Bio

Clinical Focus


  • Family & Community Medicine
  • Family Medicine

Academic Appointments


Administrative Appointments


  • Medical Director, Patient Centered Care, Primary Care, Stanford (2013 - Present)
  • Clinic Chief, Stanford Family Medicine (1998 - 2013)
  • Associate Director, Stanford Geriatric Education Center (2007 - Present)
  • Co-Director, Stanford Geriatric Education Center (2002 - 2006)

Honors & Awards


  • Invited Participant, The Lown Institute Conference, "From Avoidable Care to Right Care" (December 2013)
  • Invited Participant, Stanford Physician/Faculty Advanced Leadership Development Program (2012)
  • Leadership Fellow, California HealthCare Foundation Leadership Fellowship (2008-2010)
  • Invited Participant, Stanford Physician Leadership Development Program (2006-2007)
  • “Standard Setting Committee for Examination, 2005. American Board of Family Medicine.”, American Board of Family Medicine (2005)
  • Named as one of the "Best Doctors", Best Doctors (2003 to present)
  • Song Brown Fellowship in Family Medicine, Stanford Affiliated Family Practice Residency at San Jose Hospital (1984-1985)

Boards, Advisory Committees, Professional Organizations


  • Ad Hoc Study Section Member, Health Care Research Training, AHRQ (2014 - Present)
  • Ad Hoc Study Section Member, Accelerating the Dissemination and Implementation of PCOR Findings into Primary Care Practice, AHRQ (2014 - 2014)
  • Invited Mentor, Stanford School of Medicine Faculty Fellows Leadership Program (2013 - 2014)
  • Study Section Member, Health Care Quality and Effectiveness Research, AHRQ (2010 - 2014)
  • Member, National Working Group, ³Promoting Good Stewardship in Clinical Practice² National Physicians' Alliance (2009 - 2010)
  • Ad Hoc Study Section Member, Special Emphasis Panel RFA 10-002 for “Transforming Primary Care Practice", AHRQ (2010 - 2010)
  • Vice-chair, Appointment and Promotion Committee for Clinician Educators, Stanford University School of Medicine. (2007 - 2014)
  • Member, National Physicians Alliance (2009 - Present)
  • Fellow, American Academy of Family Physicians (1985 - Present)

Professional Education


  • Board Certification: Family Medicine, American Board of Family Medicine (1984)
  • Fellowship:San Jose Medical Center (1985) CA
  • Residency:San Jose Medical Center (1984) CA
  • Internship:San Jose Medical Center (1984) CA
  • Medical Education:University of Hawaii (1981) HI
  • M.P.H., University of Hawaii/UC Berkeley, Health Planning and Policy (1985)
  • M.D., University of Hawaii (1981)
  • B.S., Stanford University, Biology (1976)

Community and International Work


  • Division of Workers' Compensation

    Location

    California

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    No

  • Community Outreach to Underserved Populations, Redwood City and East Palo Alto

    Topic

    Middle School and High School curriculum development in health promotion

    Partnering Organization(s)

    Hoover Magnet School and EPA High School

    Populations Served

    Middle school students and high school students

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • Quality Assurance Committee, Health Plan of San Mateo

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    No

Research & Scholarship

Current Research and Scholarly Interests


Dr. Morioka-Douglas' main interest is in addressing the widening gap between patient demand and primary care supply through a variety of interventions such as:
1. empowering patients to collaborate in their care;
2. community health education to create capacity for chronic disease prevention and optimization;
3. optimizing the daily lives of physicians in working in a technologically advanced environment including electronic medical records and messaging with patients.

Publications

Journal Articles


  • Training at-risk youth to become diabetes self-management coaches for family members: partnering family medicine residents with underserved schools. Diabetes educator Gefter, L., Rosas, L. G., Rodriguez, E., Morioka-Douglas, N. 2014; 40 (6): 786-796

    Abstract

    The purpose of this study is to evaluate the impact of a school-based health program in which family medicine residents trained healthy at-risk adolescents to become diabetes self-management coaches for family members with diabetes.A mixed methods study included 97 adolescents from 3 San Francisco Bay Area high schools serving primarily ethnic minority youth of low socioeconomic status. Physicians came to schools once a week for 8 weeks and trained 49 adolescents to become coaches. Student coaches and 48 nonparticipant students completed pre- and posttest intervention questionnaires, and 15 student coaches and 9 family members with diabetes gave in-depth interviews after participation. Linear regression was used to determine differences in knowledge and psychosocial assets on pre- and posttests between student coaches and nonparticipant students, and NVIVO was used to analyze interview transcripts.After controlling for initial score, sex, grade, and ethnicity, student coaches improved from pre- to posttest significantly compared to nonparticipants on knowledge, belonging, and worth scales. Student coaches reported high satisfaction with the program. Articulated program benefits included improvement in diet, increased physical activity, and improved relationship between student coach and family member.Overall, this program can increase diabetes knowledge and psychosocial assets of at-risk youth, and it holds promise to promote positive health behaviors among at-risk youth and their families.

    View details for DOI 10.1177/0145721714549676

    View details for PubMedID 25208725

  • No Papanicolaou tests in women younger than 21 years or after hysterectomy for benign disease. JAMA internal medicine Morioka-Douglas, N., Hillard, P. J. 2013; 173 (10): 855-856

    View details for DOI 10.1001/jamainternmed.2013.316

    View details for PubMedID 23568165

  • The "Top 5" Lists in Primary Care Meeting the Responsibility of Professionalism ARCHIVES OF INTERNAL MEDICINE Aguilar, I., Berger, Z. D., Casher, D., Choi, R. Y., Green, J. B., Harding, E. G., Jaeger, J. R., Lavin, A., Martin, R., Montgomery, L. G., Morioka-Douglas, N., Murphy, J. A., Oshman, L., Picker, B., Smith, S. R., Venkatesh, S., Williams, M., Wright, G. M. 2011; 171 (15): 1385-1390

    Abstract

    Physicians can adhere to the principles of professionalism by practicing high-quality, evidence-based care and advocating for just and cost-effective distribution of finite clinical resources. To promote these principles, the National Physicians Alliance (NPA) initiated a project titled "Promoting Good Stewardship in Clinical Practice" that aimed to develop a list of the top 5 activities in family medicine, internal medicine, and pediatrics where the quality of care could be improved.Working groups of NPA members in each of the 3 primary care specialties agreed that an ideal activity would be one that was common in primary care practice, that was strongly supported by the evidence, and that would lead to significant health benefits and reduce risks, harms, and costs. A modification of nominal group process was used to generate a preliminary list of activities. A first round of field testing was conducted with 83 primary care physicians, and a second round of field testing with an additional 172 physicians.The first round of field testing resulted in 1 activity being deleted from the family medicine list. Support for the remaining activities was strong. The second round of field testing showed strong support for all activities. The family medicine and internal medicine groups independently selected 3 activities that were the same, so the final lists reflect 12 unique activities that could improve clinical care.Physician panels in the primary care specialties of family medicine, internal medicine, and pediatrics identified common clinical activities that could lead to higher quality care and better use of finite clinical resources. Field testing showed support among physicians for the evidence supporting the activities, the potential positive impact on medical care quality and cost, and the ease with which the activities could be performed. We recommend that these "Top 5" lists of activities be implemented in primary care practice across the United States.

    View details for DOI 10.1001/archinternmed.2011.231

    View details for Web of Science ID 000293642800016

    View details for PubMedID 21606090

  • Learning from Clinical Uncertainty Best Poster award at the 2011 Dartmouth Cooperative Research Network Annual Meeting Tina M. Kenyon, ACSW, Lucia Sommers, DrPH, Claudia Allen, PhD, Michael Potter, MD, Nancy Morioka-Douglas, MD, MPH, Alan Siegel, MD 2011
  • Empowering Youth as Self-Management Coaches for Diabetic Family Members California HealthCare Foundation Issue Brief Nancy Morioka-Douglas 2011; February
  • Developing Curricula in Cultural Competence: An iterative, medical student driven process 32nd Annual STFM Predoctoral Education Conference, February 2006 Margaret Kirkegaard, N. 2006
  • "Ethnogeriatrics: Taking Care of Ethnic Elders in America" Faces and Masks of Aging: Implications from the lives of Japanese elderly", conference, May 2005 Nancy Morioka-Douglas 2005
  • Medical education and chronic disease JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION Morioka-Douglas, N. 2004; 292 (24): 2975-2975

    View details for Web of Science ID 000225841900029

    View details for PubMedID 15613663

  • Issues in caring for Afghan American elders: insights from literature and a focus group. Journal of cross-cultural gerontology Morioka-Douglas, N., Sacks, T., Yeo, G. 2004; 19 (1): 27-40

    Abstract

    To increase the information available for clinicians and educators to care for, and educate others to care for, elders from Afghan backgrounds more effectively.Focus group methodology.Community senior center in Fremont, CA, United States.Nine leaders of an Afghan elders group.Content analysis of translated proceedings of focus group.The two most important themes were: 1) Participants identified their health status and effective treatments with their faith in, and practice of, Islam. 2) They also emphasized the importance of care given by same-sex providers.Clinicians providing care for older Afghan refugees need to be aware of the importance of respecting the practices of Islam, especially using same sex providers. Allowing for Muslim practices in the hospital is also important, such as washing before daily prayers, not serving pork products (e.g. gelatin), and having the bed face Mecca (Southeast) for prayers, especially for a dying patient.

    View details for PubMedID 14767176

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