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Women in Medicine - The Mentoring Program
Spotlight on an EVMS Woman in Medicine
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* Patricia A. Masters, M.S.N.
* Sheila Scoville, PhD
* The Women Librarians of EVMS
* Christine Laronga, MD
* Christine C. Matson, MD
* Virginia Proud, MD
* Jean E. Shelton, MD
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EVMS Women in Medicine Program
The Mentoring Program
- Spotlight on an EVMS Woman in Medicine 

Frances D. Butterfoss, Ph.D.
Frances D. Butterfoss,
Ph.D.

Frances D. Butterfoss, Ph.D.

Frances D. Butterfoss, Ph.D., received the 2002 Society for Public Health Education (SOPHE) Mentor Award – a coveted honor traditionally bestowed only on retiring departmental chairs before Fran Butterfoss earned the recognition. Seven letters of nomination brought Butterfoss’ mentoring skills to the forefront of the national organization, which she led as its president in 1999-2000; she received their Program Excellence Award for the CINCH (Consortium for Infant and Child Health) project in 1996.

Of all her accolades, she holds most dear the mentoring award. It was the “affirmation that what I am doing is worthwhile,” she said.

She attributes her life’s work to two mentors – her high school French teacher and doctoral graduate advisor. The French teacher encouraged her to set higher goals and apply for a full scholarship to the University of Pennsylvania, which she won. Her graduate advisor directed her to apply coalition theories to public health issues, drawing from the disciplines of organizational psychology and social work. He presented this approach as an “opportunity” that was “transferable” to any public health focus - advice on which Butterfoss built her career.

As a mentor, Butterfoss looks at the “strengths and unique gifts” of her mentees: “Are they making the most of their gifts? How do they use their strengths to get to where they want to be?”

Butterfoss’ mother, her inspiration and role model, emerged from the Great Depression with a strong belief that adversity and obstacles could not stop anyone from accomplishing anything they wished as long as they had a goal. In 1975, three years after Butterfoss married her husband, Tom, they mapped on poster board their ideas of what they would like to be doing at age 40. Tucking the paper in the back of a filing cabinet, they did not discover it again until they were 40. Amazingly, the couple was on target with their plans. Butterfoss wanted the challenge of a doctorate program and hoped that by age 40, she would be in such a program. Although they had not reviewed their plan for 17 years, they were “amazed” that by writing their goals, they had accomplished them.

The invaluable mentoring she received led her to mentor others. As a mentor, Butterfoss looks at the “strengths and unique gifts” of her mentees: “Are they making the most of their gifts? How do they use their strengths to get to where they want to be?”

The mentoring process is three-fold, she says. First, she asks “What is your goal for the current year in your job?” Second, “What is your professional plan that will help you reach your long-term goal – getting another degree, taking a computer course, learning to market yourself?” Third, “What is your personal goal? – beginning a regular exercise program, volunteering for a charity?” At the end of each year, she encourages her mentees to “access what you wanted to accomplish and how far you have progressed.” Butterfoss firmly believes that “each one of us makes our own happiness and success.” She advises to “use adversity to grow.”

“[Dr. Butterfoss] was so ‘down-to-earth,’ ” said Nasca[, Butterfoss' mentee]. “She wanted to know what I had done and what I wanted to accomplish. (Dr. Butterfoss) as the director of the Project Immunize Virginia coalition saw a way to utilize my skills and help me grow.”

One of her mentees is Sarah Nasca, MPH. “Dr. Butterfoss took ownership of my career,” said Nasca. “She taught me what you don’t learn in school (about career development).”

As a Master of Public Health (MPH) student at the University of Tennessee, Nasca needed to pursue an internship outside Tennessee. An advisor gave her a national SOPHE directory to initiate her search. Nasca called the national president, Fran Butterfoss, in hopes of leaving a message asking for some recommendations and networking advice.

To Nasca’s surprise, Dr. Butterfoss answered her own telephone, a phenomenon she never experienced before when trying to reach other nationally known members of the medical community. Within 20 minutes, the two were planning a summer’s internship at CHKD’s Center for Pediatric Research with Butterfoss.

“She was so ‘down-to-earth,’” said Nasca. “She wanted to know what I had done and what I wanted to accomplish. (Dr. Butterfoss) as the director of the Project Immunize Virginia coalition saw a way to utilize my skills and help me grow.”

The summer internship led to a permanent position for Nasca. “She (Butterfoss) is so busy; she truly does not have extra time to advise and promote my career, yet she always makes the time. In the beginning, we met formally each week. Slowly, she weaned me to come up with my own strategies. Now, I go to her as I need advice. I couldn’t have found a better mentor or internship.” To use Butterfoss’ favorite word, it was “serendipity.”

Dr. Butterfoss' 10 steps for building healthy communities:

  • Envision a healthy community.

  • Assess community assets and challenges.

  • Teach the value of collaboration.

  • Bring diverse interests together to build linkages.

  • Identify and develop community leaders.

  • Listen to community voices.

  • Plan for success.

  • Implement your plan.

  • Evaluate your efforts.

  • Share your successes.

For 15 years, Butterfoss traveled around the world with her husband who was a military dentist, now an orthodontist in Yorktown. Throughout this time, she worked as a public health nurse and high school biology and health science teacher while caring for three children. Teaching was then and is still one of her favorite tasks; it almost kept her from returning to school to work on her doctorate, but unhappiness created by an adverse situation launched the next phase of her career.

As a high school science teacher, she learned that all funds for supplies went to the honors science program; there was no money left for the majority of the science students Butterfoss taught. She thought the program unjust. Realizing that she was helpless in changing the system, she made the decision to return to school and retool.

She has been working through coalitions to change systems ever since. Her advice to her mentees: “Get as much education as possible, then get a grant and work on what interests you and generate change.”

Butterfoss takes her own advice. She currently is the principal or co-investigator on more that $2.5 million in grant funding, covering such areas at Child Health Insurance, Hope VI Initiative, Community Asthma Prevention programs, and Asthmas Practice Guidelines. Following her mentor’s advice, Butterfoss’ expertise is building community coalitions to promote public health.

By gaining the commitment of several organizations, she focuses on the common mission and enhances the success of a project by encouraging each party to share risks, responsibilities, and rewards. She seeks and develops community leaders to listen to community voices, exchange information, and identify common values. The processes, structures, and quantifiable outcomes are essential to a coalition’s success. The key to success is measuring results, she says.

When Dr. Butterfoss spoke to the Women in Medicine and Science program in 2001, she said there are 10 steps for building healthy communities:

  • Envision a healthy community.
  • Assess community assets and challenges.
  • Teach the value of collaboration.
  • Bring diverse interests together to build linkages.
  • Identify and develop community leaders.
  • Listen to community voices.
  • Plan for success.
  • Implement your plan.
  • Evaluate your efforts.
  • Share your successes.

She has taken her message of community building throughout the country conducting over four dozen workshops, making 100 presentations, and writing 60 abstracts, book chapters, and editorials. Whether she is discussing at-risk youth, chronic disease or substance abuse prevention, promoting childhood safety or planning an immunization program, she utilizes her key principles for success. Her philosophy works, making her a respected consultant, speaker, and writer.

As a public health educator, Butterfoss is head of the Health Promotion/Disease Prevention Section of the Center for Pediatric Research, Children’s Hospital of The Kings’ Daughters, and an associate professor of pediatrics at the Eastern Virginia Medical School. Since 1998, she has taught in the joint EVMS and Old Dominion University graduate program in Public Health.

Career decisions parallel family priorities, too. She espouses the philosophy that balancing one’s professional and personal lives is essential for happiness. Butterfoss focuses more on her career now that her children are older.

She earned her BS in Nursing and MS in Education from the University of Pennsylvania, Philadelphia, where she was senior class president and cum laude graduate. She received graduate assistantships to complete her PhD in Health Promotion and Education from the School of Public Health at the University of South Carolina. In 1992, she came to the Center for Pediatric Research to work on the CINCH project.

As a community builder, Butterfoss practices what she preaches. She serves on the Minority Health Research Consortium of Hampton Roads; the Virginia Association for the Preservation of Antiquities, Jamestown-Yorktown Chapter; the Minority Health Research Consortium of South Hampton Roads; the Yorktown-Jamestown Foundation; National Partnership for Immunizations; American Legacy Foundation, Youth Empowerment Board; and the National Immunization Coalition Conference Planning Committee (Chairperson in 1997). She chairs the CPR Work Life committee, is a reviewer of Health Education and Behavior for the American Journal of Community Psychology and is a member of the editorial review board of Family and Community Health, where she was the 1999 guest editor of two Child Health issues. Since 1993, she has been a member of the Delta Omega Honorary Society in Public Health, serving at president of the Alpha Kappa Chapter in 2001.

Career decisions parallel family priorities, too. She espouses the philosophy that balancing one’s professional and personal lives is essential for happiness. Butterfoss focuses more on her career now that her children are older. Her daughter, Jennifer, is an orthodontic resident at the University of Louisville; son Ryan is a video game designer in San Francisco, and son Adam is a student at James Madison University majoring in integrated science and technology.

Dr. Butterfoss’ commitment to community coalitions, her mentoring, and her life’s work can be summarized in a quote by another woman of conviction, Margaret Mead: “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has.”

Frances Butterfoss, PhD, would add a note to Mead’s quote: … and change can come through community coalitions and mentoring others to carry forth one’s passion to improve the public’s health.

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