Yank D. Coble, MD, MACP, MACE Director and Distinguished Professor

1. Special Initiatives Relevant to Person-centered CareMay 29, 2008  11:15-12:45 PMGeneva Conference on Patient-Centered MedicineMay 29-31, 2008 Yank D. Coble, MD, MACP, MACE Director and Distinguished Professor Center for Global Health and Medical Diplomacy University of North Florida, Jacksonville, Florida

2. Photos from this Geneva Conference Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

3. World Medical Association’s Caring Physicians of the World Initiative (CPWI) Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

4. “The most important thing is caring, so do it first, for the caring Physician best inspires hope and trust.”Sir William Osler Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

5. World Medical Association World 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” A federation of National Medical Associations (NMAs) 8 million physicians, 85 countries around the world Mission Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

6. Fundamental Traditions • Physicians’ desires and concerns are similar around the globe. • Three fundamental, unifying, and enduring traditions of the medical profession: Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

7. Survey Reveals Global Concerns • WMA surveyed physicians in over 40 countries • Similar concerns: • Access to quality safe medical care • Appropriate professional autonomy to provide that care • Adequate resources and facilities to deliver care  Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

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

9. Physician Requests for the WMA • Increased information on health systems • Enhanced communication between physicians globally • Communication 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 skills Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

10. Addressing the Concerns WMA Caring Physicians of the World Initiative PFIZER Medical Humanities Initiative Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

11. Phase 1: CPWI Outreach WMA officers visited NMAs around the world Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

12. CPWI Outreach in India • Feb 05 • April 05 • Dec 05 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

13. CPW Outreach in China • Oct 04 • April 05 • June 05 • Aug 06 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

14. CPWI Outreach: Regional MeetingSub-Saharan African Nations Planning Meeting • Ghana • Nigeria • Zimbabwe • South Africa • Namibia • Lesotho • Mozambique • Zambia Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

15. CPWI Outreach: Regional Meetings • Europe • Latin America • MASEAN (SE Asia) • Middle East • North Africa • Oceanic • Canada, US, Mexico, Related Islands Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

16. Phase 2: Publication Launched The Caring Physicians of the World Santiago, Chile, WMA Annual meeting, 10/05 CONFEMEL 10/05 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

17. Phase 3: Enhancing Communication Regional 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 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

18. Phase IV: Advocacy and Leadership December 2-9, 2007 thirty-four colleagues selected by their NMAs participated in a course at INSEAD in Fontainebleau, France Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

19. Phase V: Global to Local The 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 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

21. Progress & Barriers Unparalleled 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 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

22. Reasons for Enthusiasm The traditions of the profession The ability to be useful Humanistic value of medicine Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

23. Reasons for Optimism Economics of medical care and biomedical research The Family of Medicine Organization, cooperation and leadership Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

24. CPWI: A Focus on Patients Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

25. CPWI: A Focus on Rights The 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 Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

26. Caring is Critical Providing ethical and science based care Inspiring hope and trust Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative

27. Communication is Critical Caring Respectful Aequinamitus Yank D. Coble, MD, Chair, WMA Caring Physicians of the World Initiative