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31st Annual Predoctoral
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Friday, January 28
8:30-10 am
"Educating Tomorrow's Family
Physicians: Applying the Gretzky Pardigm"
Robert Graham , MD, Agency for Healthcare Research and Quality, Rockville,
MD
Today's medical students are
being prepared to practice medicine in
the time period 2010-2050. Given the
current instability of the US health
care system, the steady march of
scientific knowledge, and the variables
of demographic change, there can be little certainty
about the practice environments they will face. This
presentation will describe some of the possible scenarios
for medical practice in the United States, and suggest
some core elements of student preparation which may
assist these physicians in succeeding in the milieu in
which they will practice.
Since 1970, Robert Graham, MD, has served in a
series of senior positions in both the private and public
health care sectors. In August of 2001, he returned to
the US Public Health Service as the director of the Center
for Practice and Technology Assessment in the Agency
for Healthcare Research and Quality. In December 2002,
he moved to assume the responsibilities of the acting
deputy director for the Agency. From 1985 to 2000 he
served as the executive vice president of the American
Academy of Family Physicians (AAFP). Upon his departure
from the AAFP in August of 2000, he spent a
sabbatical year as scholar in residence in the Academy's
Policy Center in Washington, DC.
From 1970–1985, he
served as a commissioned officer in the United States
Public Health Service (PHS). In the PHS, he held a
variety of positions in the Health Services and Mental
Health Administration, the Bureau of Health Manpower,
and the Health Resources Administration. After serving 2
years on detail as a staff member of the Senate Health
Subcommittee, Dr Graham returned to the Executive
Branch in 1980, and was subsequently named the first
administrator of the Health Resources and Services
Administration.
Throughout his career, Dr Graham has
spoken extensively and written about a number of
critical topics in health policy, such as health care
reform and the need for universal coverage, federal health
workforce policy, and the organizational characteristics
of effective health systems. His contributions and
expertise in health policy have been recognized by his
election to the Institute of Medicine and his selection as
treasurer of the bipartisan Alliance of Health Reform. In
September of 2000, the AAFP renamed its Center for
Policy Studies in Family Practice and Primary Care as The
Robert Graham Center.
Saturday, January 29
8:15-9:15 am
"Research in Medical Education:
Implications for Teachers and Learners "
Patricia Carney, PhD, Dartmouth Medical School
Family medicine is the core discipline of undergraduate medical
education. It provides student learners
across all 4 program years with a
clinical foundation of a depth and
breadth that calls for leadership in
educational research across the entire educational
continuum. My goal in this plenary session is to inspire
faculty educators and learners on the importance of
educational research in family medicine, especially as it
relates to ACGME competencies.
Developing an academic
portfolio in educational research should be part of the
educational mission for all teaching faculty. The clinic
where teaching students is done is your educational
laboratory, and your observations and insights can and
should be used to develop your own program of educational
research. Evidence-guided educational efficacy in
medicine should match the evidence base it has established
for clinical care. Educational research is wide open
for research, and I will discuss the opportunities available
to pursue research with existing data, the benefits
and the challenges of conducting research, and the
approaches I use to make it fun.
Patricia Carney, PhD, is currently associate
professor of community and family medicine, assistant
dean for research in medical education, and codirector
for cancer control research at Dartmouth Medical School
and the Norris Cotton Cancer Center. Dr Carney received
her BS in nursing from St Anselm College in 1980, her MS
as an Adult Health Clinical Specialist from the University
of New Hampshire in 1989, and her PhD from the University
of Washington in 1994.
Her doctoral training included
two specialty areas: health services research
(public health and community medicine) and educational
psychology. Dr Carney has contributed to the development
of several funded educational research grants in
family medicine, internal medicine, and obstetrics-gynecology.
Besides conducting research in medical
education, Dr Carney also has a research program in
breast cancer screening, detection, and diagnosis with
several studies funded by the National Cancer Institute
or the Agency for Healthcare Research and Quality. She
has led or contributed to more than 80 publications in
both these areas of research.
Sunday, January 30
10:15-11:15 am
"Native Traditions and Healing"
Lori Alvord, MD, Dartmouth Medical School; and Thomas Hatathli, Tuba City,
Ariz
Native healing models are natural
examples of health care that is concerned
with both the mind and the
body, the individual and the family,
the human and the natural world.
Spirituality is integral to each component
of healing. As allopathic medicine
begins the journey toward a patient-centered
model of care, such examples
can help this journey.
Thomas
Hatathli, a Navajo medicine man, will
describe his life and philosophies of
healing. Lori Alvord, MD, Navajo
surgeon, author, and associate dean at
Dartmouth Medical School, will begin with a brief
narrative of her visit to see Thomas for a ceremony
during a complicated pregnancy, reveal how some
elements of ceremony are directly supported by recent
research in the behavioral sciences, and end with a short
film clip of "The Kinaalda," a Navajo puberty ceremony
that is part of the Blessing Way.
This unique presentation
incorporates cultural competence, literature, and
medicine, and the role of the arts in healing.
Dr Alvord is currently associate dean of student and
multicultural affairs at Dartmouth Medical School. A
member of the Navajo Tribe, she is also an assistant
professor of surgery, assistant professor of psychiatry,
and a board-certified practicing general surgeon. She
earned her undergraduate degree from Dartmouth College
and received her doctorate of medicine from Stanford
University. Her surgical residency was fulfilled at
Stanford University Hospital, where she finished as chief
resident in 1991. For the next 6 years, she was employed
by the Indian Health Service (a division of the US Public
Health Service) in Gallup, NM, providing health care to
members of the Navajo and Zuni tribes.
The Scalpel and the Silver Bear, her autobiography,
tells the story of her journey from the reservation to
become a surgeon and her work to combine Navajo
philosophies of healing with western medicine. Dr Alvord
has received numerous awards, including an honorary
honoring pioneering women physicians over the past 150
years.
Mr Hatathli is currently employed as a mental
health specialist with the Indian Health Services in Tuba
City, Ariz. He was ordained as a Blessing Way Chanter in
1989 and has worked as a therapist and counselor for the
past 19 years. Chanting is an ancient, traditional healing
ceremony and is a gift handed down to Mr Hatathli from
his paternal grandfather and elders. He carries his role as
a chanter and teacher with great dignity and respect and
serves as a speaker to conferences across the Navajo
Nation.
Mr Hatathli believes his mission is to help people
find ways to better their lives. He believes one should be
vibrant in mind, body, and spirit. Running and work
continue to provide him with a lifestyle based on
discipline, work ethic, rest, and good eating habits-a
lifestyle that has allowed him to compete in seven
Boston Marathons! As Mr Hatathli says, "Being a good
person sets a tonic to everything I do in life." He received
his Associate of Art degree from Central Arizona
College and a Bachelor in Liberal Studies degree from
Northern Arizona University.