Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why isn’t primary care idolized?

Rebecca Divers
Policy
May 28, 2013
Share
Tweet
Share

The Baylor PCP chapter co-hosted a screening of Escape Fire at Rice University. I had heard about the film some time ago when it first came out and had always wanted to see it myself, but now I am convinced that it should be screened at every medical school orientation.

The film provided a poignant portrayal of several all-too-familiar stories: the overworked, underpaid primary care doctor who cannot afford to spend adequate time counseling her patients; the uninsured patient who cannot afford preventive health care and bounces in and out of hospitals with multiple acute exacerbations of his chronic illness; and the woman who, despite dozens of catheterizations and surgical procedures, still suffers from heart disease due to uncontrolled diabetes and high cholesterol.

I was moved to tears by their stories, but I was particularly inspired by the work of Dr. Dean Ornish, whose research addresses the potential for reversing chronic heart disease and cancer with intensive lifestyle changes. Ornish’s work is often disregarded by our system that values technology, pharmaceuticals, and procedures. But Dr. Ornish has provided the highest standard of evidence – the randomized controlled trial – in support of lifestyle change as a means to prevent and treat chronic disease better than standard medical approaches. His work, in fact, played a huge role in Medicare’s move to reimburse for heart-healthy lifestyle counseling.

Ornish was inspired to pursue this research after completing his surgical training in medical school under world-renowned pioneer in cardiac surgery Michael DeBakey. Here Ornish watched patients undergo extremely invasive cardiac procedures to treat the symptoms of their disease when they hadn’t received any counseling on the lifestyle choices that had contributed to it.

I knew who DeBakey was. He had been on faculty at Baylor College of Medicine – my own medical school – and before he died in 2008, he was chancellor. But if Ornish was a student of his, he might have gone to Baylor, so why hadn’t I ever heard of him?

I did a quick Google search and confirmed that Dr. Ornish is an alumnus of Baylor College of Medicine. In my four years here, I had never heard any mention of this phenomenal man or his many accomplishments in promoting preventive medicine and working for reimbursement reform. Meanwhile, in my time at Baylor I have witnessed the unveiling of a brand new statue of Dr. DeBakey, as well as the opening of a museum of his life in the atrium of our main school building. In fact, hardly a day goes by at Baylor that I don’t hear some mention of Dr. DeBakey. Baylor goes to great lengths to tout the accomplishments of DeBakey and claim him as their own, but is this to the exclusion of the accomplishments of other faculty and alumni?

As medical education evolves in an effort to produce a new generation of physicians that will be more mindful of prevention and value outcomes over volume, I think that part of the changing culture should include more recognition of figures such as Dr. Ornish as well as the countless primary care physicians who battle every day to provide high-quality health care in a broken system. After all, idolizing high-tech procedures and wonder drugs to the exclusion of patient-centered primary care is part of what got us into this mess in the first place.

Rebecca Divers is a medical student who blogs at Primary Care Progress.

Prev

What Angelina Jolie and bariatric surgery patients have in common

May 28, 2013 Kevin 43
…
Next

The safety data behind this ablation catheter

May 28, 2013 Kevin 6
…

Tagged as: Primary Care

Post navigation

< Previous Post
What Angelina Jolie and bariatric surgery patients have in common
Next Post >
The safety data behind this ablation catheter

ADVERTISEMENT

More in Policy

  • Direct primary care in low-income markets

    Dana Y. Lujan, MBA
  • Why medical organizations must end their silence

    Marilyn Uzdavines, JD & Vijay Rajput, MD
  • The flaw in the ACA’s physician ownership ban

    Luis Tumialán, MD
  • The paradox of primary care and value-based reform

    Troyen A. Brennan, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    Deaths in custody highlight crisis in Philly prisons

    Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD
  • South Carolina’s CON repeal: an opportunity for doctors

    Marcelo Hochman, MD
  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Protecting elder clinicians from violence

      Gerald Kuo | Conditions
    • China’s health care model of scale and speed

      Myriam Diabangouaya, MD & Vikram Madireddy, MD | Physician
    • The myth of endless availability in medicine

      Emmanuel Chilengwe | Conditions
    • Bureaucratic evil in modern health care

      Dr. Bryan Theunissen | Conditions
    • New autism treatment guidelines expand options for families

      Carrie Friedman, NP | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
  • Recent Posts

    • New autism treatment guidelines expand options for families

      Carrie Friedman, NP | Conditions
    • Why visitor bans hurt patient care

      Emmanuel Chilengwe | Education
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Is white coat hypertension harmless?

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • How to fight for your loved one during a medical crisis [PODCAST]

      The Podcast by KevinMD | Podcast
    • Is trauma surgery a dying field?

      Farshad Farnejad, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 12 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Protecting elder clinicians from violence

      Gerald Kuo | Conditions
    • China’s health care model of scale and speed

      Myriam Diabangouaya, MD & Vikram Madireddy, MD | Physician
    • The myth of endless availability in medicine

      Emmanuel Chilengwe | Conditions
    • Bureaucratic evil in modern health care

      Dr. Bryan Theunissen | Conditions
    • New autism treatment guidelines expand options for families

      Carrie Friedman, NP | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
  • Recent Posts

    • New autism treatment guidelines expand options for families

      Carrie Friedman, NP | Conditions
    • Why visitor bans hurt patient care

      Emmanuel Chilengwe | Education
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Is white coat hypertension harmless?

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • How to fight for your loved one during a medical crisis [PODCAST]

      The Podcast by KevinMD | Podcast
    • Is trauma surgery a dying field?

      Farshad Farnejad, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why isn’t primary care idolized?
12 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...