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Dr. Hanifin received his medical degree from the University of
Wisconsin School of Medicine in 1965, and took his residency training in
dermatology at UC San Francisco Medical Center (1966-1969). He is the author
of 37 book chapters and 161 medical journal publications.
Dr. Hanifin's activities with the Academy include: Chair, Atopic
Dermatitis Task Force (1976); Task Force on Infectious Diseases (1978);
Editorial Board, Journal of the American Academy of Dermatology (1985-88);
Chair, NIAID Liaison Task Force (1986); Committee on Research Activity
(1986); Planning and Development Committee for Joint Educational
Program of the AAD/AAAAI (1996); Faculty of Annual Meeting (1974-present).
Other dermatologic activities include: Member (1972-present) and
President (1984-85), Oregon Dermatological Society; Member, Pacific Northwest
Dermatology Society (1973-present); Member, Pacific Dermatological
Association (1973-present); Member (1992) and Chair (1997), Nelson Paul
Anderson Essay Committee; Member, Society for Investigative Dermatology
(1970-present), Board of Directors (1988-92), Vice President
(1995-96), Member (1992) and Chair (1994), Honorary Membership Committee,
Member (1989-92) and Chair (1992), Finance Committee; Member, American
Dermatological Association (1982-present); American Skin Association; State
Vice Chair (1997), Dermatology Foundation - Leaders Society; Member, American
Dermatological Society for Allergy and Immunology.
Dr. Hanifin served as Major, U.S. Army Medical Corps, Chief of Dermatology,
U.S. Army Hospital, Camp Zama, Japan (1969-71); Honorary Member,
Japanese Society for Investigative Dermatology; Honorary Member, Japanese
Dermatological Association; honored as Dohi Memorial Lecturer in 1994. Dr.
Hanifin was elected to Alpha Omega Alpha. He is a Fellow, American Academy of
Asthma, Allergy and Immunology; and a member of the following organizations:
American Association for the Advancement of Science; American Federation for
Clinical Research; American Medical Association; Medical Society of
Metropolitan Portland; Skin Pharmacology Society; Best Doctors in America,
1992; Who's Who in America, 1996; First Dermatitis Research Award,
American Skin Association (1993); Medical Advisory Board, National Psoriasis
Foundation; Board of Trustees, National Psoriasis Foundation; Dermatologic
Allergy Committee, NIAID Task Force on Asthma and Allergic Diseases (1977);
NIAMDD Committee on Research Needs and Priorities; NIH Study Section, General
Medicine A (1986-1990); (1993-95); Board of Directors, Eczema Association for
Science and
Education, serving as First President; Board of Directors, Cutaneous Biology
Foundation. Dr. Hanifin has served on editorial boards including: Journal of
the American Academy of Dermatology, Clinical Reviews in Allergy &
Immunology, Dermatologic Therapy.
Candidates Statement
I am pleased to have been nominated to the Board of Directors of
the AAD. I am pursuing that candidacy because I can bring a broad
perspective to the Board and I am a pragmatist with a focus on practical
results. My career has been balanced with a blend of clinical practice,
military dermatology, clinical and laboratory research and academic
education. I have also had a long affiliation with patient advocacy
groups, serving for many years on the board of the National Psoriasis
Foundation and more recently helping to develop the fledgling National
Eczema Association. The onrushing train of health care reform has made
our alliance with patients and patient support organizations a crucial
part of an ever-broadening mission. Living and practicing in Oregon,
we have experienced the massive penetration of managed care and we have
begun to see the weaknesses of the beast. We need to help patients help
themselves, not only through our direct care, but also by increasing
public education and helping shape legislation that protects them, and
us, from managed care abuses. The AAD has been remarkably effective in
these varied arenas and we are at a juncture where we can become even
more effective, through creativity and building on experience. I think
my range of experience can help the Board.
There are many issues facing the Academy but the overriding issue
is the erosion of medical principles and standards of quality by
publicly traded health care corporations whose responsibility is not to
patients but to corporate stockholders. They can, and will continue to,
justify this by citing that holy grail of the "bottom line". They are
driving a wedge between us and our patients through the use of primary
care practitioners, nursing assistants and even alternative medicine
practitioners, an approach that delivers neither efficiency nor quality.
The present corporate-driven chaos in our profession leaves in its wake a
spectacularly unattractive tangle of controversial secondary issues such
as educating generalists, limiting specialist manpower and rationing of
techniques, therapies and consultations. These concerns demand thought
and dialogue and the AAD is the proper forum.
Another major issue is the perception of our specialty in the
public eye. It is an ironic paradox that we are balanced by widely
disparate images. At one end, we're in the vanguard of really
outstanding basic and clinical research advances that will greatly
enhance our therapeutic abilities in the coming years. At the other
extreme, we are increasingly viewed as purveyors of cosmetic procedures
and potions. There is fertile ground for conflict in these extremes and
we need to seek cohesiveness through the AAD. We should let the public
know that we are proud of all our accomplishments, that Dermatology is
bringing them the best of new techniques and therapies and that our
research investment is really helping.
How do we address these issues? Put from a business standpoint,
we need to have an attractive product, we need to keep costs down and we
need to market our skills. The attractive product depends on research
and education. We have ever more powerful tools and enormous research
opportunities but there is an increasing shortage of clinician
researchers. Dermatologists clamor for new techniques and products. The
AAD should channel more resources into encouraging dermatologic research
both by industry and by the federal government. Education fuels the
technology transfer from the research realm into the clinic and education
has always been "job one" for the AAD. It is important to preserve this
tradition in order to make our specialty and our services, as attractive
as possible to the public. Cost control is crucial to our success and
the AAD should foster creative solutions, considering all cost centers
(including pharmaceuticals, teledermatology, and nursing assistants, as
well as physicians) in advising its members on cost effective practices.
Marketing is an area in which the AAD has made laudatory advances in the
past few years. We must build on our new-found expertise in this realm
to increasingly nurture alliances with our patients through public
education and advocacy, then to extend this partnership to other allies,
including state and national legislators who are becoming alarmed about
the excesses of managed care corporations. After several dark years,
there are some points of light appearing. With strong and creative
leadership, the AAD will be well-positioned to gain significant
advantages in the coming years.
Response to the Nominating
Committee
Undermining of Medical Professionalism. Physicians have been caught
up in a tide of economics-driven forces which threaten their alliance with
patients and the professionalism that ensures optimal care. The AAD
should work with other organizations from all medical disciplines to
thwart the intrusion of publicly traded companies that must put
stockholder's gains ahead of patient's best interests. We must be the
patients' advocates, not only in the clinic setting, but also in the
public forum. If market forces indicate the need for fewer
dermatologists, the Academy should take a leadership role in fostering
debate and discussion aimed at correcting manpower excesses. We need to
preserve our professional image and enhance it by increasing efforts in
public education, support of patient advocacy groups and transitioning
research findings into technical advances which further our management of
patients.
Diversion from Expertise. We dermatologists are the most proficient
group of physicians caring for skin disease and our skills have never
been greater. We are culled from the "best and brightest" of medical
school classes. We are well-trained, astute and we see patients
efficiently and effectively. Yet we are increasingly undervalued by
corporate health care systems which attempt to divert patients to
inexpert care. The AAD should increasingly take our case to the public
and encourage popular insistence on expert care.
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