Interview with Lori Heim, MD President of the American Academy of Family Physicians. Dr Heim will review highlights of the last year as President and comment on personal challenges and Academy successes. Her valuable perspectives on health care reform will be shared. Her personal career in the US Air force and North Carolina will be reviewed. She will comment on the future for students, residents, faculty, and practicing physicians in family medicine. She will comment on official AAFP positions as needed and reflect on the pressure of leading a diverse group in an era of confusing change. Her expectations of the next five years will be reviewed through her personal crystal ball. We'll share perspectives on many family medicine issues and have fun. Our discussion will include aspects of patient-physician relationships and socio-technical innovation that helps them in clinical and human decisions.

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After a few minutes of technical confusion due to feedback on his headset, Dr Synonymous will review some recent medical news and comment. He will introduce a patient blog and relate to medical blogs including "Family Medicine: Hope" from his blog. The Principles of Family Medicine and comments from G. Gayle Stephens, MD, a founder of the specialty will be introduced. Nostalgia may ensue, while Dr Synonymous reflects on his career as a family physician and over 150,000 patient encounters. Discussions will include comments about human aspects of the patient-physician relationship in Family Medicine.

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Comments by Dr Synonymous about how patients and family physicians relate to each other. The focus for this episode is Protection of patients and family physicians in the context of their important relationship. Protection to do their work, to have their life and to make reasonable decisions regarding health and well-being may depend on internal and external forces, such as personal values and societal rules. He will take calls from patients and doctors to ask or comment on how to protect patients now and during the massive change coming in health care. Dr Synonymous will introduce the importance of neighborliness as an important element of protection. What would we do for and expect of our neighbors if they are the patient or the family doctor? Discussion will include socio-technical innovation that that supports system change and human dignity.

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Interview with Cheryl Blalock Aspy, PhD, Univ. of Oklahoma Medical School Professor of Family and Preventive Medicine about her career in Family Medicine and Research. We'll discuss how her medical school department looks at needs of student and resident learners. We'll discuss what teaching and research is needed to best serve and protect patients during the massive change coming in health care. Our discussion will include comments on Dr Aspy's vast experience in life and academia. Her vast array of publications and unique perspectives will enrich Dr Synonymous and our listeners.

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Interview with Sarah Sams, MD, FAAFP, new President of the Ohio Academy of Family Physicians about her life and family medicine career and the challenges facing her as a leader. We will discuss her unique experience with her Guardian Angel and her commitment to the woman who became her angel. Her story includes migration from Iowa to Columbus, Ohio to job to medical school. She will mention the challenges facing Family Medicine in Ohio and the challenges facing physicians in training and their faculty. Dr Sams is Associate Director of the Grant Hospital Family Medicine Residency Program in Columbus. She is renowned for her love of her patients and passionately advocates for them and her specialty. She quilts in her spare time when not playing softball. She shares a message of commitment, leadership and hope to patients and family physicians. We will mention her model of LOVE to lead the Ohio Academy of Family Physicians in these times of great health care change. We will discuss her use of social media including a need for increased patient roles.

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Interview with Steve Deal, Systems Engineer about how to honor and protect patients during the massive change coming in health care. Discussion will include Mr Deal's reflections on AHFE (Association of Human Factors Engineers) International meeting in July, where he presented paper by he and Dr S about Human Centered Health Home (HCHH). Discussion will include comments about maintaining respect for patients and doctors and socio-technical innovation that helps them.

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A Family Physician discusses the future of family medicine, the future patient and the Patient Centered Medical Home (PCMH). Dr S reviews definition of PCMH and a successful, innovative PCMH for the underserved. He comments on his article about PCMH in The Ohio Family Physician. Further reference to pesticides and "the dirty dozen" fruits and vegetables.

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A family physician discusses family medicine and health care in America with a 2nd year WSU med student, Patrick Feasel, and a human systems engineer, Steven Deal. What is happening to patients, med students and doctors as the system changes? How can patients enhance their role to steer the system in the right direction?

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