• National Conference Q&A: Event Is
    Springboard to Leadership

    July 10, 2024, David Mitchell — With the 50th anniversary approaching for the National Conference of Family Medicine Residents and Medical Students, Aug. 1-3 in Kansas City, Mo., AAFP News gathered six past student and resident chairs whose leadership experiences span the event’s half-century.

    In this four-part series, these family medicine leaders share their thoughts on the beginnings, evolution and growth of National Conference; the event’s vital role in helping students choose the specialty, find residency programs, connect with mentors and become future leaders of the specialty; and the future of the specialty itself.

    These former student and resident leaders went on to local, state and national leadership roles with their clinics, medical schools, health systems, payers and family medicine organizations. Their leadership journeys began at National Conference.

    How did participating in the student and resident congresses, running for elected positions and serving prepare you for other leadership roles? Why do you encourage students and residents to get involved now?

    Student officers pose after being elected by their peers during the 1979 National Conference of Student Members in Kansas City, Mo. Pictured are 1980 National Conference student chair Marla Tobin (standing), and student delegates Sylvia Corral and Herb Young.

    Douglas Henley, M.D., FAAFP, resident chair 1980: After I attended my first conference, I applied and was appointed as a student member of the Commission on Legislation and Governmental Affairs. I was both the student and then resident representative on that commission before I ran for resident chair. I also spent a year on the Residency Review Committee for Family Medicine. You met a plethora of leaders in the discipline who were positive about urging the residents and students who were at the commission Clusters, or at the conference itself, to demonstrate leadership skills that you needed and encouraged you to think about running for other positions.

    I never thought about the Residency Review Committee for Family Medicine, but at the end of my resident year on the Commission on Legislation, a group of mentors came to me. For some reason they thought I would be a good person to have on the RRC. It was an incredible experience. The discipline at that time was having a conversation about whether to continue with operative surgery versus outpatient surgery in terms of curriculum change.

    Marla Tobin, M.D., FAAFP, student chair 1980, resident chair 1982 and 1983: I think it was a natural step to run for chief resident in my residency after doing all this and to go on to the committees and commissions of the Academy as a student, resident, as well as a young physician. I was on the Women, Minority and New Physicians Committee. I was on the Membership Committee, couple of other commissions and committees. I went on to the Board of Directors at the Missouri AFP pretty quickly, including serving as president and chair of the Board. It was a great education in parliamentary procedure. I think that’s something you don’t learn in college or medical school. And to how to pack business meetings, get them done and stay on time and run these kind of conferences.

    Now that National Conference is as big as it is, it’s a huge logistics lift, but even in those days it was a big logistics feat. You learned how to network, getting involved in medical politics. In those days, it was a good old boy network. It still is somewhat a good old boy network of medical politics, hospital privileging, medical staff rules and all of the local politics that you have to play as a family doc. You learn that pretty quickly in this role. And you get skills that you wouldn’t get in medical school or residency any other way. That’s huge.

    Beulette Hooks, M.D., FAAFP, student chair 1993, Resident chair 1996: It taught me not only how to win elections but also how to lose. And going on after that because a lot of times people will quit, saying, “Well, they didn’t want me to do this, so I’m just going to stop and I’m not going to be involved at all.” After my first National Conference, I wanted to apply for the Committee on Minority Affairs. Well, I didn’t get chosen. But people kept pushing and saying, “Go to the next meeting. See what you’re interested in.” And then at the next conference I thought, “Maybe I’ll run for student delegate to the Congress.” All of these experiences prepare you for the real world. They prepare you for trying to help somebody get hospital privileges. It gave me an avenue to help others and also to continue to advocate for my patients, learning how to campaign, learning how to run for an office.

    Daniel Lewis, M.D., FAAFP, resident chair 2006; current chair of the National Conference Planning Subcommittee: If you’ve met one family doctor, you’ve met one family doctor. The surgeons in my hospital are fairly similar, the general surgeons do about the same thing. None of the family physicians have the exact same approach to what they do. Some do pediatrics, some do obstetrics. Some folks do geriatrics. Some do sports medicine. Getting involved in the Academy gives you a broad opportunity to see individuals who focus their practice in so many different ways. It gives you an opportunity to learn what you may want to be. There are no borders on what we can do and no requirements to keep us from doing what we choose. Being involved gives you that opportunity to network and meet those individuals. We all are family physicians, but we apply our training in different ways and with different traits in service of our patients.

    Julia Wang, M.D., student chair 2020: I’ve always viewed advocacy work as an antidote to burnout in medicine and frustration with our health care system. When I talk with medical students and residents, everyone is so deeply frustrated with the inequities that are inherently built into the way that health care is run in the U.S. Being involved with commissions and the AAFP peels that curtain back a little bit and helps you understand how things function. How do you get hospital policies changed? How do you move forward and start chipping away at the things that otherwise sit and gnaw at you? The earlier we can teach these skills to up-and-coming family medicine docs, the better off our specialty will be in the future.

    Henley: I suspect all of us probably suffered a little bit of imposter syndrome when we first got involved with the Academy via National Conference. You know: Why me? It was through the encouragement of a lot of people who got us involved, encouraged us to continue to be involved and to think that we can do these things. You can run for resident chair. You can apply for a commission. Marla mentioned this earlier, and I think this is critical. All of us probably benefited greatly from the influence of our state chapter in terms of continuing to reel us in. Like Marla, I signed up as a member during first year of medical school, but I never went to a North Carolina Academy meeting or any other family physician meeting until after I went to National Conference. The North Carolina chapter had nothing to do with that. It was Ed Shahady, (former STFM and Florida AFP president) who was chair of the Family Medicine Department at that time (1976-1986) at Chapel Hill. The minute I came back from that summer meeting, I knew I wanted to go to the North Carolina Academy meeting that fall in Raleigh.

    To me, it was a big meeting, but I was the only medical student there. You would have thought I was a rock star. I didn’t think I was a rock star, but I was a student interested in family medicine, and these folks surrounded me and said, “You’re one of us, and we want you to be a student and resident leader in this organization and get you involved.” I’m thinking, “Why me?” But they were so encouraging. Sue Makey (who later became the NCAFP CEO) had just started as a secretary at the NCAFP, but she and the chapter leadership were going to assure that you remained involved. So, it is just incredible how the chapters can be a big part of that mentorship and encouragement, as well.

    Tobin: That’s why some of us went back and started the North Carolina residents organization under the chapter. Because they were so supportive and there were a lot of us getting involved from the programs. And they were really wanting to push the envelope and get a resident organization going, too.


    Meet the Panel

    Alan David, M.D.

    Then: Resident chair from the University of Missouri Family Medicine Residency in 1974 and 1975

    Now: Retired chair of the Department of Family Medicine and an associate dean at the Medical College of Wisconsin; Granville, Ohio

    Other notable roles: Former president of STFM (1991); Also served on the boards of the Association of Departments of Family Medicine and the ABFM


    Douglas Henley, M.D., FAAFP

    Then: Resident chair from the University of North Carolina Family Medicine Residency in 1980

    Now: President, Henley Health Care Consulting; Loch Lloyd, Mo.

    Other notable roles: North Carolina AFP president (1987-1989); AAFP president (1995-96); AAFP Board chair (1994-95, 1996-97); AAFP executive vice president/CEO (2000-2020); chair of the Patient Centered Primary Care Collaborative (2015-17)


    Marla Tobin, M.D., FAAFP

    Then: Student chair from University of Missouri in 1980; resident chair from Duke University Family Medicine Residency in 1982 and 1983

    Now: Retired Aetna Inc. regional senior medical director, who previously practiced full-scope family medicine in rural Missouri, Warrensburg, Mo.

    Other notable roles: Inaugural convener of the National Conference of Women, Minority, and New Physicians (now the National Conference of Constituency Leaders) in 1990; Missouri AFP president (1993-94)


    Beulette Hooks, M.D., FAAFP

    Then: Student chair from the Mercer University School of Medicine in 1993; resident chair from Atrium Health Navicent /Mercer University School of Medicine Family Medicine Residency in 1996

    Now: Medical director for the Family Medicine Clinic at Martin Army Community Hospital, Fort Moore, Ga.

    Other notable roles: President of the Georgia AFP (2011-2012); convener of the National Conference of Special Constituencies (now the National Conference of Constituency Leaders) in 2006


    Daniel Lewis, M.D., FAAFP

    Then: Resident chair from Self Regional Health Care Family Medicine Residency in 2006

    Now: VP and CMO of Southern Market for Ballad Health/Wellmont Health Systems, Greeneville Tenn.

    Other notable roles: Member of the Commission on Education and chair of the National Conference Planning Subcommittee; president of the Tennessee AFP (2020-21); resident member of the AAFP Board of Directors (2007-08)

     


    Julia Wang, M.D.

    Then: Student chair from Keck School of Medicine in 2020

    Now: Reproductive Health and Advocacy Fellow, Tufts Cambridge Health Alliance; Family medicine attending, Cambridge Health Alliance Primary Care, Malden, Mass.

    Other notable roles: Student delegate to the AAFP Congress of Delegates; student member of the AAFP Commission on Education

     

    Alan David, M.D., resident chair 1974-1975: For me, National Conference was an excellent springboard to seeing a bigger picture than simply the program, medical school and the environment in which I was being educated. I chaired Departments of Family Medicine in three different medical schools. I got very involved in the Society of Teachers and Family Medicine. In 1991 I was the president of STFM. I was on the board of Association of Departments of Family Medicine for 10 years or more. I was on the ABFM Board for five years. So, this is not intended to brag about me, but those are some of the fruits of being there at the start of National Conference.

    If you want to see a bigger picture and you want to get involved in what’s going on, get involved in your state Academy so you can be supported in this endeavor. We’ve always encouraged students to go to National Conference and get involved in leadership.

    Did attending National Conference help you stand out at your school, in residency interviews or in other ways?

    Henley: After I went to National Conference in the summer of ’76 I came back revved up and started the first FMIG at UNC. I assumed the leadership role in that for that very reason with the support of the department. But I think that obviously got the attention of my medical student colleagues, in terms of leadership ability. That all was result of attending that summer meeting.

    Hooks: What I heard a lot was that people only knew Mercer because of me, because of how active I was. Mercer was a newer medical school at the time and because I said, “I’m Beulette Hooks from Mercer University School of Medicine,” that got Mercer out there as much as it got me out there.

    Our state chapter said, the national Academy says that they are paying a little bit for us going. So, who wanted to go? Well, I’m a little girl from a small town in Georgia who’d never been to Kansas City. So, that was really the reason that I volunteered because I had never been there. So, things like that can get you started and you just never know.

    Lewis: I do recall seeing the FMIG Program of Excellence Awards for the first time when I came out there. I wasn’t an officer in our FMIG, but I talked to our FMIG president and vice president, like, “Hey, we should apply for this.” OK, but we don’t know anything about it. I sat down and wrote that application over what I knew we had done, and it actually won our first Program of Excellence Award based on my application, so that did certainly get noticed in the state and at the medical school level. National Conference gives the students a leg up in a lot of ways, both in their own schools but also with residency programs.

    Tobin: I think the students and residents who are involved do get noticed at their medical schools. In my residency at Duke, it got to be almost a wildfire. We had five or six of us involved in national politics. Our residency director was like, “We can’t have any more. We’ve got too many people leaving all the time.” We had to take turns doing some of that. But there are plenty of roles to do a lot of different things.

    The thing that’s excited me about the conference since is the Emerging Leader Institute program and some of the new ways to get people to the conference, involved in the conference and showcased in the conference. I know for me, it led to not only a lot of state and local opportunities, but being able to speak in a lot of different venues in state and Academy meetings. 

    Mercer University School of Medicine student Beulette Hooks speaks during a candidate forum during the 1992 National Conference in Kansas City, Mo. Hooks was elected student chair of the 1993 National Conference. She also served as resident chair of the event in 1996. 

    I was on three or four different editorial boards at one point in my life because of the connections I had made. A small-town country doc doesn’t do that kind of thing, but being able to make the connections and do the expansive work that you do from the conference on, you get a lot of different opportunities.

    Wang: It helped me not only to understand the breadth of family medicine, but going to National Conference also helped me to limit my own scope of practice in terms of what I was interested in while looking for in residencies. Dr. John Cullen was president that year, and he gave a plenary talk about one of his first shifts in Alaska and how he was the only person in the hospital who had done a C-section within the last 10 years. The nurse and the scrub tech both fainted because they weren’t used to the amount of blood, so it was just him, the anesthetist and the patient. I remember sitting there and thinking, “God bless you for doing this work,” and also, “Not for me.” It’s that idea of, “You met one family medicine doc, and you’ve met one family medicine doc,” and understanding what the breadth of this field looks like while also understanding that I don’t have to do absolutely everything and that I get the opportunity and privilege of picking and choosing the areas I want to focus on.

    Marla touched on parliamentary procedure and running a meeting. What else did you get out of being chair? What other skills did you learn that that you could apply to other leadership roles or to being a doctor?

    Hooks: I learned that I can herd cats, and in my current position as the medical director for the family medical home out at Fort Moore, I’m always herding cats. You’ve got to try to get everybody going in the same direction.

    Henley: The two most important skills that those leadership positions taught me early on was the value of listening very well and the value of communicating very well and very clearly.

    Tobin: It also taught me a lot about Academy politics and the Congress of Delegates as a microcosm of our federal government. It’s more effective than our federal government right now. But I think that learning how to navigate that and how to work with people of varying positions, and a lot of different viewpoints, and get a resolution through the Congress and things like that were politically powerful. I learned the power of the chapter execs, the staff of the Academy and how much work they were doing behind the scenes.

    With the connections we made, we became a network of people going forward in a young specialty. It was a powerful bond, a brotherhood of family docs with like spirit.

    Lewis: Coming from a place where there’s a lot of like-mindedness and similar views, it was the first time I’d really been in this scenario with a lot of different viewpoints from individuals who had different perspectives on the same topic. It taught me the importance of collaboration and trying to build consensus and realizing everyone doesn’t have to think exactly the same to get to a mutually beneficial result. In my role as chief medical officer, I’m dealing with individuals who have different perspectives from each specialty and different groups. I have to be able to put those folks together to say, “Look, maybe what’s best for all of us is not exactly what you want, but it’s a piece of what you want and a piece of what they want.” National Conference was the first time I got to practice that, and it’s been very beneficial.

    Wang: The year that I was student chair was the summer of 2020, so it was the first year of COVID. I learned a lot about how to talk to an audience through this online system that actually has been really useful.

    I have two questions specifically for Marla. What is the significance of being the first woman student chair and the first woman resident chair, and what message did that send about the Academy, family medicine and opportunities for women?

    Tobin: It jumped me into being able to think about being a role model and a mentor, an image-changer of the specialty. Before I started medical school, you could count the women on your fingers. In my class, there were 10 women out of a class of 110. By the time I finished residency, we were talking about one in four or one in five in medical school. It was a phenomenon that was happening.

    Now more than half of medical students are women, and our profession is getting there in terms of our residents. We need to make sure that we embrace that, and I’m proud to be part of it.                                                                  

    How did your experiences as student and resident chair prepare you for being the first convener of what is now the National Conference of Constituency Leaders?

    Tobin: I had been very in touch with the resident-student network for so many years that it basically became the next step in the platform. When you jump off the train, you don’t want to just suddenly go into practice land and have no support. You want to have a little cushion. That conference at that point was Women, Minority and New Physicians. We had delegates from each section. It’s supported the Academy and its growth in these areas that were, at that point in time, starting to just boom. Having stepped into that role, having been on the Women in Medicine Committee and the New Physician Committee, it was just a really natural step to make that the transition point to help young physicians not just jump off into a of chasm, in terms of them coming out of residency and student activities and not know what to do next.