June 2012 – Summer Edition
I. Notes from the Chair - Tom E. Norris, MD
As we approach the end of the 2012-2013 academic year, I am pleased to report that the Department is healthy, growing, and flourishing. Once again, thanks in a large part to the people who comprise this amazing Department, including the Residency Network and our clinical faculty members who teach at many locations in WWAMI-land, U.S. News and World Report has rated us as the #1 Department of Family Medicine for the 21st consecutive year. This is one of a number of highly positive events this year. more » « less
Faculty: Faculty and staff are the heart of the Department. Since my last newsletter column, we have added two new faculty members in the Medical Student Education and Residency sections, a new family physician who will work in the pain area, a new faculty member who will join the Research Section this summer, a new faculty member in the palliative care group, and two new fellows who will join us this summer. Pam Pentin, MD, JD, joined us from the Navy Medical Corps, OHSU, and a variety of rural locums; and Dave Evans, MD, joined us after over 15 years of very full spectrum practice in rural Oregon. These new physician faculty members are making great contributions in the education of medical students and residents. Heather Tick, MD, a family physician who is a nationally recognized expert in integrative medicine, moved from Arizona to our Department and will be working in the UW Pain Clinic. Allison Cole, MD, MPH, will complete her NRSA fellowship this summer and become part of the Research Section. Melissa Bender, MD, a family physician with fellowship training in palliative care who will move from New York this summer to become part of Stu Farber’s palliative care team. Nathalie Bentov, MD, will start a special fellowship in Anesthesiology this summer, and Tina Neogi, MD, will become our new NRSA fellow. Bill Neighbor, MD, a long-time faculty member who is well known to many of you, left us to become the Chief Quality Officer at Hall Health Student Health Center. This is a good move for Bill, and we wish him well.
Our clinical faculty continues to grow as well, and we are now approaching 1000 clinical faculty members of the UW DFM. The superb teaching and role modeling provided by this group allows us to have much more impact than would be seen if we only depended on those who are based at the academic health center in Seattle.
Medical Student Education—A Fantastic Match! The big news in medical student education is the match. 40 UW medical students (19% of the class) will graduate and enter Family Medicine Residencies in June! There has been a steady increase in students choosing family medicine for the last several years. Our continued high level of output of new family doctors has led to recognition from AAFP and STFM that UW is one of the top 10 medical schools in the US in preparing medical students to become FP’s. I attribute this to a great sequence of programs for medical students (Preceptorships; Required Clerkship; Sub-Internship; TRUST—Targeted Rural UnderServed Training; RUOP—Rural Underserved Opportunities Program; CHAP—Community Health Advancement Program; Underserved Pathway; WRITE—WWAMI Rural Integrated Training Experience) coupled with outstanding student advising and career counseling. The work of the clinical faculty at residency and practice sites across the WWAMI states plays a key role in this success.
UW Family Medicine Resident Education: The big event in the UW Family Medicine Residency Program has been, after 18 years at Roosevelt, a move to a wonderful new Residency Clinic and Office at Northgate. The new clinic, a partnership with UW Neighborhood Clinics, is much larger than our former site and will allow us to see more new patients, including more children and obstetrical patients. The new clinic uses a design that strongly supports the Patient Centered Medical Home concept. Training residents in this setting will be excellent preparation for their future practices in our specialty. The new clinic offers significant advantages over the Roosevelt site. Since it is not hospital based, patients will only receive a bill for professional services, instead of both a facility and professional services bill. The clinic also offers free parking, and we will not need to compete for patients with our UW Medicine colleagues in OB, pediatrics, and medicine in the same building. Finally, the community based location offers us the opportunity to build a much better teaching practice than the location in an academic health center allowed. I commend Mark Beard, our residency faculty, and our colleagues in UW Neighborhood Clinics for their efforts in making this move successful.
WWAMI Family Medicine Residency Network: I congratulate the 18 terrific residency programs in the WWAMI Family Medicine Residency Network on an outstanding match. Of 141 R-1 positions in the 18 residencies in the Network, 140 were filled in the opening round of the match. 30 UW graduating seniors matched in the Network, filling 21.3% of the available positions. This is the largest number of UW grads matching in the Network in many years, and I am hopeful that we can continue the trend of UW WWAMI graduates who come from our region graduating to match in WWAMI residency programs. This will help complete the circle of admitting medical students from the small towns of WWAMI, educating and training them, and the returning them to the small towns of WWAMI. I am also very pleased by the widespread interest in many WWAMI communities in developing new Family Medicine residencies. The Network faculty and staff is working hard to assist these programs as they move toward ACGME accreditation and matching their first residents.
Research Section: We are working to expand the Department’s Research Section through the addition of new faculty members who are experienced in research. As mentioned earlier, Allison Cole will join the section this summer, and we have two other offers to potential research faculty members pending. Through the CTSA/ITHS grant funding process, Laura-Mae Baldwin, MD, MPH, and her colleagues have developed the WWAMI Practice Research Network. This is a clinic based research program that collects information from a number of sites throughout WWAMI to allow the investigation of clinical questions in “real life” settings. In order to move closer to Family, Mark Doescher, MD, Director of the Rural Health Research Center (RHRC), will be moving to Oklahoma later this summer. Mark has assisted in developing the competitive renewal grant for RHRC, and Eric Larson, PhD, will be the new RHRC Director.
MEDEX PA Program: As previously reported, the MEDEX PA Program, one of the top-ranked PA programs in the US, joined the UWDFM on 7/1/11. In an era of team-based care in patient centered medical homes, this collaboration makes sense. With the support of a HRSA Departmental grant, we are working on developing joint teaching and learning programs for FM and PA faculty, FM residents and PA students. We are hopeful that in the second or third year of the program we can involve some of the other Network residencies in this effort. MEDEX is in the process of developing a new training site in Tacoma to better serve returning military medics who want PA training. This is in addition to existing training sites in Seattle, Yakima, Spokane and Anchorage.
Palliative Care and Sports Medicine: Our strategic plan calls for increased focus on the clinical activities of all UWDFM faculty members, including those who work primarily in Sports Medicine and Palliative Care. Kim Harmon, MD, Jon Drezner, MD, and Ashwin Rao, MD, are our Primary Care Sports Medicine faculty who practice at the student health center and with our athletic teams. They will also practice in the new UW Stadium Sports Medicine Clinic, which will open after the remodeling of Husky Stadium. Kim, Jon, and two colleagues were recognized this year by STFM as authors of the best research article by family physician educators. This article on the incidence of sudden cardiac death in NCAA athletes was published in Circulation in 2011. Stu Farber, MD, leads the Palliative Care group at UWMC and has been working hard on a substantial expansion plan for the service. His research clearly indicates that patient satisfaction and health care costs are both improved with good palliative care.
Reflections: Aspirations from the Past and Dreams for the Future: Graduation season for our medical students and residents is a time that always stimulates me toward reflection—both backward and forward in time. I was recently asked by the King County Academy of Family Physicians to speak on where the specialty is going. I also just presented the annual Pisacano Memorial Lecture to the FM Program Directors -- this is traditionally an inspirational talk. These events have led me to carefully consider the aspirations or dreams of my generation of family physicians, the first residency trained group, as well as the aspirations and dreams of the new graduates and current trainees.
For me, the person who best articulated the dreams of my generation of family doctors is G. Gayle Stephens, MD. Gayle founded one of the first Family Medicine Residencies in the US and went on to lead a Department and to serve as a dean at the University of Alabama. He wrote the classic collection of essays, The Intellectual Basis of Family Practice. As the new specialty of Family Medicine struggled to get started, he thought that our first task was to define our specialty and to understand who we are. He described us as follows:
• “A clinician is not someone whose prime function is to diagnose or to cure illness, for in many cases he is not able to accomplish either of these”
• “A clinician is more accurately defined as one whose prime function is to manage a sick person with the purpose of alleviating, most effectively, the total impact of illness upon that Person”
His next step was to consider what we, as family doctors, do that sets us apart from other physicians:
• “What do we do and what do we deal with that other physicians don’t?”
– Complaints which are obscure, vague, or undifferentiated
– Complaints which arise from potentially life threatening disease that has not yet been diagnosed
– Complaints which are out of proportion to physical or laboratory findings
– Complaints which are unusual, bizarre, non-physiologic, or non-anatomical
– Complaints which are persistent and disabling
– Complaints associated with marked anxiety or mood change
– Complaints which result from life change, conflict, or other family or social change
– Complaints which may require risky diagnostic and therapeutic procedures
– Complaints arising from conditions which may be managed electively
– Conditions which are incurable
– Conditions involving habits and the lifestyle of the patient
– Conditions which require moral or ethical decisions
“All of these require something more on the part of the physician than a "standard operating procedure" or a cookbook approach to diagnosis and therapy. This is family practice.”
Stephens spent significant effort considering the intellectual and academic basis of our discipline—what sets us apart from other physicians. He stated,
“This, then, is the intellectual and academic basis for family practice. This is our field for inventiveness and discovery. This is our agenda for research. To be sure, the family physician may borrow a great deal of information and knowledge from other disciplines. Such borrowings constitute a variable and will not be the same in all areas of the country or in all settings. But the constant is the skill of patient management. One cannot be a family physician without highly developing this skill. One's bag of technical tricks will change from time to time. One may or may not deliver babies or perform surgery. Whether one does or not depends largely on personal preference and local conditions, but the sine qua non is the knowledge and skill that allows a physician to confront relatively large numbers of unselected patients with unselected conditions, and to carry on therapeutic relationships with patients over time. “
“This is what we should be teaching and learning and practicing. Everything else is secondary.”
Stephens considered the dreams of the early residency trained family physicians in his 1979 essay, Family Medicine as Counterculture:
He wrote, “. . .the social reform ethos of family practice. . . uninhibited access to medical care for everybody, especially the medically underserved, personal and family oriented care on a continuing basis, and comprehensive care at a reasonable cost were crucial in the modern rise of family practice. . . “
As a specialty, we have fulfilled many of the early aspirations. We are a well defined, respected, and distinct specialty with over 450 residency programs and 120 academic departments. We are geographically more uniformly distributed than any other discipline. However, there are still many unmet dreams from my generation. We do not have “uninhibited access to medical care for everybody”, or “comprehensive care at a reasonable cost.” On almost all health metrics, we rank 30th or lower among developed countries. There is much work left for us and the next generation to do.
So what are the dreams of the new generation of family doctors? To begin with, it is necessary to understand that they are different people. Most are millennials born after 1980, while most of our current faculty were born before 1980. Their generation looks at the world differently, often using different tools, than my generation. Half, or more, of them are women. The public is demanding accountability from their training programs in the areas of patient safety, quality, milestones, duty hours, etc. Yet in published essays and in conversations with many of them, their aspirations are not too different from what Dr. Stephens observed in my generation:
• A strong belief that healthcare is for everyone—no matter what the Supreme Court says
• A conviction that comprehensive care at an affordable cost must be a right;
• A sense that our unique skill is one of patient management—in a setting that depends on continuity;
• Knowledge that evidence is important and science is our foundation, but that, in the end, medicine is an art.
But the millennials bring new ideas to the table:
• Professional life must be better balanced—they have seen and do not accept the burnout, divorce, etc. in my generation
• Technology has a huge role to play in what we do—the EHR and the internet will play a larger role in the care of the patient
• Social media and direct communication will be major forces and will allow interactions with patients in new ways
• An angry and righteous sense that health disparities must be stamped out
• A global sense that borders are not important—we are all in this together
• “Today we cure this patient, then her family, then the community, then the country, then the world” (UW Pisacano Scholar)
• Instead of the Model Family Practice Clinics that we trained in, the next generation is committed to training in the interprofessional team settings of the Patient Centered Medical Home.
As the faculty and staff with the responsibility of teaching these wonderful people, our task is to encourage their aspirations—they need to dream and dream big. In the words of author Jim Collins, they need to have BHAG’s (big hairy audacious goals). We must nurture their dreams and help them see that nothing is impossible—some things simply take longer. We should encourage them to leave their comfort zones, be innovative, and think outside of the box. We need to help fend off criticism of their dreams, and encourage them to reach high. We must remind them that, when chasing a BHAG, the journey is long and must be enjoyed, because the destination may be distant. In a very real sense, our generation can help ensure the success of the dreams of the next generation—we need to do this, because much work remains to be done to make healthcare as good as it should be for our patients.
There is a lesson for all of us in the words of T. E. Lawrence, also known as Lawrence of Arabia, “All men dream, but not equally. Those who dream by night in the dusty recesses of their minds, wake in the day to find that it was vanity: but the dreamers of the day are dangerous men [and women], for they may act on their dreams with open eyes, to make them possible.”
II. In Our Thoughts & Prayers
The Department of Family Medicine mourns the recent loss of beloved friends and clinical faculty, and our thoughts and prayers go out to their families. more » « less
We send our love to Ted Phillips, the first chair of our department, whose wife Donogh McCutcheon Phillips passed away May 25. While no memorial service is planned, please join Donogh Phillips' family in celebrating her remarkable life. You can read Donogh's obituary here: http://www.islandsweekly.com/obituaries/
Our thoughts are with John Geyman, MD, who chaired our department from 1976-1990, and whose wife Gene passed away in March. You can read the loving tribute to Gene here: http://www.sanjuanislander.com/island-newshome/more/obituaries/3632-euge...
We are also thinking of George Gould, MD, who passed away in May in Montana where he was a WWAMI program director and a Clinical Associate Professor Emeritus with our department. More about Dr. Gould is here: http://www.dailyinterlake.com/community/obituaries/article_1ce24cf4-9fa6...
III. Residency News
GRADUATION - Our graduation ceremony will take place June 29 at 6-9 p.m. at Mary Gates Hall... more » « less
NEW INCOMING RESIDENTS - The Residency would like to thank everyone for their help during this year's interview season. We are happy to announce our class of 2015:
Elizabeth Allcut, MD, Wayne State University
Katherine Ball, MD, University of Washington
Nelson Chiu, MD, University of Medicine and Dentistry of New Jersey
Ben Goold, MD, University of Illinois
Lili Sperry, MD, PhD, Universidad Automnoma de Barcelona
Alyce Sutko, MD, MPH, University of Nevada
Claire Ankuda, MD, MPH, University of Michigan
Sara Bowling, MD, University of Vermont
Meet all of the residents online at our website: http://depts.washington.edu/fammed/residency/people/residents
Congratulations to our faculty and friends at the 2012 Washington Academy of Family Physicians (WAFP) Annual Meeting for their recent honors: more » « less
John McCarthy, MD - Family Physician of the Year
Kevin Murray, MD - Family Medicine Educator of the Year
Medical Student Awards include:
Endowed Family Medicine Scholarship
• Stephanie Gering
• Alesandra Hunt
Alfred O. Berg Award for Excellence in Family Medicine Research
• Genevieve L. Riebe
Diverse Constituencies Scholarship
• Angela Gibbs
• Martin Rofael
Also, many of our physicians and faculty, including chair Tom Norris, served on committees and were involved in meetings for WAFP’s 55th House of Delegates and/or the 63rd Annual Scientific Assembly “Innovations in Practice” in May at Suncadia Reseort in Cle Elum, Washington.
For more news and award information from WAFP, see the website: http://www.wafp.net
Society of Teachers of Family Medicine Award
Congratulations to Alum Joseph Scherger (UW residency class of '78) who received the Society of Teachers of Family Medicine Recognition Award this month at the annual STFM meeting in Seattle April 25-29. The STFM Recognition Award honors those with outstanding service to family medicine education, including enhancing resources, supporting its objectives, serving as a role model, or providing other notable service.
V. Sports Medicine News
Congratulations Kim Harmon!
The Society of Teachers of Family Medicine (STFM) awarded Dr. Kim Harmon with the 2012 STFM Best Research Paper Award for her piece on “Incident of Sudden Cardiac Death in National Collegiate Athletic Association Athletes.”... more » « less
Jonathan Drezner Hosts International Conference for ECG Interpretation
An international conference of sports cardiologists and sports medicine physicians met in Seattle last month to define electrocardiogram (ECG) interpretation standards in athletes. They are also developing a comprehensive online training module for physicians around the world to use in gaining expertise in ECG interpretation and proper evaluation of abnormalities suggestive of a pathologic cardiovascular disorder.
The conference was hosted by Jonathan Drezner, UW associate professor of family medicine and first vice president of the American Medical Society for Sports Medicine (AMSSM). Drezner also holds a Certificate of Added Qualification in Sports Medicine. Conference participants were from the United States, Italy, Sweden, the United Kingdom, Belgium, Switzerland, Brazil, and Qatar.
“This was an amazing meeting and truly an international effort,” Drezner said. “The collaboration alone between U.S. and international cardiology and sports medicine leaders will move this field forward to improve the cardiovascular care of athletes.”
There is a shortage of physician expertise worldwide in the interpretation of an athlete’s ECG. Physician education in ECG interpretation using modern standards can help distinguish physiologic adaptations in athletes from ECG findings suggestive of underlying pathology.
The conference worked to establish a consensus for ECG interpretation standards with attention to the detection of diseases at risk for sudden cardiac death, false-positive readings, and secondary evaluation of ECG abnormalities, such as hypertrophic cardiomyopathy and arrhythmogenic right ventricular cardiomyopathy.
The group will translate their consensus recommendations into a comprehensive online training module that will be free to any physician worldwide. The module, hosted by British Medical Journal E-Learning, will help train more physicians who are skilled and capable of accurate ECG interpretation in athletes. Improved ECG interpretation may identify athletes with at-risk disorders and help prevent sudden death in sport.
In addition to AMSSM, conference partners included the European Society of Cardiology Sports Cardiology Section, the Pediatric & Congenital Electrophysiology Society, the British Journal of Sports Medicine, the FIFA Medical Assessment and Research Center, the Nick of Time Foundation, Cardiac Science, Ardea Screen and Parent Heart Watch.
Sports Medicine in the Journal of the American Board of Family Medicine
Both Kim Harmon and Jonathan Drezner, as well as Jesse Fudge, our sports medicine fellow, had an article posted in the Journal of the American Board of Family Medicine (JABFM) here: Warning Symptoms and Family History in Children and Young Adults with Sudden Cardiac Arrest by Jonathan A. Drezner, Jessie Fudge, Kimberly G. Harmon, Stuart Berger, Robert M. Campbell, Victoria L. Vetter, J Am Board Fam Med 2012 25 (4).
Speaking of the Journal, we had other faculty who published there as well:
Allison Cole, Mark Doescher, Bill Phillips, Paul Ford, and Nancy Stevens did Satisfaction of Family Physicians in Community Health Centers. Alison Cole presented a wonderful Grand Rounds for us on this topic, too.
More info on both of these Journal articles here: More info here: http://www.jabfm.org/content/future/25/4
VI. MEDEX News
Ruth Ballweg Receives PA Profession’s Highest Award
Ruth Ballweg, MPH, PA-C, is the 2012 recipient of AAPA's Eugene A. Stead Jr. Award of Achievement, the highest award in the profession. The American Academy of Physician Assistants honors Ruth for her commitment to advancing the PA profession both globally and domestically, and for her dedication to creating paths to the PA profession for military servicemen and women. Named for the founder of the PA profession, the Stead Award is given to an individual for a lifetime of work that has a broad and significant impact on the PA profession.
Read more here: http://www.aapa.org/news_and_publications/news/item.aspx?id=4298
Watch this wonderful video tribute to Ruth Ballweg via YouTube: http://www.youtube.com/watch?v=SXhUezwrV3k
more » « less
Donna Lewin Moves to MEDEX
It is with great pleasure that I announce to you that Donna Lewin joined the MEDEX team as the next Administrator. A social worker by education, training and vocation earlier in her professional life, Donna has worked at UW for the past 5 years, and she has been in in the Research Section of the Department of Family Medicine for 2 years. She has extensive experience with grants and contracts, both inside and outside of the UW and is comfortable with and knowledgeable about University systems and School of Medicine culture. Donna's focus on people comes candidly across in her conversations, and she has well-rounded experience as a “known quantity” in Family Medicine. She came on board to MEDEX on May 1st. As Donna joins the MEDEX family, she will have a learning curve concerning names, faces, culture and the MEDEX vision for the future. Please join me in welcoming her to MEDEX.
Director of MEDEX
Also, a HUGE thank you to Donna for her four years of terrific service to the department – she has been a great manager and an absolute pleasure to work with. The good news is that she is still part of Family Medicine!
Director of Finance
Bob Fisse, PA-C, Receives Humanitarian Service Award from MEDEX
Although Bob Fisse prefers the shadows behind the stage versus the spotlight, he has earned a big round of applause for his commitment to and accomplishments at Country Doctor, where he has devoted 34 years. The physician assistant graduate of 1977 recently retired and received a well-deserved Humanitarian Service Award from MEDEX.
In response, Bob said, “Your mission to award community service and compassion in medicine is very clear. It is one thing to train competent medical professionals, but quite another to instill a sense of empathy, compassion and community involvement in your students and alumni. My career at Country Doctor was fulfilling beyond measure for just these reasons. As some of you may know, my wife, Amber Karr, received the Humanitarian Award last year. We worked together at Country Doctor for a total of 77 years! To have these awards hanging together in our house is very special. Again, thank you and keep doing the great work you are doing.”
In addition to Bob’s role as a clinician, he also spent 30 years as a clinic manager and, eventually, a site medical director, which demonstrates that PAs can also pursue management roles if it suits them.
The fact that both Bob and his wife graduated MEDEX in the same class, worked at the same clinic side by side for 34 years and remained married is a remarkable accomplishment and fascinating story.
Haigh Fox, PA-C, Receives Outstanding Preceptor Award from MEDEX
Congratulations goes out to another MEDEX award winner – Haigh Fox, graduate of first family practice residency and longtime preceptor on Whidbey Island, WA, was acknowledged with the “Outstanding Preceptor Award.” After receiving his medical degree at the University of Washington in 1969, Haigh was clinical faculty at the UW for more than 20 years, among several other accomplishments too numerous to name here, such as being the editor of the Washington Academy of Family Practice Journal.
Since 1999, Haigh has been the Medical Director of two Rural Health Clinics associated with Whidbey General Hospital, delivering primary care and preventive services to patients who would otherwise be limited to emergency room care on an episodic basis. A lifelong family practice evangelist, Haigh’s family includes a wife of 43 years and three grown children living in Seattle.
VII. WWAMI Rural Health Research News
Family medicine “1-2” Rural Training Track residency programs (RTTs) train physicians for practice in rural areas (called “1-2” because they typically involve up to a year in an urban setting and at least two years in a rural settings. The WWAMI Rural Health Research Center is evaluating RTT outcomes as a partner in the RTT Technical Assistance Program, funded by the federal Office of Rural Health Policy. more » « less
Our study of RTT graduates' early career outcomes found that at least one half of graduates located in rural areas after graduation, two to three times the proportion of family medicine residency graduates overall, and most of these physicians stayed with their rural choice for at least three more years. High proportions of RTT graduates provided healthcare in designated shortage areas, in safety net facilities, and to underserved populations. These findings suggest that RTT programs continue to succeed in recruiting and preparing family physicians for practice with rural and underserved populations. Options to support the RTT model include new kinds of funding mechanisms, collaborations, technical assistance, human resource development, sharing of best practices, and augmentation of data to inform performance improvement and policy.
For more details about the report, see below:
Patterson DG, Longenecker R, Schmitz D, Xierali IM, Phillips Jr RL,
Skillman SM, Doescher MP. Policy brief: rural residency training for family medicine physicians: graduate early-career outcomes.
Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Jan 2012.
Access the policy brief here:
For even more information on this work, contact Davis Patterson at firstname.lastname@example.org and visit the website at http://depts.washington.edu/uwrhrc/ to view other projects and publications.
ALSO, here are a couple of more new publication from The WWAMI Rural Health Research Center:
Fordyce MA, Doescher MP, Chen FM, Hart LG. Osteopathic physicians and international medical graduates in the rural primary care physician workforce. Fam Med. Jun 2012;44(6):396-403.
Skillman SM, Kaplan L, Fordyce MA, McMenamin PD, Doescher MP. Understanding advanced practice registered nurse distribution in urban and rural areas of the United States using National Provider Identifier data. Final Report #137. Seattle, WA: WWAMI Rural Health Research Center, University of Washington; Feb 2012.
Policy brief: http://depts.washington.edu/uwrhrc/uploads/RHRC_FR137_PB.pdf
Full report: http://depts.washington.edu/uwrhrc/uploads/RHRC_FR137_Skillman.pdf
VIII. Medical Student Education News
In March, MSE participated in the WWAMI Faculty Development Conference at the Big Sky Resort in Montana. Thank you, Tom Greer, for sharing the photos above.
MSE also had a very successful week in Spokane. It took two teams doing seven interviews most days to meet the 50+ TRUST candidates. Thanks to John McCarthy and Marlene Maurer for all the work they did to make that week a success.
FREDDY CHEN ON KUOW – DOCTORS TOLD TO ORDER FEWER TESTS
Nine medical specialty boards recommended that doctors perform 45 common tests and procedures less often. They also urged patients to question those tests if suggested by their doctor. Ross Reynolds from KUOW interviews Dr. Frederick Chen, chief of family medicine, Harborview Medical Center, and associate professor at the UW Department of Family Medicine, to find out what this means.
Listen here: http://kuow.org/program.php?id=26434
more » « less
Check out Dr. Laura-Mae Baldwin’s study about Ovarian Cancer Screening in the Annals of Internal Medicine. The report was picked up and published several other places such as Reuters, Huffington Post and this posting on the Wall Street Journal's Health Blog. http://blogs.wsj.com/health/2012/02/06/many-doctors-dont-follow-ovarian-...
REDUCING TOBACCO USE
The American Academy of Pediatrics (AAP) wrote about Dr. Abigail Halperin in “Passion to Reduce Ills of Tobacco Use Inspires Physicians to Make a Difference.” If you have a subscription to AAP News, you can read the article here: http://aapnews.aappublications.org/content/33/2/25.citation
AAP News Vol. 33 No. 2 February 1, 2012, pp. 25, (doi: 10.1542/aapnews.2012332-25)
X. NRSA Primary Care Research Fellow
Our new NRSA Primary Care Research Fellow is Avani Sheth, MD. She earned her MD from the University of Michigan and completed her residency in family medicine at Columbia University Medical Center.Since residency, she has been in practice at community health centers, first with the Montefiore Medical Group in Bronx, New York and then with Westside Family Healthcare in Wilmington, Delaware. Avani will be earning an MPH in Health Services. Her past research experiences include TB and HIV studies with the CDC in Botswana and identifying factors that lead to engagement in care among the homeless population in New York. Her research interests focus on improving outcomes among patients with chronic illness, especially in low-income settings. You can contact Avani at email@example.com.
XI. Project ROAM
Access to Buprenorphine Treatment for Addiction in the WWAMI Region – The kilograms of prescription opioids prescribed nationally quadruped between 1999 and 2010 (CDC 2011) and foreshadowed the epidemic of deaths and opioid dependence that now afflict chronic pain patients. In response, Washington state providers have taken steps that reduced the death rate by 35% . The number of Washington physicians able to prescribe buprenorphine/naloxone for opioid addiction increased from 370 in June of 2010, to 506 as of January 2012. At the Project’s start, fourteen Washington counties lacked a buprenorphine provider; though the active participation of rural physicians to become DEA waivered, now only eight counties are without. more » « less
To address this remaining gap, Project Roam will offer a course on the Office Based Treatment of Buprenorphine, May 12, 2012 at Suncadia Resort in Cle Elum as part of the 63rd Annual Scientific Assembly of the Washington Academy of Family Physicians. Guess which counties lack a provider and win reimbursement of your registration the day of the session. Early bird registration ends April 1st. Register now for the course in Office Based Treatment of Opioid Dependence at www.wafp.net/forthephysician/conference.aspx. Alternately on-line training is available anytime from the Association of Addiction Psychiatrists and webinars are scheduled from the PCSS-B Training network.
Washington is improving access to treatment, but are our WAMI states?
Data from DEA Registration, Drug enforcement Administration, Department of Justice, Distributed by National Technical Information Service, Springfield, Virginia.
Unfortunately all the states except Alaska in the WWAMI region lag behind the national rates of waivered physicians. All States except Idaho exceed the national death rate of drug overdose deaths as reported for 2008 (CDC 2011). Project ROAM encourages physicians throughout the region to learn about evidence based ways to treat opioid addiction and become waivered to prescribe buprenorphine at the training options listed above.
1 Jennifer Sabel (DOH). Opioid Related Deaths (prescription and/or Heroin) by County of residence 2008-2010. State tables on opiate use and negative consequences. Accessed via adai.uw.edu/wastate/adams/htm
2 Centers for Disease Control and Prevention. Vital Signs: Overdoses of Prescription Opioid Pain Relievers, - United States, 1991-2008. MMWR/November 1, 2011/Vol 60.
For more information about Project ROAM/ECHO, contact Mary Catlin BSN, MPH
Continuing Education Specialist IV
XII. Save the Date - Family Medicine Department Picnic
Wednesday AUGUST 1, 2012.
4:30 – 7:30 p.m.
@ Gasworks Park
THEME: 1962 Seattle World’s Fair
Attention Sections – the table decorating contest is in effect for the trophy win again!
XIII. New Website Launched!
Have you checked out the department’s new website? Explore the new site here: http://depts.washington.edu/fammed. A big thanks to Wes Fitch and Amy Clark for all of their time and hard work. Feedback welcome via a survey on the website or by email to firstname.lastname@example.org
XIV. Grand Rounds
Due to the July 4 holiday, there will not be a Grand Rounds for July, but please join us in August for a presentation by the Medical Student Education section with Misbah Keen, Toby Keys and Jeanne Cawse-Lucas. More information about the remaining Grand Rounds for the rest of the year is on the website: http://depts.washington.edu/fammed/grand-rounds
XV. Department Fair
The third-annual department fair turned out to be fun and informative once again.
Check out these photos taken at the fair: