Day 1 – Saturday, July 22

Session 1: 8:00am – 10:20am�Break: 10:20am – 10:40am

Session 2: 10:40am – 1:00pm

Review of Goals and Anticipated Outcomes

Harry Kimball, MD�1937-2023�

A visionary pioneer for the profession whose indelible legacy lives on and inspires us to reach new heights, forever cherished and never forgotten.

First-person narrative winner:

• Confronting Racism In Pediatric Care, Benjamin Danielson, MD. Health Affairs (November 2022).

Research winners:

• I Am Not The Doctor For You': Physicians' Attitudes About Caring For People With Disabilities, Tara Lagu, MD, MPH; Carol Haywood, PhD; Kimberly Reimold, MD; Christine DeJong, MD; Robin Walker Sterling, LLM, JD; Lisa I. Iezzoni, MD, MSc. Health Affairs (October 2022).
• Burnout and Perception of Medical School Learning Environments Among Gay, Lesbian, and Bisexual Medical Students, Caitlin R. Ryus, MD, MPH; Elizabeth A. Samuels, MD, MPH, MHS; Ambrose H. Wong, MD, MSEd, MHS; Katherine A. Hill; Stephen Huot, MD, PhD; Dowin Boatright, MD, MBA, MHS. JAMA (April 2022).
• Marginalized Identities, Mistreatment, Discrimination, and Burnout Among US Medical Students: Cross Sectional Survey and Retrospective Cohort Study, Bethelehem G. Teshome, MPH; Mayur M. Desai, PhD, MPH; Cary P. Gross, MD; Katherine A. Hill; Fangyong Li, MS, MPH; Elizabeth A. Samuels, MD, MPH, MHS; Ambrose H. Wong, DM, MSEd, MHS; Yunshan Xu, MS; Dowin H. Boatright, MD, MBA, MHS. The BMJ (March 2022).

Awarded Annually in honor of the form CEO of ABIM (1975-91)

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Dr. Benson, has dedicated his life to improving quality of medical care and medical professionalism

2022 John A. Benson Jr., MD Professionalism Article Prize

What Initiatives have been started

• Hold for Rich’s “Whats happened in the world / what the foundation has done”.

Foundation Accomplishments

• Uncertainty Project
• The Public Good Projects
• Critica Report

Creating a trusting and respectful space

• We ask for 100 percent engagement in all sessions – please be present.
• Please silence your phone.
• Participate as an individual, not a spokesperson.
• Please refrain from posting about the Forum on social media until after the event has concluded.  
• Introduce yourself before speaking to the full group.
• Participants’ comments should be concise – no speeches.
• Respect diversity of opinions.
• Don’t hold the microphone.

Who’s in the room?

Thank you…

• Richard Barron
• Odette Bolano
• Frederick Cerise
• David Coleman, Chair
• Susan Edgman-Levitan
• Yul Ejnes
• Marianne Green
• Jackie Judd
• Bruce Leff
• Jeanne Marrazzo
• Reggie Tucker-Seeley
• Antonia Villarruel
• Daniel Wolfson
• Heather Yun

Our Forum planning committee

Thank you…

• Kevin Battle
• Lee Carter
• Helen Egner
• Kimberly Freeman
• John Held
• Amberlyn Hopper
• Samantha Laws
• Mario Lee
• Timothy Lynch
• Nicholas Mackara
• Jaime McClennen
• Justin Perri
• Kelly Rand
• Leslie Tucker
• Pamela Browner White

ABIM & ABIM Foundation Staff

Thank you…

Our Speakers and Panelists

Forum Goals

• Examine the historical root causes that generate mistrust in health care and skepticism of science and expertise.�
• Develop a deeper understanding of the connection between mistrust and misinformation.�
• Identify strategies that clinicians, health care systems, policymakers and payers can employ build trust and to reduce the impact of medical misinformation.

Overview of the Three Days

Day One: Saturday, July 22

• Hear from patients, medical students, and health system leaders about the significance of trust and the harms of misinformation
• Better understand the historical view of misinformation and facts

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Day Two: Sunday, July 23

• Gain insights into perspectives of both the BIPOC and public health communities about misinformation
• Examine conversations about misinformation between patients and physicians

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Day Three: Monday, July 24

• Advancing fundamental trust in the health care system
• Explore the role of the ABIM Foundation and its partners

Optional Featured Sessions

2:00-3:00 PM: AI and its Effects on Health Care and Clinical Practice�Bob Wachter (moderator), Abha Agrawal, Michael Howell, Kevin Johnson

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Goal: Examine the challenges and opportunities of AI.

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3:15-4:15 PM: Eliminating Medical Debt to Build Trust�Don Berwick and Noam Levey

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Goal: Examine the respective roles we could play in fostering trust and eliminating medical debt.

Day Two: Sunday, July 23

Participant Video Interviews

Day One: Saturday, July 22�Day Two: Sunday, July 23

Share ideas or suggestions for how health care professionals can rebuild trust in science and medical information.

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Reserve your time on the Forum App

Why?

Patient Stories of�Lost Trust

Patient Stories of Lost Trust

Goal:

• Hear stories of patients who have lost trust and what it would take to regain that trust.

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Moderator: Susan Edgman-Levitan

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Speakers: Mercy Adetoye, Meg Gaines, and Jeanne Marrazzo

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Medical Students’ Experiences with Trust and Medical Misinformation

Medical Students’ Experiences with Trust and Medical Misinformation

Goal:

• Hear from the winners of the AMSA-ABIM Foundation Building Trust Essay Contest about their experiences with medical misinformation and trust.

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Moderator: Marianne Green

Speakers: Molly Fessler, Isra Hasnain, Meher Kalkat, and Elina Kurkurina

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Physician and Health System Leaders: Impact of Loss of Trustworthiness and Misinformation

Physician and Health System Leaders: Impact of Loss of Trustworthiness and Misinformation

Goal:

• Hear from health care organization leaders about their experiences with trust and misinformation.

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Moderator: Fred Cerise�

Panelists: David Baker, Odette Bolano, and Eric Wei

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Break

Session 1: 8:00am – 10:20am�Break: 10:20am – 10:40am

Session 2: 10:40am – 1:00pm

President’s Lecture�and Dialogue

President’s Lecture and Dialogue

Goals:

• Recognize the way in which the privileging of scientific knowledge is not reliably a result of the quality of the science but is instead a historically contingent political choice.�
• Explore how historical root causes affect present-day trust in health care.

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Moderator: Richard Baron

�Speakers: Lewis Grossman and Sophia Rosenfeld

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Group Reactions

Group Reactions

Goals:

• Explore what most surprised you in hearing from these historians. �
• Examine the relevance of their concept that “freedom” and “political choice” influence public acceptance of science by considering current behaviors of individuals and communities.�
• Explore how what you just heard might change your approach to patients and communities – What might you do differently?

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Moderator: Bruce Leff

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Summary of the Day

Thank You

Day 2 – Sunday, July 23

Session 1: 8:00am – 10:45am�Break: 10:45am – 11:05am

Session 2: 11:05am – 1:00pm

Introduction to the Day

A Historical BIPOC Perspective on Misinformation and Earned Mistrust

A Historical BIPOC Perspective on Misinformation and Earned Mistrust

Goal:

• Examine the impact of misinformation on medical care received by the Black, Indigenous and People of Color (BIPOC) population and how it reflects racism rooted in American history.

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Moderator: Reggie Tucker-Seeley

�Speaker: Giselle Corbie

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Living with Medical Misinformation

Living with Medical Misinformation

Goals:

• Understand why medical misinformation will remain in the ecosystem despite our best efforts to mitigate it.�
• Examine strategies and practices for adapting to a world with medical misinformation.

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Moderator: Yul Ejnes�

Speaker: Joe Smyser

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Explore How Clinicians and Systems Can Engage with Patients and the Public to Earn Their Trust

Explore How Clinicians and Systems Can Engage with Patients and the Public to Earn Their Trust

Goals:

• Develop practical approaches and principles for physicians and systems seeking to earn the trust of marginalized communities.�
• Develop approaches and principles to earn the trust of patients who follow alternative evidence, often as an expression of their beliefs about personal liberty and freedom.

Facilitator: Richard Baron

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Break

Session 1: 8:00am – 10:45am�Break: 10:45am – 11:05am

Session 2: 11:05am – 1:00pm

Sharing and Improving Practices for Building

Sharing and Improving Practices for Building Trust

Goals:

• Learn about identified practices and approaches to ethical dilemmas. �
• Suggest additional ideas.�
• Identify emerging ideas and themes.

Facilitator: Daniel Wolfson

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World Cafe

4 rounds of conversation- 10 minutes each

All tables will move to the table next in sequence to learn what that group identified as a trust building activity

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Examples:

Table 1 moves to Table 2

Table 2 moves to Table 3

Etc…

Gallery Walk: ��Identifying the Most Impactful Practices for Building Trustworthiness

Gallery Walk: Identifying the Most Impactful Practices for Building Trustworthiness

Goals:

• Identify the most promising practices and approaches from the tables. Describe next steps.

Facilitator: Daniel Wolfson

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Report on Progress of NAM/WHO/CMSS Credible Information Project

Report on Progress of NAM/WHO/CMSS Credible Information Project

Goals:

• Provide an update on the report and its principles for credible information.

Moderator: Antonia Villarruel�

Speakers: Helen Burstin and Kevin Johnson

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Summary of the Day

Featured Sessions:

2:00-3:00 PM - AI and its Effects on Health Care and Clinical Practice

3:15-4:15 PM - Eliminating Medical Debt to Build Trust

Featured Session

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AI and its Effects on Health Care and Clinical Practice

Featured Session: �AI and its Effects on Health Care and Clinical Practice

Goals:

• Describe benefits and cite examples of how AI might impact health care. �
• Explore dangers and challenges of AI and how to mitigate them.�
• Discuss the future of AI – what might it look like in 5 years.

Moderator: Robert Wachter�

Speakers: Abha Agrawal, Michael D. Howell, and Kevin B. Johnson

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Featured Session

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Eliminating Medical Debt to Build Trust

Featured Session: �Eliminating Medical Debt to Build Trust

Goals:

• Identify options for addressing medical debt.�
• Discuss roles you and your organization can play to eliminate debt in your community and explore participants’ interest in different strategies for eliminating medical debt (e.g., reduction of coinsurance/deductibles, expanding patient financial assistance, restricting debt collection by medical providers).�
• Begin to identify allies and collaborators.�
• Discuss how this session relates to Monday’s Forum session.

Moderator: Daniel Wolfson�

Speakers: Donald M. Berwick and Noam N. Levey

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Featured Session: �Eliminating Medical Debt to Build Trust

• Take an index card in front of you and write down your idea for how to best eliminate medical debt
• The cards will then be passed to the person on your right.
• When you receive a new card, rate the idea 1-5
• The cards will be passed to everyone at the table
• When you receive your card back at the end, add up the toal

Day 3 – Monday, July 24

Session 1: 7:30am – 7:40am�Break: 10:00am – 10:20am

Session 2: 10:20am – 12:00pm

Introduction to the Day

IHI’s Work with ABIM Foundation on Drivers of Trustworthiness

IHI’s Work with ABIM Foundation on Drivers of Trustworthiness

Goals:

• Learn about the prototype model created for drivers of trust for clinicians and for communities with health care organizations.
• Explore next steps and vision for this work.

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Moderator: Don Berwick�

Speakers: Fred Cerise, Ali Khan, and Kedar Mate

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Identify Issues That Need to be Addressed to Build Public Trust

Identify Issues That Need to be Addressed to Build Public Trust

Goals:

• Develop a marketplace of ideas to build public trust. �
• Identify who is building trust (multi-stakeholders, health care organization, health plans, etc.).�
• Selection of area to work on by participants.�
• Define the problem being addressed, objectives, and what success looks like, and identify strategies and tactics.

Facilitator: Daniel Wolfson

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Flipcharts

Please use the guides clipped to the flipcharts to identify your chosen issue.

We will be adding collecting your group’s chosen topics and projecting them on screen while you are working

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Break

Session 1: 7:30am – 7:40am�Break: 10:00am – 10:20am

Session 2: 10:20am – 12:00pm

Gallery Walk

Goals:

• Review other groups’ work.�
• Identify common threads.�
• Vote on top ideas.

Facilitator: Daniel Wolfson

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Instructions to report back

Consultation on Roles of ABIM Foundation and Partners to Advance Public Trust

Consultation on Roles of ABIM Foundation and Partners to Advance Public Trust

Goals:

• Hear advice from four advisors.�
• Get advice from participants working at their tables.

Leader Needing Advice: Richard Baron�

Panel Advisors: Andrew Bindman, Monica Lypson, Debra Ness, and Neel Shah

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Reflections on the Forum:��What Does it Look Like When the Profession Gets it Right?