Underserved Communities Essay Topics

"What does giving back mean to you?" As physicians, this is a question that we often overlook or take for granted. But the answer rings loud and clear to me: Giving is part of who I am and my career as a physician.

But I am not a martyr. Giving is in the fabric of all physicians. The Hippocratic Oath states, "I will remember that I remain a member of society, with special obligations to all my fellow human beings." For me, personally, this mentality began long before taking this sacred oath.

I grew up on a small farm in Southern Indiana and was taught, as a child, the importance of giving and supporting those in need.

Throughout my career, giving back has meant many things to me. As a young physician running a small practice in rural Southwest Georgia, giving back meant helping those whom others would not treat and who could not help themselves. I would see patients in my office who would otherwise have had access to only emergency rooms. I developed relationships with them, learned what they needed, and collected donations for vital items. I approached local organizations, church groups, and volunteers to participate and was constantly inspired by the generosity of others.

As I gained more experience, I began visiting Third World countries. My first experience abroad, in the 1970s, was at a mission hospital in Yemen — at the time the most medically underserved country in the world. I gained a whole new perspective on life and medicine during my time there and was able to connect with people and help them through horrifying situations.

In the 1980s, I was introduced to Physicians with Heart, a partnership between the American Academy of Family Physicians Foundation and Heart to Heart International. Physicians with Heart was created to mobilize resources to improve health, provide medical education, and foster the development of family medicine worldwide. I immediately plugged into the group and took two rewarding trips to Azerbaijan and Uzbekistan.

In Azerbaijan, I worked in an orphanage. I treated young girls who had no stable medical attention and faced lives of struggle and solitude. They were in a constant battle to stay alive. In Uzbekistan, I helped teach local doctors how to treat the unique cases in their distressed country. In both places, I connected with many young doctors — some of whom I still keep in touch with today.

After more than 20 years, I departed from my background as a family physician to join the "corporate side" of medicine. I worried that shift might limit my ability to volunteer my time practicing medicine in communities in need. I was wrong.

At the corporate level of medicine, the opportunities to give are many. I joined LifePoint Hospitals in 2007 as Chief Medical Officer for the hospital system, overseeing physicians in more than 50 nonurban facilities across the country. Over the last four years, not only have I been able to continue personally giving back to underserved communities domestic and abroad, I've also been able to create opportunities for other healthcare providers to respond to the call to give.

For example, when Haiti was devastated by a massive earthquake in January 2010, I worked with colleagues to create the LifePoint Disaster Relief Fund, which raised more than $110,000 to help Haitians in need of medical attention, basic living supplies, and support to rebuild their lives. That February, I took my first trip to Haiti with Heart to Heart International to help treat patients in the aftermath of the disaster.

When I returned, I was met with overwhelming support from my LifePoint colleagues and physician peers. Healthcare providers from across the country began offering to participate in helping Haitians in need, and we organized a second trip to the tiny, ravaged nation in May. This experience helped us realize how we could expand our efforts beyond this one disaster, and the LifePoint Disaster Relief Fund will serve as a permanent vehicle to help not only the citizens of Haiti, but other communities in crisis.

The way physicians, nurses, and others across the LifePoint family have banded together to meet the needs of our communities and respond to crises around the world has been an amazing and eye-opening experience for me. It reminds me every day of that fundamental and critical obligation we have to our fellow humans.

As physicians, we are in a unique position to give back to our patients, our communities, and those in need. We are leaders and generally recognized as esteemed members of our communities. We have resources and talents many others do not. With this position comes great responsibility. We must set an example, share our good fortune and expertise, and respond to our calling to give back.

On the most fundamental level, physicians can give back by listening. It is easy to get caught up in patient throughput, schedules, and goals. But something so basic as taking a few extra minutes to really listen can mean so much to our patients and our practices. Empathy is a gift, and we must not forget that.

For new physicians, remember that giving back does not have to be through a financial contribution. Give blood. Serve on local boards. Organize a clothing drive. Donate your old medical books to Third World countries. Volunteer with local nonprofits. The opportunities are endless.

For physicians with more experience, I encourage you to step out of your comfort zone, visit other countries, and help communities across the world that are not as medically advanced as ours. There are dozens of organizations that coordinate volunteer trips, including Physicians with Heart, The Flying Doctors, Doctors without Borders, and Samaritan's Purse.

I've made it a point to make giving a part of my life, and the rewards I've received and relationships I've built are far more valuable than anything I can do for someone else. It does not matter where you are or what type of medicine you practice. It's an attitude. If we all weave giving into our lives, we are responding to our call as physicians in a fundamental and profound way.

I am grateful for being a physician. And I am grateful for the responsibilities that come with it.

Lanny R. Copeland, M.D. is chief medical officer for LifePoint Hospitals. A practicing family physician for 20 years before transitioning to positions at health systems, Dr. Copeland has served as Chairman/President for the American Academy of Family Physicians and President of the American Board of Family Medicine.

This article originally appeared in the November 2011 issue of Physicians Practice.

Essay 5: "Then Reach, my Son, and Lift Your People up With You."

By: Jacob

It’s not every day that I find myself in a children’s hospital, let alone the Offenbach Kinderklinik in Germany; however, on May 2, 2006, I was there to perform with BYU’s Living Legends. The group is made up of Latin, Polynesian and Native American dancers, and I was there to perform a “Native American Grass Dance.” Gathered around, was the media, the attending physician, medical staff,

Gathered around, was the media, the attending physician, medical staff, and of course the children. I hoped to help bring smiles and entertainment to the audience and share my culture, but what I didn’t expect was what they would share with me in turn. As I danced to the rhythm of native drums and song, I couldn’t help but notice the children’s reactions. They truly looked at us with the most beautiful smiles. Their laughter was universal, and their applause was genuine. What I hadn’t noticed, were the burns on their bodies, and the scars both physical and mental left behind from a war in Iraq. After our performance, the attending physician explained how inspiring its message of love and unity was for the children. We represented three very different cultures united in a love for life. He further explained that the children were casualties and innocent bystanders in a conflict that did not represent such a thing. I had paid attention to what the media was saying back home in the states about the war, but this was real, and the children were real. Regardless of politics, religion, or any other belief I looked at them and knew they were all part of the human family. As I looked inward, I knew in my heart that I wanted to help others despite their background. It was in this moment I realized I wanted to do all that I can to protect, sustain, and improve the physical and mental well-being of every individual I served.

Upon returning from tour I served a two year proselytizing mission for my church in New Jersey, and was called to do so in Spanish. Though in my eyes, I went to do a service for the Latinos in that state, I left having been served by them. They welcomed me into their homes and shared with me their foods, music, and love of life. It was this love of life that many of them struggled to sustain, especially when it came to their health. During service opportunities every week, like translating, I saw some of their struggles to even obtain basic medical care. Had I not been around them, I would have never understood the complexities of being an immigrant in an inner city, while seeking such care. I did not feel that it should be this way, so when I finished my mission and started school again I switched my degree from music to the sciences. This way, I could pursue a profession in the medical field and help make a change.

I gained a lot of knowledge during my education, and I also learned a lot about life and myself. At one point I was struggling with a genetics class due to illness and surgery. I finally had to ask myself if I was willing to do what was necessary to pass the class. I was! I learned to really study, focus, and sacrifice as I finally passed. That experience has now empowered me in my professional work to continue my education as a life-long learner apart from what’s going on in my life. While in school, the knowledge I sought wasn’t just about the sciences, but I also wanted more life experiences. I have since traveled the world to many other countries with Living Legends, even representing the group as its president. In preparation for our tours we studied the cultures, language, and history so that we might better connect with our audiences. As we continued to do outreaches to hospitals, orphanages, and schools I found myself falling more in love with the people. That love has since carried over to the patients I have served.

While working with the mentally disabled, those in Hospice, and children in Head Start, I have seen the struggles that each at-risk population faces, and how they need medical providers that are willing to be advocates on their behalf. I have also seen the need for committed medical professionals on the reservations I have danced at, and in the inner cities that I have proselytized in. My experiences overall have truly cemented within my heart that I want to be that committed caretaker and advocate. It was through shadowing that I decided that becoming a Physician Assistant (PA) is what best suited me, and would enable me to accomplish these desires. I know that to work as a PA, within a family practice, would be the most fulfilling for me while practicing in any medically underserved and rural community. It is in these areas that I know my love for people and cultures, and passion to be an advocate for certain populations, would be best used. It is my hope, that when I become a PA, that I can lift the people up with me, just as I had sang so many times before in Living Legends. “Go my son, go and climb the ladder…From on the ladder of an education you can see to help your Indian Nation. Then reach, my son, and lift your people up with you.”

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