title: The Personal Doctoring Manifesto: A Perspective from the Keystone IV Conference.
abstract: The Keystone IV Conference was a touchstone moment for multigenerational conversations regarding our health care system and an opportunity to reconnect with the values of personal doctoring as a vocation. It inspired participants to renew commitments to relationships, healthy communities, and social change. Keystone IV was also a stark reminder of the need to rekindle family medicine's counterculture flame in today's tumultuous health care environment and reclaim the role of personal doctors in American society. Reimagining and reigniting the fire of personal relationship is today's counterculture movement for primary care. Personal doctors must heed the call for immediate action, which requires defining when relationships matter most in health care and understanding how to harness paradigm shifts in information technology, team-based care, and population health to strengthen, rather than undermine, personal doctoring. Simultaneously, we must also invent a new notion of personal doctoring that creates partnerships with patients and families to drive forward a social movement demanding health care focused on the whole person in the context of his or her community. Change will occur when patients insist on a personal doctoring approach as an essential priority for what they expect from the health care system-that anything less is unacceptable.
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG). devoej@ohsu.edu.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: DeVoe
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: Kathleen
authors.initials: K
authors.lastname: Barnes
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: Carl
authors.initials: C
authors.lastname: Morris
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: Kendall
authors.initials: K
authors.lastname: Campbell
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: Andrew
authors.initials: A
authors.lastname: Morris-Singer
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: John M
authors.initials: JM
authors.lastname: Westfall
authors.affiliation: From the Department of Family Medicine, Oregon Health & Science University, Portland (JED); OCHIN, Inc., Portland, OR (JED); the Group Health Family Health Center, Seattle, WA (KB, CM); the Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee (KC); Primary Care Progress, Cambridge, MA (AM-S); the Department of Family Medicine, University of Colorado School of Medicine, Aurora (JMW); and the Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco (KG).
authors.forename: Kevin
authors.initials: K
authors.lastname: Grumbach
mesh_terms: D003695:Delivery of Health Care / Q000379:methods*; D005194:Family Practice / Q000379:methods*; D006801:Humans; D008490:Medical Informatics; D010348:Patient Care Team; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D011320:Primary Health Care / Q000379:methods*; D014481:United States
keywords: Doctoring; Family Medicine; Family Physician; Health Care Delivery; Personal Physician; Population Health; Primary Care; Professionalism; Social Justice