October 2009
Thu, 10/22/2009 - 11:05 — wfitch@u.washin...
DEPARTMENT OF FAMILY MEDICINE NEWSLETTER
October 21, 2009
************ TOPICS IN THIS ISSUE ************
2. Family Medicine in the News
5. Graduation of NRSA Fellow
6. Introducing NRSA Fellow Hajar Kadivar
7. The Family Medicine Interest Group
8. Family Medicine Residency Network
9. Publications
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Hello everyone,
In this issue of the Family Medicine newsletter, Dr. Roger Rosenblatt highlights recent opportunities our department has had to inform the public about medical student education and health policy.This issue also highlights a number of our student programs including SPARX, CHAP,and the Underserved Pathway. I hope you find this reading enjoyable.
This fall, our first TRUST Montana students started their second year here in Seattle. While the students have been busy with classes, they made time to attend the Family Medicine Interest Group and attended a dinner generously hosted by Dr. Sharon Dobie.
In late September, the Washington State Department of Health held its first learning session for practices enrolled in the Medical Home Collaborative. Of numerous practices around the state that applied to participate, 33 were ultimately selected to be part of the two-year Medical Home transformation process. We have several of our clinical practices throughout the Residency Network that were selected and well represented at the first meeting, including: UW Harborview Family Medicine; Family Medicine Southwest WA, Vancouver; Madigan AMC, Tacoma; Providence St. Peter, Olympia,; Central WA Family Medicine, Yakima; Swedish Ballard Family Medicine, Seattle; and Tacoma Family Medicine, Tacoma . We also have several faculty who are providing leadership for aspects of the learning sessions. Larry Mauksch, who has consulted with clinics and health systems in the region, gave a plenary presentation on communication. He also contributed to several workshops. Dr. Frederick Chen led a mandatory workshop on the quality measurements that must be reported by the practices to assess clinical outcomes. I presented two workshops, one on “The Essential Features of the Medical Home” and another on “Change Management in Busy Clinical Practice”. In future issues of the newsletter, I plan to have each of our practices in the collaborative provide a brief overview of their progress and efforts to adopt the patient centered medical home model at their site.
Also in this issue, Nancy Stevens introduces the new class of Network fellows. The fellows just spent the week of October 12 – 16 in Seattle completing their course work including lectures, workshops, and group activities. Please see Nancy’s article for more information.
I hope you take time to review the recent publications by members of our department. Also, please take time to re read the outstanding health policy briefs that have been generated by our Rural Health Research Center, which represent important contributions to workforce health policy in our region.
Have a great fall!
Jim
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2. Family Medicine in the News
Submitted by: Roger Rosenblatt, Professor and Vice Chair and RUOP Director, Dept of Family Medicine, Adjunct Professor, Global Health
This has been an intense summer for media interactions between the Department and a world that has suddenly developed an interest in health policy. Our most recent experience was perhaps the most unusual. We were contacted by the New York Times because of work placing students in clinics that serve under-served populations through the RUOP program (Rural/Urban Under-served Opportunities Program). The Times was interested because they saw our students as representatives of future physicians who would be called upon to serve those who might have improved access to health care should health reform be enacted.
As it turns out, newspapers are now multi-media affairs. The team that visited included a journalist, a videographer/producer, and a still photographer. They interviewed many students and faculty, and put together a very compelling short video that accompanied the article that appeared in the New York Times on the day that Obama gave his pivotal address on health reform. The team then asked us to blog in real time as Obama delivered his address, and our edited remarks appeared in a separate article that discussed what health educators and future doctors thought of Obama's remarks.
Although a news media visit can be disruptive, it is good to know that the research and teaching we do is considered central to the debate about the future of the health care system. Programs such as RUOP--and the research we are doing in the Department--continue to demonstrate the relevance of our Department of Family Medicine and our strong and heterogenous clinical faculty to the future of health care in the United States.
For more information, contact Roger Rosenblatt at rosenb@u.washington.edu
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3. The Underserved Pathway Supports Students’ Desire to Serve Vulnerable Populations
The Underserved Pathway enters its third full academic year this fall, and we are proud of its achievements thus far. In June 2009, we graduated our first full class of 13 Medical Doctors. Five of them matched in Family Medicine residency programs locally and around the country. Two graduates matched in Internal Medicine programs, three in Pediatrics, two in OB/GYN, and one in Emergency Medicine. Sincere congratulations to them, and many thanks to their dedicated mentors!
This year, we are welcoming the first students from the Montana TRUST (Targeted Rural Underserved Track) program. They joined their second-year colleagues in Seattle in fall quarter, and will participate in Underserved Pathway activities. The first-year class of Montana TRUST and new Washington TRUST students are joining the Underserved Pathway this quarter. We look forward to working with each of them, and supporting their desire to work with underserved and vulnerable populations!
Over the summer, we produced our annual report, which outlines UP activities, evaluation findings, and program enhancements. Please take a look at it on our website:[ https://depts.washington.edu/fammed/predoc/programs/upath ]https://depts.washington.edu/fammed/predoc/programs/upath
On October 26, the School of Medicine Pathways will hold its Fourth Annual Pathways Kickoff; the Indian Health Pathway, Global Health Pathway, Hispanic Health Pathway, and the Underserved Pathway collaborate to offer this opportunity for students at all WWAMI campuses. Through this event, we hope to pique the interest of students whose goal is to practice medicine in underserved settings, and are looking to expand our pool of mentors. If you work in an underserved setting and would like to support a student through mentorship, please visit our website to learn more and sign up to be a mentor.
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4. CHAP and SPARX Projects Are in High Demand Among Student Body
The overwhelming success of the recent 2009 CHAP/SPARX Kickoff is a clear indication of the demand for community service and service learning opportunities within the School of Medicine and other health sciences within the UW. Held on October 6, the Kickoff hosted approximately 160 students from Schools of Medicine, Nursing, Social Work, Pharmacy, Public Health, MEDEX and more. This outpouring of interest is a call to all of us to recognize the desire of our students to serve and work with vulnerable populations. Our role is to work with them to develop and support opportunities that connect them with the knowledge and the practical experiences that meet their needs and focus their energies.
Last year 450 unduplicated students participated in one or more SPARX/CHAP events, and 49 earned SPARX/CHAP awards, 32 of whom were first and second year medical students. Sincere congratulations to them to them for all their hard work and dedication!
All of this year’s CHAP second year medical student coordinators are currently working to build interest and recruit student providers into their projects: Derm Clinic at DESC emergency shelter, Foot Care Clinics, Sports Physical Clinics, Perinatal Care Project,and health education and mentoring projects for youth and adolescents.
Student coordinators, faculty, and staff are working to enhance each program’s operations, strengthen relationships with community partners, and to initiate new partnerships that will provide additional opportunities for students to participate and serve.
We rely on UW and community physicians to attend and teach CHAP students in their clinical activities such as Derm Clinic, Sports Physicals, and Foot Care. Sincere thanks to those of you who are already participating and have supported CHAP over the years! If you have not been involved with CHAP as an attending physician, please consider the value you could contribute. For more information, contact Rachel Lazzar at rlazzar@uw.edu or 206-543-9425.
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5.Graduation of NRSA Fellow
Congratulations to Quynh Bui, MD, MPH, upon her graduation from the NRSA Fellowship in Primary Care Research. She earned an MPH degree in Health Services and completed her thesis titled, "Acculturation and the prevalence of chronic back and neck problems among Latino-Americans." She worked with Stu Farber on a qualitative study on the experiences of medical students undergoing training in palliative medicine. She also performed a survey with the Institute for Family Centered Care on patient-centered practices in health care organizations. Quynh attended in the UW Family Medicine Clinic and contributed to the Department of Family Medicine in many ways during her two-year fellowship. She recently moved to the Bay Area to her new faculty position as Assistant Clinical Professor at the UCSF Department of Family and Community Medicine, working at the Lakeshore Family Medicine Center. Drs. Mark Doescher and Bill Phillips served as her primary mentors.
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6. Introducing NRSA Fellow Hajar Kadivar
Welcome to Hajar Kadivar, MD, our new NRSA Fellow in Primary Care Research. She recently completed residency training at the Long Beach Memorial Family Medicine Program in California. She was born in Iran, grew up in Tennessee, and earned her bachelor’s and MD degrees at the University of Tennessee. Hajar will pursue an MPH in Health Services. Her research interests include the design and assessment of community and clinical interventions to improve health outcomes, particularly for mothers and children. She plans to test the effectiveness of two books she has written for children to help them understand the process of visiting the doctor. Hajar's husband is a PhD student in philosophy. Hajar can be reached at Hajar_kadivar@yahoo.com
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7. The Family Medicine Interest Group (FMIG)
The Family Medicine Interest Group held it's first meeting on September 16th. The panel presentation "What is a Family Doc" introduced students to the discipline of Family Medicine and answered students' questions about the lifestyle, scope of practice, training and income of family physicians. The panelists, Drs. Jim Davis, Patricia Boiko, Mary Saint Clair, Erica Bliss, Matt Jaffy and Ocean Williams provided their views and advice for students. 70 students attended the event. The event was sponsored by the Washington Academy of Family Physicians.
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8. Family Medicine Residency Network
The Network would like to welcome the 2009–2010 participants in the Faculty Development Fellowship––year 22 for the fellowship. During the year, each fellow is required to complete a project using a structured process we call I-EXCITE (Identify/Examine, Create, Implement, Test). A bit of information about each fellow and their project follows:
· Brandon Isaacs, DO, Family Medicine Residency of Idaho, Boise, has been on the faculty for the last year serving as Assistant Director of Operations and Assistant Director of Osteopathic Education. Brandon’s project will focus on clinic redesign around open access scheduling and the team approach in introduction of chronic disease management, and tracking using an EHR.
· Manuel Jimenez, MD, Sea Mar Community Health Center, has been at his program since 2004 having served as chief resident at Cook County Hospital in Chicago prior to coming to Seattle. Miguel’s project will be developing a nursing home teaching and evaluation template using their electronic health record.
· Clara Krebs, MD, Providence/St. Peter Family Medicine completed her residency in 2008 and joined their faculty. She looks forward to teaching and practicing OB and inpatient medicine throughout her career. For her project, Clara plans to develop teaching simulations of obstetrical emergencies using equipment already owned by the hospital.
· Zachary Meyers, MD, Montana Family Medicine, is a former chief resident and new faculty at the Billings program. Zach was born to two teachers and has loved teaching all his life. He is already a valued UW required clerkship coordinator for his program. For his project he plans to improve the programs offerings to fourth year medical students with a more structured curriculum and learning resources.
· Natalie Nunes, MD, Tacoma Family Medicine, graduated from Georgetown University School of Medicine, DC before completing her residency at Seattle Indian Health Board, a satellite of Swedish Cherry Hill. Years of clinical practice prepared her to change direction and become a clinical teacher. Her project area of interest is education quality assessment and improvement. The Network directors were pleased to hear of this plan and hope she will take the lead in developing a Quality Report Card template to be shared with all of the Network programs.
· Justin Osborn, MD, became a full-time faculty member at UW residency 2 years ago, but has attended at the residency’s Roosevelt Clinic as well as trained and nurtured medical students in clinical settings in some capacity since 1994. His project is titled “Functional Play in Medicine: How to Acquire Skills, Test Competency and Learn through Simulation”.
· Kirk Scofield, MD, Alaska Family Medicine, joined the residency program in 2007 after 12 years of practice mostly in bush Alaska. He enjoys sharing his rural perspectives with residents and continues to be interested in rural medicine, but has also become interested in the management of chronic problems that are behavior related. Kirk’s project is on developing chronic disease management through group visits.
· Matt Short, MD, FAAFP, Madigan Army Medical Center, has been teaching both residents and medical students at Madigan since 2005. He is the Transitional Year Program Director and is responsible for competency training up to 22 transitional interns each academic year. Matt was instrumental in developing an objective structured clinical examination (OSCE) at Madigan which is provided to interns at the beginning and end of their intern year. His project is to examine whether OSCE performance predicts intern performance.
· Michael Watson, MD, Puget Sound Family Medicine, has taught middle and high school students in El Paso Texas; he was a teaching assistant for psychology, psychometrics and intermediate statistics courses while in grad school; and he precepted Japanese interns in Okinawa Japan from 2004–2007. Currently he is Civil Service employee, not active duty Navy, and enjoys working and teaching residents. His project will cover standardization of resident evaluations across the program using New Innovations residency administration system.
· Jason Wong, MD, joined Group Health residency as faculty in 2005. Jason precepts residents and students in the residency clinic, at his own primary care site in Burien and, in in-patient medicine at Virginia Mason Hospital, and in labor and delivery at GHC. He enjoys teaching at all levels and was pleased to get a resident teaching award this year. His project will cover enhanced evaluations and ways of integrating teaching and evaluation of areas such as practice and systems-based learning and professionalism.
The Network faculty and staff welcome this great new group of fellows, and look forward to a good year of interaction and growth.
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9. RECENT PUBLICATIONS AND PRESENTATIONS
Publications
Baldwin LM, C. Y. Wang, PhD,MD, MPH, Barry G. Saver, MD, MPH, SharonA. Dobie, MCP, MD,† Pamela K. Green, PhD, Yong Cai, PhD, andCarrie N. Klabunde, PhD, The Contribution of Longitudinal Comorbidity Measurements toSurvival Analysis,
http://journals.lww.com/lww-medicalcare/Abstract/2009/07000/The_Contribu...
Skillman SM, Andrilla CHA, PattersonDG, Thomas A, TiemanL. Washington State licensed practical nurse supply and demand projections:2007-2026. Final Report #129. Seattle, WA: WWAMI Center for Health WorkforceStudies, University of Washington; Aug 2009.
Full report: http://depts.washington.edu/uwrhrc/uploads/CHWS_FR129_Skillman.pdf
Policy brief: http://depts.washington.edu/uwrhrc/uploads/CHWS_FR129_Skillman_PB.pdf
Chen FM, Andrilla CHA, Doescher MP, Morris C. Policy brief: the availability of family medicine residency training in rural locations of the United States. Seattle, WA: WWAMI Rural Health Research Center, University of Washington, Jun 2009.
http://depts.washington.edu/uwrhrc/uploads/Rural_FM_Training_PB.pdf
Doescher MP, Fordyce MA, Skillman SM. Policy brief: the aging of the primary care physician workforce:are rural locations vulnerable? Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jun 2009.
http://depts.washington.edu/uwrhrc/uploads/Aging_MDs_PB.pdf
Rosenblatt RA, Chen FM, Lishner DM, Doescher MP. Policy brief: the future of family medicine and implications for rural primary care physicians. Seattle, WA: WWAMI Rural Health Research Center,University of Washington; Jun 2009.
http://depts.washington.edu/uwrhrc/uploads/Future_of_FM_PB.pdf
WWAMI Rural Health Research Center, University of Washington. Policy brief: the crisis in rural general surgery.Seattle, WA: Author; Apr 2009.
http://depts.washington.edu/uwrhrc/uploads/Rural_Gen_Surg_PB_2009.pdf
WWAMI Rural Health Research Center,University of Washington. Policy brief: threats to the future supply of rural registered nurses. Seattle, WA: Author; Apr 2009.
http://depts.washington.edu/uwrhrc/uploads/Rural_RNs_PB_2009.pdf
WWAMI Rural Health Research Center,University of Washington. Policy brief: the crisis in rural primary care.Seattle, WA: Author; Apr 2009.
http://depts.washington.edu/uwrhrc/uploads/Rural_Primary_Care_PB_2009.pd...
WWAMI Rural Health Research Center,University of Washington. Policy brief: the crisis in rural dentistry. Seattle, WA: Author; Apr 2009.
http://depts.washington.edu/uwrhrc/uploads/Rural_Dentists_PB_2009.pdf
Presentations
Phillips WR, Gotler RS, McLellan LA, ZyzanskiSJ. Diversity and quality of reviews for a generalist medical journal,"poster presented at the Sixth International Congress on Peer Review andBiomedical Publication, Vancouver, BC, Canada; September 10-12, 2009.
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10. CALENDAR OF EVENTS
November 13–14 Collaborative Care Conference “Managing Psychiatric Patients in Primary Care”
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