social justice, social media, and family medicine

Social Mediaand

Social JusticeMike Sevilla, MD Jay W. Lee, MD, MPH

@DrMikeSevilla @FamilyDocWonk

2012 National Conference of

Family Medicine Residents &

Medical Students

#AAFPNC

Family Medicine as Counterculture

2012 American Academy of Family Physicians

National Conference of Special Constituencies

"Be there""Give a damn"The job versus the Work

Legislative Physics

Shifting the Health Care Value Vector towards Family Medicine

F = M x A

Clinical Process

www.foodnetwork.com

Political Process

www.finecooking.com

Political Processaka 12 ways to Kill Bill

1. Bill doesn’t get voted out of committee(s) of jurisdiction in the House

2. Killed in House committee

3. Doesn’t come up for a floor vote in House

4. Voted down on the floor of the House

5. Same steps as 1-4 in the Senate (filibuster)

6. Doesn’t make it out of conference committee

7. Presidential veto

8. Courts declare unconstitutional

9. Referendum overturns law (state-level)

Why would anyone want toKill Bill?

http://www.schoolhouserock.tv

Legislative Barriers to Change

• What are the barriers to achieving meaningful change in health care?• Interest groups• American ethos• The political system• Errors in strategy

Legislative Barriers to ChangeInterest Groups

• Between 1960s and 1990s, six-fold increase in special interest groups lobbying for or against health and social policies

• $$$ = influence

Legislative Barriers to ChangeAmerican Ethos

• Capitalism versus socialism• Individual liberty versus equity• Trust in markets; lack of trust in

government

Legislative Barriers to ChangeThe Political System

• The political system• Political power in lawmaking process diffuse among

institutions• Separation and balance of power

• Bicameral legislature• President• Supreme Court

• Two-party system• Federalism• Who has jurisdiction over health policy?

• Ways and Means?• Finance?• Energy and Commerce?

Legislative Barriers to ChangeErrors in Strategy

• Competing legislative priorities• Wrong leader• Wrong allies• No window of opportunity• Wrong plan• No “buy-in”

“If you’re not at the table,you’re on the menu”

www.zmescience.com www.roundtablepizza.com

Revolution?

bmoa.org

Family Medicine Revolution?

The RULES of #FMREVOLUTION FIGHT CLUB

1st RULE: You must talk, tweet, and FB post about #FMREVOLUTION FIGHT CLUB.

2nd RULE: You must TALK, TWEET, and FB POST about #FMREVOLUTION FIGHT CLUB.

3rd RULE: If they say "stop", tell them we are an unstoppable force for change in the U.S. healthcare system. If they go limp, tap out and start ACLS.

4th RULE: At least 105,900 family docs and medical students in our fight to transform the U.S. healthcare system.

5th RULE: One fight at a time: the fight to continue giving a damn and being there for our patients.

6th RULE: Shirts and shoes please (unless your family doc needs to examine you in which case wear one of those gowns).

7th RULE: Our fight to transform the U.S. healthcare system will go on as long as it has to.

8th RULE: If this is your first time at #FMREVOLUTION FIGHT CLUB, you HAVE to join our fight (yes, that includes you MedStuds; become the doctor that you wrote about in your personal statement).

WELCOMEThe future of family

medicine is in your hands

Family Medicine Revolution

=

MASS

X

ACCELERATIONFORCE

zebu.uoregon.edu

Family Medicine Revolution

MASS

• The American Academy of Family Physicians is one of the largest national medical organizations, representing more than 105,900 family physicians, family medicine residents and medical students nationwide.

ACCELERATION

• Future of Family Medicine project

• Increasing health policy awareness, i.e. RUC

• Growing applications for family medicine residency programs

• Social media as advocacy tool

• FamMed PAC• Specialty leaders at the

table

Forceful Advocacy

• AAFP at the March 5 , 2009 White House health care summit.

• AAFP’s then-President Ted Epperly MD (left, standing) was called on by the President to speak on behalf of physicians.  His response:  coverage does not equal access - we need to focus on the healthcare workforce and increase the number of primary care physicians. Photo courtesy of AAFP News

Now

Social Media:Turn Emotion Into Action

StorytellingAnd

Community

Turn Emotion Into Action:My Leadership Story

AAFP Leadership Development Program

Family Medicine Rocks.com

Social Media Is The New Word Of Mouth

Turn Emotion Into Action:The AAFP

Social Media Story

Finding Community#FMRevolution

gammasquad.uproxx.com

FINDING COMMUNITY

Become a Family Medicine Hero

What is your origin story?

Share it.

Super Hero Origin Stories

1.Give us a reason to care

2.Don't make your hero a Chosen One - give em a chance to prove themselves

3.It may be useful to tie your character's origin story to the villain's plot

4.Don't make the character's background too exceptional

5.Give us a chance of a happy ending

Family Medicine Superheroes

1. Let’s give the American public a reason to care.

2. None of us is a Chosen One; we must be given a chance to prove ourselves.

3. Family Medicine’s origins are tied to the fragmented, volume-based fee-for-service model of health care delivery in the US (and historically, we have been great at playing in the sandbox with that broken system but our time is now to fight for us and fight for our patients).

4. None of us is too exceptional on our own (ok, maybe some of us) but together, we are exceptional (100,000+ strong!)

5. And finally, with family physicians and #FMRevolution leading change/transformation in US health care, we will have a chance for a happy ending.

Become a Family Medicine Hero

1. Become a "Significant Constituent”

2. Become Active in the Family Medicine Political Action Committee

3. Be a Resource to Policy Leaders

4. Become an Expert

5. Understand and Participate

6. Go Public, Locally

7. Get Public Policy on Your Side

8. Know Your Position's Weakness

9. Know Your Opposition

10.Be Informed

MikeSevillaMD@Gmail.comhttp://FamilyMedicineRocks.com

Contact

Jay W. Lee, MD, MPHAssistant Program Director

Director of Health PolicyLong Beach Memorial Family Medicine

Residency Program450 E. Spring St., Suite #1

Long Beach, CA 90806Direct (562)933-0012Mobile (323)533-2503

Email eejaywon@gmail.comTwitter @familydocwonk

Facebook/jaywon