The Third Annual UCLA Health Care Symposium



The Fifth Annual UCLA Health Care Symposium

The Future of Medicine: How Information Technology Will Change the Way You Practice Medicine

Inside your program

□ Welcome Letter

□ Schedule of Events

□ Speaker Biographies

□ Board of Advisors

□ Director Biographies

□ Acknowledgments

Saturday, January 27, 2001

Covel Commons, Sunset Village

University of California, Los Angeles

January 27, 2001

Dear Symposium Participant:

Welcome to the Fifth Annual UCLA Health Care Symposium, “The Future of Medicine: How Information Technology Will Change the Way You Practice Medicine,” brought to you by Medical Students Organized to Create Activism and Leadership (MSOCAL). MSOCAL, an association composed of UCLA medical students, was created to provide an avenue for discussion of the current and future status of health care.

The information presented today will be of significant interest to all those in the health professions, especially medical students and physicians practicing in the 21st Century. A distinguished panel will discuss topics including a description of new information technologies, such as online medical records and clinical decision support systems, barriers to the implementation of such technologies, who will have access to these technologies, how the use of these new technologies will help to reduce medical errors, and how they will impact the physician-patient relationship.

The goal of the 2001 Health Care Symposium is to provide a framework for discussion of these issues and insight into the potential for improvements in health care delivery.

The students and faculty advisors organizing the symposium have made special efforts to secure nationally recognized experts to serve as speakers and discussion leaders. This year, we are proud to present Dr. Kenneth Shine, President of the Institute of Medicine as well as other distinguished members of the UCLA medical community.

We hope that today’s conference will encourage you to confront and investigate some of the issues raised today in your practice and education, as well as elicit your interest and active participation in health care delivery for the 21st Century.

Thank you for participating.

Sincerely yours,

The Directors of the Fifth Annual UCLA Health Care Symposium:

David Chan, MSII, UCLA School of Medicine

Andy deLuna, MSII, UCLA School of Medicine

Bobby Mathew, MSII, UCLA School of Medicine

Stephanie Smooke, MSII, UCLA School of Medicine

Gelareh Zargaraff, MSII, UCLA School of Medicine

SCHEDULE OF EVENTS

Covel Commons, Grand Horizon Room

8:30 a.m. – 1:30 p.m.

8:30-9:00 a.m. Registration

9:00-9:15 a.m. Welcome

Gerald S. Levey, MD, Provost, Medical Sciences and Dean, UCLA School of Medicine

9:15-10:30 a.m. Keynote Address

Kenneth I. Shine, MD, President of the Institute of

Medicine, National Academy of Sciences

15-minute break

10:45-11:05 a.m. Introduction to Panel

. J.Michael McCoy, MD, Associate Dean for

Information Technology, UCLA School of Medicine,

Chief Information Officer, UCLA Healthcare

11:05-12:30 p.m. Panel Discussion

Moderator: J.Michael McCoy, MD

( Stacey Drant, MD, Assistant Clinical Professor

Pediatrics-Cardiology, UCLA School of Medicine

( Bruce Hensel, MD, Chief Executive Officer,

Dr., NBC-4 Health Correspondent

( Hooshang Kangarloo, MD, Professor Radiology and

Pediatrics, UCLA School of Medicine

( Michael S. Wilkes, MD,PhD, Associate Professor of

Clinical Medicine, UCLA School of Medicine

12:30-12:45 p.m. Concluding Remarks

12:45-1:30 p.m. Lunch

SPEAKER BIOGRAPHIES

(in order of appearance)

Gerald S Levey, MD

Provost, Medical Sciences and Dean, UCLA School of Medicine

Dr. Gerald S. Levey, a nationally recognized leader in both academic medicine and private sector medical affairs, is Provost, Medical Sciences and Dean of the UCLA School of Medicine. As Provost of Medical Sciences at UCLA, he oversees a diverse medical enterprise including the School of Medicine, UCLA Medical Center, and the UCLA Neuropsychiatric Institute and Hospital. Dr. Levey, a specialist in internal medicine, has a particular interest in issues of the nation's physician supply and the role of generalist physicians, and serves as co-chair of the National Study of Internal Medicine Manpower. He is a past president of the Association of Professors of Medicine and was a member of the Board of Governors of the American Board of Internal Medicine. Widely known for his research on the thyroid gland, Dr. Levey was named a Howard Hughes Medical Institute Investigator while at the University of Miami in the 1970s. He has also served as a consultant to the National Institutes of Health. Dr. Levey joined UCLA in September 1994, having previously served as senior vice president for medical and scientific affairs at Merck & Co., one of the world's leading pharmaceutical companies. He has held major leadership positions throughout his career, including serving as chair of the department of medicine at the University of Pittsburgh school of Medicine. He is a member of the medical honorary society Alpha Omega Alpha, and is a recipient of the Distinguished Alumnus Award from the University of Medicine and Dentistry of New Jersey, where he received his MD in 1961.

Kenneth I. Shine, MD

President of the Institute of Medicine, National Academy of Sciences

Dr. Kenneth I. Shine is President of the Institute of Medicine, National Academy of Sciences, and Professor of Medicine Emeritus at the University of California, Los Angeles (UCLA) School of Medicine. He is UCLA School of Medicine's immediate past Dean and Provost for Medical Sciences. Currently he is Clinical Professor of Medicine at the Georgetown University School of Medicine. A cardiologist and physiologist, Dr. Shine received his

A.B. from Harvard College in 1957 and his M.D. from Harvard Medical School in 1961. Most of his advanced training was at Massachusetts General Hospital (MGH), where he became Chief Resident in Medicine in 1968. Following his postgraduate training at MGH, he held an appointment as Assistant Professor of Medicine at Harvard Medical School. He moved in 1971 to the UCLA School of Medicine and became Director of the Coronary Care Unit, Chief of the Cardiology Division, and subsequently, Chair of the Department of Medicine. As Dean at UCLA, Dr. Shine stimulated major initiatives in ambulatory education, community service for medical students and faculty, mathematics and science education in the public schools, and the

construction of new research facilities funded entirely by the private sector.

Dr. Shine is a member of many academic societies, including Phi Beta Kappa and Alpha Omega Alpha; Fellow of the American Academy of Arts and Sciences, the American College of Cardiology; Master of the American College of Physicians – American Society of Internal Medicine; and was elected to the Institute of Medicine in 1988. He served as Chairman of the Council of Deans of the Association of American Medical Colleges from 1991-1992, and was President of the American Heart Association from 1985-1986.

Dr. Shine's research interests include metabolic events in the heart muscle, the relation of behavior to heart disease, and emergency medicine. He participated in efforts to prove the value of cardiopulmonary resuscitation following a heart attack, and in establishing the 911 emergency telephone number in the

multijurisdictional Los Angeles area. Dr. Shine is the author of numerous articles and scientific papers in the area of heart physiology and clinical research.

J.Michael McCoy, MD

Associate Dean for Information Technology, UCLA School of

Medicine, Chief Information Officer, UCLA Healthcare

Dr. Michael McCoy is Associate Dean for Information Technology for the UCLA School of Medicine, Chief Information Officer of UCLA Healthcare, and an Associate Clinical Professor of Medicine. He graduated from Stanford University School of Medicine in 1981, completed internal medicine residency at UCLA Medical Center, and was a Robert Woods Johnson Clinical

Scholar at UCLA from 1984 through 1986. In 1986, Dr. McCoy joined the General Internal Medicine faculty at UCLA School of Medicine.

Dr. McCoy co-directs UCLA's Integrated Advanced Information Management Systems (IAIMS) Planning Project, which was funded by the National Library of Medicine in January 2000. UCLA's IAIMS Project (InfoShare) will define and implement an information architecture for academic medicine that enables

ubiquitous and integrated information sharing for education, research, and health care delivery.

Stacey Drant, MD

Assistant Clinical Professor Pediatrics-Cardiology, UCLA School of Medicine

Dr. Stacey Drant is Assistant Clinical Professor, Pediatric Cardiology, Medical Director of the Pediatric Echocardiography Lab, and Director of Fetal Echocardiography for the UCLA School of Medicine. Dr. Drant graduated from Brown University School of Medicine in 1998, completed pediatric internship, residency, and a fellowship in pediatric cardiology at UCLA Children’s Hospital. Dr. Drant is a member of the American Academy of Pediatrics and American Society of Echocardiography. Dr. Drant serves on the UCLA Pediatrics Technology Committee and the UCLA Hospital Planning Committee.

Dr. Drant’s interests in information technology include the use of personal digital assistants (ex. Palm Pilot) to improve efficiency and reduce the amount of time required to complete medical documentation and telemedicine. Dr. Drant is currently involved in a telemedicine program in which Antelope Valley Hospital can perform ultrasounds of structurally abnormal hearts and send real-time imaging data to UCLA to assist in diagnosis.

Bruce Hensel, MD

Chief Executive Officer, Dr.; NBC-4 Health Correspondent

Dr. Bruce Hensel is the multi-award-winning medical, health and science editor/reporter for NBC-4’s "Channel 4 News." In addition to his daily medical reports, he is also the host of "4 Your Health," a series of half hour specials featuring the latest in medical breakthroughs, information and technology.

Dr. Hensel graduated from UCLA with a bachelor of arts degree in political theory. He studied journalism at UCLA and Columbia University and attended medical school at Columbia University’s College of Physicians and Surgeons. Dr. Hensel received his internship and residency training at Wadsworth Veterans Administration Hospital and at UCLA. He is board certified in both internal and emergency medicine.

Dr. Hensel is one of the few medical reporters in the country to successfully combine a full-time career as a journalist with an active medical practice. He is the medical/health and science advisor for KFWB radio in Los Angeles and also serves as co-director of two emergency rooms in Southern California, Century City Hospital and San Dimas Community Hospital. Dr. Hensel is an Assistant Professor of Medicine at the UCLA School of Medicine and is the chairman of the American Red Cross Medical Advisory Committee for Health Fair Expo in Southern California. Dr. Hensel is a member of the Medical Advisory Board.

Hooshang Kangarloo, MD

Professor Radiology and Pediatrics, UCLA School of Medicine

Dr. Hooshang Kangarloo is Professor of Pediatrics as well as Professor of Radiological Sciences in the UCLA School of Medicine. He is the Director of the Telemedicine Division with over ten years experience in the development of new health care plans and electronic applications to medicine. Dr. Kangarloo serves on editorial boards and as a reviewer of several scientific journals. He is the author of several books and book chapters and has written over 200 scientific articles. He is awarded multiple grants from the National Institutes of Health for his efforts in electronic imaging and holds a patent. His concepts related to application of electronic imaging to management of health care has been widely published and covered by national and international news media, including the Los Angeles Times, USA Today, and National Geographic (January 1987).

Dr. Kangarloo has held a number of important administrative roles at the UCLA School of Medicine, including the Directorship of Pediatric Radiology, the Directorship of the Residency Training Program, Vice Chairmanship of the Department of Radiology, and from 1986 to 1994 Executive Chairmanship of the Department of Radiology and founding Leo G. Rigler Chair in Radiological Sciences. As Executive Chair of the Department of Radiology, he was academically responsible for four different hospitals and under his leadership the training program became one of the best recognized in the country and academically the department has ranked in the top 5th percentile.

Dr. Kangarloo has been essential to the development of the UCLA Medical Group, initially functioning as its founding secretary, subsequently Vice-Chair, and finally, Chairman of the Board for the UCLA Medical Group Practice. This group practice is responsible for 800 physicians practicing at UCLA and Los Angeles County.

Dr. Kangarloo has also been recognized as an effective communicator and awarded three times by the Department of Pediatrics for outstanding teaching and three times by the Department of Radiological Sciences for outstanding teaching. He also has received the University's Gold Medal for teaching excellence.

Michael S. Wilkes, MD, PhD

Associate Clinical Professor of Medicine, UCLA School of Medicine

Dr. Michael Wilkes is Associate Clinical Professor of Medicine at the UCLA School of Medicine and is the Senior Chair of the School of Medicine's "Doctoring Curriculum." He is also the Chair elect of the School of Medicine's Faculty Executive Committee. In addition he is the Co-director of the Venice Family Clinic High Risk Teen Clinic and serves as the Co-Chair of the Venice Family Clinic Medical Policy Committee. Michael is the Editor of the Western

Journal of Medicine (WJM) and is a regular commentator on health and health care for national public radio. Dr. Wilkes together with Drs. Stuart Slavin,

Richard Usatine and Jerome Hoffman developed the Doctoring Curriculum which has served as a model for schools across the nation, in Europe and South

America.

BOARD OF ADVISORS

Bruce Chernof, MD

Medical Director, Health Net

Associate Clinical Professor, UCLA School of Medicine

Michael Karpf, MD

Vice Provost, Hospital Systems

Director, UCLA Medical Center

J. Michael McCoy, MD

Senior Associate Director, Chief Information Officer, UCLA Medical Center

Clinical Professor, UCLA School of Medicine

Neil H. Parker, MD

Senior Associate Dean for Student Affairs and Graduate Medical Education, UCLA School of Medicine

J. Thomas Rosenthal, MD

Professor of Urology, UCLA School of Medicine

Vice Provost, UCLA Medical Group Affairs

Director, UCLA Medical Group

James Terwilliger, MPH

Vice Provost, Administration

UCLA School of Medicine

LuAnn Wilkerson, EdD

Senior Associate Dean for Medical Education, UCLA School of Medicine

Director, Center for Educational Development and Research,

UCLA School of Medicine

Michael S. Wilkes, MD, PhD

Associate Clinical Professor of Medicine

UCLA School of Medicine

UCLA HEALTH CARE SYMPOSIUM DIRECTORS

The five directors of the UCLA Health Care Symposium are second year medical students at the UCLA School of Medicine.

ACKNOWLEDGMENTS

The Fifth Annual UCLA Health Care Symposium Directors would like to thank the following individuals, without whom this event would not have been possible.

Our Board of Advisors

Special thanks to James Terwilliger, MPH Vice Provost, UCLA School of Medicine, without whom we would not have acquired such a supportive Board of Advisors as well as the bulk of the Symposium’s funding.

Special thanks to J. Michael McCoy, MD, Senior Associate Director, Chief Information Officer Medical Center/ Clinical Professor UCLA School of Medicine, without whom we would not have acquired such distinguished speakers and such an excellent panel moderator.

4th Annual UCLA HCS Directors

Aalok Agarwala

Candace Howe

Adam Schlifke

Judi Turner

Jason Yeh

UCLA School of Medicine

Student Affairs Office

Charlotte Myers

Information Systems,

Student Affairs Division

Peter Lavarreda

5th Annual UCLA HCS Assistant Directors

Mina Bak

Angela Chang

Thanh Huynh

Jennifer Mercado

Issac Yang

NOTES:

Program prepared by Bobby Mathew (bmathew@ucla.edu)

medstudent.ucla.edu/msocal

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Andy deLuna graduated from UCLA in 1999 with a BS in Microbiology and Molecular Genetics and a BA in International Development Studies. He is interested in the policy and economics of tertiary health care.

David Chan is an Economics and Mathematics major from the University of California, Riverside. At UCLA he has been fortunate to enroll in coursework that has shed light on our health care system and policymaking. He plans to pursue internal medicine, with an interest in taking part in the

future changes of our health care system.

Bobby Mathew graduated with a BS in Psychobiology and a minor in Health Services Administration from the University of Southern California in 1999. He completed the UCLA administrative fellowship in medical administration during the summer of 2000. During the fellowship, he worked in the Managed Care Contracts Department of UCLA Medical Center/ UCLA Medical Group.

Stephanie Smooke graduated with a BA in History of Art from Yale University in 1998 and earned a Masters Degree in Art and Archaeology from the University of London in 1999. She completed the UCLA administrative fellowship in medical administration during the summer of 2000 and serves

as a coordinator for DOC STATS, a volunteer organization dedicated to teaching tobacco awareness as well as a coordinator of the Future of Medicine and Bio-Medical Ethics interest group.

Volunteer Coordinator

Marian Maker

UCLA Catering

Charli Wong

Special thanks to UCLA Medical Student Volunteers

Gelareh Zargaraff is a second-year medical student at UCLA School of Medicine. She graduated from UCLA in 1999 with a BS in biochemistry and a minor in Education. Gelareh has worked extensively with the homeless and underserved community. She has also served as a tutor, mentor, and counselor to UCLA undergraduates. She hopes to pursue a career in teaching and medical education.

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