Tag Archives: health care

Insights into Whole Person Care: A Reflection on My Visit to St. Joseph Hospital with Melissa Arthur, PhD, LCSW, LMFT


By Sydney Brown, Coordinator of Conferences and Special Projects at STFM

Sydney Brown’s work supports STFM fellowship programs, conference planning, special meetings, and more.

In July 2024, I had the invaluable opportunity to visit St. Joseph Hospital in Syracuse, NY, under the guidance of Melissa Arthur, PhD, LCSW, LMFT, Director of Behavioral Science at St. Joseph Hospital in Syracuse Former STFM BFEF Mentorship Director. My background, initially outside the realms of hospitals, medicine, or fellowships, made this experience particularly enlightening. I am deeply grateful to Dr Arthur for her encouragement and facilitation of this insightful visit.

Immersing in Patient Care

My visit began with attending a lecture for medical students, a profound introduction to the complexities of medical education. The session showcased not only the depth of academic instruction but also how behaviorists like Dr Arthur contribute to shaping the educational framework. Observing this integration of theoretical knowledge with practical application highlighted the comprehensive nature of medical training at St. Joseph Hospital.

A key highlight was sitting in on a “Bio Psycho Social” visit, where Dr Arthur was actively involved. This extended patient-doctor interaction illustrated the significance of addressing psychological and social factors in addition to physical health. Witnessing this whole person approach emphasized how understanding a patient’s emotional and social context can enhance overall care and efficacy in medical practice.

Understanding Institutional Support and Well-Being

Equally enlightening was my exposure to the hospital’s institutional support systems. Attending a committee meeting on the “Care of the Colleague” revealed St. Joseph Hospital’s commitment to creating a supportive work environment. This committee’s focus on the well-being of healthcare professionals underscores the importance of fostering a positive and effective healthcare environment, where the mental and emotional health of staff is prioritized.

Additionally, learning about Schwartz Rounds, known locally as Rena Rounds, provided insight into the hospital’s dedication to emotional support. These rounds address the psychological and emotional challenges faced by healthcare professionals, promoting resilience and empathy. The presence of Dr Arthur’s support dog, whom I had the pleasure of accompanying on rounds, further highlighted the impact of such initiatives. The comfort and joy the support dog brought to patients and staff underscored the importance of integrating emotional support into the healthcare environment.

Engaging with the Medical Community

My interactions with medical students and residents provided a broader perspective on their experiences. Discussing their rotations, challenges, and interests offered a personal view of their journey through medical training. This engagement also allowed me to promote the Society of Teachers of Family Medicine (STFM), emphasizing the value of community and support within the field.

A Reflection on Whole Person and Compassionate Care

The visit to St. Joseph Hospital was a transformative experience, offering a deep appreciation for the role of behaviorists like Dr Arthur in Family Medicine. Her work exemplifies the integration of whole-person patient care, institutional support, and emotional well-being, reflecting the core values of Family Medicine.

The insights gained from observing Dr Arthur and the team at St. Joseph Hospital reaffirmed the importance of a multi-dimensional approach in healthcare. I am profoundly grateful for the opportunity to witness their exemplary work and am inspired by the dedication and compassion demonstrated by all involved. Dr Arthur’s contributions to Family Medicine are both commendable and essential, and I am honored to have observed the impactful work she and her colleagues are doing.

An Evolving Perspective of Whole Patient Medicine

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Evelyn Figueroa, MD

Zoe,* a 35-year-old law student, often missed and rescheduled appointments for her toddler Elias.* I have supervised Elias’ visits with the residents since his first newborn visit 2 years ago. Although I have only seen them with the residents, Zoe identifies me as their primary care physician and has always scheduled Elias’ visits during my teaching clinics. I have examined this cute little guy at every visit and thought I knew this family well.

I knew that Zoe and Elias were struggling because of the issues we discussed at every visit: finishing law school 90 miles away, struggling to maintain her breast milk, and single motherhood. Zoe’s tired face showed determination despite her challenges. Little Elias, in a loose diaper, always clung to Zoe’s tiny frame, a fact that initially made me think he was simply on the small side. Despite multiple no-shows, we gathered enough data to construct a disappointing growth trajectory. Was it failure to thrive or constitutional small stature? Medical advice typically consisted of dietary counseling aimed at boosting calories and more frequent follow-up.

Recently, I recognized Elias’ name on a resident’s schedule. Anticipating their typical tardiness, I asked the front desk to register Elias regardless of arrival time. When they came a little late, they were quickly ushered into to an exam room. The resident reported that although Elias had normal development, his weight remained below the first percentile.

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What Will Family Medicine Look Like in 10 Years?

This blog post is a finalist in the STFM Blog Competition.

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Megan Chock, MD

This year, instead of receiving a written invitation to my 10-year high school reunion, I got a Facebook invite. My classmates from Honolulu, Hawaii are scattered across the US, overseas, and work in countless different fields. When I think of what family medicine will look like in 10 years, I imagine what this year’s Class of 2017 is going to do in the world. They will be the family physicians that will shape our specialty’s direction, and I am very excited to see what they do.

Every summer, our residency program sponsors a pipeline program for high school students interested in health care careers. Many of them are considering family medicine. These students are from a high school near the San Diego/Mexico border with traditionally low graduation rates, and most are bilingual and the first in their families to even think about college. Daily activities are run by undergraduates in pre-medical studies and a second-year medical student from the community. We residents get to present to the students on topics they request. One of these was “health issues affecting teens” and I chose to talk about mental health and suicide prevention.

Stepping into that classroom energized me. The students were engaged and open. They asked questions and shared personal experiences about friends and family members with mental illness. At the end of the lesson, when we discussed how to recognize and help a suicidal peer, many asked about volunteering in suicide hotlines. They demonstrated insight into the issue of mental illness in their community, a desire to help, and awareness of how to make that impact.

Using that microcosm, I believe that family medicine in 10 years will be open to sharing ideas and engaging patients, communities, and other medical professionals to improve health. The Class of 2017 has grown up in an era of increased global and national awareness and changing demographics. Technology is a natural extension of relationships and they have learned to communicate through text, e-mail, Facebook, Instagram, Skype, Snapchat, YouTube, Twitter, Reddit, and more. In a 2015 Pew survey, 92% of teens reported going online daily.1 The result is a constant sharing of ideas, and a recognition that this world is both larger and smaller than previous generations realized. Celebrities and world leaders share their inner thoughts and everyday routines, while millions view viral videos of baby animals sneezing and police shootings. These virtual channels reveal a shared human experience that has shown future family physicians that we are all connected. More than that, these channels give family medicine a unique mechanism to better care for our patients and communities.

In 10 years, family medicine will be pioneering better ways to bring prevention and health maintenance to everyday life. Others in this blog have written about technology in the form of the electronic medical record and big data, which are important in optimizing our healthcare system. However, the Class of 2017 will change health culture as well. They will e-mail patients, share healthy recipes on social media, and weigh in on public health issues by writing blogs and doing video interviews. The culture of health will be one of openness that recognizes that healthcare is only responsible for 10% of health; people’s social networks, everyday routine, and resources matter much more.

Our residency’s summer program is one of many pipeline projects that will bring more diversity into our field. These future physicians from different backgrounds will recognize shared issues affecting patients and seek solutions based on interconnectedness, searching for possible solutions through peer networks or building on pilot projects involving health care teams. The awareness that a single physician or a single patient is not insular already exists  and the next ten years will be full of learning on how to harness the capability of social networks to improve health and healthcare.

Family medicine will always be primary care. In 10 years, we will still act as the first person patients touch within the medical system, and serve as the principle coordinator of medical activities. What will continue to evolve is our awareness of the many factors affecting health and our willingness to engage with patients outside of 15-minute visits. In ten years, I see family physicians sharing ideas worldwide from California to New Zealand, and better understanding our patients’ lives through increased communication. And, at the Class of 2017’s ten-year reunion, I would love to hear their predictions for the Class of 2027.