27th National Conference Fourth Day’s Breakout Session Topic (Thursday, April 7, 2016)

On Thursday morning, April 7, 2016, at Dondero’s Restaurant at the Grand Hyatt Kauai, the breakfast breakout groups will assemble. 

The assigned topic for discussion is the following quote of the Doctor Mark E. Clasen from the Third Charles E. Odegaard Lecture, “The Culturally Incompetent Physician” presented March 29, 1996 at the Seventh National Conference on Primary Health Care Access, held at the Williamsburg Inn and Lodge, Williamsburg, Virginia.

Dr Clasen will be memorialized at the 28th National Conference on Primary Health Care Access, on April 10, 2017 at the Hyatt Regency New Orleans.

Mark Clasen, MD, PhD
Mark Clasen, MD, PhD

“[Health belief systems] guide many of our personal decisions in matters of health and illness. These belief systems also guide our notions of adherence with medical authority, or with the teachings and beckonings of health providers.

“An entire hour could be devoted to issues of compliance or adherence; yet, we as healthcare professionals know that most compliance occurs in the milieu of a trusting relationship that is culturally competent. In this major thrust, that creating a real change in behavior, occurs best when the message is negotiated in one’s own language, articulated with the proper mixture of science, theology, and always love. There is little doubt that a culturally competent care giver is more valuable than the high priest of technology who possesses 100% knowledge to heal, but who lacks the human translation about how to heal.

“Does the title of this presentation suggest that our medical school graduates are inadequately prepared to deal with a diverse population? Does the title imply that interpersonal skills are not fully developed or as finely honed as they should be by graduation? Does it imply that 20th century physicians have been egocentric, dogmatic creature and practitioners of the art? Does it imply that 20th century physicians have not made tremendous strides in conquering disease and delaying premature death? The title was not selected to caste blame, shame, or dispersions on 20th century medical education, it was selected to look forward into the 21st century – pondering the questions about what knowledge, skills, and attitudes are needed to equip the 21st century physician. What types of educational activities will prepare the medical student of the future to enter this profession, and what are the threats and promises of such a career?

“To loosely paraphrase an old adage: ‘a physician is frequently in error, but never in doubt.’ For those in the audience who are not physicians, I want to assure you that ego strength is required to deal with pain and suffering, and demands a decisive, take charge approach, and is more egocentric than George Patton, especially when life and death matters hang in the balance.

“As a consumer of healthcare, we prefer to be clients or customers when the issues are superficial. However, when the issues are weakness, being sick unto death, being rendered helpless, we more likely want to be a patient of a loving, caring physician who will guide us through the storm to the shoreline of restoration, health, and well-being.”

The Assigned Discussion Groups

Group One (Freeman, Lead; Pugno, Scribe; Allen, Boltri, Chiang, Erickson)   

Group Two (Christman, Lead; Norris, Scribe; Babitz, Baird, Bejinez-Eastman, Clarke)

Group Three (Flinders, Lead; Partlow, Scribe; Buller, Crawford, Goodman, Smith)

Group Four (Burnett WH, Lead; Rush-Kolodzey, Scribe; McGaha, Means, Renteria, Sawyer)

Group Five (Wilke, Lead; Flores, Scribe; Burnett (Lee), Hansen, McKennett)

Group Six (Haughton, Lead; Carriedo, Scribe; Fowkes, Norcross, Osborn)

Group Seven (LeRoy, Lead; Woolsey, Scribe; Herman, Lee, Spalding