Clinical Focus

  • Family & Community Medicine
  • Family Medicine
  • LGBTQQI friendly

Academic Appointments

Administrative Appointments

  • Co-Director, Stanford Geriatric Education Center (2002 - 2006)
  • Associate Director, Stanford Geriatric Education Center (2007 - 2015)
  • Clinic Chief, Stanford Family Medicine (1998 - 2013)
  • Medical Director, Patient Centered Care, Primary Care, Stanford (2013 - 2016)

Honors & Awards

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

Boards, Advisory Committees, Professional Organizations

  • Ad Hoc Study Section Member, Health Care Research Training, AHRQ (2014 - 2016)
  • 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



    Ongoing Project


    Opportunities for Student Involvement


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


    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


    Bay Area

    Ongoing Project


    Opportunities for Student Involvement


  • Quality Assurance Committee, Health Plan of San Mateo


    Bay Area

    Ongoing Project


    Opportunities for Student Involvement


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.


2017-18 Courses


All Publications

  • Supporting At-Risk Youth and Their Families to Manage and Prevent Diabetes: Developing a National Partnership of Medical Residency Programs and High Schools PLOS ONE Gefter, L., Morioka-Douglas, N., Srivastava, A., Rodriguez, E. 2016; 11 (7)


    The Stanford Youth Diabetes Coaches Program (SYDCP) is a school based health program in which Family Medicine residents train healthy at-risk adolescents to become diabetes self-management coaches for family members with diabetes. This study evaluates the impact of the SYDCP when disseminated to remote sites. Additionally, this study aims to assess perceived benefit of enhanced curriculum.From 2012-2015, 10 high schools and one summer camp in the US and Canada and five residency programs were selected to participate. Physicians and other health providers implemented the SYDCP with racial/ethnic-minority students from low-income communities. Student coaches completed pre- and posttest surveys which included knowledge, health behavior, and psychosocial asset questions (i.e., worth and resilience), as well as open-ended feedback questions. T-test pre-post comparisons were used to determine differences in knowledge and psychosocial assets, and open and axial coding methods were used to analyze qualitative data.A total of 216 participating high school students completed both pre-and posttests, and 96 nonparticipating students also completed pre- and posttests. Student coaches improved from pre- to posttest significantly on knowledge (p<0.005 in 2012-13, 2014 camp, and 2014-15); worth (p<0.1 in 2014-15); problem solving (p<0.005 in 2014 camp and p<0.1 in 2014-15); and self-efficacy (p<0.05 in 2014 camp). Eighty-two percent of student coaches reported that they considered making a behavior change to improve their own health as a result of program participation. Qualitative feedback themes included acknowledgment of usefulness and relevance of the program, appreciation for physician instructors, knowledge gain, pride in helping family members, improved relationships and connectedness with family members, and lifestyle improvements.Overall, when disseminated, this program can increase health knowledge and some psychosocial assets of at-risk youth and holds promise to empower these youth with health literacy and encourage them to adopt healthy behaviors.

    View details for DOI 10.1371/journal.pone.0158477

    View details for Web of Science ID 000379809400051

    View details for PubMedID 27383902

  • Service-Based Learning for Residents: A Success for Communities and Medical Education. Family medicine Gefter, L., Merrell, S. B., Rosas, L. G., Morioka-Douglas, N., Rodriguez, E. 2015; 47 (10): 803-806

    View details for PubMedID 26545059

  • 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


    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


    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

  • Empowering Youth as Self-Management Coaches for Diabetic Family Members California HealthCare Foundation Issue Brief Nancy Morioka-Douglas 2011; February

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