HEALTH-CARE DEBATE FROM PAGE 1 “A medical insurance card is of no value whatsoever without someone to take are drawn to higher-paying specialties that care of you. Coverage must be sufficient enable them to repay their medical school to encourage physicians and health-care debts more quickly. systems to engage with patients,” said A tabulation by the National Resident Latimore, who insists that reimbursement Matching Program showed that the reform must accompany any increased 2,387 first-year residency positions in health-care insurance access. family medicine filled nationwide in “Medicare sets the standard for how we 2008 constituted only 11.4 percent of the reimburse, with rates significantly higher 20,940 total slots encompassing all medical for technical procedures than for cognitive specialties. actions,” Latimore said. “Not only should Nuovo said that regardless of changes that reimbursement inequity be rectified, that may be legislated, schools of medicine but also significantly more money should be will maintain their core focus of teaching allocated for loan repayment, specifically for patient care and safety, communication students who agree to work in primary care skills and other fundamentals. or in rural or central urban areas.” “So how can medical schools respond to the need for more primary-care physicians? UC Davis has a superb track record in primary care,” Nuovo said. “Our Rural Program in Medical Education [PRIME], and our advancements in the development of telemedicine and supporting technologies, are excellent examples.” Donald M. Hilty, Rural-PRIME director, said that students in the program gain insightful understanding of the entire system of care by virtue of the holistic nature of rural practice. “They’re able to wrap their brain around a system and a community, Latimore believes regulatory action and as a result can engage themselves in mandating dedication of a fixed proportion becoming part of a solution to improve of graduate medical education slots to access to care,” Hilty said. He doubts that primary care may be needed to rectify health-care reform will necessarily increase shortages. caseloads at the UC Davis Medical Center, “I know that other people believe that but says it could result in fiscal changes. market economics rather than government “We already furnish more than 50 percent intervention should determine allocation of the free care in the community, but if reimbursement changes are enacted, other of residency slots,” Latimore said. hospitals may be encouraged to help more. “However, in order to meet workforce We may have to make some adjustments in demands, government intervention may be how we generate salaries of clinical faculty necessary.” Health-care reform should go one step members.” further, in the view of first-year medical Darin Latimore, director of medical student Kaveh Zivari, co-president of the student diversity, regards economics as a School of Medicine class of 2013. fulcrum point in health-care reform. UC Davis Health System “There is a need for more primarycare services to do preventative care, and at the same time, a greater need for physician assistants to help manage patients over a longer period of time. Unfortunately, chronic diseases such as diabetes lead to heart attack, stroke or other problems,” observed Zivari, who believes that the food processing industry must be considered part of the equation. “We need to control and curb these problems by adjusting peoples’ eating habits, which will be possible only through reforms in food industries.” He believes that medical students can help influence change rather than merely gird themselves to be buffeted by it. “Medical students feel that finally something can be done, and they can contribute,” Zivari said. “This is the time to stand up and bring one’s ideas to the table. This is the time to lobby for the right change. This is the time for the students to go tell Congress why they decided to become doctors.” Mark C. Henderson, associate dean for admissions and outreach says he likewise has detected an “undercurrent wave of positive energy” among students. “Many students come to our school because of their desire to work with people who are medically underserved. I think students are, as a whole, very optimistic about the prospects for health-care reform, and they want be part of change in the system,” Henderson said. “We as leaders and mentors have tremendous influence on students, and we need to remain engaged in this debate and help move it forward to the extent we can,” Henderson added. “Our role is to galvanize and channel the interests of our students in ways that can lead to constructive change.” Faculty Development Office 4610 X Street, Suite 4101 Sacramento, CA 95817 Published by the Faculty Development Office DECEMBER 2009 – JANUARY 2010 Workshops and other activities You are invited! We encourage you to enroll in one of the various workshops, programs and events sponsored by the Faculty Development Office. For more event details and to register, visit www.ucdmc.ucdavis. edu/facultydev/ and click Enroll Online. (Event co-sponsors are indicated within parentheses.) Volunteer Clinical Faculty members are also welcome and encouraged to attend faculty development events. (CALENDAR FROM PAGE 1) January (CONTINUED) 15 Retaining and Nurturing a Diverse Faculty (MCLP) 20 Faculty Forward Task Force meeting facultyNEWSLETTER Published by the Faculty Development Office, which administers and coordinates programs that respond to the professional and career development needs of UC Davis Health System faculty members. 23Women’s Wellness Retreat (WIMS) 4 Workshop: Improving Leadership Performance: Using the Myers-Briggs Personality Type Indicator To Your Advantage 9 Breakfast with the Dean 4610 X Street, Suite 4101 Sacramento, CA 95817 (916) 734-2464 www.ucdmc.ucdavis.edu/facultydev/ 12 A Mentee’s Guide to Being Mentored: How to Identify and Nurture Your Goals (JCLP) Edward Callahan, Ph.D. Associate Dean for Academic Personnel 17 Faculty Forward Task Force meeting 19 A leadership Model for Faculty in Academic Medicine (MCLP) 20 Focused Workshop: Leading Complex Organizations (MCLP) Gregg Servis, M.Div. Director, Faculty Development gregg.servis@ucdmc.ucdavis.edu Cheryl Busman Program Representative, Faculty Development cheryl.busman@ucdmc.ucdavis.edu Save the date: Felicia Carrillo Program Assistant, Office of Diversity felicia.carrillo@ucdmc.ucdavis.edu April 16 New Faculty Orientation EditPros LLC Writing and Editing www.editpros.com December February 3 Breakfast with the Dean 7 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part I 7 Teaching Scholars Program Reception 11 Negotiation Skills (JCLP) 14 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part II 16 Faculty Forward Task Force meeting 18 Budget Management and Business Reports: Finance & Professional Billing (MCLP) March 2 Dean’s Recognition Reception January Event co-sponsors 8 JCLP: Junior Career Leadership Program MCLP: Mid-Career Leadership Program Putting Together Your Academic Packet (JCLP) 15 Balancing: Personal and Academic Career Planning (MCLP) WIMS: Women in Medicine and Science INCENTIVES MAY BE NEEDED TO PROMOTE PRIMARY CARE As the emotionally lathered debates about health-care insurance reform reverberated throughout the year in Congress, the White House, on radio and television talk programs, and in town halls nationwide, the varied proposals have been doggedly dissected and excoriated. Lost amid shrill charges and counter-charges, however, was consideration about the ability of already overextended primary-care physicians to care for 40 million or more additional patients who might receive coverage under the various proposed plans. That implication of health-care insurance reform is clearly evident, however, to UC Davis School of Medicine and UC Davis Health System medical personnel and students. James Nuovo, associate dean of student affairs and graduate medical education, said that the damaging effects of impeded access to routine health care are apparent to students serving clerkships and to faculty and student volunteers in community clinics. “In our hospital and community clinics, UC Davis medical students and physicians witness what happens when social service agencies or health insurance providers deny people access to mental or medical health care,” Nuovo said. “By experience they know that patients who are unable to continue taking prescribed medications because they can’t afford them end up in the hospital again.” The American Academy of Family Physicians calculates that U.S. medical schools cumulatively produce only half the number of primary-care physicians the nation now needs, and has predicted that the shortage of family doctors will grow to 40,000 in 10 years. Back in the mid-1950s, half of the nation’s physicians practiced family-care medicine; that number has dwindled to 30 percent as a steadily increasing proportion of medical school students CONTINUED ON PAGE 5 JANUARY CONTINUES ON PAGE 6 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev WHAT REFORM DEBATES IGNORE 5 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev 6 officeVISIT facultyROUNDS NOMINEES SOUGHT FOR DEAN’S EXCELLENCE AWARDS A WELCOME TO NEW FACULTY COLLEAGUES D E N I S E S AT T E R F I E L D I S C H I E F C O O K OF A PED I AT R I C O P H T H A L M O L O G Y P R A C T I C E Colleen Clancy Thousands of men and women interest in teaching by becoming whose medical insurance pays for a volunteer clinical faculty memsurgical and other treatments to ber for the UC Davis Department correct strabismus owe gratitude of Ophthalmology, for which she in part to Denise Satterfield, a UC serves in clinics and conducts Davis Health System Volunteer lectures. Clinical Faculty member. Satterfield, She also hosts rotation visits a pediatric ophthalmologist who by residents at her medical office operates a solo private practice in near Sutter Memorial Hospital. She Sacramento, was the lead investigator describes herself as “chief cook and in a seminal 1990 research study bottle washer” of her practice. titled “The Psychosocial Aspects of “I do payroll and taxes for my Strabismus.” three employees, handle accounts At the time the study was payable, computer upgrades and conducted, insurance companies Denise Satterfield with her husband, Dale Smith, on a our office lease, and often work paid to treat strabismus – misaligned recent trip to Santa Fe, New Mexico. 10-hour days. But I like being my eyes – only for patients experiencing own boss, and I wouldn’t change a “My friend hated it. I loved it,” double vision; they considered thing,” Satterfield said. Satterfield said. “I became president of treatment for other patients cosmetic and the candy stripers, initiated a teaching In 2000, Satterfield became involved declined coverage. program enabling candy stripers to be with the School of Medicine Alumni “My study showed that adults more useful to the nursing staff, and Association as a board member and experience improvement in psychosocial became a certified nurses’ aide.” functioning with correction of their completed a four-year term as president. She obtained a nursing degree and strabismus, a benefit not previously Beth Abad, the alumni association’s entered the medical field as a criticalreported in the literature,” Satterfield development officer, speaks glowingly of said. “Since then, numerous other studies care registered nurse in 1977. But even Satterfield. have corroborated our findings. Insurance during nursing school she felt a tugging to “She is a consensus builder who leads become a physician after participating in companies now usually cover strabismus by example. She never asks anyone to surgery to correct a child’s crossed eyes. surgery in adults.” do something that she is unwilling to do “I had an open mind about other fields Like many other pediatric ophthalmoloherself,” Abad said. “She also happens to of medicine, but kept coming back to gists, she also specializes in treatment of be a fabulous cook, specializing in Thai, ophthalmology, and specifically pediatric adult strabismus because the condition Indian and other cuisines. She prepares commonly develops in children – although ophthalmology,” Satterfield said. Although remarkable meals for events she routinely she discovered that she enjoyed teaching it can emerge in adulthood as a result of hosts at her home for medical students while she was a resident at UC Davis, she traumatic injury, tumors, stroke, diabetes, and alumni.” Satterfield, a largely selfdeclined an invitation to join the School botulism or Guillain-Barré syndrome. taught cook, also smokes and vacuumof Medicine faculty because she prefers Satterfield conducted her research packs fish and meats in large quantities to during her residency in ophthalmology private practice. at the UC Davis Medical Center, where After completing a fellowship in pedi- give to colleagues and friends. She and her husband, urologist Dale she also obtained her medical degree and atric ophthalmology and strabismus at the completed her internship in pediatrics. Smith-Kettlewell Eye Research Institute in Smith, have two grown daughters: Megan, an innovative cook with a degree in When in high school in Southern San Francisco, she launched her practice molecular biology and biochemistry who California, she had planned to become a in 1993 by following guidelines in the hopes to own a restaurant someday; and foreign-language teacher – until she and a American Medical Association’s “Starting classmate volunteered as “candy stripers” Lindsey, who has a degree in biology and Your Practice” kit. Once she established at a local hospital. a client base, she embraced her enduring plans a career in nursing. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev call for SUBMISSIONS The School of Medicine is soliciting nominations for three annual awards that bestow recognition on outstanding faculty members and faculty-led teams. Recipients of all three awards will receive a cash prize and will be honored at a faculty recognition reception to be held on the evening of March 2, 2010. Neil Hunter Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis Health System community. Watch for more new clinical and research staff members in the next issue. Colleen Clancy investigating cardiac arrhythmia chromosome transmission during meiosis, genome stability and tumorigenesis. His findings could lead to greater understanding of activation of oncogenes, and the ways in which defective recombination is related to infertility, miscarriage and genetic diseases including Down syndrome. Hunter, a UC Davis Chancellor’s Fellow for 2009–2010, is an associate professor in the departments of Microbiology (College of Biological Sciences), Molecular and Cellular Biology, and Cell Biology and Human Anatomy (School of Medicine). • Forensic psychiatrist Jason G. Roof, M.D., conducts sanity evaluations, competency to stand trial evaluations, sexual offender evaluations and disposition evaluations of adults and adolescents in his capacity as a member of the California Superior Court Expert Panel. Roof is an assistant clinical professor in the Department of Psychiatry and Behavioral Sciences’ Division of Psychiatry and the Law. He also is the medical student and resident site director for Sacramento County Jail Psychiatric Services; and an attending physician at the inpatient psychiatric unit of the Sacramento County Main Jail; and an outpatient physician for Jail Psychiatric Services at the Sacramento County Main Jail and the Rio Cosumnes Correctional Center. Dean’s Award for Excellence Medical scientists have long sought, without success, to develop drugs to control cardiac arrhythmia and other excitable disorders. Colleen E. Clancy, Ph.D., an associate professor of pharmacology, says that pharmacological management of cardiac arrhythmia has been impeded by lack of an adequate framework to predict how drugs that target cardiac ion channels will alter the emergent electrical behavior generated in the heart. Clancy’s research group is working to develop such a framework Other new colleagues using computational modeling. • Loren T. Davidson, M.D., an assistant Simulations that Clancy and professor of physical medicine and her associates have conducted in rehabilitation, conducts inpatient virtual cardiac tissue suggest that a pediatric rehabilitation, outpatient clinically relevant concentration of the clinics for children with physical antiarrhythmic drug flecainide may initiate and developmental disabilities and • Cynthia Mills Schumann, Ph.D., re-entrant arrhythmias in the setting of consults at UC Davis Medical Center director of The M.I.N.D. Institute ectopic stimuli. The study could form the and Shriners Hospitals for Children Brain Tissue Resource Center with foundation to develop a high-throughput – Northern California. He also expertise in the neuropathology virtual drug testing system enabling attends California Children Services of autism, is investigating brain integration of data on drug channel (CCS) clinics at local medical therapy development in children with autism. units to prescribe therapy, bracing interactions and prediction of drug effects Schumann, an assistant professor and equipment needs for qualifying on emergent dynamics in a complex in residence in the Department of children. Certified by the American excitable system. Psychiatry and Behavioral Sciences, Board of Physical Medicine and Neil Hunter is UC Davis’ first is studying postmortem brain tissue Rehabilitation, Davidson is researching HHMI scientist with the intention of identifying the spasticity management in patients with Geneticist Neil Hunter, Ph.D., has underlying neuropathology that leads cerebral palsy. become the first UC Davis faculty member to severe behavioral and cognitive selected as an Early Career Scientist by • Bahareh Nejad, M.D., an assistant impairments of autism at the cellular the prestigious Howard Hughes Medical professor of obstetrics and gynecology, level. She explains that acquisition Institute (HHMI). Hunter, whose expertise maintains a practice at the UC Davis of human brain tissue is critical to encompasses DNA repair, chromosome Medical Group office in Roseville. examine the organization of neurons biology, and cancer biology, is investigating Her practice encompasses general in the brain and the contribution the mechanism and regulation of obstetrics and gynecology, and of certain genes and proteins in homologous recombination and its role in minimally invasive surgery. development. 2 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev The School of Medicine is seeking nominees for the third annual Dean’s Award for Excellence, which recognizes outstanding faculty contributions in the core mission areas of research, education, clinical care, and community engagement. Up to four awards will be presented – one in each of the four mission concentrations. The award is intended not only to reward outstanding performance, but also to acknowledge contributions in transformational leadership in our collegial community. The Dean’s Award for Excellence acknowledge faculty members who clearly and consistently contribute to the stature of UC Davis Health System as a destination of choice for all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty members who meet the criteria for the award. Team Award for Excellence Nominations are being sought for the newly established Dean’s Team Award for Excellence, which is intended to acknowledge outstanding multi-disciplinary and/or other inter-disciplinary group efforts and contributions to advancement of the missions of the health system. Up to four awards will be presented to honor multi-disciplinary and interdisciplinary teams, members of which promote and exemplify a collaborative, collegial approach and model of working cohesively to serve at least one of the four mission areas. Nominees should exhibit compelling performance that embodies and exemplifies a sustainable 3 collaborative approach that aligns our collegial community with our mission of discovering and sharing knowledge to advance health. The nominees’ teamwork and team efforts must clearly contribute to instilling confidence in UC Davis Health System as a destination of choice among all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty-led teams and their members who meet the criteria for the award. Award for Excellence in Mentoring Nominations are being accepted for the 10th annual Dean’s Award for Excellence in Mentoring. This award recognizes and rewards School of Medicine scholars who excel in mentoring and thus contribute to the success of our faculty and our health system. This presentation is a means of bringing recognition to mentors who have specifically helped junior faculty members to succeed. Past honorees have played a key role as mentors in professional and personal mentoring. Faculty at the level of associate professor and full professor are eligible to be nominated. The mentoring awards recognize excellence in research, teaching, clinical, and/or leadership mentoring. You may designate a nominee for outstanding performance in one or more than one of these categories. The primary criterion for an award is evidence of excellent mentoring that supports junior faculty development. Who may submit nominations: Only assistant professors or newly promoted associate professors (Step I) may submit nominations. The deadline to submit nominations is Dec. 28, 2009. Nomination instructions and forms for each of these awards are available on the Faculty Development Office Web site at www.ucdmc.ucdavis. edu/facultydev/awards.html. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev advisoryteam Faculty Forward Task Force The Task Force is responsible for assisting with the implementation of the Faculty Forward survey, interpreting the results and delivering a set of recommendations to Health System leadership. Names in bold type indicate Task Force Executive Committee members. Faculty Forward Task Force members Claire Pomeroy, M.D., M.B.A., Vice Chancellor for Human Health Sciences and Dean (ex-officio member) Frederick J. Meyers, M.D., MACP, Executive Associate Dean Edward Callahan, Ph.D., Associate Dean, Academic Personnel Gregg Servis, M.Div., Director, Faculty Development Hilary Brodie, M.D, Ph.D., Otolaryngology Peter Cala, Ph.D., Physiology and Membrane Biology Michael Condrin, M.B.A., Dean’s Office Jeffrey Gauvin, M.D., Surgery Estella Geraghty, M.D., M.S., M.P.H., Internal Medicine Donald W. Hilty, M.D., Psychiatry and Behavioral Sciences Lydia P. Howell, M.D., Pathology and Laboratory Medicine Vincent L. Johnson, M.B.A., Hospital Administration Darin Latimore, M.D., Internal Medicine and Office of Diversity Cindy Oropeza, Human Resources Annisa Routon, Dean’s Office Andreea L. Seritan, M.D., Psychiatry and Behavioral Sciences Lloyd H. Smith, M.D., Ph.D., Obstetrics and Gynecology Peter Sokolove, M.D., Emergency Medicine Daniel J. Tancredi, Ph.D. Pediatrics 4 officeVISIT facultyROUNDS NOMINEES SOUGHT FOR DEAN’S EXCELLENCE AWARDS A WELCOME TO NEW FACULTY COLLEAGUES D E N I S E S AT T E R F I E L D I S C H I E F C O O K OF A PED I AT R I C O P H T H A L M O L O G Y P R A C T I C E Colleen Clancy Thousands of men and women interest in teaching by becoming whose medical insurance pays for a volunteer clinical faculty memsurgical and other treatments to ber for the UC Davis Department correct strabismus owe gratitude of Ophthalmology, for which she in part to Denise Satterfield, a UC serves in clinics and conducts Davis Health System Volunteer lectures. Clinical Faculty member. Satterfield, She also hosts rotation visits a pediatric ophthalmologist who by residents at her medical office operates a solo private practice in near Sutter Memorial Hospital. She Sacramento, was the lead investigator describes herself as “chief cook and in a seminal 1990 research study bottle washer” of her practice. titled “The Psychosocial Aspects of “I do payroll and taxes for my Strabismus.” three employees, handle accounts At the time the study was payable, computer upgrades and conducted, insurance companies Denise Satterfield with her husband, Dale Smith, on a our office lease, and often work paid to treat strabismus – misaligned recent trip to Santa Fe, New Mexico. 10-hour days. But I like being my eyes – only for patients experiencing own boss, and I wouldn’t change a “My friend hated it. I loved it,” double vision; they considered thing,” Satterfield said. Satterfield said. “I became president of treatment for other patients cosmetic and the candy stripers, initiated a teaching In 2000, Satterfield became involved declined coverage. program enabling candy stripers to be with the School of Medicine Alumni “My study showed that adults more useful to the nursing staff, and Association as a board member and experience improvement in psychosocial became a certified nurses’ aide.” functioning with correction of their completed a four-year term as president. She obtained a nursing degree and strabismus, a benefit not previously Beth Abad, the alumni association’s entered the medical field as a criticalreported in the literature,” Satterfield development officer, speaks glowingly of said. “Since then, numerous other studies care registered nurse in 1977. But even Satterfield. have corroborated our findings. Insurance during nursing school she felt a tugging to “She is a consensus builder who leads become a physician after participating in companies now usually cover strabismus by example. She never asks anyone to surgery to correct a child’s crossed eyes. surgery in adults.” do something that she is unwilling to do “I had an open mind about other fields Like many other pediatric ophthalmoloherself,” Abad said. “She also happens to of medicine, but kept coming back to gists, she also specializes in treatment of be a fabulous cook, specializing in Thai, ophthalmology, and specifically pediatric adult strabismus because the condition Indian and other cuisines. She prepares commonly develops in children – although ophthalmology,” Satterfield said. Although remarkable meals for events she routinely she discovered that she enjoyed teaching it can emerge in adulthood as a result of hosts at her home for medical students while she was a resident at UC Davis, she traumatic injury, tumors, stroke, diabetes, and alumni.” Satterfield, a largely selfdeclined an invitation to join the School botulism or Guillain-Barré syndrome. taught cook, also smokes and vacuumof Medicine faculty because she prefers Satterfield conducted her research packs fish and meats in large quantities to during her residency in ophthalmology private practice. at the UC Davis Medical Center, where After completing a fellowship in pedi- give to colleagues and friends. She and her husband, urologist Dale she also obtained her medical degree and atric ophthalmology and strabismus at the completed her internship in pediatrics. Smith-Kettlewell Eye Research Institute in Smith, have two grown daughters: Megan, an innovative cook with a degree in When in high school in Southern San Francisco, she launched her practice molecular biology and biochemistry who California, she had planned to become a in 1993 by following guidelines in the hopes to own a restaurant someday; and foreign-language teacher – until she and a American Medical Association’s “Starting classmate volunteered as “candy stripers” Lindsey, who has a degree in biology and Your Practice” kit. Once she established at a local hospital. a client base, she embraced her enduring plans a career in nursing. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev call for SUBMISSIONS The School of Medicine is soliciting nominations for three annual awards that bestow recognition on outstanding faculty members and faculty-led teams. Recipients of all three awards will receive a cash prize and will be honored at a faculty recognition reception to be held on the evening of March 2, 2010. Neil Hunter Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis Health System community. Watch for more new clinical and research staff members in the next issue. Colleen Clancy investigating cardiac arrhythmia chromosome transmission during meiosis, genome stability and tumorigenesis. His findings could lead to greater understanding of activation of oncogenes, and the ways in which defective recombination is related to infertility, miscarriage and genetic diseases including Down syndrome. Hunter, a UC Davis Chancellor’s Fellow for 2009–2010, is an associate professor in the departments of Microbiology (College of Biological Sciences), Molecular and Cellular Biology, and Cell Biology and Human Anatomy (School of Medicine). • Forensic psychiatrist Jason G. Roof, M.D., conducts sanity evaluations, competency to stand trial evaluations, sexual offender evaluations and disposition evaluations of adults and adolescents in his capacity as a member of the California Superior Court Expert Panel. Roof is an assistant clinical professor in the Department of Psychiatry and Behavioral Sciences’ Division of Psychiatry and the Law. He also is the medical student and resident site director for Sacramento County Jail Psychiatric Services; and an attending physician at the inpatient psychiatric unit of the Sacramento County Main Jail; and an outpatient physician for Jail Psychiatric Services at the Sacramento County Main Jail and the Rio Cosumnes Correctional Center. Dean’s Award for Excellence Medical scientists have long sought, without success, to develop drugs to control cardiac arrhythmia and other excitable disorders. Colleen E. Clancy, Ph.D., an associate professor of pharmacology, says that pharmacological management of cardiac arrhythmia has been impeded by lack of an adequate framework to predict how drugs that target cardiac ion channels will alter the emergent electrical behavior generated in the heart. Clancy’s research group is working to develop such a framework Other new colleagues using computational modeling. • Loren T. Davidson, M.D., an assistant Simulations that Clancy and professor of physical medicine and her associates have conducted in rehabilitation, conducts inpatient virtual cardiac tissue suggest that a pediatric rehabilitation, outpatient clinically relevant concentration of the clinics for children with physical antiarrhythmic drug flecainide may initiate and developmental disabilities and • Cynthia Mills Schumann, Ph.D., re-entrant arrhythmias in the setting of consults at UC Davis Medical Center director of The M.I.N.D. Institute ectopic stimuli. The study could form the and Shriners Hospitals for Children Brain Tissue Resource Center with foundation to develop a high-throughput – Northern California. He also expertise in the neuropathology virtual drug testing system enabling attends California Children Services of autism, is investigating brain integration of data on drug channel (CCS) clinics at local medical therapy development in children with autism. units to prescribe therapy, bracing interactions and prediction of drug effects Schumann, an assistant professor and equipment needs for qualifying on emergent dynamics in a complex in residence in the Department of children. Certified by the American excitable system. Psychiatry and Behavioral Sciences, Board of Physical Medicine and Neil Hunter is UC Davis’ first is studying postmortem brain tissue Rehabilitation, Davidson is researching HHMI scientist with the intention of identifying the spasticity management in patients with Geneticist Neil Hunter, Ph.D., has underlying neuropathology that leads cerebral palsy. become the first UC Davis faculty member to severe behavioral and cognitive selected as an Early Career Scientist by • Bahareh Nejad, M.D., an assistant impairments of autism at the cellular the prestigious Howard Hughes Medical professor of obstetrics and gynecology, level. She explains that acquisition Institute (HHMI). Hunter, whose expertise maintains a practice at the UC Davis of human brain tissue is critical to encompasses DNA repair, chromosome Medical Group office in Roseville. examine the organization of neurons biology, and cancer biology, is investigating Her practice encompasses general in the brain and the contribution the mechanism and regulation of obstetrics and gynecology, and of certain genes and proteins in homologous recombination and its role in minimally invasive surgery. development. 2 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev The School of Medicine is seeking nominees for the third annual Dean’s Award for Excellence, which recognizes outstanding faculty contributions in the core mission areas of research, education, clinical care, and community engagement. Up to four awards will be presented – one in each of the four mission concentrations. The award is intended not only to reward outstanding performance, but also to acknowledge contributions in transformational leadership in our collegial community. The Dean’s Award for Excellence acknowledge faculty members who clearly and consistently contribute to the stature of UC Davis Health System as a destination of choice for all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty members who meet the criteria for the award. Team Award for Excellence Nominations are being sought for the newly established Dean’s Team Award for Excellence, which is intended to acknowledge outstanding multi-disciplinary and/or other inter-disciplinary group efforts and contributions to advancement of the missions of the health system. Up to four awards will be presented to honor multi-disciplinary and interdisciplinary teams, members of which promote and exemplify a collaborative, collegial approach and model of working cohesively to serve at least one of the four mission areas. Nominees should exhibit compelling performance that embodies and exemplifies a sustainable 3 collaborative approach that aligns our collegial community with our mission of discovering and sharing knowledge to advance health. The nominees’ teamwork and team efforts must clearly contribute to instilling confidence in UC Davis Health System as a destination of choice among all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty-led teams and their members who meet the criteria for the award. Award for Excellence in Mentoring Nominations are being accepted for the 10th annual Dean’s Award for Excellence in Mentoring. This award recognizes and rewards School of Medicine scholars who excel in mentoring and thus contribute to the success of our faculty and our health system. This presentation is a means of bringing recognition to mentors who have specifically helped junior faculty members to succeed. Past honorees have played a key role as mentors in professional and personal mentoring. Faculty at the level of associate professor and full professor are eligible to be nominated. The mentoring awards recognize excellence in research, teaching, clinical, and/or leadership mentoring. You may designate a nominee for outstanding performance in one or more than one of these categories. The primary criterion for an award is evidence of excellent mentoring that supports junior faculty development. Who may submit nominations: Only assistant professors or newly promoted associate professors (Step I) may submit nominations. The deadline to submit nominations is Dec. 28, 2009. Nomination instructions and forms for each of these awards are available on the Faculty Development Office Web site at www.ucdmc.ucdavis. edu/facultydev/awards.html. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev advisoryteam Faculty Forward Task Force The Task Force is responsible for assisting with the implementation of the Faculty Forward survey, interpreting the results and delivering a set of recommendations to Health System leadership. Names in bold type indicate Task Force Executive Committee members. Faculty Forward Task Force members Claire Pomeroy, M.D., M.B.A., Vice Chancellor for Human Health Sciences and Dean (ex-officio member) Frederick J. Meyers, M.D., MACP, Executive Associate Dean Edward Callahan, Ph.D., Associate Dean, Academic Personnel Gregg Servis, M.Div., Director, Faculty Development Hilary Brodie, M.D, Ph.D., Otolaryngology Peter Cala, Ph.D., Physiology and Membrane Biology Michael Condrin, M.B.A., Dean’s Office Jeffrey Gauvin, M.D., Surgery Estella Geraghty, M.D., M.S., M.P.H., Internal Medicine Donald W. Hilty, M.D., Psychiatry and Behavioral Sciences Lydia P. Howell, M.D., Pathology and Laboratory Medicine Vincent L. Johnson, M.B.A., Hospital Administration Darin Latimore, M.D., Internal Medicine and Office of Diversity Cindy Oropeza, Human Resources Annisa Routon, Dean’s Office Andreea L. Seritan, M.D., Psychiatry and Behavioral Sciences Lloyd H. Smith, M.D., Ph.D., Obstetrics and Gynecology Peter Sokolove, M.D., Emergency Medicine Daniel J. Tancredi, Ph.D. Pediatrics 4 officeVISIT facultyROUNDS NOMINEES SOUGHT FOR DEAN’S EXCELLENCE AWARDS A WELCOME TO NEW FACULTY COLLEAGUES D E N I S E S AT T E R F I E L D I S C H I E F C O O K OF A PED I AT R I C O P H T H A L M O L O G Y P R A C T I C E Colleen Clancy Thousands of men and women interest in teaching by becoming whose medical insurance pays for a volunteer clinical faculty memsurgical and other treatments to ber for the UC Davis Department correct strabismus owe gratitude of Ophthalmology, for which she in part to Denise Satterfield, a UC serves in clinics and conducts Davis Health System Volunteer lectures. Clinical Faculty member. Satterfield, She also hosts rotation visits a pediatric ophthalmologist who by residents at her medical office operates a solo private practice in near Sutter Memorial Hospital. She Sacramento, was the lead investigator describes herself as “chief cook and in a seminal 1990 research study bottle washer” of her practice. titled “The Psychosocial Aspects of “I do payroll and taxes for my Strabismus.” three employees, handle accounts At the time the study was payable, computer upgrades and conducted, insurance companies Denise Satterfield with her husband, Dale Smith, on a our office lease, and often work paid to treat strabismus – misaligned recent trip to Santa Fe, New Mexico. 10-hour days. But I like being my eyes – only for patients experiencing own boss, and I wouldn’t change a “My friend hated it. I loved it,” double vision; they considered thing,” Satterfield said. Satterfield said. “I became president of treatment for other patients cosmetic and the candy stripers, initiated a teaching In 2000, Satterfield became involved declined coverage. program enabling candy stripers to be with the School of Medicine Alumni “My study showed that adults more useful to the nursing staff, and Association as a board member and experience improvement in psychosocial became a certified nurses’ aide.” functioning with correction of their completed a four-year term as president. She obtained a nursing degree and strabismus, a benefit not previously Beth Abad, the alumni association’s entered the medical field as a criticalreported in the literature,” Satterfield development officer, speaks glowingly of said. “Since then, numerous other studies care registered nurse in 1977. But even Satterfield. have corroborated our findings. Insurance during nursing school she felt a tugging to “She is a consensus builder who leads become a physician after participating in companies now usually cover strabismus by example. She never asks anyone to surgery to correct a child’s crossed eyes. surgery in adults.” do something that she is unwilling to do “I had an open mind about other fields Like many other pediatric ophthalmoloherself,” Abad said. “She also happens to of medicine, but kept coming back to gists, she also specializes in treatment of be a fabulous cook, specializing in Thai, ophthalmology, and specifically pediatric adult strabismus because the condition Indian and other cuisines. She prepares commonly develops in children – although ophthalmology,” Satterfield said. Although remarkable meals for events she routinely she discovered that she enjoyed teaching it can emerge in adulthood as a result of hosts at her home for medical students while she was a resident at UC Davis, she traumatic injury, tumors, stroke, diabetes, and alumni.” Satterfield, a largely selfdeclined an invitation to join the School botulism or Guillain-Barré syndrome. taught cook, also smokes and vacuumof Medicine faculty because she prefers Satterfield conducted her research packs fish and meats in large quantities to during her residency in ophthalmology private practice. at the UC Davis Medical Center, where After completing a fellowship in pedi- give to colleagues and friends. She and her husband, urologist Dale she also obtained her medical degree and atric ophthalmology and strabismus at the completed her internship in pediatrics. Smith-Kettlewell Eye Research Institute in Smith, have two grown daughters: Megan, an innovative cook with a degree in When in high school in Southern San Francisco, she launched her practice molecular biology and biochemistry who California, she had planned to become a in 1993 by following guidelines in the hopes to own a restaurant someday; and foreign-language teacher – until she and a American Medical Association’s “Starting classmate volunteered as “candy stripers” Lindsey, who has a degree in biology and Your Practice” kit. Once she established at a local hospital. a client base, she embraced her enduring plans a career in nursing. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev call for SUBMISSIONS The School of Medicine is soliciting nominations for three annual awards that bestow recognition on outstanding faculty members and faculty-led teams. Recipients of all three awards will receive a cash prize and will be honored at a faculty recognition reception to be held on the evening of March 2, 2010. Neil Hunter Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis Health System community. Watch for more new clinical and research staff members in the next issue. Colleen Clancy investigating cardiac arrhythmia chromosome transmission during meiosis, genome stability and tumorigenesis. His findings could lead to greater understanding of activation of oncogenes, and the ways in which defective recombination is related to infertility, miscarriage and genetic diseases including Down syndrome. Hunter, a UC Davis Chancellor’s Fellow for 2009–2010, is an associate professor in the departments of Microbiology (College of Biological Sciences), Molecular and Cellular Biology, and Cell Biology and Human Anatomy (School of Medicine). • Forensic psychiatrist Jason G. Roof, M.D., conducts sanity evaluations, competency to stand trial evaluations, sexual offender evaluations and disposition evaluations of adults and adolescents in his capacity as a member of the California Superior Court Expert Panel. Roof is an assistant clinical professor in the Department of Psychiatry and Behavioral Sciences’ Division of Psychiatry and the Law. He also is the medical student and resident site director for Sacramento County Jail Psychiatric Services; and an attending physician at the inpatient psychiatric unit of the Sacramento County Main Jail; and an outpatient physician for Jail Psychiatric Services at the Sacramento County Main Jail and the Rio Cosumnes Correctional Center. Dean’s Award for Excellence Medical scientists have long sought, without success, to develop drugs to control cardiac arrhythmia and other excitable disorders. Colleen E. Clancy, Ph.D., an associate professor of pharmacology, says that pharmacological management of cardiac arrhythmia has been impeded by lack of an adequate framework to predict how drugs that target cardiac ion channels will alter the emergent electrical behavior generated in the heart. Clancy’s research group is working to develop such a framework Other new colleagues using computational modeling. • Loren T. Davidson, M.D., an assistant Simulations that Clancy and professor of physical medicine and her associates have conducted in rehabilitation, conducts inpatient virtual cardiac tissue suggest that a pediatric rehabilitation, outpatient clinically relevant concentration of the clinics for children with physical antiarrhythmic drug flecainide may initiate and developmental disabilities and • Cynthia Mills Schumann, Ph.D., re-entrant arrhythmias in the setting of consults at UC Davis Medical Center director of The M.I.N.D. Institute ectopic stimuli. The study could form the and Shriners Hospitals for Children Brain Tissue Resource Center with foundation to develop a high-throughput – Northern California. He also expertise in the neuropathology virtual drug testing system enabling attends California Children Services of autism, is investigating brain integration of data on drug channel (CCS) clinics at local medical therapy development in children with autism. units to prescribe therapy, bracing interactions and prediction of drug effects Schumann, an assistant professor and equipment needs for qualifying on emergent dynamics in a complex in residence in the Department of children. Certified by the American excitable system. Psychiatry and Behavioral Sciences, Board of Physical Medicine and Neil Hunter is UC Davis’ first is studying postmortem brain tissue Rehabilitation, Davidson is researching HHMI scientist with the intention of identifying the spasticity management in patients with Geneticist Neil Hunter, Ph.D., has underlying neuropathology that leads cerebral palsy. become the first UC Davis faculty member to severe behavioral and cognitive selected as an Early Career Scientist by • Bahareh Nejad, M.D., an assistant impairments of autism at the cellular the prestigious Howard Hughes Medical professor of obstetrics and gynecology, level. She explains that acquisition Institute (HHMI). Hunter, whose expertise maintains a practice at the UC Davis of human brain tissue is critical to encompasses DNA repair, chromosome Medical Group office in Roseville. examine the organization of neurons biology, and cancer biology, is investigating Her practice encompasses general in the brain and the contribution the mechanism and regulation of obstetrics and gynecology, and of certain genes and proteins in homologous recombination and its role in minimally invasive surgery. development. 2 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev The School of Medicine is seeking nominees for the third annual Dean’s Award for Excellence, which recognizes outstanding faculty contributions in the core mission areas of research, education, clinical care, and community engagement. Up to four awards will be presented – one in each of the four mission concentrations. The award is intended not only to reward outstanding performance, but also to acknowledge contributions in transformational leadership in our collegial community. The Dean’s Award for Excellence acknowledge faculty members who clearly and consistently contribute to the stature of UC Davis Health System as a destination of choice for all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty members who meet the criteria for the award. Team Award for Excellence Nominations are being sought for the newly established Dean’s Team Award for Excellence, which is intended to acknowledge outstanding multi-disciplinary and/or other inter-disciplinary group efforts and contributions to advancement of the missions of the health system. Up to four awards will be presented to honor multi-disciplinary and interdisciplinary teams, members of which promote and exemplify a collaborative, collegial approach and model of working cohesively to serve at least one of the four mission areas. Nominees should exhibit compelling performance that embodies and exemplifies a sustainable 3 collaborative approach that aligns our collegial community with our mission of discovering and sharing knowledge to advance health. The nominees’ teamwork and team efforts must clearly contribute to instilling confidence in UC Davis Health System as a destination of choice among all those we serve. Who may submit nominations: Department chairs, vice chairs, division chiefs and section heads are invited to submit nominations of faculty-led teams and their members who meet the criteria for the award. Award for Excellence in Mentoring Nominations are being accepted for the 10th annual Dean’s Award for Excellence in Mentoring. This award recognizes and rewards School of Medicine scholars who excel in mentoring and thus contribute to the success of our faculty and our health system. This presentation is a means of bringing recognition to mentors who have specifically helped junior faculty members to succeed. Past honorees have played a key role as mentors in professional and personal mentoring. Faculty at the level of associate professor and full professor are eligible to be nominated. The mentoring awards recognize excellence in research, teaching, clinical, and/or leadership mentoring. You may designate a nominee for outstanding performance in one or more than one of these categories. The primary criterion for an award is evidence of excellent mentoring that supports junior faculty development. Who may submit nominations: Only assistant professors or newly promoted associate professors (Step I) may submit nominations. The deadline to submit nominations is Dec. 28, 2009. Nomination instructions and forms for each of these awards are available on the Faculty Development Office Web site at www.ucdmc.ucdavis. edu/facultydev/awards.html. facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev advisoryteam Faculty Forward Task Force The Task Force is responsible for assisting with the implementation of the Faculty Forward survey, interpreting the results and delivering a set of recommendations to Health System leadership. Names in bold type indicate Task Force Executive Committee members. Faculty Forward Task Force members Claire Pomeroy, M.D., M.B.A., Vice Chancellor for Human Health Sciences and Dean (ex-officio member) Frederick J. Meyers, M.D., MACP, Executive Associate Dean Edward Callahan, Ph.D., Associate Dean, Academic Personnel Gregg Servis, M.Div., Director, Faculty Development Hilary Brodie, M.D, Ph.D., Otolaryngology Peter Cala, Ph.D., Physiology and Membrane Biology Michael Condrin, M.B.A., Dean’s Office Jeffrey Gauvin, M.D., Surgery Estella Geraghty, M.D., M.S., M.P.H., Internal Medicine Donald W. Hilty, M.D., Psychiatry and Behavioral Sciences Lydia P. Howell, M.D., Pathology and Laboratory Medicine Vincent L. Johnson, M.B.A., Hospital Administration Darin Latimore, M.D., Internal Medicine and Office of Diversity Cindy Oropeza, Human Resources Annisa Routon, Dean’s Office Andreea L. Seritan, M.D., Psychiatry and Behavioral Sciences Lloyd H. Smith, M.D., Ph.D., Obstetrics and Gynecology Peter Sokolove, M.D., Emergency Medicine Daniel J. Tancredi, Ph.D. Pediatrics 4 HEALTH-CARE DEBATE FROM PAGE 1 “A medical insurance card is of no value whatsoever without someone to take are drawn to higher-paying specialties that care of you. Coverage must be sufficient enable them to repay their medical school to encourage physicians and health-care debts more quickly. systems to engage with patients,” said A tabulation by the National Resident Latimore, who insists that reimbursement Matching Program showed that the reform must accompany any increased 2,387 first-year residency positions in health-care insurance access. family medicine filled nationwide in “Medicare sets the standard for how we 2008 constituted only 11.4 percent of the reimburse, with rates significantly higher 20,940 total slots encompassing all medical for technical procedures than for cognitive specialties. actions,” Latimore said. “Not only should Nuovo said that regardless of changes that reimbursement inequity be rectified, that may be legislated, schools of medicine but also significantly more money should be will maintain their core focus of teaching allocated for loan repayment, specifically for patient care and safety, communication students who agree to work in primary care skills and other fundamentals. or in rural or central urban areas.” “So how can medical schools respond to the need for more primary-care physicians? UC Davis has a superb track record in primary care,” Nuovo said. “Our Rural Program in Medical Education [PRIME], and our advancements in the development of telemedicine and supporting technologies, are excellent examples.” Donald M. Hilty, Rural-PRIME director, said that students in the program gain insightful understanding of the entire system of care by virtue of the holistic nature of rural practice. “They’re able to wrap their brain around a system and a community, Latimore believes regulatory action and as a result can engage themselves in mandating dedication of a fixed proportion becoming part of a solution to improve of graduate medical education slots to access to care,” Hilty said. He doubts that primary care may be needed to rectify health-care reform will necessarily increase shortages. caseloads at the UC Davis Medical Center, “I know that other people believe that but says it could result in fiscal changes. market economics rather than government “We already furnish more than 50 percent intervention should determine allocation of the free care in the community, but if reimbursement changes are enacted, other of residency slots,” Latimore said. hospitals may be encouraged to help more. “However, in order to meet workforce We may have to make some adjustments in demands, government intervention may be how we generate salaries of clinical faculty necessary.” Health-care reform should go one step members.” further, in the view of first-year medical Darin Latimore, director of medical student Kaveh Zivari, co-president of the student diversity, regards economics as a School of Medicine class of 2013. fulcrum point in health-care reform. UC Davis Health System “There is a need for more primarycare services to do preventative care, and at the same time, a greater need for physician assistants to help manage patients over a longer period of time. Unfortunately, chronic diseases such as diabetes lead to heart attack, stroke or other problems,” observed Zivari, who believes that the food processing industry must be considered part of the equation. “We need to control and curb these problems by adjusting peoples’ eating habits, which will be possible only through reforms in food industries.” He believes that medical students can help influence change rather than merely gird themselves to be buffeted by it. “Medical students feel that finally something can be done, and they can contribute,” Zivari said. “This is the time to stand up and bring one’s ideas to the table. This is the time to lobby for the right change. This is the time for the students to go tell Congress why they decided to become doctors.” Mark C. Henderson, associate dean for admissions and outreach says he likewise has detected an “undercurrent wave of positive energy” among students. “Many students come to our school because of their desire to work with people who are medically underserved. I think students are, as a whole, very optimistic about the prospects for health-care reform, and they want be part of change in the system,” Henderson said. “We as leaders and mentors have tremendous influence on students, and we need to remain engaged in this debate and help move it forward to the extent we can,” Henderson added. “Our role is to galvanize and channel the interests of our students in ways that can lead to constructive change.” Faculty Development Office 4610 X Street, Suite 4101 Sacramento, CA 95817 Published by the Faculty Development Office DECEMBER 2009 – JANUARY 2010 Workshops and other activities You are invited! We encourage you to enroll in one of the various workshops, programs and events sponsored by the Faculty Development Office. For more event details and to register, visit www.ucdmc.ucdavis. edu/facultydev/ and click Enroll Online. (Event co-sponsors are indicated within parentheses.) Volunteer Clinical Faculty members are also welcome and encouraged to attend faculty development events. (CALENDAR FROM PAGE 1) January (CONTINUED) 15 Retaining and Nurturing a Diverse Faculty (MCLP) 20 Faculty Forward Task Force meeting facultyNEWSLETTER Published by the Faculty Development Office, which administers and coordinates programs that respond to the professional and career development needs of UC Davis Health System faculty members. 23Women’s Wellness Retreat (WIMS) 4 Workshop: Improving Leadership Performance: Using the Myers-Briggs Personality Type Indicator To Your Advantage 9 Breakfast with the Dean 4610 X Street, Suite 4101 Sacramento, CA 95817 (916) 734-2464 www.ucdmc.ucdavis.edu/facultydev/ 12 A Mentee’s Guide to Being Mentored: How to Identify and Nurture Your Goals (JCLP) Edward Callahan, Ph.D. Associate Dean for Academic Personnel 17 Faculty Forward Task Force meeting 19 A leadership Model for Faculty in Academic Medicine (MCLP) 20 Focused Workshop: Leading Complex Organizations (MCLP) Gregg Servis, M.Div. Director, Faculty Development gregg.servis@ucdmc.ucdavis.edu Cheryl Busman Program Representative, Faculty Development cheryl.busman@ucdmc.ucdavis.edu Save the date: Felicia Carrillo Program Assistant, Office of Diversity felicia.carrillo@ucdmc.ucdavis.edu April 16 New Faculty Orientation EditPros LLC Writing and Editing www.editpros.com December February 3 Breakfast with the Dean 7 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part I 7 Teaching Scholars Program Reception 11 Negotiation Skills (JCLP) 14 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part II 16 Faculty Forward Task Force meeting 18 Budget Management and Business Reports: Finance & Professional Billing (MCLP) March 2 Dean’s Recognition Reception January Event co-sponsors 8 JCLP: Junior Career Leadership Program MCLP: Mid-Career Leadership Program Putting Together Your Academic Packet (JCLP) 15 Balancing: Personal and Academic Career Planning (MCLP) WIMS: Women in Medicine and Science INCENTIVES MAY BE NEEDED TO PROMOTE PRIMARY CARE As the emotionally lathered debates about health-care insurance reform reverberated throughout the year in Congress, the White House, on radio and television talk programs, and in town halls nationwide, the varied proposals have been doggedly dissected and excoriated. Lost amid shrill charges and counter-charges, however, was consideration about the ability of already overextended primary-care physicians to care for 40 million or more additional patients who might receive coverage under the various proposed plans. That implication of health-care insurance reform is clearly evident, however, to UC Davis School of Medicine and UC Davis Health System medical personnel and students. James Nuovo, associate dean of student affairs and graduate medical education, said that the damaging effects of impeded access to routine health care are apparent to students serving clerkships and to faculty and student volunteers in community clinics. “In our hospital and community clinics, UC Davis medical students and physicians witness what happens when social service agencies or health insurance providers deny people access to mental or medical health care,” Nuovo said. “By experience they know that patients who are unable to continue taking prescribed medications because they can’t afford them end up in the hospital again.” The American Academy of Family Physicians calculates that U.S. medical schools cumulatively produce only half the number of primary-care physicians the nation now needs, and has predicted that the shortage of family doctors will grow to 40,000 in 10 years. Back in the mid-1950s, half of the nation’s physicians practiced family-care medicine; that number has dwindled to 30 percent as a steadily increasing proportion of medical school students CONTINUED ON PAGE 5 JANUARY CONTINUES ON PAGE 6 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev WHAT REFORM DEBATES IGNORE 5 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev 6 HEALTH-CARE DEBATE FROM PAGE 1 “A medical insurance card is of no value whatsoever without someone to take are drawn to higher-paying specialties that care of you. Coverage must be sufficient enable them to repay their medical school to encourage physicians and health-care debts more quickly. systems to engage with patients,” said A tabulation by the National Resident Latimore, who insists that reimbursement Matching Program showed that the reform must accompany any increased 2,387 first-year residency positions in health-care insurance access. family medicine filled nationwide in “Medicare sets the standard for how we 2008 constituted only 11.4 percent of the reimburse, with rates significantly higher 20,940 total slots encompassing all medical for technical procedures than for cognitive specialties. actions,” Latimore said. “Not only should Nuovo said that regardless of changes that reimbursement inequity be rectified, that may be legislated, schools of medicine but also significantly more money should be will maintain their core focus of teaching allocated for loan repayment, specifically for patient care and safety, communication students who agree to work in primary care skills and other fundamentals. or in rural or central urban areas.” “So how can medical schools respond to the need for more primary-care physicians? UC Davis has a superb track record in primary care,” Nuovo said. “Our Rural Program in Medical Education [PRIME], and our advancements in the development of telemedicine and supporting technologies, are excellent examples.” Donald M. Hilty, Rural-PRIME director, said that students in the program gain insightful understanding of the entire system of care by virtue of the holistic nature of rural practice. “They’re able to wrap their brain around a system and a community, Latimore believes regulatory action and as a result can engage themselves in mandating dedication of a fixed proportion becoming part of a solution to improve of graduate medical education slots to access to care,” Hilty said. He doubts that primary care may be needed to rectify health-care reform will necessarily increase shortages. caseloads at the UC Davis Medical Center, “I know that other people believe that but says it could result in fiscal changes. market economics rather than government “We already furnish more than 50 percent intervention should determine allocation of the free care in the community, but if reimbursement changes are enacted, other of residency slots,” Latimore said. hospitals may be encouraged to help more. “However, in order to meet workforce We may have to make some adjustments in demands, government intervention may be how we generate salaries of clinical faculty necessary.” Health-care reform should go one step members.” further, in the view of first-year medical Darin Latimore, director of medical student Kaveh Zivari, co-president of the student diversity, regards economics as a School of Medicine class of 2013. fulcrum point in health-care reform. UC Davis Health System “There is a need for more primarycare services to do preventative care, and at the same time, a greater need for physician assistants to help manage patients over a longer period of time. Unfortunately, chronic diseases such as diabetes lead to heart attack, stroke or other problems,” observed Zivari, who believes that the food processing industry must be considered part of the equation. “We need to control and curb these problems by adjusting peoples’ eating habits, which will be possible only through reforms in food industries.” He believes that medical students can help influence change rather than merely gird themselves to be buffeted by it. “Medical students feel that finally something can be done, and they can contribute,” Zivari said. “This is the time to stand up and bring one’s ideas to the table. This is the time to lobby for the right change. This is the time for the students to go tell Congress why they decided to become doctors.” Mark C. Henderson, associate dean for admissions and outreach says he likewise has detected an “undercurrent wave of positive energy” among students. “Many students come to our school because of their desire to work with people who are medically underserved. I think students are, as a whole, very optimistic about the prospects for health-care reform, and they want be part of change in the system,” Henderson said. “We as leaders and mentors have tremendous influence on students, and we need to remain engaged in this debate and help move it forward to the extent we can,” Henderson added. “Our role is to galvanize and channel the interests of our students in ways that can lead to constructive change.” Faculty Development Office 4610 X Street, Suite 4101 Sacramento, CA 95817 Published by the Faculty Development Office DECEMBER 2009 – JANUARY 2010 Workshops and other activities You are invited! We encourage you to enroll in one of the various workshops, programs and events sponsored by the Faculty Development Office. For more event details and to register, visit www.ucdmc.ucdavis. edu/facultydev/ and click Enroll Online. (Event co-sponsors are indicated within parentheses.) Volunteer Clinical Faculty members are also welcome and encouraged to attend faculty development events. (CALENDAR FROM PAGE 1) January (CONTINUED) 15 Retaining and Nurturing a Diverse Faculty (MCLP) 20 Faculty Forward Task Force meeting facultyNEWSLETTER Published by the Faculty Development Office, which administers and coordinates programs that respond to the professional and career development needs of UC Davis Health System faculty members. 23Women’s Wellness Retreat (WIMS) 4 Workshop: Improving Leadership Performance: Using the Myers-Briggs Personality Type Indicator To Your Advantage 9 Breakfast with the Dean 4610 X Street, Suite 4101 Sacramento, CA 95817 (916) 734-2464 www.ucdmc.ucdavis.edu/facultydev/ 12 A Mentee’s Guide to Being Mentored: How to Identify and Nurture Your Goals (JCLP) Edward Callahan, Ph.D. Associate Dean for Academic Personnel 17 Faculty Forward Task Force meeting 19 A leadership Model for Faculty in Academic Medicine (MCLP) 20 Focused Workshop: Leading Complex Organizations (MCLP) Gregg Servis, M.Div. Director, Faculty Development gregg.servis@ucdmc.ucdavis.edu Cheryl Busman Program Representative, Faculty Development cheryl.busman@ucdmc.ucdavis.edu Save the date: Felicia Carrillo Program Assistant, Office of Diversity felicia.carrillo@ucdmc.ucdavis.edu April 16 New Faculty Orientation EditPros LLC Writing and Editing www.editpros.com December February 3 Breakfast with the Dean 7 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part I 7 Teaching Scholars Program Reception 11 Negotiation Skills (JCLP) 14 Workshop: Crucial Conversations: Tools for Talking When Stakes are High, Part II 16 Faculty Forward Task Force meeting 18 Budget Management and Business Reports: Finance & Professional Billing (MCLP) March 2 Dean’s Recognition Reception January Event co-sponsors 8 JCLP: Junior Career Leadership Program MCLP: Mid-Career Leadership Program Putting Together Your Academic Packet (JCLP) 15 Balancing: Personal and Academic Career Planning (MCLP) WIMS: Women in Medicine and Science INCENTIVES MAY BE NEEDED TO PROMOTE PRIMARY CARE As the emotionally lathered debates about health-care insurance reform reverberated throughout the year in Congress, the White House, on radio and television talk programs, and in town halls nationwide, the varied proposals have been doggedly dissected and excoriated. Lost amid shrill charges and counter-charges, however, was consideration about the ability of already overextended primary-care physicians to care for 40 million or more additional patients who might receive coverage under the various proposed plans. That implication of health-care insurance reform is clearly evident, however, to UC Davis School of Medicine and UC Davis Health System medical personnel and students. James Nuovo, associate dean of student affairs and graduate medical education, said that the damaging effects of impeded access to routine health care are apparent to students serving clerkships and to faculty and student volunteers in community clinics. “In our hospital and community clinics, UC Davis medical students and physicians witness what happens when social service agencies or health insurance providers deny people access to mental or medical health care,” Nuovo said. “By experience they know that patients who are unable to continue taking prescribed medications because they can’t afford them end up in the hospital again.” The American Academy of Family Physicians calculates that U.S. medical schools cumulatively produce only half the number of primary-care physicians the nation now needs, and has predicted that the shortage of family doctors will grow to 40,000 in 10 years. Back in the mid-1950s, half of the nation’s physicians practiced family-care medicine; that number has dwindled to 30 percent as a steadily increasing proportion of medical school students CONTINUED ON PAGE 5 JANUARY CONTINUES ON PAGE 6 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev WHAT REFORM DEBATES IGNORE 5 facultyNEWSLETTER | December 2009 – January 2010 | www.ucdmc.ucdavis.edu/facultydev 6