughter, metaphors, creativity, and resi-lience of behaviorists and their precepting styles. Advice from behaviorist preceptors from coast to coast will be shared. L5B: Adding a Behavioral Science Perspective to the Residency Application Process Stacey Garber, MD, Steven Brown, MA, LPC,Terri Olivas-Singer, MA, LPC, North Colorado Family Medicine, Greeley The applicant interview process is a vital part of residency training. We consider the applicant interview with one of the behavioral science faculty an essential part of the overall process. This session will be aimed at discussing the content and purpose of the behavioral science interview. L6A: The Client's Voice What Every Practitioner Should Know and Each Caregiver Should Hear Angela Smith, PhD, East Carolina University When treating Alzheimer's patients, the needs or con-cerns of the caregiver may be neglected due to time and managed care constraints. Providing maximum care for patients can be simplified by including the caregiver as part of the treatment team. This presentation will focus on what contributes to a healthy caregiving experience and how practitioners can maximize their care toward patients. L6B: Parkinson's Disease Stories of Courage and Strategies for Its Management Jennifer Harkness, PhD, Kay Garcia, East Carolina University Parkinson's disease knows no boundaries. It requires collaboration between professionals and families to help find its cure and manage its effects. This session will offer attendees recent research findings, clinical innovations, and compelling stories about courage, survival, and man-agement of this progressive neurodegenerative disease. PEER Session C 10:45 am - 12:15 pm PC1: Discovering Soul An Ecopsychology Retreat for Patients Jean Slane, MD, University of Wisconsin Eighteen women patients attended a 3-day outdoor retreat, facilitated by a family physician and licensed counselor. The goals were to experience the health benefits of contact with nature and practice vegetarian eating, meditation, and movement in a supportive community. Follow-up interviews indicate lasting benefits to participants. PC2: Our Hands Will Fashion Dragons Poetry and Community in the Clinic Jean Slane, MD, University of Wisconsin Our community clinic has incorporated poetry into patient services and education. One result has been the publication of a bilingual poetry anthology, written and edited by patients. Patients participated in one of two creative writing groups. The effect of the publication on patient self-esteem and well-being is reported. PC3: Jane Deer Accessing Community to Enhance Patient Health and Well-being Venita Morell, MD, Sonia Crandall, PhD, Wake Forest University Students must learn how the community can maximize their patient's well-being and health. This session will describe a unique way to familiarize students with community resources throug3sh opening the mail of Jane Deer, a single mother with a minimum wage job. PC4: The Music of the Streets Home Visits in an Inner-city Residency Larry Dyche, MSW, Montefiore Medical Center, Bronx, NY Home visit training in medical education is unusual and tends to focus primarily on developing home care skills. However, experiencing the patient in vivo can provide the resident other unique learning opportunities, such as observing the ecologies of the patient's neighborhood and shifting the power balance in the patient-physician encounter. Montefiore's social medicine residency developed a program utilizing these possibilities.