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Sunday, May 5, 2024

Opening General Session:
“Family Medicine as Social Justice”

PJ Parmar, MD, Ardas Family Medicine

Many family medicine providers enter the field with significant idealism, and over the course of their career, they get jaded and burned out. For some this happens by the end of their training. This is not the outcome we want. Historically we have been known as community leaders in social justice. Returning our focus to social justice can provide motivation and variety to keep us engaged. To get there, we will need to shift the culture of our practices. This can happen by taking accountability for our privileges, understanding the barriers our patients face, and considering how we can use our training to shift our privileges to those with less. There are tools of patient flow which we can use to improve our encounters and reduce barriers, but the tools also include those which are not just medical. The goal is not just health equity, where we focus on all patients, but health justice, where we focus on the more disadvantaged.

Learning Objectives: At the end of the session each participant should:

● Identify 3 elements of your current practice that are causing barriers to underserved medicine.
● Brainstorm ideas for reducing those barriers
● Identify one ideal that you had, when going into medicine, which you have not pursued as much as
you have wanted. Consider what you can do to return to that ideal.

PJ Parmar is a family doctor for refugees, asylees, y los sin papeles in the Denver area. He started and runs Mango House, which has primary care medical, dental, and pharmacy services, and dozens of refugee tenants including restaurants, stores, offices, youth programs, and religious gatherings. His endeavors are intentionally not nonprofit. He has been covered by media dozens of times for his medical work, refugee Scout Troops, social justice efforts, and refugee restaurants, including by CNN, People, and the documentary movie Mango House. He has spoken widely on primary care underserved medicine, including in his TED Talk. He attended the University of Colorado School of Medicine and the nearby St. Anthony Family Medicine residency, and occasionally precepts trainees from both. He is father to a wonderful 9 year old boy named Alex.


Monday, May 6, 2024

2024 Blanchard Lecture
“Family Medicine and the Counterculture Revolution for our Times”

Kevin Grumbach, MD, University of California, San Francisco

Family medicine was forged in the crucible of social movements of the 1960s. The consequential issues of our times—climate change, systemic racism, inequality of wealth, gun violence, reproductive rights, among others—are all contests for the common good that require social movements to achieve systemic reform. Primary care, according to the National Academies of Sciences, Engineering, and Medicine, is also a common good. Is family medicine ready to tap its brash, founding energy to reignite a second counterculture revolution to challenge profits, power, and privilege that harm society’s collective wellbeing? This presentation will address the essential ingredients of a counterculture revolution, including daring to be radical and not settling for incrementalism; speaking truth to power; identifying and dismantling structures that reinforce the status quo; democratizing alliances; and acknowledging one’s own complicity in harmful systems. If the speaker and audience do not feel uncomfortable at some point during the session, then the presentation will not have achieved its objectives.

Learning Objectives: At the end of the session each participant should:

● To recognize the roots of family medicine as a countercultural specialty
● To be able to characterize primary care as a common good
● To identify the key elements of a counterculture revolution
● To incorporate revolutionary acts into one’s professional life while being able to continue to earn a livelihood in family medicine

Kevin Grumbach, MD is Professor of Family and Community Medicine at the University of California, San Francisco. He served as Chair of the UCSF Department of Family and Community Medicine from 2003-2022, and as Vice President for Population Health for the UCSF Health system from 2015-2018. He is a Founding Director of the UCSF Center for Excellence in Primary Care and Director of the Community Engagement Program for the UCSF Clinical and Translational Science Institute. His research and scholarship on the primary care workforce, innovations in primary care, racial and ethnic diversity in the health professions, and community health improvement and health equity have widely influenced policy and practice. With Tom Bodenheimer, he co-authored the best-selling textbook on health policy, Understanding Health Policy - A Clinical Approach, now in its 8 th edition, and the book, Improving Primary Care – Strategies and Tools for a Better Practice, published by McGraw Hill. He received a Generalist Physician Faculty Scholar award from the Robert Wood Johnson Foundation, the Health Resources and Services Administration Award for Health Workforce Research on Diversity, the Richard E. Cone Award for Excellence and Leadership in Cultivating Community Partnerships in Higher Education, and the UCSF Chancellor’s Public Service Award, and is a member of the National Academy of Medicine. Dr Grumbach has been an advisor to Congressional Committees and government agencies on primary care and health reform and a member of the National Advisory Council for the Agency for Healthcare Research and Quality, and currently serves on the California Health Workforce Educatio and Training Council. He cares for patients at the family medicine practices at San Francisco Genera Hospital and UCSF Health.


Wednesday, May 8, 2024

“Generative AI for Research and Education: From Theory to Practice”

Tanner Dean, DO, University of Kansas, Wichita

Generative AI, especially tools like ChatGPT, is changing medicine. In this talk, we'll explore ChatGPT's background, its underlying mechanics, and its strengths and weaknesses. Beyond mere understanding, we will explore frameworks needed to safely and efficiently use this technology. Grasping the AI behind ChatGPT as well as best practices will enable us to look at practical uses in primary care research and teaching. This includes using AI for quick Q&A sessions, help in writing, creating visuals, summarizing articles**, and exploring its broader potential. The future of medical education will blend traditional teaching with AI tools. It's vital for today's educators to have working knowledge of these new technologies. This talk urges primary care professionals to not just watch, but actively join in the AI revolution. By equipping the educators, this talk hopes to inspire participants to dive in to discover the simple yet powerful ways AI can boost their work in medicine. Participants should walk away with a introductory understanding of ChatGPT works, how they can write effective prompts and several ways they can use ChatGPT in their practice.

Learning Objectives: At the end of the session each participant should:

● Explain the methodology and principles behind how ChatGPT is trained.
● Identify common pitfalls and limitations associated with ChatGPT and similar AI models.
● Recognize several various potential uses of ChatGPT in a research and teaching environment.
● Discuss the predicted trajectory and role of ChatGPT in the future landscape of primary care
research and education.

Dr. Tanner Dean is an Assistant Professor of Internal Medicine at the KU School of Medicine in Wichita. Trained as a Doctor of Osteopathic Medicine from A.T. Still University, he completed his Residency in Internal Medicine at KUMC-Wichita. Dr. Dean's unique blend of clinical acumen is further enriched with a certification in Artificial Intelligence (AI) from the American Board of Artificial Intelligence in Medicine. He teaches students both on rotation in the hospital as well as leads the 3rd year neurology clerkship for the KU School of Medicine - Wichita. His research stands at the confluence of technology and medicine. Notably, he has undertaken innovative projects to enhance clinical care through technological advancements. A central theme of his current investigations is understanding physician perceptions of AI in healthcare and the potential of large language learning models in all aspects of medical practice, research, and education. Dr. Dean is very optimistic about AI in healthcare and is working on building the educational structures to equip educators and physicians of the future with the confidence and knowledge to use AI in their medical practice.



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