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OCR for page 287
Workshop C
Patrick Mattingly
There were two specific points that participants in Workshop C wanted tO
bring forward and with them some action-oriented proposals. First, in the
educational arena, the group felt that the most valuable thing tO be done
at this point is to make visible, to promote, and to support working COPC
systems in health care delivery and education. This exposes health students
to a professional role model that is different from the more technically
oriented role model so dominant today. Efforts should be taken to avoid
getting bogged down in the issues of resources or whether there are many
or a few such examples. Some number probably small given the present
context—of major medical centers, currently engaged in some or all ele-
ments of COPC, should be identified and promoted in order that there be
some such role models visible.
In an effort to promote COPC role models, members of Workshop C
suggested that COPC advocates become involved more actively in residency
review committees so flexibility and participation in community oriented
experience can be built into the primary care residency guidelines in family
practice, internal medicine, and pediatrics.
Again, by way of encouraging visibility of COPC the group suggested
that, in addition to the detailed proceedings resulting from this conference,
broad circulation be given tO a synopsis of the principles, essential features,
desirable characteristics, and objectives that have been enunciated. This
publicity, if you will, should also include a brief synopsis of the most relevant
studies that have been cited, particularly those that include data concerning
the effectiveness of COPC. And one step beyond that, it was proposed that
287
OCR for page 288
288
PART III: WORKSHOP DISCUSSION SUMMARIES
along with some baseline bibliography, generated by those of us assembled,
an effort be made to create some form of literature guide on an ongoing
basis, perhaps quarterly, that will give interested individuals reference to
the literature in COPC.
The second point stressed by this group had to do with the question of
providers and personnel involved in COPC. There needs to be a better
appreciation of the large numbers of nonphysicians and multiple levels of
health workers that are already involved in COPC in this country. Specif-
ically, the group felt that there needs to be some assurance that, from the
beginning, efforts at developing COPC by different health professionals
(nurses, allied health professionals, physicians, epidemiologists, and others)
be integrated rather than parallel.
In conclusion, the participants of Workshop C agreed that every effort,
no matter how nascent or how unorthodox, attempting to promote what
would generally be described as COPC should be encouraged and sup-
ported.
Representative terms from entire chapter:
role model
