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General Sessions

Saturday, May 6; 8:30-10 am

Embracing Social Movement Strategies to Revitalize Primary Care

Andrew Morris-Singer, MD, Primary Care Progress, Portland, OR

What does it look like to apply social movement strategies to revitalizing primary care? In his talk, Dr Andrew Morris-Singer, a primary care physician, activist and founder of the nonprofit Primary Care Progress, will discuss the myriad benefits of utilizing a movement framework to advance essential reforms needed to achieve the Quadruple AIM. From quality improvement initiatives to individual and collective resiliency efforts, principles and practices of grassroots organizing are proving effective in individual, institutional and systems-wide change. Drawing from his own experience in advocacy in both health care and LGBT equality, and as a practicing primary care clinician, Dr Morris-Singer will identify actionable steps practitioners can take to re-energize their teams, achieve necessary reforms and improve health outcomes for their patients.

Learning Objectives :
After this session, participants will be able to:

  1. Explain the core components of a social movement framework and how it complements traditional quality improvement approaches. 
  2. Apply grassroots organizing strategies and tactics within primary care settings. 
  3. Identify specific interventions that can create and support powerful team culture as well as essential reforms necessary for high functioning primary care systems.

Dr Andrew Morris-Singer, board certified in internal medicine, is president and founder of Primary Care Progress (PCP), a national nonprofit dedicated to transforming primary care.  A former community organizer with more than 15 years of advocacy experience, as well as a clinician, medical educator, leadership consultant and primary care advocate, He writes and speaks on the value of primary care, relational leadership, personal narrative and the use of community organizing strategies to advance innovations in care delivery. He is a frequent blogger, and has been featured in a number of national media outlets, including NPR, CNN and The New York Times. He also regularly speaks at academic medical institutions and professional conferences across the country.  He is a lecturer in Global Health & Social Medicine at Harvard Medical School, an assistant professor in the Department of Family Medicine at Oregon Health & Science University and an adjunct professor in the Department of Family & Preventive Medicine at the University of Utah. He earned his medical degree at Harvard Medical School and completed his residency at Brigham and Women’s Hospital in Boston. He currently sees patients in Portland, Oregon.

Sunday, May 6; 4:30-5:30 pm

Population Health and Latino Immigrant Patients: Opportunity or Problem?

David Hayes-Bautista, PhD,Center for the Study of Latino Health and Culture, Los Angeles, CA

The standard social determinants of health model (race, income, education, access to care) does not have predictive power with Latino populations. In spite of having higher risk factors (eg, low income, education and access to care) than other populations, Latinos have better outcomes in a number of areas (chronic diseases, birth outcomes, smoking, etc.) in a phenomenon known as the Latino Epidemiological Paradox. Immigrant Latinos, who have even worse risk factors (even lower income, education and access) than US born Latinos, consistently show even better behaviors (lower smoking) and outcomes (lower mortality) than the US born. The social determinants that do have a negative effect on Latino health include assimilation and acculturation. While the population health mandate offers providers a chance to build upon the healthy behavior of Latino immigrants, current policy such as the Affordable Care Act excludes Latino immigrants in general and undocumented in particular, from program participation.

Learning Objectives:
After this session, participants will be able to:

  1. Gain an overview of the Latino Epidemiological Paradox.
  2. Appreciate how Latino immigrants strengthen the Latino Epidemiological Paradox
  3. Appreciate how standard social determinants (race, income, education and access to care) do not predict Latino Epidemiological Paradox.
  4. Understand how social determinants for Latino health must include assimilation and acculturation.

David Hayes-Bautista, PhD, is a distinguished professor of medicine, director of the Center for the Study of Latino Health and Culture (in the Division of General Internal Medicine and Health Services Research), and associate director of the UCLA/Drew Hispanic Center of Excellence, at the David Geffen School of Medicine at UCLA. Since 2002 he has taught a graduate research seminar, “Theory method and data in Latino health policy research,” to doctoral level students interested in developing skills to conduct research on various Latino sub-populations. Currently, he functions as research mentor to six clinical scholar/clinical faculty MDs, to prepare the mentees in the preparation of research-based articles for submission to peer-reviewed journals. He also mentors doctoral-level students in the schools of dentistry, nursing, and public health.

Monday, May 8; 8:30-10 am

Federal Support for Primary Care Research 

Andrew B. Bindman, MD, Philip R Lee Institute for Health Policy Studies at the University of California, San Francisco.

The Agency for Healthcare Research and Quality's (AHRQ) authorization from Congress ties health services research funding to a policy and practice agenda, including a focus on primary care as a foundational component of the health care system.Through its convening, communication, and funding functions, AHRQ has been an organizing voice setting the research direction for the field.  President Trump's 2018 federal budget blueprint includes a proposal to dissolve AHRQ as a freestanding agency within the Department of Health and Human Services and to move its activities to the National Institutes of Health (NIH). This session will be led by a primary care physician who was a previous Director of AHRQ. It will include a brief presentation of the agency's historical support for primary care research followed by a moderated discussion on the future of primary care research and whether it might be enhanced or undermined if Congress reorganizes AHRQ.

Learning Objectives:
After this session, participants will be able to:

  1. Understand AHRQ's historical role in health services and primary care research. 
  2. Describe the federal government's actions to fund and organize health services and primary care research activities through AHRQ.
  3. Identify the potential benefits and risks of re-organizing primary care research within the NIH.

Dr Bindman is professor of Medicine and Epidemiology & Biostatistics based within the Institute for Health Policy Studies at the University of California, San Francisco (UCSF). He is a primary care physician who has practiced and taught at UCSF's affiliated San Francisco General Hospital for more than 25 years. During 2009–2010, he served as a Robert Wood Johnson Health Policy Fellow within the US House of Representatives, where he was intimately involved in the drafting of legislative language for the Affordable Care Act (ACA). He subsequently worked to implement the ACA as a senior advisor to the US Department of Health and Human Services. In 2016 he served as the director of the Agency for Healthcare Research and Quality (AHRQ). Dr Bindman attended medical school at Mt. Sinai in New York and he completed his residency in internal medicine at UCSF. He was elected to the National Academy of Medicine in 2015.


Tuesday, May 9, 2016; 9:45-11am

Leadership and Lessons from "The Ladder", a Family Medicine Service Learning Engagement Building a Community of Purpose 

Renee Crichlow MD, University of Minnesota, Department of Family Medicine and Community Health and North Memorial Family Medicine Program, Minneapolis, MN 

We are living in interesting times. As family physicians and teachers of family medicine, our growth as leaders is necessary. Family medicine has a strong legacy, and the last 50 years has laid the foundation for the next 50 years. Leadership is managing change with growth and vision and helping others to do the same. Dr Crichlow will present some of the foundational personal and organizational changes that will help us shape the destiny of our profession, our communities, and our society. 

All models are wrong but some are useful.” The Ladder, a mentorship club for low-wealth youth interested in health careers, is a useful model for lessons in leadership. Born from an STFM Emerging Leader Fellowship project, The Ladder is creating a generation of leadership growth. Each participant is a mentor, each participant is a member, and all are Scholars, encouraging each other to grow with purpose and mission, to be leaders in their own lives and communities. Designed be sustainable for the long term investment needed to nurture true change, The Ladder creates an infrastructure and pathway to help diverse, low-wealth and underserved individuals become a community of purpose and pathway of mutual support. Its genesis is family medicine leadership training at STFM. The leadership lessons from The Ladder include “leaders build leaders” and continues with “lift as you climb, build as you grow.” Learning from lessons such as these, we, as teachers of family medicine, can build on our legacy and lead in creating our new shared destiny.

Learning Objectives:
After this session, participants will be able to:

  1. Identify Kouzes and Posner 5 Practices of Exemplary Leadership
  2. Explain the impact of cascading mentorship on leadership development
  3. Understand and discuss the challenges of operating a continuity-based community program following the “Winbush Principles of Community Engagement” Stay lean, stay long, and adapt to local conditions.

Dr Renee Crichlow is a full spectrum family physician at the University of Minnesota, Department of Family and Community Medicine, North Memorial Family Medicine Residency Program. She received her undergraduate degree in biology and political theory from University of California, Santa Cruz and completed medical school and residency at University of California, Davis. Following residency, she completed her first fellowship in faculty development at University of California, San Francisco. Dr Crichlow then joined faculty at UC Davis with a joint appointment in family medicine and OB/gynecology. Following UC Davis, she worked and taught as a family physician in rural Montana while on faculty with the University of Washington in the Montana Family Medicine Residency Program. During that period she completed a Department of Health and Human Service Primary Care Health Policy Fellowship. Now with the University of Minnesota, she has seen patients at the Broadway Family Medicine Clinic and taught family medicine in North Minneapolis since 2009, where she continues her work in health policy, coordinates the department wide Community Health efforts, is engaged in international efforts in complexity and systems science in health care, and she is the founder of a youth health career mentorship program called The Ladder. She has served in numerous leadership positions through local, state, national, and international levels, including areas of health policy development, academic endeavors, and community outreach. Dr Crichlow now serves as the chair of the STFM Emerging Leaders Fellowship.

 


Copyright 2017 by Society of Teachers of Family Medicine