2003
7th Annual Healthcare Symposium
The Business of Medicine: Challenges to Professionalism

February 8, 2003
Covel Commons, UCLA
Introduction:
Gerald Levey, M.D.
Provost, Medical Sciences and Dean,
David Geffen School of Medicine, UCLA
Moderator:
J.Thomas Rosenthal, M.D.
Professor of Urology
Director, UCLA Medical Group
Vice Provost, UCLA Medical Group Affairs
Keynote Speaker:
Jordan Cohen, M.D.
President of the AAMC
Chair of the American Board of Internal Medicine and
the Accreditation Council for Graduate Medical Education
Panelists:
Michael Karpf, M.D.
Vice Provost, Hospital Systems Director, UCLA Medical Center
Richard Corlin, M.D.
Former AMA President, currently practicing physician
Roger Perlmutter, M.D.,Ph.D
Executive Vice-President of R&D, Amgen, Inc.
David C. Blake, Ph.D., J.D.
Vice President, Mission & Ethics/HR Organizational Responsibility Officer, St.John's Health Center
Thomas Garthwaite, M.D.
Director & Chief Medical Officer of the Los Angeles County Department of Health Services


Mission Statement
The 2003 UCLA Health Care Symposium addressed the concept of medical professionalism and its current state in today's corporate health care system. Professionals share common characteristics such as self-governance, accountability, life-long learning, fiduciary responsibilities, and most of all, a code to abide by. Professionalism is integral to medical practices, but it is now being challenged by conflicts of interest among managed care, for-profit medicine, the pharmaceutical industry, and physicians. How can doctors reunite and return to medical professionalism within this system of bureaucracy and limitations? Indeed, "...the challenge to behave professionally is also a personal test that occurs daily, in increments." (Malathi Srinivasan, MD, JAMA, Vol. 282 No. 9, September 1, 1999)

Schedule of Events

Time: 8:00-9:00AM
Registration
Covel Rotunda
Breakfast
North & South Promenade
Time: 9:00-9:15 AM
Welcome by Gerald Levey, M.D.
Provst, Medical Sciences and Dean,
David Geffen School of Medicine, UCLA
Grand Horizon Room
Time: 9:15-10:00 AM
Keynote Address: Jordan Cohen, M.D.
President of the AAMC
Chair of the American Board of Internal Medicine and
the Accreditation Council for Graduate Medical Education
Grand Horizon Room
Time: 10:00-10:15 AM
Break
North & South Promenade
Time: 10:15-12:00 a.m.
Panel Discussion/Cases
Moderator:
J. Thomas Rosenthal, M.D.
Professor of Urology
Director, UCLA Medical Group
Vice Provost, UCLA Medical Group Affairs
Panelists include:
Michael Karpf, M.D.
Vice Provost, Hospital Systems Director, UCLA Medical Center
Richard Corlin, M.D.
Former AMA President, currently practicing physician
Roger Perlmutter
Executive Vice-President of R&D, Amgen, Inc.
David C. Blake, Ph.D., J.D.
Vice President, Mission & Ethics/HR Organizational Responsibility Officer, St. John's Health Center
Thomas Garthwaite, M.D.
Director & Chief Medical Officer of the Los Angeles County Department of Health Services
Grand Horizon Room
Time: 12:00-12:15 p.m.
Closing & Door Prizes
Grand Horizon Room
Time: 12:15-1:00 p.m.
Lunch
Covel Terrace
Speakers
(Bios are for archival purposes)

Introduction:
Gerald Levey, M.D.
Provost, Medical Sciences and Dean,
David Geffen School of Medicine, UCLA

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 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 position 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.
Moderator:
J.Thomas Rosenthal, M.D.
Professor of Urology
Director, UCLA Medical Group
Vice Provost, UCLA Medical Group Affairs
Dr. Rosenthal is a urologic surgeon by training and was the head of the kidney transplant program at UCLA. He was the Executive Vice-Chair of the Department of Surgery, and was appointed Director of the UCLA Medical Group in 1996. He had responsibility for managed care services including management of capitation. For the past two years he has been Chief Medical Officer of the integrated health system. Dr. Rosenthal has a major responsibility for developing and implementing the organizational strategic plan. These strategic initiatives include responding effectively to the managed care market in California, building a primary care network, moving care into the community, and building a more cohesive group practice from autonomous academic clinical departments. Major concerns are how the academic mission is preserved in the face of declining resources, and how high quality care can be provided most efficiently.
Dr. Rosenthal is also responsible at UCLA for affiliations, including the affiliation with the County of Los Angeles. UCLA faculty physicians are responsible for patient care, and training the physicians of the future at two County hospitals and community health centers. He is also Chief Medical Officer of the UCLA health system.
Keynote Speaker:
Jordan Cohen, M.D.
President of the AAMC
Chair of the American Board of Internal Medicine and
the Accreditation Council for Graduate Medical Education
As President and Chief Executive Officer of the Association of American Medical Colleges (AAMC), Jordan J. Cohen, M.D. leads the Association’s support and service to the nation’s medical schools and teaching hospitals. The Washington-based association was founded in 1876, and represents all 125 U.S. medical schools, nearly 400 major teaching hospitals, 89 academic and research societies, and more than 160,000 U.S. medical students and residents.
His almost 40-year career in academic medicine has included positions at some of the most prestigious institutions in the country. Most recently, he served as dean of the medical school and professor of medicine at the State University of New York at Stony Brook, and president of the medical staff at University Hospital. In his six-year administration at Stony Brook, Dr. Cohen fostered the Medical Center’s development as a regional health care provider and launched an innovative model curriculum that emphasized the changing role of medicine in modern society.
Prior to serving as dean at SUNY-Stony Brook, Dr. Cohen served as professor and associate chairman of Medicine at the University of Chicago-Pritzker School of Medicine, and physician-in-chief and chairman of the Department of Medicine at the Michael Reese Hospital and Medical Center. He has held medical faculty positions at Harvard, Brown, and Tufts universities.
Dr. Cohen is also a former president of the medical staff at the New England Medical Center Hospital in Boston.
He has held a wide variety of leadership positions in almost all aspects of academic medicine, including chair of the American Board of Internal Medicine and the Accreditation Council for Graduate Medical Education, as well as president of the Association of Program Directors of Internal Medicine. A member of the American College of Physicians since 1978, he has served as vice chair of its Board of Regents and chair of its Education Policy Committee; he was awarded a mastership from the college in 1993.
Concurrent with his leadership of the AAMC, Dr. Cohen also serves on the Board of Directors of the Foundation for Biomedical Research, the China Medical Board, and Research!America, and is a Trustee of the Educational Commission for Foreign Medical Graduates. He is a member of the Special Medical Advisory Group of the Department of Veterans Affairs. In 1994, Dr. Cohen was named a member of the National Academy of Sciences’ Institute of Medicine. He is a member of the board of directors of the Josiah Macy Jr. Foundation of New York.
He is a graduate of Yale University and Harvard Medical School and completed his postgraduate training in internal medicine on the Harvard service at the Boston City Hospital. He completed a fellowship in nephrology at the Tufts-New England Medical Center. His chief areas of research interest are acid-base metabolism and renal physiology. He is the author of more than 100 publications and is the editor of Kidney International’s Nephrology Forum.
Panelists:
Michael Karpf, M.D.
Vice Provost, Hospital Systems Director, UCLA Medical Center

Michael Karpf received both his undergraduate and medical degrees from the University of Pennsylvania. After an internship in Medicine at Johns Hopkins Hospital, he served as a Research Associate in the Laboratory of Immunology at the National Institutes of Health. He returned to the University of Pennsylvania to complete his medical residency, fellowship in Hematology and Oncology and a Chief Residency in Internal Medicine. In 1978, he went to the Miami Veteran Administration Hospital to start a Division of General Internal Medicine.
In 1979, he was recruited to the University of Pittsburgh to develop a Division of General Medicine. In 1985, he assumed the Falk Chair in General Medicine and became Vice Chair of the Department of Medicine. At the University of Pittsburgh, Dr.Karpf was instrumental in restructuring the educational programs for medical students and housestaff as well as the clinical programs of the Department of Medicine. The Division was described in the literature and served as a paradigm for Divisions of General Medicine at other academic institutions.
In 1994, Dr.Karpf went to the Allegheny Health Systems as Senior Vice President for Clinical Affairs at Allegheny General Hospital and Senior Vice President for Clinical Affairs at the Allegheny Integrated Health Group. His responsibilities at that institution included recruiting physicians, evaluating and acquiring medical practices, developing relationships with appropriate community hospitals and participating in the development of integrative processes.
In 1995, he was recruited to UCLA as Vice Provost for Hospital Systems. Dr. Karpf integrated the UCLA Medical Center in Westwood, the Santa Monica /UCLA Medical Center and the Neuropsychiatric Hospital into one corporate entity and has responsibility for this system. Working with the leadership from the Medical Group and the Department of Medicine, he has been instrumental in developing a primary care network for UCLA, which is central to the UCLA’s emerging, integrated delivery network. He has extensive management responsibility for the planning and rebuilding of the replacement hospitals for the UCLA Medical Center and the SM/UCLA Medical Center. These two building projects will have a committed budget in excess of $900 million. As Vice Provost, he is a member of the senior leadership team of the UCLA Medical Enterprise. Recently, he has been instrumental in forging a partnership between the practice plans and the hospital system. This partnership has spawned the development of UCLA Healthcare as an integrated business entity uniting the hospital system and the practice plans. In addition to his hospital responsibilities, he has taken on a responsibility for the business functions of the practice plans and assumed the position of Director, Practice Plan Operations.
Dr. Karpf’s academic interests have been in developing and evaluating innovative educational and clinical programs. He established the Primary Care Training Residency and the General Medicine Fellowships at the University of Pittsburgh. He established a health services research program at the University of Pittsburgh which received extensive funding from the National Institutes of Health, the National Library of Medicine and other sources, has published extensively and has been a reviewer for many journals. At UCLA, he has established a Center for Patient Safety and Quality.
Dr. Karpf had been involved in many civic and professional organizations. He was the Chairman of the Statewide Healthcare Coordinating Committee for Pennsylvania in 1993. He was a member of the Governor’s Task Force evaluating Managed Care in California in 1997-1998 and served on the Board of Directors of the Hospital Association of Southern California for 1997-2000. He is currently on the Boards of Directors of American Heart Association and OneLegacy, a transplant organ procurement network, he also serves on the Board of Trustees of the California Healthcare Association (CHA). Since 2001, Dr. Karpf serves as the chairman of Advisory Panel on Health Care Delivery for the Association of American Medical Colleges. In 2002, he has been appointed to the Executive Committee of University HealthSystem Consortium (UHC) and to the Executive Committee of the CHA Board of Trustees.
Richard Corlin, M.D.
Former AMA President, currently practicing physician
Richard F. Corlin, MD, a gastroenterologist in private practice in Santa Monica, CA, served as the 156th President of the American Medical Association (AMA), June 2001-June 2002. As one of America's most influential voices in medicine, Dr. Corlin dedicated his year-long presidency to the issues of gun-related violence, and helped to coordinate organized medicine's response to the growing tort reform battle. Dr. Corlin, who was named president-elect of the AMA in June 2000, has been a member of the Board of Trustees since 1991.
Prior to becoming AMA's President, Dr. Corlin served as Speaker of the AMA's House of Delebates for five years. He has been active in the affairs of the AMA for the past twenty years, having served for nine years as a member and then Chair of the AMA Council on Long Range Planning and Development.
Dr. Corlin was asked to Chair the AMA Commission on Services to Young Physicians, which ultimately led to the creation of the Young Physician Section in the House of Delegates. He served as Chair of the AMA Study Committee on Hospital Medical Staff, and has been a member and chair of AMA reference committees.
In 1992, Dr. Corlin was invited by the Secretary of Health and Human Services, Dr. Louis Sullivan, to serve as a member of the Advisory Committee to the Director of the National Institute of Health.
A Past President of the California Medical Association (CMA), Dr. Corlin served as its President from 1992 to 1998, was Vice Speaker and Speaker of the CMA House of Delegates for nine years, and a member of its Board of Trustee for twelve years. In addition, he was President of the Los Angeles County Medical Association (LAOMA) in 1978-79. Long active as a leader of medicine in California, Dr. Corlin has had a private practice in Santa Monica since 1972.
Born in Neward, New Jersey, Dr. Corlin is a graduate of Rutgers University, and received his MD degree from Hahnemann Medical College. Following residency training in Hahnemann, Dr. Corlin served as a Lt. Commander in the USPHS, Heart Disease and Stroke Control Program from 1968-1970, and then took a gastroenterology fellowship at UCLA. He is a fellow of the American College of Physicians, is a member of both the American Gastroenterology Association and the American Society of Internal Medicine, and is a Part President of the Southern California Society of Gastrointestinal Endoscopy. He is also the Chairman of the Audio Digest Foundation, and is an assistant clinical professor at the University of California, Los Angeles, School of Medicine. Dr. Corlin received the Honorary Degree of Doctor of Laws from MCP Hahnemann in May 2002.
As avid skier, Dr. Colin enjoys spending his free time outdoors and taking his sons for leisurely drives in his 1927 Model T Ford.
Dr. Corlin, his wife Catherine, and their three sons reside in Santa Monica. Two older daughters reside in Los Angeles and Lebanon, NJ. In addition, Dr. Corlin is the pround grandfather of two grandsons and a granddaughter.
Roger Perlmutter, M.D.,Ph.D
Executive Vice-President of R&D, Amgen, Inc.

Dr. Roger M. Perlmutter joined Amgen as executive vice president, Research and Development in January, 2001. Perlmutter oversees the company's worldwide Research and Development Operations and is a member of Amgen's Executive Committee.
Before joining Amgen, Perlmutter was executive vice president at Merck Research Laboratories. He also held positions as chairman, Department of Immunology, at the University of Washington; and, from 1991 to 1997, he was an investigator for Howard Hughes Medical Institute. Perlmutter received his bachelor's degree in 1973 from Reed College, Portland, Oregon, and his M.D. and Ph.D. from Washington University, St. Louis, Missouri in 1979.
David C. Blake, Ph.D., J.D.
Vice President, Mission & Ethics/HR Organizational Responsibility Officer, St.John's Health Center
Dr Blake received his BS from the University of Scranton in 1969, his MA in Philosophy in 1974 and his PhD in Philosophy/Ethics in 1981 from the Catholic University of America. In 1992 he earned his JD from Loyola Law School in Los Angeles.
Dr Blake, a member of the Los Angeles County, the California and the American Bar Associations, is the former Executive Director of the Center for Healthcare Ethics and Assistant Vice President for Ethics and Value Integration of the St Joseph Health System in Orange, California. He is also the former Director and founder of the Bioethics Institute of Saint John's Health Center and Loyola Marymount University. In addition, he has served as Philosophy department chair at LMU and an adjunct professor at Loyola Law School.
Dr Blake is currently the Vice President, Mission and Ethics/Human Resources and Organizational Responsibility Officer of Saint John's Health Center in Santa Monica. He is the author of numerous articles on ethical and legal issues in health care and has presented to scores of healthcare organizations and medical staffs.
David C. Blake, Ph.D., J.D.
Vice President, Mission & Ethics/HR Organizational Responsibility Officer, St.John's Health Center
Dr Blake received his BS from the University of Scranton in 1969, his MA in Philosophy in 1974 and his PhD in Philosophy/Ethics in 1981 from the Catholic University of America. In 1992 he earned his JD from Loyola Law School in Los Angeles.
Dr Blake, a member of the Los Angeles County, the California and the American Bar Associations, is the former Executive Director of the Center for Healthcare Ethics and Assistant Vice President for Ethics and Value Integration of the St Joseph Health System in Orange, California. He is also the former Director and founder of the Bioethics Institute of Saint John's Health Center and Loyola Marymount University. In addition, he has served as Philosophy department chair at LMU and an adjunct professor at Loyola Law School.
Dr Blake is currently the Vice President, Mission and Ethics/Human Resources and Organizational Responsibility Officer of Saint John's Health Center in Santa Monica. He is the author of numerous articles on ethical and legal issues in health care and has presented to scores of healthcare organizations and medical staffs.
Thomas Garthwaite, M.D.
Director & Chief Medical Officer of the Los Angeles County Department of Health Services
Tom Garthwaite, MD was recently appointed by the LA County Board of Supervisors as the Director of the County of Los Angeles Department of Health Services, as well as the Department's Medical Director. Tom is the first medical doctor to serve as Director since the unified Department of Health Services was formally established in 1972. He takes the helm of the second largest County health system in the United States, with an annual operating budget of some $2.9 billion and nearly 24,000 employees. The County's health delivery system includes six hospitals, more than 20 County-operated clinics and over 100 sites operated by private clinics through our Public/Private Partnership Program. In addition, the County health system is responsible for public health services including restaurant inspections and disease control. Previously, Tom served as Under Secretary for Health in the Department of Veterans Affairs and was confirmed to that position by the U.S. Senate on September 8, 2000. In that capacity, he served as the CEO for the Veterans Health Administration (VHA) and was responsible for the operation of the nation's largest integrated health care system. Earlier he served as Deputy Under Secretary for Health from 1995 through 1999. At the VA, Tom oversaw one of the most significant transformations in the agency's health-care mission in the half-century since the Korean War. As Under Secretary for Health, he was in charge of a $20 billion budget and a nationwide health care system comprising some 180,000 full-time employees, 163 hospitals, 800 ambulatory care and outpatient clinics, 135 nursing homes, 43 residential care facilities and 206 readjustment counseling centers. According to its own figures, with 27,000 fewer employees, the VA provided care to about 930,000 more veterans during the past seven years. In a statement, the Board said: "Dr. Garthwaite is an agent for change. He was a key member of the team that turned around health services at the Department of Veterans Affairs, and we are fortunate to have a man of his caliber and experience here. These are times that cry out for change and reform in L.A. County's health system, and we believe that Dr. Garthwaite is the right man at the right time for this challenging job." A graduate of Cornell University, Tom earned his medical degree from Temple University. He completed his internship and residency at the Medical College of Wisconsin Affiliated Hospitals before joining VA in 1976. Board-certified in internal medicine, his VA career includes nearly 20 years of experience as a physician and clinical administrator at the Milwaukee VA Medical Center, where he served as the Center's Chief of Staff for eight years.
Advisors

2003 Health Care Symposium Board of Advisors:
Bruce Chernof, M.D.
Michael Karpf, M.D.
Neil Parker, M.D.
Thomas Rosenthal, M.D.
Paul Torrens, M.D., MPH
Sondra Vazirani, M.D.
Neil Wenger, M.D.
LuAnn Wilkerson, Ed.D.
Directors
(Bios are for archival purposes)







First Year Assistant Directors

Elizabeth Blumenthal
Publicity
Jennifer Fulcher
Logistics I
Kim Howard
Logistics I
Neil Patel
Logistics II
Monica Ralli
Finance
Lisa Tseng
Speakers
Sponsors










