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The University of Oklahoma - School of Community Medicinelogo

Summer Institute - Lectures



SIX LECTURES TO ANCHOR OUR THINKING
   
  Sunday, July 26, 2009
  Dr. Gerard P. Clancy
Dr. Clancy The Stories We Choose to Tell
This opening lecture detailed why the School of Community Medicine is in Tulsa, Oklahoma to provide both medical education and service.  Through poignant stories from our Dean and President via intimate snapshots from his life, the mounting concern for health care reform was brought to the forefront and the determination to go beyond “good enough” clearly presented by a physician with  first-hand experience in this field.  Clancy’s life story further provides the means to explain the importance of community medicine from the point of view of one who has chosen to be both disruptive and innovative.  In this personal journey, Dr. Clancy clearly illustrated that we become the stories we tell, and that our stories are also our choice.

The Stories We Choose to Tell - (pdf)
 
  Monday, July 27
  Mr. Shawn Schaefer
S Schaefer Envisioning a Healthy Community
In a format that moved from specific to general and back to specific, Schaefer discussed people in place and provided the diagnosis for the built environment in Tulsa. Schaefer used maps, demographic information, density patterns, and community group work in an effort to specifically illustrate our community.

Schafer further discussed evidence-based urban design and provided current research on ways the environment affects public health. This information tied to what unites us in our work as scholars and professionals and defines our shared codes of ethics.

Review slide deck
   
  Tuesday, July 28
  Drs. Robert Block and Julie Miller-Cribbs
Drs. Block, Miller-Cribbs Bringing Up Baby: The Social Determinants of Health
Brain development was provided as an example of a stressor that creates poverty in an integrated lecture provided by an MD Pediatrician and PhD Social Worker. 

 The ACES (Adverse Childhood Experiences Study) was the main point of reference for the first half of this discussion of the bio-psycho-social processes before a child is even born.  Key examples of why kids born into poverty are more prone to sickness as adults were used to illustrate that when our human capital is at risk our health capital is also at risk.  Dr. Block’s presentation focused on disease and cellular biology and his lecture was rooted to pre-conception biology and how the health system culture ignores this important period.  He concluded by proposing we let go of individual models of blame and begin taking communal responsibility to problems.

Miller-Cribbs complimented Block’s message by linking the science to the social.  For instance, while Block discussed the gene of a patient with a heart defect, Miller-Cribbs discussed what happens in the social environment when this occurs.  Both presenters discussed how we can take advantage of new knowledge and incorporate this into our empirical thinking.
Review slide deck  

   
  Wednesday, July 29
  Dr. Geof Williams, University of Rochester
Dr. Williams Title
Guest speaker, Geoff Williams focused his presentation on improving the health status of an entire region and how we all must become experts in health behavior change. In the context of the Self-Determination Theory, he discussed how it takes a community to build a community, along with the influences of culture.

Williams included the social network determinants of obesity in early pregnancy as an example of how to energize a person to overcome barriers as core values, and for new medical students to make their knowledge pertinent. Williams showed examples of how successful we are as a nation, and cited OU as being in step-one of the process while making the point that it is importance to know what resources are available and how to access them. Williams’ talk set the tone for World Café questions that followed and drove the message of how we can overcome, and the importance of giving up what we are doing now, to let the new doing come forward.
Review slide deck

   
  Thursday, July 30
  Drs. Mark Fox and Steve Landgarten
Drs. Fox and Landgarten Professional Obligations
In a conversational format, this team focused on the professional obligations of physicians engendered by what professional students have to learn. Intended to be disruptive, the discussion pointed out that we learn on poor people, and move from this training process to going to work for a for-profit health care system as a professional. In a juxtaposition of values, the conflict of what is taught with the realities of health care today was openly and honestly discussed. Fox, a doctor of both medicine and ethics, provided the ethical construct for social justice, while Landgarten (MD and hospital medical director) discussed the current compensation and financial environment of where medical students are trained. This lecture found a balance between the realities of fiscal obligations and tensions of altruism.
   
  Friday, July 31
  Dr. F. Daniel Duffy
  Crystallizing a Better Future/The Innovator’s Prescription
  Dr. Duffy utilized his presentation as a means to pull all previous lectures into the “ecology” of the SOCM and made the point that these pieces make up the entire “solar system.” In other words, when any one component is changed, the entire system is changed. The word ecology was used intentionally as it speaks to the organic, and is manipulating as well as resilient. Duffy introduced Peter Block’s work as an example of what has been experienced during SI week. He further presented our organization as an example of convening and how this notion will bring the future into being.

Duffy used the lecture to crystallize how the SOCM has enabled an ecology in Oklahoma. Duffy pointed out that SI participants determined our future by the way they constructed these experiences and the things they have experienced during the week. Duffy concluded by stating our greatest risk will be to use solutions from the past, as this will only create a less perfect form.

  Review the slide deck