Physician Leadership: A National Perspective

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Physician Leadership A National Perspective

• Ton Tran, M.D.
• Vietnamese American Medical Association

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Vietnamese American Medical Association

• History Founded in 1989, Board of Directors 11
  members elected every 2 years and 12 Presidents
  of regional organizations
• Purposes Mutual support and fellowship,
  Education
• Membership Physicians of Vietnamese heritage
• who live and practice in the USA
• Activities Annual National Convention with CME,
• Publication, Community Health programs,
  Scholarship program, Social services
• Current initiative World Health Ambassador
  Program

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Vietnamese Physicians Association in San Diego

• History Founded in 1981
• Purpose Promote fellowship among members
• Membership Physicians of Vietnamese origin
• Activities Monthly and annual meetings ,
  Community services
• Current initiatives
• - Hepatitis Prevention Project for Asian
  Americans in San Diego
• - Breast Cancer Early Detection Project for
  Vietnamese Americans in San Diego

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Asian Pacific Health Center

• History Non-Profit Organization, founded in 2001
  by a group of Health Professionals in San Diego,
  a VPASD partner
• Mission providing low fee services to the
  underserved constituents in San Diego
• Services and Activities Primary care services,
  Prevention Medicine, Community Services (Health
  Fairs) and Projects

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Hepatitis B Prevention Project

• Granted by The California Endowment
• Sponsors Schering-Plough Pharmaceuticals, Gilead
  Sciences National Task Force for Hepatitis B
• Partners Asian Pacific Health Center, Community
  Health Group, Union of Pan Asian Communities
  (UPAC), SD Vietnamese Physicians Association
• Length of project 2 ½ years

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High Prevalence of CHBV in Asian American
Communities

• Prevalence for Chronic HBV in US is lt 2
• The prevalence of HBV is very high among API
  (5-15)
• The incidence of liver cancer due to HBV is 7-13
  times higher in API Americans than in white
  Americans
• 50 of children born to HBV mothers in the US
  are Asian American.

1. www.liver.stanford.edu
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Objectives

• Increase community awareness of Chronic Hepatitis
  B
• Improve the knowledge of Physicians and other
  Health Professionals about Hep B
• Test young adolescents high risk adults AA,
  immunize those who are susceptible and refer for
  treatment for infected persons

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Goals of the project

• 1. Fewer hepatitis B infections among Asian
  Americans (AA)
• 2. Increased access to treatment for AA with
  hepatitis B.
• 3. Decreased health disparity for liver cancer
  and cirrhosis among the AA population

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Project activities

• Mass media
• Community events
• Health fairs
• Outreach screening events
• Health professionals education

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Collaboration with other groups

• Union of Pan Asian Communities
• San Diego County Health Department
• Jade Ribbon Campaign (Stanford Asian Liver
  Foundation)
• American Liver Foundation
• American Cancer Society
• National Task Force for hepatitis B
• Vietnamese Federation of San Diego
• San Diego Alliance for Asian Pacific Islanders

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Project Participant Characteristics
CHARACTERISTIC NUMBER ()
Gender Male Female 719 983 42.2 57.8
Ethnicity Vietnamese Chinese Other Asian 902 762 38 53.0 44.8 2.2
Age Group (yrs) lt18 yrs. 18-35 yrs. 36-50 yrs. gt50 yrs. 97 476 532 597 5.7 28.0 31.3 35.1
Event Type Community Clinic/Other Community Health Fair 755 947 44.4 55.6
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Serology Results
CHARACTERISTIC NUMBER ()
Vaccine Indication (n1702) Yes No 804 898 47.2 52.8
Serology Screening (n1702) Yes No 1620 82 95.2 4.8
Screening Results (n1620) Positive Negative 116 1504 7.2 92.8
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Screening Results

• 8,50

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Participant Characteristics by Serology
Characteristic Vaccine Indicated N 804 Vaccine Not Indicated N 898
Gender Male Female 325 40.4 479 59.6 394 43.9 504 56.1
Ethnicity Vietnamese Chinese Other Asian 464 57.7 316 39.3 24 3.0 438 48.8 446 49.7 14 1.6
Age Group (yrs) lt18 yrs. 18-35 yrs. 36-50 yrs. gt50 yrs 51 6.3 266 33.1 240 29.9 247 30.7 46 5.1 210 23.4 292 32.5 350 39.0
Event Type Community Clinic/Other Community Health Fair 445 55.3 359 44.7 310 34.5 588 65.5
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Impacts of the Project

• Asian American communities improving health
  seeking behavior providing substantial amount of
  services to members
• APHC VPASD increasing exposure, future grants,
  good learning experiences for staffs
• Community Physicians improving knowledge
  regarding hepatitis B in AA

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Breast Cancer Early Detection Project for
Vietnamese Americans in San Diego

• Funded by the CMA Foundation
• Statement of needs disparities of mammograms
  done in VA
• Project partners VPASD APHC
• Objectives
• - increase awareness of the seriousness of
  the disease
• - increase of mammograms done in VA

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Mammograms by Ethnicity

• Asian Pacific Health Center

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• Mammograms by Age

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Mammogram Results
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Project Experiences

• Collaboration with other groups key to project
  success
• Staff members with native language of the target
  populations
• Outreach events in community centers
• Involvement of Community leaders

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Vietnamese AmericanMedical Association
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