Document 6428858

Volume 3 Issue 5
News from the Department of Family and Social Medicine
June/July 2007
STFM in Chicago
Welcomes
Society of Teachers of Family Medicine, 40th Annual
Spring Conference, Chicago, IL, May, 2007.
Amy Yosha (Miglani), FM '05 and Emily
Jackson, FM '06 compare notes on their
reproductive health fellowships on different
coasts.
And
Farewells
Welcome! (Belated) To Niko Verdecias as the
Project Director for our HRSA Special Projects
of National Significance-funded program to
improve the oral health of people with HIV.
Niko comes to us from SUNY Downstate
where she was the Project Coordinator for the
entire Women's Interagency HIV Study. Niko
has a background in HIV/AIDS, health
disparities, urban and immigrant health, and
chronic disease research. She received her
MPH from SUNY Downstate and a BS in
Psychology from Syracuse University. Niko
has experience in project and research
planning and execution, as well as manuscript
development and publication.
The Department's educational leadership, fellows and
faculty enjoying dinner together at one of Chicago's
oldest Italian restaurants.
PRESENTIONS
Barr W, See S. Research in a Community-based Residency Program:
Developing a Curriculum Under the New RRC Guidelines.
Fornari A, Duggan M, Korin E, Dempster J, Polisar M. Developmental and
Competency Performance Assessment: A Resident Evaluation Form
Assessing Competency for Patient Care/Medical Knowledge.
Godfrey E, Rubin S, Smith E. Integration of Early Abortion Services Into
Primary Care: Perspectives From Patients at an Abortion Clinic.
Niko will be working with many of you as we
collaborate with the Dental Department and
MMG to bring a mobile dental van on line as
part of the integrated primary care and oral
health services at the MMG2 sties.
Gold M, DasGupta S. Cinema and the Speculum: Using Popular Film Clips to
Teach Patient-centered Language and Behavior.
Niko can be reached at (718) 920-6357 or via
e-mail at nverdeci@montefiore.org.
Gold M, Kumar V, Wu J. Learning to Listen to Ourselves: Teaching Patientcentered Language in Reproductive Health.
Inside
Gross P. Do Our Stories Have the Power to Change Health Care?
Gutman I, Blum C, Jackson E. Pregnancy Options Counseling.
Welcomes/Farewells
Academic Presentations
RPSM Alumni Message Board
2007 RPSM Winning Abstracts
Quote of the Month
Divisional Highlights
Departmental Publications
Schedule Highlights
NY’s Top Doctors
Family Medicine
Kligler B, Maizes V, Lowdog T, Saper R. An Internet-based Curriculum in
Botanical Medicine for Family Medicine Residents.
Lesnewski R, Rubin S, Miller S. Well Woman Exam.
Mockler G, Painter K, Kirchen N. Improving Counseling and Prescription of
Emergency Contraception With the EMR Versus an Educational Seminar.
Nosal S, Prine L. Using the Electronic Health Record in a Clinical Trial.
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table of
contents
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Presentations continued from page 1
Olagundoye O, Whiting C, Witt D, Lebensohn P, Rodgers D, Moreno C,
Johnson M, Monroe A, Townsend J, Cash C, Mouton C, Gonsalves W, Hazel
L. “Career Narratives” Faculty Development By Sharing, Reflecting, and
Planning Career Paths.
Pollard T, Andazola J, Ellert W, Forman S, Garvin R, Gebhard R, Kumar
KA, Patterson D, Prine L, Sicilia J. Fun With Procedures! Learn How to
Effectively Teach Procedures in Your Practice.
Prine L, Gold M, Goodman S, Thiry-Zaragoza M, Stulberg D, Delendorf C,
Rubin S, Hadley S, Kumar V, Sawires P, Moore K. Teaching Women’s
Reproductive Health Care.
Prine L, Sicilia-May J, Gillespie G, Kumar V, Gold M. Skills for Procedure
Training-Faculty Development in IUD Insertion.
Prine L, Nosal S, Canon M, Miller S. Oral Contraceptive Pills—Over the
Counter?
Stulberg D, Paige J, Waxman NJ. Patient-centered Contraceptive Care and
Evidence-based Practice: An Odd Couple?
Williams R. Curriculum for an Urban Family-centered Maternity Care
Fellowship.
Pediatric Academic Society, Annual Meeting,
Toronto, Canada, May, 2007
RPSM ALUMNI MESSAGE BOARD
News from Present and Past
From Brian Selland, FM 1990
The Bronx, rural North Dakota and “urban”
Alaska...When it comes to health care, these three
places have a lot more in common than one would
imagine. I am now enjoying a “sabbatical” of sorts
in Anchorage, Alaska that has included some parttime work in a community health center. In all
three places I am amazed at how universal the
needs are for good primary care, and how well my
training prepared me to work in all of these settings.
The Family Health Center and the Anchorage
Neighborhood Health Center (ANHC) have much
in common, with immigrants from all over the
world settling in the neighborhoods around the
clinic, and having limited access to health care. In
Anchorage, a city of about 250,000, the ANHC is
the only clinic in town that takes care of the
uninsured, takes new medicare patients and offers
comprehensive care for HIV and homeless patients.
Needless to say, the clinic is short on space, long on
patients and is a challenging place to work. Like
the practice in rural North Dakota, a major problem
is recruiting and retaining family physicians.
I am enjoying being part of the Friends and Alumni
of the RPSM committee. The meetings are by
national teleconference, and it is fun to “hear
voices” from the past. There are several things the
committee has already accomplished. One is to
provide the means for RPSM alumni and friends to
reconnect and stay connected to whatever extent we
wish through the internet. Another, and for me the
most important, is to provide the opportunity for
alumni and friends to support RPSM efforts to
recruit and train future family physicians. As I look
down the road, I wonder and worry about who will
take care of our patients when we start cutting back
or stop practicing? All efforts to support RPSM as
well as other recruiting and training programs are
an investment in the future of our patients to have
“First Class Medical Care for All People.”
Harris J, Giddy J, Thomas M. QI: HIV Testing of the Children of Adult
Patients in a HIV Treatment Program.
Tesher M, Siegel S, Sharif I, Campbell D. Resident Knowledge and
Confidence about Breastfeeding in a Poor Urban Community.
Harris J, O’Connor K, Sharif I. Legal Needs Assessment of Families
Accessing Care at an Inner-City Community Health Center.
Scharbach K, Sharif I, Skae CC. Resident Knowledge and Comfort with
Pediatric Pain Management.
Sharif I, Wills TA, Sargent JD. Does Television Viewing during MiddleSchool Lead to Poorer School Performance.
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Congratulations to all RPSM Graduates for 2007! Listed below are the winning abstracts of graduating
residents who were presented with social medicine project awards at the RPSM Graduation, held at
Maestro’s Caterers, June 23, 2007.
FAMILY MEDICINE
Catherine DeGood, DO
*Winner Chairman’s Research Award
Abortion in Primary Care
A Needs Assessment Survey of Female Patients. A descriptive
survey to assess the acceptability and desirability of early
abortion provision at a residency-based family medicine office.
Ana Matos, MD & Denise Reyes, MD
*Winner Distinction in Research Award
Voluntary Counseling and Testing and the HIV Partner
Notification Project in Guatemala
The Guatemalan Health Law mandates a system for notification
of partners of HIV-positive patients. This project followed in
the footsteps of former resident Dr. Amy Miglani and was
under the guidance of Dr. Matt Anderson. It included the
feasibility of beginning a partner notification system in
Guatemala and the pilot of a pre- and post-voluntary counseling
and testing questionnaire to assess risk factors, effectiveness,
and risk behavior change inpatients presenting for HIV testing.
SOCIAL PEDIATRICS
Jamal Harris, MD
*Winner Distinction in Research Award
Quality Improvement: HIV Testing of the Children
of Adult Patients in a HIV Treatment Program
During the summer of 2006, we conducted a quality
improvement project to enhance family based care at
Sinikithemba, the HIV/AIDS care program at McCord Hospital
in Durban, South Africa. The project included revising the
family care page with the introduction of an electronic version
and a focus on the testing of children. To complete the project
we conducted a retrospective chart review, staff interviews,
focus groups, and staff trainings.
Kathryn Scharbach, MD
*Winner of Chairman’s Research Award
Development of a Pain Management Curriculum for Pediatric
Residents
Inadequate treatment of pain has been a problem in children.
Racial and ethnic minorities are at risk for problematic access
to pain care and poor pain assessment, and often receive nferior
treatment for their pain complaints. The goal of this project
was to expand the “Pain Curriculum” for pediatric residents at
CHAM. A survey was conducted among Pediatric Housestaff
to assess: knowledge about and comfort with managing pain,
perceived barriers to pain management, and preference for
learning methods. Based on the results of this survey a
morning lecture, two case conferences and an EBM session
were created – these educational sessions were conducted in
collaboration with the Pediatric Palliative Care Service and the
Pediatric Pain Service. Finally, a post survey will be
distributed to test the effectiveness of a pain management
curriculum on improving knowledge & confidence.
SOCIAL INTERNAL MEDICINE/PRIMARY
CARE
Aaron Fox, MD
*Winner of Chairman’s Research Award
Perceptions of health and housing in an unstably housed HIV
infected population
HIV-infected individuals, particularly those with unstable
housing situations, have difficulty maintaining adequate access
to health care. 14 semi-structured interviews were conducted
with HIV-infected residents of single room occupancy (SRO)
hotels in New York City. The interviews established detailed
timelines related to housing status and health care following
HIV diagnosis. For most individuals, diagnosis of HIV was
followed by a period of chaos, which often included loss of
housing, escalating drug use, and worsening self-care
behaviors. Competing priorities negatively affected health
care. The need for housing resulted in frequent moves, which
disrupted continuity of medical care, and food insecurity
impeded adherence with medications. Ultimately, when
considering health care for HIV-infected marginalized
populations, housing must be addressed as a vital component.
Homer Venters, MD
*Winner of Dan Leicht Award
Bringing Primary Care to Legal Aid
CHCC clinic is located within one block of the Bronx
Defenders, a legal aid agency that represents 12,000 criminal
defense clients per year. For 2 1/2 years, we have collaborated
in assessing the need for primary care services among Bronx
Defenders clients. One medical resident has spent over 200
hours at Bronx Defenders helping clients with medical
questions, reestablish prior medical care or for those who wish,
come to CHCC for medical care.
The horizon leans forward,
offering you space to place new steps of change
- Mary Angelou
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Divisional
highlights
and more
Division of Education
By Drs. Janet Townsend and Alice Fornari
Education Division Hosts Visiting Professor
Dr. Patricia A. Carney is a Professor of Family Medicine, and the
Associate Director for Population Studies at the OHSU Cancer
Institute at Oregon Health Sciences University in Portland, Oregon.
At the end of May, Dr. Carney spent two days visiting the
Department of Family and Social Medicine. During this time, Dr.
Carney acted as the Education Visiting Professor for the HRSAsupported Health Disparities Faculty Scholarship Retreat where she
mentored and consulted on individual projects being conducted by
the AAU Health Disparities Faculty Scholars. Reflecting on her
experience with contributions to more than 100 publications, Dr.
Carney presented an informative talk on "Manuscript Development:
The Pitfalls and Pleasures." The following day, Dr. Carney shared
her experience, with the entire department, as an evaluator for the
P4 Project in her Grand Rounds talk on "Preparing the Personal
Physician for Practice (P4): Opportunities for Innovation &
Discovery." In addition to presenting, Dr. Carney facilitated
meetings with faculty members on resident July orientation month
manuscripts, and evaluations methods for the Health Disparities
Scholarship Program.
RECENT PUBLICATIONS
Congratulations! To Drs. Arthur Blank
and Sean O’Mahony on the publication of
Choices in Palliative Care which brings
together 31 leading experts to spotlight
core issues in the field, and identifies ways
palliative care can fill gaps in the current
care system. The book defines palliative
care as an interdisciplinary and integrative discipline,
providing links among patients, family, and doctors. The
book is written for public health administrators, planners,
teachers, and policy makers. Visit www.springer.com for
information on purchasing this book. (See below for a list of
departmental faculty publications included in this book.)
Blank A, O’Mahony S, Selwyn A, eds. Choices in Palliative
Care: Issues in Health Care Delivery. New York:
Springer, 2007.
Chapters included from departmental faculty:
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Cheville A, Khemka V, O’Mahony S. The role of
cancer rehabilitation in the maintenance of functional
integrity and quality of life.
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Myers S, Blank A. Palliative care and quality
management: the core principles of quality
improvement and their utility in designing clinical
programs for end-of-life care and complex case
management models.
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O’Mahony S, Martino-Starvaggi F. Palliative care and
the elderly: complex case management.
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Rainone F, McHugh M. Patient-centered palliative
care in the home.
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Rhodes-Kropf J. Palliative care for patients with
alzheimer’s dementia: advanced care planning across
transition points.
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Selwyn PA, Robinson L, Dale MG, McCorkle R.
HIV/AIDS and palliative care: models of care and
policy issues.
Fundraising Campaign:
Larry Bauer, Chief Executive Officer of the Family Medicine
Education Consortium (FMEC) and Project Director of the
Academic Fundraising Fellowship, co-sponsored by the Society of
Teachers of Family Medicine (STFM) and FMEC, visited the
Department on May 4-5 as a consultant to our “Make a Difference”
Development Campaign. Mr. Bauer held several meetings with
small groups and individuals and presented at the Leadership Group
and All-Faculty Meeting. He also met with members of the DFSM
Development Campaign Committee. Highlights from his
presentation are:
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Philanthropic donations in the US represent an enormous pool
of potential resources to support work that we do, far in excess
of the small pool of HRSA/AHRQ/CDC dollars for which we
usually compete.
The DFSM/RPSM/HCOE/BronxCREED all do essential and
valuable work that would be attractive to many donors.
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We need to think big and have clarity of vision about what we
want to accomplish. If we articulate important ideas, the money
will follow.
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We need to take advantage of every possible venue to make
known our work and our vision. Using the metaphor of a
house, Mr. Bauer said we need “front porches, doors and
windows” to provide access, a view of the external world and
Other departmental publications continued on page 5
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Division highlights continued from page 4
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routes for communication.
Other Departmental Publications
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Projects that convene and engage new community and
academic partners will ultimately be more relevant, more
successful and more likely to attract a donor.
Braganza SF, Larkin M. Riding high on energy drinks.
Contemporary Pediatrics. 2007: 24(5):61-73.
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Connecting strategies such as hosting breakfasts to present
project ideas and stories of successful projects, participating
with visibility at community events (such as the Bronx Tour
bike ride), and convening meetings of key stakeholders to
discuss new proposals to address community health needs are
essential building blocks in the relationships that will lead to
significant donations.
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We are all connected to a network of friends, relations and
acquaintances who may share our interests and are in turn
connected to others with similar interests. Among these
networks (and not too distant from us) are persons with
influence and means to support out work.
We are counting on your continued contributions of ideas and
connections to help make our campaign a success. Please respond
to the recent e-mail soliciting ideas for programs we would
establish if we had a donor willing to contribute $500,000. These
will be used to formulate the DFSM vision for the campaign. For
more information or to contribute please contact Dr. Janet
Townsend at (718) 920-2819 or via e-mail at
jtownsen@montefiore.org.
Montefiore Maternal and Child Health Summer Mentoring
Program. We are getting ready to host a group of 12 high school
and college students interested in health careers for our six-week
program. Sharon Lawrence and Jennifer Ayala, who recently
graduated from MIT and Wesleyan, respectively have joined us as
coordinators for the summer program. Sharon is from the
Williamsbridge neighborhood and Jennifer is from Hunts Point.
Jennifer and Sharon are participating in internships sponsored by
Health Career Connections (HCC). Erica Acosta, an NYU
nursing student from our 2005 class, was featured in a profile in
the Daily News on June 5 and reported that a shadowing
experience she had in our program was instrumental in her career
choice. We hosted a group of HCC interns on June 15 for a
workshop on cultural competence, led by Janet Townsend.
For more information on this program please contact Carol
Whittaker at (718) 920-6283 or via e-mail at
cwhittak@montefiore.org.
Clark WH, Gold M, Grossman D, Winikoff B. Can
mifepristone medical abortion be simplified? A review of the
evidence and questions for future research. Contraception
2007; 75:245-250.
Cunningham C. Do-Good Doc: A young African American
MD hopes her research will end discrimination against poor
folks with HIV in the health care system. Housing Works
2007. Available at
http://www.hwupdate.org/update/2007/05/dogood_doc.html
Dyche L. Interpersonal skill in medicine: the essential
partner of verbal communication. Journal of General Internal
Medicine 2007;22(7):1035-9.
Dyche L. Narrative Medicine: All My Children. Families,
Systems and Health 2006; 24(4):487-8.
Ozuah PO, Reznik M, Braganza SF. Assessment of
residents’ competency in asthma severity classification.
Medical Education. 2007:41(5):524-525.
Selwyn PA. Small Victories. JAMA 2007: 297(22); 24552456.
Congratulations! To Drs. Darwin Deen
and Lisa Hark on the publication of the
Complete Guide to Nutrition in Primary
Care which aims to assist primary care
clinicians in incorporating nutrition into
routine patient care. The book covers
nutrition assessment and therapy for the
most common medical conditions seen in
the primary care setting. With the epidemic of obesity and its
associated medical consequences, including heart disease,
hypertension, diabetes, and cancer, clinicians need to be able
to assess and counsel patients about their diet and lifestyle on
a daily basis. For more information please visit
www.drdeen.com.
HAVE A HAPPY AND
SAFE SUMMER!!
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Schedule Highlights
The Hispanic Center of Excellence and
Bronx Center to Reduce & Eliminate Ethnic & Racial
Health Disparities (Bronx CREED)
Advanced Workshop on
Case-Based Cross-Cultural Teaching
By Debbie Salas-Lopez, MD, MPH
Chief-General Internal Medicine
Lehigh Valley Health and Hospital Network
Date: September 18, 2007
Time: 8:00 AM to 12:00 PM
Place: Nurses Building, Conf Rm
For information contact Hope Spano at (718) 430-2792
or via e-mail at bxcreed@aecom.yu.edu
NY’s Best Doctors 2007
Congratulations! To all the physicians affiliated with our
department who are noted as one of New York
Magazine’s Best Doctors in New York for 2007, in the
June 18 issue. Physicians listed include:
John Cahill
Neil Calman
Albert Levy
Robert Morrow
Robert Schiller
Peter Selwyn
Bruce Soloway
Steven Tamarin
DFSM Newsletter is produced by the Department of Family
and Social Medicine at Montefiore Medical Center
Managing Editor/Designer:
Tami Lee Rivera - tariver@montefiore.org
FAMILY MEDICINE
We are pleased to announce that Dr. Lisa
Baron has assumed the role of Associate
Residency Director for Family Medicine
as of June. Dr. Baron received her MD
from Mt. Sinai School of Medicine and
completed her residency in Family Medicine at the
RPSM, during which time she had her continuity practice
at the Family Health Center. Dr. Baron has been a
provider at West Farms Family Practice where she
coordinated the medical students during their Family
Medicine clerkship. Dr. Baron served as the Associate
Director of our Family Medicine inpatient unit from 2001
to June 2007. In that role she was instrumental in
organizing a high quality teaching series on inpatient
medicine for our residents. She played a key role in
creating and implementing our July month Orientation
for new PGY 1’s. She has served on our Family
Medicine QI Committee and worked with Dr. Guilbe to
systematically review and improve the quality of care for
patients and education for residents on our inpatient
service. She has advanced certification in Palliative Care
and serves as an attending on our inpatient Palliative
Care Service. In her new role as Associate Residency
Director, Dr. Baron has relocated her continuity practice
back to the Family Health Center. She will precept
residents at both FHC and Williamsbridge. As the
Associate Residency Director, she will assist with the
management and maintenance of the overall residency
curriculum including its systemic review and revision.
She will provide support to Faculty Team Leaders with
resident advising, assessment and the development and
implementation of resident learning plans. She will
coordinate and supervise new resident recruitment and
selection.
Dr. Baron will also, supervise and oversee the
coordination of our Family Medicine Tuesday afternoon
didactic teaching sessions. Dr. Baron is a beloved and
highly respected colleague, teacher and clinician and we
are privileged to have her in this new role within the
residency. Her talent, intelligence, calm demeanor,
attention to detail and witty sense of humor will greatly
benefit our program. To quote Dr. Gorski, Dr. Lisa
Baron is “a clinician’s clinician, a humanist, a teacher, a
leader among family physicians committed to care in
urban underserved communities.” Dr. Baron can be
reached at (718) 920-2892 or via e-mail at
lbaron@montefiore.org.
Please join us in extending loud and happy
CONGRATULATIONS to Dr. Lisa Baron as she begins
her new role!
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