Primary Care
Early-Career Leaders Collaborative

2021 Session

 

Background

Primary care has shifted in the past 20 years in an attempt to meet the needs of the community it serves. Incremental change has resulted in a fragmented system that often does not align with the goals of primary care. COVID amplified the health inequities and structural limitations of primary care. The current moment of medicine offers a leverage point to shift the scope, focus, and shape of primary care. The Early-Career Leaders Collaborative (ECLC) offers a space for sharing ideas about the priorities of primary care as we enter a post-COVID era and mechanisms by which we can actualize those priorities.

Vision

To strengthen the sustainability of primary care and promote access to equitable, high quality, comprehensive, and cost-effective primary care for individuals and populations in a post-COVID-19 environment.

Mission

  • Convene early-career primary care (PC) physicians to generate innovative approaches and recommendations to deliver high quality, equitable, and cost-effective primary care

  • Identify strategies to reinvigorate primary care’s approach to population health, within the context of the changing landscape of PC due to the COVID-19 pandemic

  • Generate a network of early-career primary care physicians to facilitate future innovative collaboration in a changing healthcare landscape

  • Develop framework for growth of initiative to prompt cross-sector collaboration

Group Objectives

  • Discuss specific challenges facing primary care and recommendations for addressing these challenges across multiple domains (e.g. education, clinical, research)

  • Provide concrete priorities for primary care and actionable items about how to achieve these priorities

  • Develop report summarizing recommendations, which will be shared with key stakeholders

 

Membership

  • We aim to convene a small group (approximately 12 participants) of early-career primary care providers across numerous disciplines (including family medicine, internal medicine, and pediatrics) and with diverse backgrounds and experiences

  • Anticipated time commitment: 20 hours from December 2020 – June 2021. This includes:

    • 12 hours: Attending 6 total meetings (each meeting will be 2 hours)

    • 6 hours: 30-60 minutes of advance reading for each meeting (optional: we will provide 1-2 optional readings for each session)

    • 2 hours: time allotted in May-June 2021 to help with dissemination of findings (optional)

 

Action Plan

  • 1 Primer meeting in 2020

  • 5 facilitated meetings between January 2021-June 2021

  • Develop small group reports after each meeting

  • Conclude with larger paper written to inform next step of PC priorities

 

Timeline

  • December 2020: Convene the first collaborative to provide overview of initiative and to choose priorities for 4 convenings

  • January – May 2021: Series of 4 convenings addressing a variety of key topics in primary care

  • June – July 2021: Final meeting focused on dissemination and next steps. Write up findings, disseminate results, and plan next steps to engage stakeholders

Participants

Richard Bruno, MD, MPH is a double-boarded Family & Preventive medicine physician, practicing in a federally-qualified health center in Baltimore, Maryland. He has served on the boards of the American Academy of Family Physicians, Physicians for a National Health Program, National Physicians Alliance (now Doctors for America), Committee to Protect Medicare, American Association of Public Health Physicians, Physicians for Social Responsibility (Chesapeake chapter), MedChi (the Maryland state medical society), Sugar Free Kids Maryland, Maryland Academy of Family Physicians, Baltimore City Medical Society, Hampden Family Center, Hampden Community Council, Wyman Park Community Association, and the Roland Park Civic League. He also serves on the Ethics Panel of the Baltimore City Public Schools district. He was a candidate for Maryland state representative. His wife and two children enjoy hiking, biking, cooking, and playing music together.  

Neeti Doshi, MD, MPH, FAAP is an Assistant Professor of Pediatrics within the Department of Pediatrics at the University of California, San Francisco. Clinically, she is based at the Children's Health Center at Zuckerberg San Francisco General Hospital, the safety net healthcare system for San Francisco County. There, she provides primary care for a diverse and multi-lingual population while also supervising UCSF trainees and medical students during their outpatient pediatric experiences. Dr. Doshi believes strongly in the value of building relationships over time, a pillar of her approach to primary care. Her academic interests include elevating community voice in health care delivery, addressing structural determinants (racism, trauma, poverty) that lead to inequities in child health, and harnessing design thinking within the public sector. Dr. Doshi lives in Oakland CA. When not at work, you can find her at the Lake Merritt Farmer’s Market, baking cookies with her toddler, or hiking in Point Reyes.

Andy Georgeson, MD was born in Philadelphia and raised in Bridgewater, New Jersey. He majored in biology, with minors in exercise science and classical studies, at Penn State University. He then attended Penn State College of Medicine in Hershey, PA. Dr. Georgeson continued moving west to Pittsburgh and completed his pediatric residency at the Children’s Hospital of Pittsburgh. Throughout his training, Dr. Georgeson has been interested in caring for and teaching skills to underserved patients at a homeless shelter in Harrisburg, PA and at a women’s domestic violence shelter in Pittsburgh. He now works as an outpatient Pediatrician at Kids Plus Pediatrics, which is an independent practice in Pittsburgh, PA. Dr. Georgeson’s professional interests are in adolescent health, sports medicine, and early childhood development.

Maya M. Green, MD, MS is an attentive and encouraging family physician. Dr. Green has combined her love of travel with her love of medicine and works as a Locum Tenens provider throughout the US. As a medical student, Dr. Green was president of the VCU chapter of the Student National Medical Association (SNMA) and served as co-Public Relations chair on the National SNMA board. She also served as Student Member Of The Board of the Virginia Academy of Family Physicians. She received her Bachelor's of Science from University of Maryland and a Masters of Science from Hampton University. She then attended Virginia Commonwealth University School of Medicine and remained in Richmond, VA to complete her residency in Family Medicine. When not advocating for her patients, Dr. Green enjoys podcasting with her sister on The Sisters Will See You Now and is the founder of Black Pearl Passport.  

Tracey Henry, MD is an Assistant Professor of Medicine at Emory University, clinical educator and attending physician in both inpatient and outpatient medicine. She is the Assistant Health Director in the Grady Primary Care Center and Co-Director of the Health Equity Advocacy Policy track for Emory’s GME programs. She conducts research on health disparities and the intersection of mental health and primary care on chronic disease. Dr. Henry earned her MD at Georgetown University and MPH from Johns Hopkins University. During residency, she served on ACP’s Council of Residents/Fellows, the Louisiana State Medical Society Board of Governors, and was awarded the American Medical Association (AMA)’s Paul Ambrose Award for Leadership Among Resident Physicians. Dr. Henry completed a Health Policy Fellowship at Georgetown University where she studied primary care-related health policies, healthcare delivery systems, and alternative payment models. She has held many leadership roles, including serving on the American Medical Student Association’s Board of Regional Directors and is a delegate to the AMA’s House of Delegates. Dr. Henry was selected as a 2017 Presidential Leadership Scholar, a national program designed for leaders from multi-sector backgrounds who share a commitment to solving society’s greatest challenges. Currently, she is the Medical Association of Georgia’s Young Physician Section Chair, a Society of General Internal Medicine’s Leadership in Health Policy Scholar, and serves on their Health Policy Education and Clinical Practice Committees. She also serves on ACP’s Health and Public Policy Committee and recently completed her term on the NBME.

Carlos Irwin A. Oronce, MD, MPH is a fellow in the UCLA National Clinician Scholars Program and a primary care physician at the Greater Los Angeles VA Healthcare System. He received his MD and MPH from Tulane University and completed his residency in internal medicine at the University of Rochester Medical Center. His work focuses on the role of the health system in improving population health, advancing health equity, and delivering better value in care.

Braveen Ragunanthan, MD, MPH is a Chief Resident at UPMC Children’s Hospital of Pittsburgh for the 2020-2021 year after completing his residency training through their Pediatric Advocacy-Leadership-Service (PALS) track. Braveen received his undergraduate degree in Public Policy from Duke University as a Robertson Scholar. He completed his MPH at the Johns Hopkins Bloomberg School of Public Health and graduated from VCU School of Medicine participating in their International/Inner City/Rural Preceptorship (I2CRP) program. Next Braveen will work in pediatric primary care in a medically underserved health professional shortage area of the United States through the National Health Service Corps.

Alexandra Ristow, MD earned a bachelor’s in biology at Claremont McKenna College and attended Yale School of Medicine, where she co-created a medical education elective that is still offered annually. She completed her internal medicine residency at the University of California, San Francisco, as a member of both the Primary Care track and the Health Systems Leadership pathway. Following residency, Dr. Ristow worked at the San Francisco Free Clinic and served as the market medical director for the ChenMed clinics in Lakeland, Florida. She is currently working as a staff physician at the VA in Tampa, Florida, where in additional to clinical work she supervises residents and helps train new physicians and nurse practitioners. Her interests include innovative primary care delivery, team-based care, and physician wellness.

Joshua St. Louis, MD, MPH, AAHIVS is faculty at the Lawrence Family Medicine residency. A Massachusetts native, he studied evolutionary biology at Harvard, earned his MD/MPH from Tufts, and completed his residency in family medicine at the Lawrence Family Medicine Residency. He is core faculty at the Lawrence Family Medicine Residency where he maintains a primary care practice that focuses on HIV, viral hepatitis, addiction medicine, and transgender care. He is also an assistant clinical professor in the department of Family Medicine at Tufts and provides reproductive healthcare services in a number of private clinics in the northeast. Twitter: @jhstlouis