2001 21st Annual Conference on Families and Health

	Thursday Session Abstracts Back to Conference on Families and Health Schedule Thursday, March 1 Seminars 1 - 5 1:30 - 3pm S1: Family Rhythms and the Blues: A Family Care Approach to Bereavement Deborah Taylor, PhD, Timothy Pollard, MD, James Melloh, MD, MS, Central Maine Medical Center, Lewiston, Me The role of the family health care provider (FHP) in helping family systems cope with death is significant. This seminar will help FHPs experientially examine their own personal and professional life experiences and attitudes toward death and bereavement, identify different family and cultural responses to death, and outline strategic family care interventions for coping with loss. S2: Traditional Healing: Seeing Ourselves Through a Different Lens Michael Bloom, PhD, Sioux Falls Family Practice Residency, Sioux Falls, SD While significant diversity exists in healing ceremonies of different cultures, there are also significant simi-larities. By exploring the similarities, much can be learned about what contributes to the healing process. The sem-inar group will explore commonalities and discuss how these might help improve our ability to be good healers. S3: Going Out Not Knowing: The Exper-ience of Uncertainty in Clinical Practice David Seaburn, MS, University of Rochester Sickness introduces degrees of uncertainty into the lives of patients and providers that often cannot be removed. We listen, care, and heal in spite of what we do not and cannot know. This interactive seminar will explore the experience of uncertainty in our work. S4: Learning More About Rainbow Families: A Model for Teaching Nancy Newman, MD, Hennepin County Family Practice, Minneapolis Gay and lesbian adults are increasingly choosing to form families that include children. Participants will take part in and discuss a format for teaching about rainbow families while learning about some of the unique challenges that these families face. S5: Snow on the Roof and Fire in Furnace: Talking About Sex With Older Patients Jane Counts, PhD, Jennifer Culver, MD, Loren Bryant, PhD, Ronald Cook, DO, Alice Ramsey, MD,Texas Tech University Research shows that physicians are often reluctant to initiate conversations about sexuality with elderly patients. This seminar will help medical providers reassess how they communicate with elderly patients about sexuality and aging. Afterward, participants will be more confident about initiating sexual conversations with their elderly patients. Lecture - Discussion 1 1:30pm - 3:00pm L1A: Telemedicine-based Teachings of Family Functioning and the Biopsychosocial Model Via a Required Assessment and Group Case Discussion Bill Elder, PhD, Jennifer Joyce, MD, University of Kentucky The biopsychosocial model has been an important perspective in medicine since its introduction by Engel in 1977. We sought to develop a brief description the model that could be readily taught and a methodology to train our students and residents in its requisite skills and knowledge. The model will be described and an example of a telemedicine group discussion will be viewed. Partici-pants will discuss their methods in teaching the model. L1B: Answering Questions About Health and the Environment Lauren DeAlleaume, MD, St Joseph's Family Practice, Yonkers, NY Our patients, families, and communities turn to us with environmental health questions. Do we know the answers? This session will provide an update in environmental health with an emphasis on current controversies and questions arising in clinical practice. Resources for obtaining environmental health information and teaching methods will be discussed. PEER Session A 1:30 - 3pm PA1: Screening for At-risk Parent-Child Relationships in a Family Practice Setting Elizabeth Halloran, Medical College of Ohio This screening was done to identify the proportion of families who are at risk for significant stress in the parent-child relationship. Twenty-nine caregivers of children between 1 month and 6 years participated in this study by completing the Parenting Stress Index-Short Form (PSI-SF). Results indicate that 31% of the caregivers experience significant stress in the parenting role. Physicians need to be alert to parenting stress that may have a significant negative impact on the functioning of caregivers and children. PA2: Growing Up: The Case of the Special Needs Child and Family Laurie Woodard, MD, University of South Florida Special needs children are surviving longer. These young adults and their families confront physical, emotional, financial, and family relationship challenges that are related to growing up, which are often more significant to them than the child's original health problem. This presentation will discuss how family physician training and orientation helps families and patients acknowledge, prepare, and cope with these changes. Students and residents will learn from this modeled behavior. PA3: Breast-feeding: Personal Perspectives of Practicing Female Physicians Chris Rodgers Arthur, PhD, Rebecca Buchanan Saenz, MD, University of Mississippi Female physicians responded to a survey and voiced their personal experiences and perspectives on breast-feeding. This session will look at the problems and chal-lenges presented by female physicians who breastfed their children and discuss ways for breast-feeding mothers to achieve a greater balance between the demands of home and work. PA4: Behavioral Medicine in a Pocket Dael Waxman, MD, Carolinas Medical Center, Charlotte, NC Clinicians carry a variety of pocket-sized information resources to assess and manage clinical situations. Most are limited to biomedical strategies. Session participants will learn about the development of a series of 3" x 5" cards containing mnemonics of psychosocial assessment and management. These cards are designed to enhance learner integration of these behaviors in practice. Workshops 1 - 3 1:30 - 4 pm W1: Symbiosis, Symphony, and Sympathy: The Healing Power of Sharing Robert Houston, MD, Casper Family Practice Residency, Casper, WY During the second half of the 19th century, American naturalist philosophy peaked, jazz was born, and the term ecology was coined. Earth jazz was vogue at the turn of the twentieth century. What sort of philosophy and music are we making as we enter the 21st century? W2: Making Music Together: Training Interprofessional Teams for Better Patient Outcomes Mark Wallace, MD,MPH, Stacey Garber, MD, Judy Richter, RN, PhD, North Colorado Family Medicine,Greeley Quality holistic health care demands high functioning interprofessional teams that draw effectiveness not only from the disciplines brought to the collaboration but also from the unified focus on desired patient outcomes. Robert Wood Johnson Collaborative Interprofessional Team Education Initiative Project faculty will review teaming for success. W3: Mindful Practice Ronald Epstein, MD, University of Rochester Mindfulness is a state of mind experienced when practitioners are at their bestattentive, observant, critically curious, and present. Mindfulness applies to the reflective activities implicit in technical, evidence-based, and relationship-centered aspects of care. We will use group discussion of participants' narratives to recognize and develop mindful practice in learners. Seminars 6 - 9 3:15 - 4:45 pm S6: Community Health Gone Creative Alice Inouye, MD, Carilion Health System, Roanoke, Va The health of our communities is suffering. Health care providers need to be adequately prepared to con-tribute to building healthy communities. Community medicine curricula should reflect these demands. A community-centered curriculum has resulted in exciting collaborations, stories to learn from, and multiple chal-lenges. Come share in community health gone creative. S7: Collapsing Agendas in Times of Change Elena Taurke-Joseph, PhD, Beth Israel Medical Center, New York; Goldie Alfasi, PhD, Institute for Urban Family Health, New York; Mary Anne Carling, MA, CSW, Bronx-Lebanon Hospital Center, Bronx, NY; Larry Dyche, MSW, Eliana Korin, DiplPsic, Montefiore Medical Center, Bronx, NY; Catherine Bratton Vourkas, ACSW, St Vincent's Catholic Medical Center, Jamaica, NY When behavioral scientists in New York came together to exchange ideas and methodology, planned agendas for the meetings repeatedly collapsed. Less hungry for tips than support and identity management, the presenters will describe this group experience and question how the biopsychosocial model can coexist with increased pressure for physician productivity. S8: Finding the Rhythm: Facilitating Change in Health-related Behaviors Cecilia Robertson, PhD, John Peter Smith Hospital, Fort Worth, Tex; Sally Dunlap, PhD, University of Texas Health Science Center, San Antonio; Alishia Ferguson, MSSW, Charlton Methodist Hospital, Dallas There are rhythms to music and change of the seasons, so are there rhythms to the process of changing behavior. This seminar will guide participants in recognizing the rhythm or process by which individuals change, provide tools to assess readiness to change, and demonstrate interventions to facilitate movement toward change, using video vignettes of a patient who smokes. S9: Changing Weighs: The Power of Imagery Carole Stokes-Brewer, PhD, Bethesda Family Practice Residency, Cincinnati Images, advertisements, and visualizations we create can affect our lifestyle, body image, and weight change. Participants will view a slide presentation on the impact of advertisements on our lifestyle and examine the out-come of patients who used guided imagery for lifestyle change. Participants will learn to construct and experience an effective guided imagery for a healthy lifestyle. Lecture-Discussions 2 - 3 3:15 - 4:45 pm L2A: HOPE (Hospice Opportunity in Physician Education) Bruce Bates, DO, Darby Northway, MHA, Kathleen Brown-Hodgetts, DO, University of New England College of Osteopathic Medicine The need for professional health care team members to honor and respect patient choices relating to palliative and hospice care is of utmost importance. This session presents how one medical school developed and implemented hospice and end-of-life care into the curriculum for second-year medical students. L2B: Problem-based Learning in a Longitudinal Psychosocial Curriculum Dael Waxman, MD, Carolinas Medical Center, Charlotte, NC Psychosocial curricula are typically instructor deter-mined. This reinforces a passive approach to lifetime learning. Problem-based learning necessitates an active role by the learner. This presentation will demonstrate the use of small-group, problem-based learning in a longitudinal psychosocial curriculum. Participants will develop similar methods for their institution. L3A: Jazz and Home CookingCulturally Appropriate Community Wellness Programs Mindy Stern, MSW, Swedish Medical Center, Seattle Motivating patients to exercise and eat well is a challenge. This session highlights successful Jazzercise^®, water aerobics and nutrition programs now in their fifth year. Developed by residents and faculty serving poor minority patients, classes are taught by African-American and Hispanic community members. Funding and research will be discussed. L3B: Trip to the County Fair Elizabeth McCord, MD, Catherine Peeples, MPH, CHES, Carol Blevins, ACSW, East Tennessee State University "Trip to the County Fair" is an innovative learning experience developed to introduce community resources. This interactive resident team exploration utilizes patient scenarios to formulate care plans. Residents visit all com-munity agencies present to gather information. Care plans are presented to peers in a didactic conference. PEER Session B 3:15 - 4:45 pm PB1: Factors in the Educational Success of Pregnant and Parenting Teens Stefan Schaefer, MD, Southern New Mexico Family Practice Residency, Las Cruces, NM; Jacquelyn Williams, MSN, Memorial Medical Center, Las Cruces, NM This study determined factors contributing to the graduation success rate or failure among pregnant teenage girls in the public educational system. A comprehensive survey was administered to 300 teenage girls at time of delivery at a sole community-provider medical center. Questions focused on demographic characteristics, social behaviors, attitudes, and progress in school. Dropout rates among survey participants were significantly higher than in the general school population. Risk factors correlated with school failure were identified and included low educational attainment of the teen's parents. Positive attributes correlated to educational success were also identified. Risk factors associated with school failure and positive attributes associated with success can be readily identified among this population. Using this information, teens at greatest need for intervention can be identified so that limited services can be more effectively targeted. PB2: Access and Appropriateness of Care for Adolescents Stefan Schaefer, MD, Southern New Mexico Family Practice Residency, Las Cruces, NM; Linda Summers, RNCS, CFNP, Memorial Medical Center, Las Cruces, NM Debate in the medical literature exists regarding the effectiveness of delivering periodic maintenance visits to adolescents. Many advocate abandoning such care. Nonetheless, tremendous pressures derived from an emerging set of risks related to behavioral and lifestyle factors be-siege adolescents. These pressures seem not fully recog-nized nor understood by medical practitioners. Access to appropriate care for those students with identifiable risk factors is measured. The degree of which the care received resolved the issues of concern to the adolescent is also explored. A model for more-effective routine care to adolescents is discussed. PB3: Treatment Issues for Outpatient Adolescent Marijuana Abusers David Boyle, PhD, E.A. Conway Family Practice, Monroe, La With rising costs of inpatient treatment for drug abuse, the health care professional needs to know what types of less-expensive treatment options are available. This presentation will introduce participants to effective outpatient treatment options for adolescent marijuana abuse. PB4: Attitudes About Smoking in a Preteen Population Anjali Varde, Charlton Methodist Hospital, Dallas In the United States, smoking is a major health concern for all age groups. Along with the increased risk of lung cancer, smokers have higher rates of hypertension, coronary artery disease, and diabetes. Smoking is popular among teenagers but attitudes toward smoking are developed in childhood. This study is a survey of preteens in the Dallas area to determine attitudes about smoking, exposure to smoking, and smoking-related activities among 1112 year-old middle-school children.