Autumn 2013 Newsletter

Chair's Notes

Tom E. Norris

September 8, 2013

As our beautiful summer weather begins to transition into the sunbreaks and rainstorms of autumn, another academic year is starting for your UW Department of Family Medicine.  In spite of Mark Twain’s comment that he never let school interfere with his education, one of our key tasks is the education of medical students, residents, fellows and practicing physicians.  In all four areas the news is encouraging.  We have 50% more medical students interested in Family Medicine preceptorships (501/502) this fall than we did last year, and we are expanding clerkship site options.  As reported to you in the last newsletter, all of the residencies in the WWAMI network filled with some of the most outstanding candidates in the country.  Our Sports Medicine Fellowship has doubled in size from one to two fellows, and we are in the second year of our new Global Health Fellowship.  In the area of education for practicing physicians, we have more advance registrants for our Primary Care Update than ever before.  Clearly school is starting.

Medical Student Education (MSE)

The MSE Section has the task of providing Family Medicine Education for medical students.  This educational journey begins with the preceptorships and underserved pathways of the first and second year of medical school, takes a summer for RUOP, extends through the required clerkship and WRITE longitudinal integrated clerkship program of the third year of medical school, and wraps up with the sub-internships, advising, and residency interviews in the senior year.  Over the last few months we have had several changes among our faculty members who lead the MSE programs.  Misbah Keen has been appointed to the new post of Associate Section Head, and in this role he will assist Tom Greer with section leadership.  As part of this change Misbah stepped down from his position as a College faculty member.  We were very fortunate that Amanda Kost was appointed to the Colleges in the faculty position Misbah vacated.  Two of our faculty members, David Evans and Jeanne Cawse-Lucas, originally joined the Department with emphasis areas evenly split between MSE and Residency Education.  During the past few months both decided to shift their primary efforts to MSE.  David has moved into the role of RUOP Director, while Jeanne is expanding her role in Clerkship leadership.

Residency Education


Bob Crittenden, MD

The UW Family Medicine Residency continues to provide excellent training.  As I attended the graduation of eight outstanding new family physicians in June, I reflected on the remarkable people who have spent their residency years with us.  The program is now in its second year in the new UW Neighborhood Clinics Northgate site, and our clinical focus has had remarkable growth since relocating.  We continue to consider new possibilities for the Harborview branch of our residency and have again applied to expand that program from 2-2-2 to 6-6-6.  We will not learn the results of our application until later this fall.  As reported in an earlier newsletter, Bob Crittenden took a leave of absence early this spring to work full time as Gov. Inslee’s senior health advisor.  Bob has decided to retire and to seek Professor Emeritus status.  As the originator of the Harborview Family Medicine medical education program, we owe Bob a real debt of gratitude—a debt that grows with his continuing contributions to healthcare policy in our state.  Two new residency faculty members have begun teaching in our program.  Grace Shih has joined us from the UCSF Family Medicine Residency.  Grace will be teaching at both the Northgate site and Planned Parenthood and will focus on reproductive health.  Chris Behrens has taken a part-time position with the Harborview clinic and will be teaching HIV care.  Nationally the Accreditation Council for Graduate Medical Education (ACGME) is implementing a new evaluation system for residents, known as the “Milestones”.  Our residency faculty is working hard to transition from our current program to the new form of evaluation.  Amazing as it may seem, we are about to start a new cycle of recruiting for the residency class that will start in July 2014.

WWAMI Family Medicine Residency Network

The big news for the Network continues to be intense interest in developing new Family Medicine residencies.  In July 2013 the Missoula program and the East Pierce County program began with their first residents.  We anticipate that the Coeur D’Alene program will begin in 2014, and several other communities are working hard on residency program development.  The interest in new programs parallels the demand for family physicians—the expanding nationwide shortage of primary care doctors, which will worsen as the Affordable Care Act is implemented, will require training many more family doctors and the WWAMI region is doing its part.  Due to our efforts to support the new and developing programs, Judy Pauwels will begin spending more time in the Network in January.  At that time Lisa Johnson, longtime network faculty member and past Olympia residency director, will retire—we all recognize Lisa’s substantial contributions.  Five years of recession has resulted in diminished Washington state financial support for Family Medicine residencies, and one of the Network tasks over the next few years will be to advocate bringing support back to prior levels.  Nancy Stevens and I are beginning to work with the School of Medicine to lay the groundwork for a future funding request.

MEDEX Northwest PA Training Program


Ruth Ballweg, PA-C

The MEDEX program faculty members are very excited about the opening of a new MEDEX site in Tacoma.  This new location will have its formal inaugural ceremonies later in September.  The emphasis in Tacoma will be on training military veterans as PAs.  With its proximity to many military bases, and with MEDEX’s historical commitment to vets, this new site will start on a strong foundation.  In other news, MEDEX decided not to start a first year class in Yakima this year and to wind down activities at that site.  The original goal of the Yakima site was to train students from central Washington, and many local students have been educated.  However, over the last few years we have seen a gradual decline in the number of applicants from this area.  In addition, Heritage College is considering the development of a PA program, which is another factor in the decision to move toward closure of the Yakima MEDEX site.  Otherwise MEDEX is doing very well.  We were notified earlier this summer that Ruth Ballweg, PA-C, the Section Head of MEDEX, has been promoted to Professor of Family Medicine.  Congratulations to Ruth!

Sports Medicine Section

The UW Department of Family Medicine Sports Medicine Section is continuing to grow.  Henry Pelto completed his fellowship earlier this summer and joined our faculty in the Section.  Additionally, the ACGME accredited Sports Medicine Fellowship has doubled in size from one to two fellows.  In September the new Stadium Sports Medicine Clinic will open under the newly rebuilt Husky Stadium.  At that time our faculty will move their clinical practice site from Hall Health Student Health Center to the new clinic.  The new location will provide a 30,000 square foot state of the art practice setting, and all are excited about the opportunities it will provide.

Research Section

More change is occurring in the Research Section than in any other part of the Department.  After many years of outstanding and successful leadership in a very challenging research funding environment, Laura-Mae Baldwin is stepping down as Section Head of the Research Section.  She has done a wonderful job of leading the section, and I truly appreciate her contributions.

The areas of emphasis for our section at the present time include the following:

  • Rural health
  • Health workforce
  • Practice-based research
  • Use of electronic health records for research
  • Tobacco control
  • Opiate addiction
  • Cancer control and screening
  • Pharmacogenomics
  • Obesity management
  • Mobile technologies and health
  • In addition, we are working on ways to integrate section research with MEDEX

Based on the areas of focus noted above, let me outline the grants on which Research Section faculty and staff are currently working—one of our tasks over the next few years will be to expand this list:

  • Rural Health Research Center (HRSA) 2012-2016 –Total $2.2M
  • Rural Mental Health and Substance Abuse (LSDF) 2009-2013 -- $715K
  • Rural Training Track Technical Assistance Demonstration Program (NRHA/HRSA) (2010-2013) -- $119K
  • UWMC Tobacco Cessation Program (Pfizer) 2013-2014 -- $50K
  • Fertility Epidemiology Studies Team IPA (CDC) 2013-2014 -- $36K
  • Primary Care Initiatives IPA (HRSA) 2013-2014 -- $81K
  • Washington Center for Nursing Projects (WCN) 2011-2013 --$12K (2013)
  • Technical Assistance for State Health Workforce Planning (NGA) 2013 -- $11K
  • WWAMI AHEC (HRSA) 2012-2017 -- $2.1M (not based in Family Medicine)
  • Health Share Montana Research Portal 2011-2013 -- $433K (not based in Family Medicine
  • Institute of Translational Health Sciences (NIH) 2012-2017 -- $1.99M (Family Medicine related funding)  (not based in Family Medicine)
  • PGRN—Pharmacogenetics (NIH) 2010-2015 -- $342K (not based in Family Medicine)
  • Rural Town Walkability (OUHSC/NIH) 2012-2014 -- $42K (not based in Family Medicine)
  • Alliance for Reducing Cancer NW (CDC) 2009-2014 -- $55K  (Family Medicine related funding)  (not based in Family Medicine)
  • Workforce Board – Assessment of Future Demand for Specific Health Workforce Occupations in Washington State (Washington State Workforce Training and Education Center) 2013 -- $121K
  • Systems of Support (GHC) 2012-2013 -- $15K
  • EMS—Natl. Consensus Conference Development of a Community Paramedicine Research Agenda (NCEMSI) 2012 -- $10K
  • OFM Surveys (WA OFM) 2011-2012 -- $164K



Matthew Thompson,
BSc, MBChB, MPH, DPhil, MRCGP

I am very excited to report that Matthew Thompson, BSc, MBChB, MPH, DPhil, MRCGP became the Department of Family Medicine’s Vice Chair for Research and Research Section Head on September 1, 2013.  Matthew received his medical degree from the University of Glasgow in Scotland, and completed residency training in Family Medicine in both the UK and at the University of Cincinnati in Ohio. He has worked as a Family Doctor in the UK and US as well, as a year working as a rural doctor in Kwazulu, South Africa.  In 2001 he completed an NRSA Primary Care Research Fellowship and MPH at the University of Washington, which sparked his interest in further research training.  He then moved to the University of Oxford to do a PhD (or DPhil as it is called there) in primary health care, and spent a total of 10 years on the faculty at Oxford where he also saw patients in a blue-collar neighborhood in East Oxford (near to the Mini car factory).  In his work at Oxford he carved out a role as one of the leading primary care researchers in the UK, with approximately 120 publications in peer reviewed journals and research funding as PI or Co-PI totaling approximately $18,000,000.  His research has focused on four large areas in primary care: diagnostic testing, children’s health in primary care, infectious diseases in primary care, and evidence synthesis. Within these he has used observational studies, trials of new interventions, systematic reviews and qualitative studies.

At Oxford Matthew served as Director of the Oxford Centre for Monitoring and Diagnosis (www.madox.org), a research center funded by the UK government National Institute for Health Research, which aims to improve diagnosis and monitoring for acute and chronic conditions in primary care.  This includes diagnostic studies of new point of care blood tests, better ways of diagnosing and monitoring common conditions such as hypertension or atrial fibrillation, as well as clinical prediction rules for common conditions.  In child health he has conducted some seminal work to improve knowledge about how primary care clinicians can better identify children presenting in primary care who have a serious illness from the large number who attend with self-limiting conditions.  This has led to some important papers on identifying children in primary care with serious illnesses such as pneumonia, meningitis, cancer or Type 1 DM.  His research in infection has focused on common respiratory infections—including targeting which adults and children are most likely to benefit from antibiotics or antivirals, the effectiveness of steroids for sore throats and sinusitis, and more accurate information about expected durations of common respiratory infections.  Finally he has been involved in evidence syntheses and developing guidelines for the US Preventive Services Task Force, the WHO, NICE in the UK, and the Cochrane Collaboration.

Matthew particularly enjoys teaching students and residents on not only clinical topics in primary care, but on increasing their use of evidence based medicine and how to appraise new evidence as busy practitioners.  He was Deputy Director of the Centre for Evidence Based Medicine (www.cebm.net) in Oxford, and has also enjoyed finding new ways to enthuse and teach evidence-based medicine to students, residents and clinicians. I am very pleased to welcome Matthew back to our Department.  As Vice Chair for Research, his vision includes expanding the size and scope of the Research Section, working closely with colleagues in the other Sections on research and scholarship, and increasing collaborations across the WWAMI region.

School and National Perspective

Beyond the Department, this has been a busy summer.  The School continues to move forward on curriculum renewal and several new committees are being appointed.  Of particular note, the WWAMI program in Spokane has, for the first time, begun teaching the second year of medical school this year.  We are also working hard to prepare for the Affordable Care Act by becoming an Accountable Care Organization. I continue to serve as Chair of the Board of Directors of the American Board of Medical Specialties (ABMS).  We have been extraordinarily busy developing the next generation of Maintenance of Certification (MOC 2015).  We also work closely with ACGME and were quite disappointed when the proposed unified graduate medical education accreditation system was rejected by the AOA this summer.

Tom E. Norris, MD

September 2013

Top

Administration

Family Medicine NRSA Research Fellow Avani Sheth and her husband Simha Kumar welcomed Leela Sheth Kumar into the world on July 11, 2013 at 8:23 AM.  Weighing in at 5lb 12oz and 19 inches long she has proven to be petite in size but large in personality.  Avani is enjoying seeing Leela change by the day, most recently flashing her first smile after a sleepless night.  MPH studies and logistic regression seem like a world away!

Congratulations to Anthony and Crystal Pumilia and their new son, Christopher Anthony Pumilia, born September 9, 2013!  Anthony is a Senior Computer Specialist in our IT section.

Family Medicine’s Tom Taylor is retiring from his duties at the Pain Clinic but will continue working for the Department with medical students for the rest of this academic year.  Thank you, Tom!

Project Rural Opioid Addiction Management (ROAM) Update

This quarter, Project ROAM sponsored Clinical Faculty to advocate for safer use of opioids.  Clinical Assistant Professor Lucinda Grande conducted a well-attended session on the Pain Management Rules for the Washington Academy of Family Physicians 64th Annual Scientific Assembly in Cle Elum on May 10.  Clinical Associate Professor Paul Gianutsos addressed the need for addiction treatment in an afternoon workshop on chronic pain of the Northwest Regional Primary Care Association meeting in Anchorage, Alaska, on May 18, 2013.

Congratulations are in order for Swedish First Hill and Cherry Hill Family Medicine residents: All 26 passed the Project ROAM’s March course on the office base treatment of opioid addiction.  Swedish has now made buprenorphine training a required part of the Family Medicine Training Program.  It’s not too late for UW Family Medicine residents, who can complete training at on-line sites such as buppractice.com or find courses on the PCSS-B training website.

Clinical Faculty Promotions

This year we were successful in promoting 51 of our clinical faculty.  These are individuals who have made a great commitment to the teaching we do in the WWAMI region, and we would like to recognize and thank them for their work.  Congratulations!

Promotions to Clinical Assistant Professor

Justin Bailey, M.D., Family Medicine Residency of Idaho

Corinne Basch, M.D., Family Medicine of Southwest Washington

Andrew Castrodale, M.D., WRITE - Washington and Family Medicine Spokane

Martin Clements, M.D., WRITE - Washington

Victoria Crescenzi, M.D., Puget Sound Family Medicine Residency

Gray Dawson, M.D., M.B.A, Clerkship Coordinator with Puget Sound Family Medicine Residency

Rob Epstein, M.D., WRITE - Port Angeles

Michael Foutz, M.D., Family Medicine Residency of Idaho

Jaime Gerber, M.D., UWNC - Federal Way

Ryan Gilles, M.D., Kootenai Family Medicine Residency

Hermilo Gonzalez, Jr., M.D., Buffalo clerkship

Tobe Harberd, M.D., WRITE - Washington

Elizabeth Hutchinson, M.D., Swedish First Hill Family Medicine Residency

Geoffry Jones, M.D., WRITE - Washington and Family Medicine Spokane

Melissa Lemp, D.O., FAAP, Central Washington Family Medicine Residency

Michael Liu, M.D., Family Medicine of Southwest Washington

Sara Mackenzie, M.D., M.P.H., Hall Health

Robert McAlister, M.D., Clerkship Coordinator with Alaska Family Medicine Residency

Stacia Munn, M.D., Family Medicine Residency of Idaho

Gregory Rice, M.D., R/UOP - Montana and WRITE - Montana

William Roes, M.D., Tacoma Family Medicine Residency

Sonja Ronning, M.D., St. Peter at Providence Residency

Carrie Rubenstein, M.D., Swedish Cherry Hill Family Medicine Residency

William Sayres, M.D., WRITE Dean and Group Health Spokane

Viral Shah, M.D., Tacoma Family Medicine Residency

Kirk Strosahl, Ph.D., Central Washington Family Medicine Residency

A. Dozier Tabb, M.D., Buffalo clerkship

Zubin Vasavada, M.D., FAAFP, UWNC - Ravenna and UWMC

Ned Vasquez, M.D., Director of Family Medicine Residency of Western Montana

Robert Weston, M.D., Clerkship Coordinator with Omak clerkship

Christopher Wheelock, M.D., Family Medicine of Southwest Washington

Promotions to Clinical Associate Professor

Lowell Dightman, M.D., St. Peter at Providence Residency

John Edwards, M.D., Director of Madigan Army Medical Center

Michael Geurin, M.D., Montana Family Practice Residency

Justin Glass, M.D., Family Medicine Residency of Idaho

Beverly Beth Green, M.D., M.P.H., Group Health Cooperative Residency

David Hall, M.D., WRITE - Idaho

Matthew Jaffy, M.D., Clinic Chief at UWNC - Northgate

Sarah Kramer, M.D., UWNC - Woodinville

Ronald Malm, D.O., Director of U Wyoming Cheyenne Family Medicine Residency

Daniel Meulenberg, M.D., WRITE - Idaho

Anne Musser, D.O., Alaska Family Medicine Residency

Beth Robitaille, M.D., Interim Director of Casper - U of Wy FPR

Heather Rudisill, M.D., Clerkship Coordinator with Valley Medical Center

Elizabeth Rulon, M.D., Clerkship Coordinator with Family Medicine Residency of Idaho

Kimberly Stutzman, M.D., Clerkship Coordinator with Family Medicine Residency of Idaho

William Woodhouse, M.D., Idaho State University Residency

Promotions to Clinical Professor

David Baines, M.D., Alaska Family Medicine Residency

Janelle Guirguis-Blake, M.D., Tacoma Family Medicine Residency

Gary Kelsberg, M.D., Valley Medical Center

Joseph Shamseldin, M.D., FAAFP, Swedish Cherry Hill Family Medicine Residency

Top

Palliative Care

University of Washington launches palliative care training center

Cambia Health Foundation awards $697,106 to pilot a new interdisciplinary curriculum

SEATTLE, WA — Palliative care programs are growing across the United States as the demand for this specialized form of medical care increases, creating an equally pressing need for a well-trained workforce that can provide high quality care.  One such training program is about to get underway at the University of Washington, thanks to a grant from the Cambia Health Foundation.

The Foundation has awarded $697,106 to the University of Washington to build a collaborative Palliative Care Training Center over the next three years.  It will bring together palliative care stakeholders, including hospitals, hospices, nursing facilities and families from Washington to identify educational needs, goals, approaches and outcomes for a Palliative Care Training Center.  The University will use the funds to develop an interdisciplinary curriculum that will be implemented by expert faculty and to create a business plan that will sustain the Center for the long term.  Expert faculty includes two former Cambia Health Foundation Sojourns Award Winners, Drs. Anthony Back and Darrell Owens.

“The Cambia Health Foundation is committed to collaborating with other industry leaders on partnerships like this that will help prepare today’s health care workforce to serve the palliative care needs of patients and their families in the future,” said Peggy Maguire, Cambia Health Foundation board chair.  “We are pleased to partner with a recognized leader like the University of Washington and others to realize our vision for creating an innovative palliative care training program that will last well beyond this initial pilot phase.”

Said Stu Farber, MD, PI, Cambia PCTC Grant:  “I deeply appreciate Cambia Health Foundation’s support and vision.  The successful implementation of the grant will have a tremendous impact on our region by providing a uniformly high standard of palliative care practice through out the State of Washington.  Our team is excited for the opportunity to collaboratively work with palliative care providers across the state to create a Palliative Care Training Center that provides cutting edge interdisciplinary education that can serve as a successful national model.”

Other partners in this effort include the Washington State Hospice and Palliative Care Organization (WSHPCO), the Washington State Medical Association (WSMA) and Washington State Hospital Association (WSHA).

About Palliative Care

Palliative care is specialized medical care for people with serious illnesses.  It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis.  The goal is to improve quality of life for both the patient and the family.  Palliative care is provided by a team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support.  It is appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment.

About Cambia Health Foundation

Cambia Health Foundation is the corporate foundation of Cambia Health Solutions, a total health solutions company dedicated to transforming the way people experience the health care system.  A 501(c)3 grant making organization, the Foundation partners with organizations to create a more person-focused and economically sustainable health care system.  Through its Sojourns program, the Foundation also works to enhance quality, improve access, advance innovation and facilitate conversations about palliative care and end-of-life issues.  For more information, visit http://cambiahealthfoundation.org/ or

 www.twitter.com/cambiahealthfdn.

Top

Medical Student Education


Sharon Dobie, MD

The Seattle Met has named Sharon Dobie, MD, a Top Doc of 2013 - view the article here: http://www.seattlemet.com/health-and-fitness/top-docs-2013/articles/top-....

Underserved Pathway Update

The Underserved Pathway continues to gain student interest!  If you work in a rural community, a community health center, or with underserved or vulnerable populations, please consider becoming a mentor.  Mentoring provides students the opportunity to learn from an experienced role model who can field questions, discuss residency and career plans, support them in their education, and encourage them to maintain their commitment to the underserved.  Not only do mentors have the opportunity to influence a medical student’s career trajectory, many also experience a sense of renewed enjoyment and commitment to their own career.  The time commitment is a once a quarter meeting or chat via phone or email.  To become a mentor, simply contact UP Program Coordinator, Jaime Grocock, at jgrocock@uw.edu.

This is a very exciting time for the Underserved Pathway.  This summer we welcomed 23 new students to the UP.  Twenty-two of these new UP students are new first-year TRUST Scholars.  Also, after granting UP certificates to twenty-nine students in June 2013, we will potentially graduate forty-eight students next June 2014!  These forty-eight students will receive recognition in their MSPE letter as on-track to completing UP requirements.  Notation in the MSPE helps students highlight their commitment to underserved care in their residency applications and interviews.  Thirty-eight percent of the 2014 graduates completed their first year at a WWAMI regional campus.  Graduates of the Underserved Pathway successfully complete an interactive web-based curriculum, community service, and underserved focused preclinical and clinical courses.  Students also enjoy a longitudinal mentorship with practitioners from throughout the WWAMI region.

Underserved Pathway faculty and staff recently shared our 2013 annual report with the department and others in the UW SOM community.  The report this year includes data on specialty choice for residency of UP graduates and non-UP students.  Students completing the UP are more likely to enter primary care residencies, particularly family medicine, and pediatrics compared their peers.  The match rate to primary care specialties (Family Medicine, Pediatrics, or Primary Care Internal Medicine) was 54.4% for all students completing the Underserved Pathway, compared with 30.3% of the UWSOM graduating students from 2008-2013 who did not complete the UP.  The overall UP match rates to Family Medicine and Pediatrics, but not Primary Care Internal Medicine, were also higher for UP graduates than for other students.  Further analyses are planned, including whether there is a relationship with choosing a residency with an underserved focus.

The full report can be read here: UP Annual Report

Top

Residency


Judy Pauwels

Judy Pauwels has been named Family Medicine Educator of the Year by the Washington Academy of Family Physicians. View the complete news release here: http://www.wafp.net/forthephysician/FMEOY/2013-FMEOY.aspx.

Top

MEDEX

MEDEX PA training program now open on UW Tacoma campus


Tacoma Class 1 © MEDEX Northwest

MEDEX Northwest is proud to have opened its newest site—for 28 students—on the campus of the University of Washington, Tacoma.   Our opening ceremony on September 16th honored the entering students, but also the leaders throughout the community who have helped to make this happen.  This includes University of Washington Tacoma leaders and faculty members—especially in the Department of Nursing and Healthcare Leadership, educational planners at the community college campuses around Tacoma, and the re-entry teams at the Joint Base Lewis McChord.

At the opening ceremony on September 16th US Congressman Derek Kilmer served as the keynote speaker.  The new UW Tacoma training site joins existing MEDEX sites located in Seattle, Spokane, and Anchorage, Alaska.  In part this new satellite location was selected because of its proximity to Joint Base Lewis-McChord.  The opening is part of a national initiative to increase educational and employment opportunities for returning military veterans and to boost the primary care workforce in rural and underserved areas.  UW Tacoma is located within fifteen miles of JBLM, which makes the campus an ideal location for the MEDEX program.  Madigan Army Medical Center, located on Joint Base Lewis-McChord, will be one of the practicum sites for MEDEX students.  Fourteen class members come from military medical occupations.  Many of these men and women have been had multiple deployments in their recent careers.  In addition, five of the students are military spouses.  The rest of the students come primarily from rural communities in Western Washington.  These students have not previously had access to a PA education because of their family and community responsibilities.

MEDEX also acknowledges the support from the Health Resources and Services Administration who have provided partial funding through a Title 7 Grant in keeping with the White House priority of returning military medical personnel to civilian military jobs.  In speeches MEDEX leadership acknowledged the long-term support that PAs have enjoyed in the Tacoma medical community including MD and PA preceptors and sponsoring physicians in every health care system in the community.  This strong PA presence creates a wonderful environment for the incoming Tacoma Class 1 students.

Top

Sports Medicine


Left to right: Johnese Spisso, Stan Herring,
Stephen Zieniewicz, Paul Ramsey,
at the ribbon cutting.

On September 9, 2013 the ribbon was cut to open a brand new state-of-the-art sports medicine center located in Husky Stadium. The 30,000 square foot clinic is inter-disciplinary and includes sports medicine physicians from the Departments of Family Medicine, Physical Medicine and Rehabilitation, Orthopaedics and Sports Medicine, and Radiology. Family Medicine faculty practicing at the Sports Medicine Center include Kimberly Harmon, Jonathan Drezner, John O’Kane, Ashwin Rao, and Hank Pelto. The Center will provide the same top-level sports medicine care to the public that its physicians provide to the Olympic, professional, collegiate, and the other elite athletes they treat. The UW Sports Medicine Center at Husky Stadium will serve as the perfect venue for collaborative teaching of musculoskeletal medicine and will be the primary rotation site for Family Medicine Residents and the home base for the Primary Care Sports Medicine Fellow. In addition to clinical care and teaching, the Sports Medicine Center offers a rich environment to conduct sports medicine research and will also be the new location of the Center for Sports Cardiology headed by Dr. Jonathan Drezner. To see the facility in person, visit the Open House on October 19th.

Top

Research

WWAMI region Practice and Research Network participates in new collaboration with Washington’s Public Health Practice-Based Research Network

The WWAMI region Practice and Research Network (WPRN) is a collaborator on a new Robert Wood Johnson Foundation-funded grant entitled “Measuring variation in the integration of primary care and public health: A multi-state PBRN study of local integration and health outcomes.”  In this grant, primary care practice-based research networks (PBRNs) will work alongside public health PBRNs in Washington, Colorado, Minnesota, and Wisconsin to understand the degree of integration between primary care and public health in counties across these states, and what factors facilitate or inhibit this integration.  As of April 2013, the Robert Wood Johnson Foundation has supported the development of 28 public health practice-based research networks (PBRNs) nationally, including one in Washington State.  Analogous to a primary care PBRN like the WPRN, a public health PBRN is a partnership of public health practice agencies and researchers that collaborate on applied studies designed to identify ways of improving the organization, financing and delivery of public health services in real world community settings.  For more information about this grant, contact Laura-Mae Baldwin at lmb@uw.edu or Betty Bekemeier in the School of Nursing at bettybek@uw.edu.  For general information about Washington’s Public Health PBRN, contact Kate Neville at kate.neville@kingcounty.org.

RHRC

WWAMI Rural Health Research Center (RHRC) researchers, working with the National Rural Health Association, successfully competed for funding from HRSA to renew the Rural Training Track (RTT) Technical Assistance Demonstration Program (9/1/2013 to 8/31/2016, PI: Tom Norris).  This program includes a consortium of organizations working to sustain existing Family Medicine “1-2” RTT residencies and support the development of new ones.  For more information, contact Davis Patterson at davisp@uw.edu.

The WWAMI RHRC launches four new research studies this fall:

  • Impacts of nurse practitioners and physician assistants on future provision of primary care in rural areas
  • Practice characteristics of rural nurse practitioners in the U.S.
  • Family medicine rural training track graduates: determinants of rural and urban practice
  • Access to home care services in the rural U.S.

For more information, contact Sue Skillman at skillman@uw.edu.

WWAMI Center for Health Workforce Studies’ researchers completed a study, funded by the Washington Workforce Training and Education Coordinating Board, of demand in Washington for 5 entry-level health occupations:  home care aides, medical assistants, nursing assistants-certified, licensed practical nurses, and associate degree registered nurses.  Many employers are re-examining how best to employ entry-level workers given changes in patient needs and the regulatory/reimbursement environment.  Most need entry-level workers who are computer proficient, have more “soft skills” (such as customer service and commitment to caregiving), and who are able to perform at the top of their training and scope of practice.  The report can be accessed at  http://depts.washington.edu/uwrhrc/uploads/CHWS_FR145_Palazzo.pdf.

Women’s Health

As of July 1 2013, Emily Godfrey, MD, MPH (Research), and Grace Shih, MD, MAS (Residency), joined the new Division of Family Planning in the UW Obstetrics and Gynecology Department.  The Division is starting a Fellowship in Family Planning and hopes to match their first OB/GYN fellow in July 2014.  The Family Planning Fellowship is a two-year program that offers fellows supervised training in advanced family planning and abortion clinical skills, funding for two research projects, an international experience and a Master of Public Health degree from the UW School of Public Health.  Drs. Godfrey and Shih recently interviewed 15 potential fellowship candidates, and shared potential research opportunities within the Department of Family Medicine.  The UW Fellowship in Family Planning is unique because of the integration of Family Medicine faculty; Drs. Godfrey and Shih, graduates of the Fellowship in Family Planning, will provide mentorship for research projects and clinical services.  For more information, contact Emily Godfrey at godfreye@uw.edu.

Top

WWAMI Region

St. Peter Family Medicine welcomes Kyle Ferguson, Ph.D.: http://insideprov.org/psychologist-opening-new-doors-at-st-peter-family-....

Rotating from Kenya to St. Peter: http://insideprov.org/rotating-from-kenya-to-st-peter-family-medicine/#more.

Fellowship in Rural Family Medicine

Tacoma Family Medicine (TFM) offers four openings for August 1, 2014 in its Rural Family Medicine Fellowship.  TFM has a 35-year history of training physicians for rural practice and is an affiliate of University of Washington based at Tacoma General Hospital and is part of the MultiCare Health System.  We are in the 23rd year of our fellowship and four fellows are currently participating in the program.  Applicants must complete a Family Practice Residency by June 2014 and have an interest in rural medicine.  The curriculum consists of 6 months of intensive training in high-risk and operative obstetrics and 6 months electives tailored to the needs of the individual.  Elective options include adult and pediatric emergency and inpatient care, medical and surgical specialties, procedural skills, rural preceptorships, neonatology, and practice management.

For more details contact:

Alan Gill, MD, Program Director

Tacoma Family Medicine

521 Martin Luther King Jr. Way

Tacoma, WA 98405

253.403.2994 • www.tacomafamilymedicine.org

beverly.berry@multicare.org (Fellowship Coordinator)

Top

Publications

Baldwin LM, Andrilla CH, Porter MP, Rosenblatt RA, Patel S, Doescher MP. Treatment of early-stage prostate cancer among rural and urban patients. Cancer. 2013 Aug 15;119(16):3067-75. doi: 10.1002/cncr.28037. Epub 2013 Jun 13.

Catlin, M. Current Drug Trends and Overdose Prevention. Seventh Annual Association of Alcoholism and Addiction Programs (AA) Providers Conference, April 19, 2013.

Catlin M. National Quality Assurance Workshop for Rural Family Practices and Hospitals. Ministry of Health/Millennium Challenge Corporation (MCC)/University Research Co. Ulaan Baator, Mongolia. May 20-21, 2013. (Funded by US Gov. MCC).

Catlin M. Nurse’s Day Speaker. Shoreline Community College School of Nursing, May 7, 2013.  Shoreline, WA.

Catlin M. Planning Community Programs to Reduce Opioid Related Deaths. Guest Lecturer, Health Services 521, UW School of Public Health.

Cole AM, Chen FM, Ford PA, Phillips WR, Stevens NG.  Rewards and Challenges of Community Health Center Practice  Journal of Primary Care and Community Health.  Epub ahead of print 26 Aug 2013.  DOI: 10.1177/2150131913501519

Frey JJ 3rd, Phillips WR. Publishing medical research: a marketplace on the commons. Ann Fam Med. 2013 Mar-Apr;11(2):104-5.  http://www.ncbi.nlm.nih.gov/pubmed/23508595.

Godfrey EM, Kottke M. Contraception: Oral Contraception. In Practical Pediatric and Adolescent Gynecology, 1st Ed. PJ Adams Hillard. Oxford:Wiley-Blackwell, 2013. [book chapter]

Heneghan C, Blacklock C, Perera R, Davis R, Banerjee A, Gill P, Liew S, Chamas L, Hernandez J, Mahtani K, Hayward G, Harrison S, Lasserson D, Mickan S, Sellers C, Carnes D, Homer K, Steed L, Ross J, Denny N, Goyder C, Thompson M, Ward A. Evidence for non-communicable diseases: analysis of Cochrane reviews and randomised trials by World Bank classification. BMJ Open. 2013 Jul 6;3(7). doi:pii: e003298. 10.1136/bmjopen-2013-003298. Print 2013.

Jones CH, Howick J, Roberts NW, Price CP, Heneghan C, Plüddemann A, Thompson M. Primary care clinicians' attitudes towards point-of-care blood testing: a systematic review of qualitative studies. BMC Fam Pract. 2013 Aug 14;14(1):117. doi: 10.1186/1471-2296-14-117.

Khangura J, Van den Bruel A, Perera R, Heneghan C, Price CP, Wolstenholme J, Thompson M, Plüddemann A. Point-of-care testing for coeliac disease: primary care diagnostic technology update. Br J Gen Pract. 2013 Jun;63(611):e426-8. doi: 10.3399/bjgp13X668401. No abstract available

Kadivar H, Goff BA, Phillips WR, Andrilla CH, Berg AO, Baldwin LM. Guideline-Inconsistent Breast Cancer Screening for Women over 50: A Vignette-Based Survey. J Gen Intern Med. 2013 Aug 14. [Epub ahead of print]

Lind C, Godfrey EM, Rankin K, Handler A. Likelihood of Emergency Contraception Use among African-American Women at Risk of Adverse Birth Outcomes. Maternal Child Health 2013 Aug 31 [Epub ahead of print]

Moyer VA; on behalf of the U.S. Preventive Services Task Force*. (WR Phillips author and USPSTF member) Screening for Glaucoma: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013 Jul 9.  http://www.ncbi.nlm.nih.gov/pubmed/23836133.

Moyer VA; on behalf of the U.S. Preventive Services Task Force*. (WR Phillips author and USPSTF member)  Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013 Jun 25.  http://www.ncbi.nlm.nih.gov/pubmed /23798026.

Moyer VA; on behalf of the U.S. Preventive Services Task Force*. (WR Phillips author and USPSTF member) Primary Care Interventions to Prevent Child Maltreatment: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013 Jun 11.  http://www.ncbi.nlm.nih.gov/pubmed/23752681.

Moyer VA. (WR Phillips author and USPSTF member) Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013 May 14.  http://www.ncbi.nlm.nih.gov/pubmed/23698791.

Moyer VA; U.S. Preventive Services Task Force*. (WR Phillips author and USPSTF member) Screening for HIV: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013 Jul 2;159(1):51-60.  http://www.ncbi.nlm.nih.gov/pubmed/23698354.

Palazzo L, Skillman SM, Basye A, Morrison CC. Health workforce demand in Washington State: employers' current and expected needs for home care aides, medical assistants, nursing assistants certified, licensed practical nurses, associate's degree registered nurses. Seattle, WA: WWAMI Center for Health Workforce Studies, University of Washington; Jul 2013.

Patterson DG, Lishner DM, Skillman SM, Doescher MP. The rural health workforce: data and issues for policymakers in Washington, Wyoming, Alaska, Montana, Idaho. Issue #3: building and maintaining the rural health workforce: resources and strategies. Policy Brief #146.3. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jul 2013.

Patterson DG, Skillman SM, Andrilla CHA, Lishner DM, Doescher MP. The rural health workforce: data and issues for policymakers in Washington, Wyoming, Alaska, Montana, Idaho. Issue #2: the rural health workforce in the WWAMI states: by the numbers. Policy Brief #146.2. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jul 2013.

Redmond NM, Davies R, Christensen H, Blair PS, Lovering AM, Leeming JP, Muir P, Vipond B, Thornton H, Fletcher M, Delaney B, Little P, Thompson M, Peters TJ, Hay AD; TARGET team. The TARGET cohort study protocol: a prospective primary care cohort study to derive and validate a clinical prediction rule to improve the targeting of antibiotics in children with respiratory tract illnesses. BMC Health Serv Res. 2013 Aug 17;13(1):322. doi: 10.1186/1472-6963-13-322

Shih G, Dubé K, Dehlendorf C. "We never thought of a vasectomy": a qualitative study of men and women's counseling around sterilization.  Contraception. 2013 Sep;88(3):376-81  http://www.ncbi.nlm.nih.gov/ pubmed/23177918.

Skillman SM. Washington's health workforce: Meeting the state's needs.  Presentation to a National Governors Association-sponsored Health Workforce Leader Summit for Washington State, September 5, 2013, SeaTac, WA.

Skillman SM, Andrilla CHA. Washington State data snapshot: advanced registered nurse practitioners (ARNPs). Seattle, WA: WWAMI Center for Health Workforce Studies, University of Washington; Apr 2013.

Skillman SM, Andrilla CHA. Washington State data snapshot: licensed practical nurses (LPNs). Seattle, WA: WWAMI Center for Health Workforce Studies, University of Washington; Apr 2013.

Skillman SM, Andrilla CHA. Washington State data snapshot: registered nurses (RNs). Seattle, WA: WWAMI Center for Health Workforce Studies, University of Washington; Apr 2013.

Skillman SM, Patterson DG, Lishner DM, Doescher MP. The rural health workforce: data and issues for policymakers in Washington, Wyoming, Alaska, Montana, Idaho. Issue #1: the rural health workforce: challenges and opportunities. Policy Brief #146.1. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jul 2013.

Skillman SM, Patterson DG, Lishner DM, Doescher MP, Fordyce MA. The rural health workforce: data and issues for policymakers in Washington, Wyoming, Alaska, Montana, Idaho. Issue #4: what is rural in the WWAMI States? Why definitions matter. Policy Brief #146.4. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jul 2013.

Skillman SM, Patterson DG, Lishner DM, Doescher MP, Andrilla CHA. The rural health workforce: data and issues for policymakers in Washington, Wyoming, Alaska, Montana, Idaho. Issue #5: health workforce assessment: tools for policymakers and planners. Policy Brief #146.5. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jul 2013.

Turok DK,  Godfrey EM, Wojdyla D, Dermish A, Torres L, Wu SC. Copper T380 intrauterine device for emergency contraception: highly effective at any time in the menstrual cycle. Hum Reprod 2013 Aug 14. [Epub ahead of print]

Vodicka TA, Thompson M, Lucas P, Heneghan C, Blair PS, Buckley DI, Redmond N, Hay AD; TARGET Programme team. Reducing antibiotic prescribing for children with respiratory tract infections in primary care: a systematic review. Br J Gen Pract. 2013 Jul;63(612):e445-54. doi: 10.3399/bjgp13X669167.

Williams RL, Stange K, Phillips WR, Acheson LS, Balasubramanian B, Bayliss EA, Ferrer RL, Gill JM. Encouraging innovation, unintended consequences, and group-level research. Ann Fam Med. 2013 May-Jun;11(3):200-2.  http://www.ncbi.nlm.nih.gov/pubmed/23690316.

Top

Presentations

Godfrey EM (June 2013). Contraceptive Updates and Recommendations. University of Washington Maternal Child Health Public Health Webinar, Seattle, WA.

Godfrey EM (September 2013). Contraception for Women with Medical Conditions. University of Washington Department of Family Medicine 41st Annual Advances in Family Practice and Primary Care, Seattle, WA.

Godfrey EM, Shih G. (September 2013). Reproductive Sexual Health (STDs, Contraception and Unplanned Pregnancy): Using clinical cases and guideline tools. University of Washington Department of Family Medicine 41st Annual Advances in Family Practice and Primary Care, Seattle, WA.

Patterson DG, Longenecker R, Schmitz D, Phillips RL, Skillman SM, Doescher MP. Rural residency training for family medicine physicians: early-career outcomes. Poster presented at AcademyHealth 2013 Annual Research Meeting, Baltimore, Maryland, 6/23/13.

Ross VR, Godfrey EM (July 2013). Breaking Bad News: Fetal Anomalies and Fetal Demise. University of Washington Department of Radiology Fellowship Seminar, Seattle, WA.

Skillman SM. The future of Washington's healthcare workforce: managing change and repairing collapsed bridges. Invited presentation at The Future of Healthcare in Washington Conference, Bellevue, Washington, 6/19/13.

Skillman SM. Health workforce planning: meeting the needs of Montana's communities and health care systems. Presented at National Governors' Association-Sponsored Technical Assistance Retreat, Helena, Montana, 8/13/13.

Skillman SM, Andrilla CHA, Kaplan L, Doescher M. Outpatient productivity and practice characteristics of rural primary care nurse practitioners in states with varying physician oversight regulations. Poster presented at AcademyHealth Annual Research Conference, Baltimore, Maryland, 6/22/13.

Skillman SM, Andrilla CHA, Patterson DG, Sanders S, Fenton S. Building the health information technology (HIT) workforce for rural primary care practices. Presented at AcademyHealth Annual Research Conference, Baltimore, Maryland, 6/22/13.

Top

Awards


Glenna Martin

Glenna Martin of UWSOM is named Pisacano Scholar

The Board of Directors of the Pisacano Leadership Foundation, Inc. (PLF) is pleased to announce its selections for the 2013 Pisacano Scholarships.  Each recipient is noted as an outstanding medical student who has made a commitment to enter the specialty of Family Medicine.

The 2013 Pisacano Scholars are:

Brenda Campos-Spitze – University of California, Irvine School of Medicine

Anastasia Coutinho – University of Vermont College of Medicine

Glenna Martin – University of Washington School of Medicine

Brian Park – University of Minnesota Medical School

Max Romano – Johns Hopkins University School of Medicine

Charles Salmen – University of California, San Francisco School of Medicine

The scholarships, valued up to $28,000 each, are awarded to students attending U.S. medical schools who demonstrate a strong commitment to the specialty of Family Medicine.  In addition, each applicant must show demonstrable leadership skills, superior academic achievement, strong communication skills, identifiable character and integrity, and a noteworthy level of community service.  Since 1993, the PLF has selected 116 outstanding medical students.  Approximately 2200 applicants representing more than 140 medical schools competed for these scholarships.

Each Pisacano Scholar received an endorsement from his or her medical school prior to being reviewed by the Selection Committee.  The Selection Committee is comprised of the distinguished members of the PLF Board of Directors and over 300 participating family physicians.  The Scholarship program provides educational programs, leadership training and funding for outstanding 4th-year medical students who have been identified as the future leaders in the field of Family Medicine.

The Pisacano Leadership Foundation, Inc. was created in 1990 by the American Board of Family Medicine in tribute to the founder and first Executive Director of the ABFM, Nicholas J. Pisacano, M.D. (1924-1990).  Dr. Pisacano is acknowledged around the world as one of the leaders in the effort to recognize Family Medicine as a major specialty.  His perseverance was finally rewarded in 1969 when the American Board of Family Medicine was designated as the sole agency responsible for the certification and recertification of family physicians.  The American Board of Family Medicine continues to serve this role and is considered a leader in assuring primary care to all Americans.

 For more information concerning the Pisacano Scholars program and the Pisacano Leadership Foundation, please contact Jane Ireland, Program Coordinator; or Robert J. Cattoi, Executive Director of the Pisacano Leadership Foundation, Inc., at 859/ 269-5626.


Dr. Ashwin Rao

Dr. Ashwin Rao has been selected to receive the UW Medicine Cares Award for the UW Neighborhood Clinics this fall.  More information about the Cares Award can be found here: http://odt.uwmc.washington.edu/service/caresaward.html. Congratulations, Ashwin!

Washington Rural Health Association awarded Dr. Roger Rosenblatt the 2013 Mary Selecky Friend of Rural Health Award “honoring persons who have made a special effect to cause and effect change in rural health policy, and legislation specifically to benefit rural health outcomes.


Dr. Sarah Hufbauer

Country Doctor Community Health Centers is so pleased to let you know that Dr. Sarah Hufbauer was honored by Seattle Magazine with its Community Service Award (Safety Net category) in their 13th Annual Top Doctors Issue and at their subsequent Awards Reception.  Dr. Hufbauer was recognized for her 19 years as a change agent in our community’s healthcare safety net.  Congratulations, Sarah!

Top

Advancement News

The Impact of Philanthropy

As we look to the future, philanthropy will play an increasingly important role in supporting the teaching, clinical care, and research activities of our department. Beginning with the establishment of the Theodore J. Phillips Endowed professorship in Family Medicine, the Department established a strong tradition of partnering with community physicians to realize shared goals. Additionally, there is a strong tradition of faculty support of our endeavors. Through this newsletter, we continue to share the stories of our donors — and most important, the impact these donations have on our work.

Increasing support for medical student scholarships is one of the UW School of Medicine’s highest priorities. Scholarships are an investment not only in aspiring physicians but also in the patients and the communities they will go on to serve. Scholarships that support students who are committed to family medicine who will practice in our WWAMI region are particularly important.

Washington Academy of Family Physicians Foundation Endowed Scholarship
Year Established: 2008

The creation of the Washington Academy of Family Physicians Foundation Endowed Scholarship was a joint endeavor between the Washington Academy of Family Physicians Foundation (WAFPF) and faculty in the Department of Family Medicine. It recognizes the shared goal of increasing the number of students who choose to practice family medicine. And, the scholarship highlights the strong links between the academic department and the community physicians.

The scholarship reflects the commitment of the UW faculty, the Washington Academy of Family Physicians (WAFP), and its philanthropic arm, the WAFPF, to the future of family medicine by supporting outstanding students who are planning to pursue careers in family medicine. Washington Academy of Family Physician Scholarships are awarded to medical students in their crucial fourth year, when they are making their career choice.

In establishing this endowed scholarship, donors leveraged matching gift funds during the University of Washington’s fundraising campaign: Creating Futures.

Recipients of the Washington Academy of Family Physicians Foundation Endowed Scholarship

2009-2010:
Micahlyn Powers
Residency: Family Medicine Residency Boise, ID
Practice: Community Health of Central Washington, Ellensburg, WA

Kyrsten Stoops:
Residency: Tacoma Family Medicine, Tacoma, WA
Practice: Will join a family practice group in Moscow, ID in January 2014.

2010-2011:
Cortney Boulton
Residency: Alaska Family Medicine/Providence Hospital, Anchorage, AK

Derek Sylte
Residency: Family Medicine, Group Health Cooperative, Seattle, WA

2011-2012:
Stephanie Gering
Residency: Family Medicine, Providence Sacred Heart Medical Center, Spokane, WA

Alexandra Hunt
Residency: Family Medicine, Sutter Medical Center, Sacramento, CA

2012-2013:
Mallory Beale
Residency: Family Medicine, Providence Sacred Heart Medical Center, Spokane, WA

Sarah Fairchild
Residency: Family Medicine, Concord Hospital, Concord, NH

Top

This newsletter is the result of the collaboration of the Administration, Medical Student Education, Residency, Residency Network, Research, Sports Medicine, Palliative Care, MEDEX, and Advancement sections of the Department of Family Medicine. Many thanks to everyone who submitted content. A special thanks to Amy Clark, Website Assistant for Family Medicine, for her great work in getting this newsletter online. Please send questions, comments, and concerns to fmnews@fammed.washington.edu.

Thank you!