Monday, February 1
1:15–2:30 pm (CST)
The Scott Fields Lecture: The Intersection of Racism & Race-based Medical Decision Making in Medical Education
Bonzo Reddick, MD, MPH, Mercer University
|The Scott Fields Lecture was established in 2021 to honor the generosity and body of work of Scott A. Fields, MD, MHA, to STFM. Dr Fields has been a major contributor to
the advancement of the
Society and a national leader
in medical student education.
This lecture is a program component of each STFM Conference on Medical
An expert panel from the Association of American Medical Colleges (AAMC) encouraged schools to improve the teaching and learning of behavioral and social sciences in undergraduate medical education. Most medical schools and residency programs educate their learners about the social determinants of health, but there is little guidance about the ideal quantity or format for education on social contributors to health outcomes. One particular social determinant of health—a patient’s race or ethnicity—is mentioned frequently in medical education, but with a heavy emphasis on supposed biological or genetic differences between different races and cultural groups. For example, our learners are taught that Asian patients have higher rates of gastric cancer, or that Black patients are at higher risk for cardiovascular disease, but we rarely discuss that these differences are likely caused by social and environmental factors. Moreover, when we discuss racial and ethnic differences, we group patients into large clusters based on phenotype that do not have a biological or genetic basis and that have little to no scientific evidence to support them. I will present a new paradigm for medical education that asserts that race-based medicine and a social determinants of health approach to healthcare are diametrically opposed. Additionally, this paradigm integrates social determinants of health into the entirety of medical education, as we can paradoxically use the traditional biological focus of medical schools to teach about the social factors that impact patients’ health.
On completion of this session, the participants should be able to:
- Discuss current trends in teaching race-based medicine in medical schools & residency programs
- Identify the evidence for/against teaching race-based medical decision making using 1 of 4 clinical examples
- Describe how a genetic/biological view of racial and ethnic classifications contributes to systemic racism
- Describe a new educational paradigm in which the impact of social determinants on a patient’s health supersedes biological determinants, and we paradoxically use biological determinants to promote a social determinants of health approach to medical education and healthcare
Dr Reddick is the associate dean of Diversity, Equity & Inclusion, the chair of the Department of Community Medicine, and a professor in the Community Medicine and Family Medicine departments at Mercer University School of Medicine in Savannah, GA—the city where he was also born and raised. After receiving his BS degree (Biology) from Morehouse College and MD degree from Morehouse School of Medicine in Atlanta, GA, Bonzo moved to NC to attend the University of North Carolina at Chapel Hill, where he completed a family medicine residency, two faculty development fellowships, and an MPH degree with an added Interdisciplinary Certificate in Health Disparities. He practices at the JC Lewis Primary Health Care Center, a federally qualified health center (FQHC) and designated healthcare for the homeless (HCH) site.
Dr Reddick is well-known for his unique, innovative teaching methods, and he has been recognized with 14 teaching awards in his career. He is on the board of trustees for the Society of Teachers of Family Medicine (STFM) Foundation, and he writes questions for the American Board of Family Medicine (ABFM) board exams and in-training exams. His other professional interests include: (1) prevention, early diagnosis, & management of HIV & Hepatitis C in primary care and emergency care settings; (2) application and teaching of social determinants of health and health equity; and (3) use of test-enhanced learning to improve academic performance and medical knowledge.
From Code to Bedside: Why and How Family Medicine Should Lead the Healthcare AI Revolution
Steven Lin, MD, Stanford University, Division of Primary Care and Population Health
Artificial intelligence (AI) is poised as a transformational force in healthcare. In this session, participants will explore the top ten ways AI will impact patients, providers, health systems, and the Quadruple Aim. We will examine both the tremendous promise and the key limitations of AI, including its ethical pitfalls and health equity implications. Primary care is where the power, opportunity, and future of AI are most likely to be realized in the broadest and most ambitious scale. Family medicine – as the dominant force at the base of the healthcare pyramid, with its unrivaled interconnectedness to every part of the health system, and its deep relationship with patients and communities – is the most uniquely suited specialty to lead the healthcare AI revolution. Participants will learn how family physicians can lead the future by adapting quality improvement methods to AI implementations, partnering with technologists to ensure that use cases are relevant and always human-centered, and advocating for inclusive and ethical AI that combats (rather than worsens) health inequities.
On completion of this session, participants should be able to:
- Define artificial intelligence, machine learning, and deep learning
- Describe 10 ways artificial intelligence is transforming healthcare, as well as the key limitations and ethical pitfalls of artificial intelligence
- Explain three reasons why and three reasons how family medicine should lead the health care AI revolution
Dr Lin is a family physician, educator, researcher, and administrator. He received his MD from Stanford University and completed his training at Stanford’s family medicine residency program at O’Connor Hospital. He is clinical associate professor and vice chief for Technology Innovation in the Division of Primary Care and Population Health at Stanford. He is the founder of three nationally recognized programs: the O’Connor-Stanford Leaders in Education Residency Program (OSLER), the Stanford Medical Scribe Fellowship (COMET), and the Stanford Healthcare AI Applied Research Team (HEA3RT). Dr Lin is the author of more than 200 scholarly works and conference presentations. His research covers a broad range of primary care topics with a current focus on artificial intelligence in health care.
Wednesday, February 3
1:15–2:15 pm (CST)
Climate Change, Health and Poverty
Cheryl Holder, MD, Florida International University – Diversity, Equity, Inclusivity and Community Initiatives
Climate Change impacts all of us but low wealth communities are especially vulnerable. Through the stories told by South Florida’s patients, Dr. Holder will review the four major ways climate impacts health, eight major illnesses and how clinicians can lead a strong and equitable response that incorporates economic and social justice.
- Identify at least two populations which are more vulnerable to impact of climate change.
- Describe three ways climate change impacts health.
- Identify three ways clinicians can act for climate change solutions
Dr Holder, fellow in the American College of Physicians, has dedicated her medical career to serving underserved populations. After her undergraduate education at Princeton University, she completed The George Washington University School of Medicine and Internal Medicine training at Harlem Hospital. In 1987, she moved to Miami-Dade County as a National Health Service Corp Scholar to work with the underserved communities.
She served as medical director of Jackson Health System’s North Dade Health Center from 1990 to 2009. As medical director, she developed an HIV care and treatment program with funding through the Ryan White Care Act., participated in Centers for Disease Control and Prevention and National Institute of Health advisory and programmatic review panels for HIV treatment and vaccine research and for community based participatory research.
In September 2009, she joined Florida International University Herbert Wertheim College of Medicine as faculty. She focuses on teaching the impact of social determinants of health on health outcomes, addressing diversity in health professions through pipeline programs, HIV prevention, and health impact of climate change. She currently serves as the interim associate dean of Diversity, Equity, Inclusivity, and Community Initiatives.
Her community involvement includes serving as president of the Florida State Medical Association—the state affiliate of the National Medical Association in which she works with nine local Florida Medical Societies to address health disparities and increase the viability of African American physicians. She also cochair of Florida Clinicians for Climate Action to increase climate literacy and awareness of health impact of climate change on health, especially for vulnerable populations.
In 2016, she received the FIU Medallion Cal Kovens Distinguished Community Service Award and in 2017, the Faculty Convocation Award in Service and 2019 Tow Humanism in Medicine Award. Most recently, she was a featured TEDMED2020 and TED Talk speaker, “Clinicians for Climate Action”.