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Partnering with Government Opportunities and Perils. ADFM 2014 Winter Conference February 13 2014 San Diego, CA PATRICK T. DOWLING, MD, MPH PROFESSOR AND CHAIR DEPT OF FAMILY & COMMUNITY MEDICINE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA. Virchow on Medicine and Politics.
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Partnering with Government Opportunities and Perils ADFM 2014 Winter ConferenceFebruary 13 2014San Diego, CAPATRICK T. DOWLING, MD, MPHPROFESSOR AND CHAIR DEPT OF FAMILY & COMMUNITY MEDICINEDAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
Virchow on Medicine and Politics “Medicine is a social science and politics is nothing more than medicine on a large scale” . . . as the science of human beings, Medicine has the obligation to point out problems and to attempt their theoretical solution; . . . the politician, the practical anthropologist, must find the means for their actual solution.
Race/Ethnicity of Practicing Physicians Compared to Population California, 2010, N= 94,631 Sources: AMA Physician Masterfile, 2010; Medical Board of California, 2010
UCLA IMG Program and levels of Gov’t • Dean, Media Relations, Gov’t Affairs • U of CA , President and Gov’t Affairs • Ministry of Health Mexico • LA County Supervisors • California Med Assoc (CAFP) • State Legislators and Governor • Medical Board Calif • HRSA COGME,
CALIFORNIA ASSEMBLY BILL 1533 Trainees: International Medical Graduates Sponsored by Med. Board of CA., co-sponsored by U of CA authorizes a pilot for (IMG) program allowing participants to engage in supervised patient care activities for a typical assignment lasting 16 to 24 wks, as part of an approved and supervised clinical rotation at UCLA facilities, with licensed physicians. Introduced by Assemblywoman Holly Mitchell Passed, signed by Gov. Brown July 2012
Opportunities or Perils? • Educate the ‘Practical Anthropologists’ • Keep it simple----use illustrations healthcare is complicated • No surprises All PR is not good PR • End runs rarely work • Share the glories with the Pols and Dean and accept blame • Link with Foundations –more stable funding