The 24th National Conference's Fourth Day Program – April 11, 2013
Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP
For the previous conference days, see: The 24th National Conference’s First Day Program – April 8, 2013 and The 24th National Conference’s Second Day Program – April 9, 2013 and The 24th National Conference’s Third Day Program – April 10, 2013.

The 24th National Conference on Primary Health Care Access, to be held April 8-11, 2013 at the Grand Hyatt Kaua’i, begins on Monday April 8. The theme of the National Conference isWhat Has Changed.
Conference registration includes four night’s accommodation at the Grand Hyatt Kaua’i, beginning April 7, 2013, the night before the first National Conference session.
[For further information on the National Conference, see: The 24th National Conference on Primary Health Care Access at the Grand Hyatt Kaua’i April 7-11, 2013.]
Each morning will begin with assigned breakfast breakout groups at 6:30 a.m. in the beautiful surroundings of Dondero’s Restaurant, with its magnificent views of the Pacific Ocean.
Each breakout group will be led by a Fellow or Senior Fellow of the National Conferences, and each will have an assigned discussion topic on issues of health care access and health care reform.
Both the topics for discussion and the questions and the notes on each discussion developed by each breakout group’s designated scribe will be posted on this website.
The Fourth Day Plenary Programs

Thursday’s plenary sessions begin with three consecutive Thought Provocateur sessions.
First, Doctor Darryl Leong will address the issue of care coordination, which he argues is the most important element within health care reform with any promise of reducing health care costs [See 24th National Conference: Doctor Darryl Leong Discusses the Potential Role of Care Coordination in PPACA .]
Next, Doctor Allen Hixon raises concerns abouts how to assure that the Primary Care Medical Home embodies the principles of social equity [See 24th National Conference: the Plenary Presentations of University of Hawaii Doctors Palafox and Hixon.]
The third Thought Provocateur Session will be presented by Doctor Robert Bowman [See 24th National Conference: Dr Robert Bowman’s Pessimistic View of Healthcare Workforce Innovations], who, despite the title he has chosen, believes there are some reasons to retain hope that the healthcare workforce can be changed for the better.
A special session on the medical student and healthcare reform

In mid-morning a three part session on how healthcare insurance reform affects the medical student [See 24th National Conference: the Medical Student and the Future of American Healthcare.] It will first look at curriculum reform, using the example of Creighton University’s School of Medicine in Omaha, Nebraska. Doctors Thomas Hansen and Mark Goodman will present the Creighton experience.
It will be followed by information gleaned from the Second Student Doctor Network [SDN] survey of health professions students, presented by Lee Burnett, DO and Laura Turner, MS, who are principals of the Coastal Research Group’s website, www.studentdoctor.net.
Beth Herman, MPA, will comment on the relevant findings of the SDN survey, based on a her experience administering and counseling multispecialty residents and fellows as Director of Postgraduate Education at the Penn State Hershey Medical Center in Hershey, Pennsylvania.
Finally, Gary LeRoy, MD, Dean of Students at Wright State University Boonshoft School of Medicine, whose predictions on what the Medical School Classes of 2050 will be like comprised the 22nd G. Gayle Stephens Lecture. He will update his remarks to conclude the special session.
Dr Burnett is a Fellow and Dr LeRoy a Senior Fellow of the National Conferences.
A Plenary Roundtable on PPACA’s Intended and Possible Unintended Consequences
At the 23rd National Conference on Primary Health Care Access, held in Carlsbad, California in April 2012, Dr J. Jerry Rodos raised several areas of concern that he believes has resulted from the rush to reform the American health system without any attempt at developing demonstration projects to try to determine what might work on a national scale.
Following up on Dr Rodos’ remarks will be a roundtable panel, consisting of Doctors Perry A. Pugno of the American Academy of Family Physicians and Charles Q. North of the University of New Mexico, both Senior Fellows of the National Conferences. Joining them will be Doctor Neal Palafox of the University of Hawai’i.
The Coastal Research Group’s Thirtieth Anniversary and Final Presentations
William H. Burnett, MA, Program Coordinator of the National Conferences on Primary Health Care Access and a Senior Fellow of the National Conferences, will observe the thirtieth anniversary of the Coastal Research Group [See 24th National Conference: Observance of the 30th Anniversary of the Coastal Research Group.]
This will be followed by a summary of the 24th National Conference’s themes and presentations by Doctor N. Benjamin Fredrick, Director of the Center for Global Health at the Penn State Hershey Medical School.
THURSDAY, APRIL 11, 2013
6:30 AM – 8:00 AM
Assigned Breakfast Breakout Groups
8:15 AM – 8:20 AM
Introduction to the Day’s Themes
Moderator: Mark E. Clasen, MD, Ph.D.
Wright State University
Dayton, Ohio
820 AM- 8:35 AM
Strategic Reforms: Will Better Coordination of Care Lead to a More Cost-Efficient Health Care System?
Darryl Leong, MD
Care 1st Health Plan
Monterey Park, California
8:35 AM – 8:45 AM
Audience Questions and Comments
Lead Question: Lt Col. Lee Burnett
Fourth Brigade, 82nd Airborne
Fort Bragg, North Carolina
8:45 – 9:00 AM
Thought Provocateur: Is the Goal of Social Equity at Odds with the Primary Care Medical Home (PCMH)?
Allen L. Hixon MD
University of Hawai’i
Mililani, Oahu, Hawai’i
9:00 AM – 9:10 AM
Audience Questions and Comments
Lead Question: Donald R. Frey, MD
Creighton University
Omaha, Nebraska
9:10 -9:25 AM
Thought Provocateur: Health Insurance Reform in an Era of Maldistribution of Health Providers by Specialty
Robert Bowman, MD
A T Still University
Mesa, Arizona
9:25 AM – 9:35 AM
Audience Questions and Comments
Lead Question: Thomas C Hines, MD
Boston Medical Center
Boston, Massachusetts
The Medical Student and Perceptions of the Future of American Health Care, Part I
9:35 AM – 9:55 AM
Redesigning the Medical School Curriculum for the Future
Thomas J. Hansen, MD
Reactor: Mark D. Goodman, MD
Creighton University
Omaha, Nebraska
9:55 AM – 10:05 AM
Audience Questions and Comments
Lead Question: Allan Wilke, MD
Western Michigan University School of Medicine
Kalamazoo, Michigan
10:05 AM – 10:40 AM
The Medical Student and Perceptions of the Future of American Health Care, Part II
Results of the Second Annual Student Doctor Network Survey of Healthcare Students
Lee Burnett, DO
Laura Turner, MS
Student Doctor Network
Southern Pines, North Carolina
Reactor: Beth Herman, MPA
Penn State Hershey Medical Center
Hershey, Pennsylvania
Gary L. LeRoy. MD
Wright State University
Dayton, Ohio
10:40 AM – 10:45 AM
Audience Questions and Comments
Lead Question: Robert Maudlin, Pharm. D.
Providence Health Systems
Spokane, Washington
10:45 AM – 11:20 AM
Plenary Roundtable: The Consequences of Health Care Reform – Expected and Unexpected
Perry A. Pugno, MD, MPH
American Academy of Family Physicians
Leawood, Kansas
Neal Palafox, MD
University of Hawai’i
Mililani, Oahu, Hawai’i
Charles Q. North, MD
University of New Mexico
Albuquerque, New Mexico
11:20 AM – 11:30 AM
Audience Questions and Comments
Lead Question: Rick Flinders, MD
Santa Rosa Family Medicine
Santa Rosa, California
11:30 AM – 11:40 AM
Observing the 30th Anniversary of the Coastal Research Group
William H. Burnett
Coordinator
The National Conferences on Primary Health Care Access
11:40 AM – 11:45 AM
Audience Questions and Comments
Lead Question: Marc E. Babitz, MD
Utah Department of Health
Salt Lake City, Utah
11:45 AM – 12:00 PM
Summary of the 24th National Conference
N. Benjamin Fredrick, MD
Penn State College of Medicine
Hershey, Pennsylvania