yank d. coble, md, macp, mace director and distinguished professor

Special Initiatives Relevant to Person-centered Care

May 29, 2008 11:15-12:45 PM

Geneva Conference on Patient-Centered MedicineMay 29-31, 2008

 Yank D. Coble, MD, MACP, MACE

Director and Distinguished ProfessorCenter for Global Health and Medical DiplomacyUniversity of North Florida, Jacksonville, Florida

Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative 2

Photos from this Geneva Conference

World Medical Association’s Caring Physicians of the World

Initiative (CPWI)

3Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

“The most important thing is caring, so do it first,

for the caring Physician best inspires

hope and trust.”Sir William Osler

4Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

A federation of National Medical Associations (NMAs)

8 million physicians, 85 countries around the world

Mission

World Medical AssociationWorld Medical Association

“to serve humanity by endeavoring to achieve the highest international standards in medical education, medical science, medical care, and medical ethics, and health care for all the people of the world”

5Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Fundamental Traditions Physicians’ desires and concerns are similar around the globe.

Three fundamental, unifying, and enduring traditions of the medical profession:

Ethics

Science

Caring

6Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Survey Reveals Global Concerns

WMA surveyed physicians in over 40 countries

Similar concerns:Access to quality safe medical careAppropriate professional autonomy to provide

that care Adequate resources and facilities to deliver

care 

7Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Survey Reveals Global Barriers

Lack of respect for professional values and status

Regulatory, legal, and political barriers to care

Governmental attitudes viewing medical care as an expense, rather than an investment

8Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Physician Requests for the WMAIncreased information on health systems Enhanced communication between physicians

globallyCommunication to the public of the value of

medicine and healthcare Relief of despair, disease, disability, and premature

death Economic return on investment in medical care,

biomedical research and public health  Training to enhance advocacy knowledge and

skills9

Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Addressing the Concerns

NMAs

Caring Physicians

of the World Initiative

10

WMA

PFIZER Medical

Humanities

Initiative

Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Phase 1: CPWI OutreachWMA officers visited NMAs around the world

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CPWI Outreach in IndiaFeb 05April 05Dec 05

12Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

CPW Outreach in ChinaOct 04April 05June 05Aug 06

13Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

CPWI Outreach: Regional MeetingSub-Saharan African Nations Planning Meeting

GhanaNigeriaZimbabweSouth AfricaNamibiaLesothoMozambiqu

eZambia

14Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

CPWI Outreach: Regional MeetingsEuropeLatin AmericaMASEAN (SE Asia)Middle EastNorth AfricaOceanicCanada, US, Mexico, Related Islands

15Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Phase 2: PublicationLaunched The Caring Physicians of the WorldSantiago, Chile, WMA Annual meeting, 10/05CONFEMEL 10/05

16Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Phase 3: Enhancing CommunicationRegional meetings with NMAs: Johannesburg, Prague,

Santiago, Tokyo, Bangkok, Shanghai, Amelia Island Florida, Chenai, San Jose

Focus on effective ways to address the primary issues for patients, physicians, and public health

17Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Phase IV: Advocacy and LeadershipDecember 2-9, 2007 thirty-four colleagues

selected by their NMAs participated in a course at INSEAD in Fontainebleau, France

18Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Phase V: Global to LocalThe Indonesian Medical Association (IMA)

presents the book Caring Physicians of Indonesia at the President’s Palace on May 28th to launch the centennial anniversary of the IMA

19Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Progress & BarriersUnparalleled progress in biomedical science, public health and medical care

Persistent threats of communicable and non-communicable disease

Barriers of inefficient and corrupt

governments and legal systems

21Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Reasons for EnthusiasmThe traditions of the profession The ability to be usefulHumanistic value of medicine

22Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Reasons for OptimismEconomics of medical care and

biomedical research The Family of MedicineOrganization, cooperation and leadership

23Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

CPWI: A Focus on Patients

24Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

CPWI: A Focus on RightsThe right of all patients to choose physicians

providing care based on a singular ethical commitment to them, using the best available science, in a caring manner

The right for physicians to have appropriate autonomy to provide care, self regulate and advocate for patient health

25Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Caring is CriticalProviding ethical and science based

careInspiring hope and trust

26Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

Communication is CriticalCaringRespectfulAequinamitus

27Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative