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30th
Anniversary Predoctoral Education Conference
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Friday, January 30
8:30 - 10:00 am
“Collaboration In Education: Promise or Peril?”
Richard Usatine, MD, University of Texas
Health Sciences Center at San Antonio
We practice and teach in a broken
health care system. More than 41 million
people in this country have no health
insurance and many others are
underinsured. Government rules and
regulations have increased the hassles of practicing
medicine. Academic health centers and medical schools
are in the red. Family medicine departments are experiencing
budget cuts and threats to their existence. Fewer
students are going into family practice.
Many of us are nervous about the survival of our
departments and our discipline. Some family medicine
clerkships have been replaced by multidisciplinary
ambulatory care clerkships. Has family medicine lost its
identity within these clerkships?
In this plenary, Dr Usatine will review some of the
best and worst experiences with interdisciplinary collaboration
across the country. He will explore why some
failed and why some succeeded. In the midst of bleak
times for our specialty and our health care system, he will
paint a picture of hope and renewed vision for family
medicine education. Can interdisciplinary collaboration
strengthen medical education and succeed where individual
efforts have failed? Can we find shared values and
visions with our colleagues in other disciplines and lead
the coming medical education and health care revolutions?
Together can we craft new models to heal our
schools and health care system? Family medicine has so
much to offer our communities, students, patients, and
colleagues in these dark times.
Dr Usatine is vice chair for education in the Department
of Family and Community Medicine at the University
of Texas HSC at San Antonio. He is a member of the
STFM Board of Directors and has been actively involved
in developing the STFM Web site and the Teaching
Physician e-newsletter. He is the lead author of Skin
Surgery: A Practical Guide and coauthor of Yoga Rx. He has
developed an Interactive Dermatology Atlas on the Web
and is the editor of Photo Rounds in the Journal of Family
Practice. Dr Usatine, MD, was the 2000 recipient of the
AAMC Humanism in Medical Education Award.
Dr Usatine was part of the UCLA School of Medicine
for 20 years. From 1985 to 1989, he functioned as the
medical director of a free clinic in Venice, California; from
1989 to 1992, he served as associate residency program
director; from 1992 to 2002, as director of predoctoral
education; from 1998 to 2002 as assistant dean for student
affairs; and from 2001 to 2003, he was associate dean of
medical education at Florida State University.
Moderator: Paul Paulman, MD, 2004 Conference Chair,
University of Nebraska
Saturday, January 31
8:30–9:30 am
Beyond Collaboration: Building a Community of
Shared Meaning and Commitment in Medical
Education
Rachel Naomi Remen, MD, University of
California, San Francisco; The Institute for
the Study of Health and Illness at
Commonweal, Bolinas, Calif
Numerous studies reveal that contemporary
medical education diminishes the
heart and soul and the impulse to serve others and
promotes cynicism, depression, and alienation in the
majority of medical graduates. The hidden curriculum in
medicine, passed from generation to generation, may
reduce the innate capacity of students to serve others and
to offer healing as well as cure. More than any single factor
the impact of medical education on the individual is
responsible for the dehumanization of care, even as
medical science develops and its therapeutic reach broadens.
The hidden curriculum has affected us all. Students
demonstrate these effects as early as the second trimester
of their schooling. Recovery from the impact of training
may require a new relationship between student and
faculty and the formation of a community of overtly
shared meaning and values. Such community may be the
outcome of an experiential curriculum that affirms and
strengthens the unique humanity of every participant.
Curriculum can make it possible for students and
faculty to go beyond collaboration and form a community
of inquiry into the nature of professionalism and medicine.
Such a curriculum takes us beyond the divisiveness of our
expertise and offers us an opportunity for mutual healing.
Dr Remen will draw on her experience with The Healers
Art course, taught at UCSF for 13 years and now offered at
26 other medical schools to discuss the basic principles,
techniques, and outcomes of such a curriculum, and offer
examples of its effect on faculty as well as students over a
wide range of medical school cultures.
Dr Remen is clinical
professor of family and community medicine at the UCSF School of Medicine
and one of
the earliest pioneers of integrative medicine. She is cofounder
and medical director of the Commonweal Cancer
Help Program featured in the groundbreaking 1993 Bill
Moyers PBS series, Healing and the Mind. She is founder
and director of the Institute for the Study of Health and
Illness at Commonweal, a post-graduate and undergraduate
program for physicians who wish to reclaim their
calling and integrate Hippocratic values into their work.
Dr Remen is the author of two best selling books: Kitchen
Table Wisdom: Stories That Heal, and My Grandfather s
Blessings: Stories of Strength, Refuge and Belonging. Dr
Remen has a 50-year personal history of Crohns disease
and her work is a unique blend of the viewpoint of
physician and patient.
Moderator: William B. Shore, MD, University of
California, San Francisco
Sunday, February 1
10:00 - 11:00 am
Educational Preparation for the 21st Century Family
Physician: Recommendations From the Future of
Family Medicine Project
Perry A. Pugno, MD, MPH, CPE, American
Academy of Family Physicians, Leawood, Kansas
The Future of Family Medicine (FFM)
Project was a collaborative initiative among
the family of family medicine organizations
to reassess and reinvigorate our
discipline. A key component of that process was the
work of Task Force #2 which was charged with the
responsibility to determine the training needed for
family physicians to deliver the core attributes and
system services for a new model of family medicine.
Does the new model represent revolutionary change?
How has our educational model changed over the past
30 years? Whats good about what we have been doing
all this time, and what needs to be changed? How will
these changes affect student interest, our departments,
and residencies? These questions and more that challenged
the task force members will be presented along
with an early look at the FFM recommendations to guide
the education of family physicians for the 21st century.
A 1974 graduate of the University of California,
Davis, Dr Pugno completed his family practice residency
at General Hospital, Ventura County, California. Following
a tour of duty with the National Health Service Corps, he entered the sphere of graduate medical
education as a residency director and has accumulated
more than 20 years of experience in that role. He has
worked in programs from California to Connecticut,
including public, private, and university-sponsored
settings.
He is board-certified in both family practice and
emergency medicine and has added experience as the
director of a trauma center, hospital chief medical officer,
public health officer, and medical director of a health
plan. His MPH from Loma Linda University is in
multidisciplinary educational administration.
He has served as president of the Association of
Family Practice Residency Directors, president of the
University of California Medical Alumni Association,
chair of the ACGME Residency Review Committee for
Family Practice, and is the founding chair of the National
Institute for Program Director Development. His
recent experience in corporate physician leadership and
managed care was as the vice-president for graduate
medical education and medical affairs with Mercy
Healthcare Sacramento, a division of Catholic
Healthcare West.
Currently, Dr Pugno is the director of the Division of
Medical Education for the American Academy of Family
Physicians. He is responsible for AAFP initiatives related
to medical school and residency education, including
supervision of the Residency Assistance Program and
providing staff support for legislative advocacy.
Moderator: Catherine Florio Pipas, MD, 2004 Conference
Cochair, Dartmouth Medical School