Welcome to the FMCH Tuesday Talk. Please continue to send us your announcements, celebrations, and accomplishments to FMCHtuesdaytalk@umassmed.edu.
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Table of Contents
Message from the Chair
Upcoming Events
Focus of the Week - Education
Announcements
Frankly Speaking Podcast
Faculty Presentations/Publications
Department Member Recognition
Clinical Services Spotlight
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MESSAGE FROM THE CHAIR
I was pleased to recognize the following awards at our department’s award ceremony today:
2021 Manning Prize for Excellence in Teaching:
Frank Domino
Joy McCann Professor for Women in Medicine:
Jennifer Reidy
2021 Chancellor Award: Advancing Institutional Excellence in Diversity Award:
Linda Long-Bellil
2020 School of Medicine Educational Recognition Awards:
Susan Hogan
2021 Preceptor Hall of Fame Award, Mass AFP:
Michael Ennis
Katharine F. Erskine Award:
Jennifer Bradford, HeatherLyn Haley
Worcester Hometown Heroes Recognition:
Erik Garcia
Department of Family Medicine and Community Health Awards
Mick Huppert Community Health: Student Project Awards
Sabahat Rahman (SOM); Mentor: Payal Modi, MD, MPH
Michael Urbanowski, PhD (SOM); Mentor: Daria L. Szkwarko, DO, MPH
Heidi Boland (GSN) and Grace Winship (GSN); Mentor: Andy Lowe, BS
Samantha Creamer (GSN) and Annie Thornton (SOM); Mentors: Linda Cragin, MS and Janet Hale, RN, PhD
Outstanding Community Clinician:
Michael Burdulis, MD
Diversity, Inclusion and Health Equity Award:
Claudeleedy Pierre, MD
2021 Education Awards:
Susan Hogan, MD, MPH, Melanie Gnazzo, MD, Sandra Augusto, MD, MPH, Nick Hajj, MD, Jeremy Vincent, MD
Chair’s Award:
James J. Ledwith, MD
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Upcoming Events
Community Health Listening Session
Meeting ID: 98984892450 Password: 957801
Suggested by Jennifer Reidy, please join Medicine Grand Rounds on Thursday, December 16th at 12:00 noon for: “Caregiver: A Love Story – film screening and discussion” This film portrays the joys and challenges of caring for a person with end-stage illness with home hospice, and will be followed by discussion with the filmmaker, Jessica Zitter, MD, MPH, a critical care physician and author. If you ever wonder why patients with chronic and serious illness are trapped in a cycle of repeat readmissions (and/or can’t be discharged easily to the community), this Grand Rounds is for you. As we move towards an integrated health system at UMass Memorial Health, this documentary and discussion highlights the urgent need for community-based care and structural change to support patients and caregivers where they live. Looking forward to seeing you there! Zoom Details: link
Webinar ID: 936 3252 5280
Passcode: 935609
FMCH Grand Rounds
Tuesday, December 21st, 12:00 - 1:00 pm. Brian Skehan, MD, PhD, Presents: Initial Presentation and Management of Psychiatric Disease in College Population.
Meeting ID: 915 8133 4605 Passcode: 334605
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Focus of the Week - Education
GME Updates:
ACGME FM Residency Requirement Public Comment Period Opens
After nearly two years of work, the writing group will present the proposed major revisions for public comment. Major changes include a focus on community engagement and increased flexibility for programs to highlight their strengths. Learn more about the vision and background of the process at the following webinar.
UME Updates:
The Curriculum Revolution continues to move forward with announcements coming soon for new faculty leadership roles. Learn more about the mission and structure of the VISTA curriculum at the following link. Please make sure to contact Stacy Potts if you have interest in applying for a leadership role in the new curriculum.
The ACGME invites comments from the community of interest regarding the proposed requirements listed below. As part of the ongoing effort to encourage the participation of the graduate medical education community in the process of revising requirements, the ACGME may publish some or all of the comments it receives on the ACGME website.
Vista: Empowering learning for the future. Mission: The mission of the T.H. Chan School of Medicine Vista Curriculum is to develop a contemporary and innovative curriculum that promotes curiosity and inquiry, empowers learners and enables future physician leaders to equitably and expertly care for diverse patient populations.
Family medicine and community health leadership will be important particularly in the longitudinal components of the curriculum. These "LFT"s, longitudinal focus teams, include Health Systems Science, Health Equity Diversity and Inclusion, Societal Forces of Health and Disease and Patient and Clinician Wellness. Learn more about the 'LFTs" in the following podcast. This podcast begins a series of podcasts on our LFTs, starting with HSS! Listen here: HSS LFT.
Faculty Development Updates
Mentoring Workshop
Dr. Ahn, Vice Provost for Faculty Affairs, will be providing a faculty development workshop January 19th, 530-7:00 pm, to kick off our 2022 mentoring program cohort. If you are interested in participating in the FMCH mentoring program in 2022 please reach out to Jennifer Masoud at jennifer.masoud@umassmemorial.org. We will be working to pair people up to meet your mentoring needs.
Faculty Opportunity: Interstitial (ISC) Course Co-leader
UMass Chan School of Medicine seeks a co-leader for the Interstitial (ISC) course which is a year-long, longitudinal series of seven required 1-day programs and events scheduled at intervals during the Core Clinical Experiences year (CCE). Content areas are threaded in small aliquots throughout the year to foster spiral learning. Each content area is broadly significant to medical education/medical practice and is often under-represented in clinical education. In AY21-22, ISC topics include: Caring for People with Disabilities; Criminal Justice and Health; Oral Health; Military Service (Veteran’s) Health; US Healthcare Policy; Patient Safety and Quality Improvement; Trauma Informed Care; Informatics; Caring for LGBTQIA+ People; and Disaster Management. PURCH students are integrated into all ISC days and GSN students are integrated into some of the ISC days, as permitted by the academic calendar. The ISC will sunset in two years (AY 24-25) as content will be integrated into the new Vista clerkship curriculum. The FTE equivalent is .05, which is rolled into the educational effort model currently. Opportunities exist for co-leaders to participate in that planning and apply for new leadership roles in the future. Please reach out to Stacy Potts, stacy.potts@umassmemorial.org if you have questions or interest.
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Announcements
Medicine Grand Rounds
Please join Medicine Grand Rounds on Thursday, December 16th at 12:00 noon for: “Caregiver: A Love Story – film screening and discussion” This film portrays the joys and challenges of caring for a person with end-stage illness with home hospice, and will be followed by discussion with the filmmaker, Jessica Zitter, MD, MPH, a critical care physician and author. If you ever wonder why patients with chronic and serious illness are trapped in a cycle of repeat readmissions (and/or can’t be discharged easily to the community), this Grand Rounds is for you. As we move towards an integrated health system at UMass Memorial Health, this documentary and discussion highlights the urgent need for community-based care and structural change to support patients and caregivers where they live. Looking forward to seeing you there!
Webinar ID: 936 3252 5280
Passcode: 935609
Volunteers needed for WFCC
Worcester Free Care Collaborative is always in need of volunteer family physicians and family nurse practitioners to support its mission to address needs of the uninsured and underinsured of our community. We also need help with pediatric vaccine program management. You fill find it fulfilling to address needs for vulnerable patients and work with highly motivated student volunteers.
Teaching of Tomorrow (TOT) - Virtual Event
After careful consideration of the current COVID surge and new guidance for safety, the TOT event will be transitioned to a livestreaming virtual event. Although we all looked forward to being together in person, the recent increase in positivity rates and the upcoming holidays lead us to be cautious of in person gatherings. Our livestream virtual event will provide the same interactive format of Teaching of Tomorrow with large and small group sessions with faculty skill building and teacher identity formation. We are sorry for the disappointment and inconvenience that this may cause. This decision was difficult but prioritizing the health and safety of our faculty and participants is paramount.
Communication Skills Training for COVID-19 Vaccination
UMass Chan Medical School is implementing multi-factor authentication (MFA) to reduce the risk of unauthorized access to information systems. MFA is a digital authentication method that requires two or more forms of verification factors before access is granted. Prior to MFA, only a valid username and password have been required. Adding a second form of authentication is a best practice. MFA registration is required for all who use UMass Chan information systems, including email. Students, faculty, and staff must register by Friday, December 17th. You will need to choose at least one secondary authentication method: a text to a mobile device; a phone call to a mobile device or landline; or an alert on the Microsoft Authenticator mobile app. Similar to our current use of the Duo app to access HR Direct, Microsoft Authenticator provides a secure method for multi-factor authentication. To learn more about multi-factor authentication and how to register, visit the MFA information page. The Help Desk will also host training sessions on Thursdays from noon to 12:30 to assist users in learning how to register. Register here for a session. By December 31st, all users will need to use MFA. If you have any questions, please contact the IT Help Desk via chat, email or phone (508-856-8653).
Mick Huppert Community Health Scholar Awards
If you are working on a community engaged initiative with a second year medical or nursing student, please reinforce for them this opportunity: For the fourth year, the annual Mick Huppert Community Health Scholar awards will be given to second year medical and graduate school of nursing students who have demonstrated a commitment to community engaged service and scholarship. Students should also have an interest in a career as a family physician or family nurse practitioner. Between two and four awards, each up to $2,500 will support awardees’ proposed community health initiatives. Medical and nursing student pairs will be considered and are encouraged. A pair would split one award. Click the link to get to the full announcement and application form. https://umassmed.edu/fmch/communityhealth/sep/mick-huppert-community-health-scholar-awards/ Applications due to Suzanne.Cashman@umassmed.edu by January 17, 2022.
White Belt Training Opportunity - Upcoming LEAN Training
UMassMemorial Health is committed to disseminate LEAN management tools to all physicians and clinicians and offer leadership development to our providers. Practicing LEAN principles enables team building and promotes respect to our fellow caregivers. It’s a platform that fosters innovation and improves the care we provide to our patients — as well as to advance our own work environment. LEAN is practiced by many caregivers in our health care system. Physicians and clinicians should be educated and have the tools needed to implement successful huddles, idea board systems and process improvement efforts. Our department will offer LEAN white belt training through two upcoming grand rounds. The first session will be a great refresher for those trained many years ago and the second session will include important updates including how to use Innovation Station. For individuals who have not done LEAN training in the past, this is an opportunity to meet the institution's requirement for white belt certification.
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January 25th, 12-1pm: LEAN White Belt: Part 2 - Innovation Station
If you are unable to make these trainings and are in need of certification, additional Lean White Belt training registration is available through E-learning 4U.
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Frankly Speaking Podcast
A weekly Podcast series covering newsworthy topics in primary care medicine.
Please join us to discuss the importance of reviewing medications and assessing for loneliness in older adults to prevent adverse events and outcomes. Overview: Older adults who suffer from loneliness may be at risk of overusing medications prescribed for pain, insomnia, depression, or anxiety. Replacing these medications with social interventions may improve outcomes and help patients avoid adverse consequences. Guest: Jill M. Terrien, PhD, ANP-BC, presents: "Older Adults and Loneliness - Avoid High-Risk Medications". - Frankly Speaking Ep 254.
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Faculty Presentations/Publications
Preventive medicine fellows Bill Christian and Ben Eovaldi presented at the NECOEM (New England College of Occupational and Environmental Medicine)/MaAOHN (Massachusetts Association of Occupational Health Nurses)annual conference in Newton MA on December 2 and 3, last week. Bill presented Characteristics of Air Quality Assessments by the Massachusetts’ Indoor Air Quality Program in Massachusetts High Schools, 2010-2020 and Ben presented Revision of the Primary Care Provider Guide for the Firefighter Medical Evaluation.
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Department Member Recognition
Jillian Joseph, MPAS, PA-C, was nominated for the Advanced Practice (AP) Leadership Award. The Award is called the Paulette Seymour-Route (Exceptional) Leadership Award and is given to an Advanced Practice Provider (NP, PA, CNS, CRNA, etc.) member who exemplifies exceptional advanced practice and leadership qualities not only within UMass Memorial Health, but also within our communities and academic setting.
Thank you to both HA Fitchburg Family Medicine and Hahnemann Family Health Center for their participation in the First Fall Step Up Competition by WOW.
- Congratulations HA Fitchburg Family Medicine on your winning the "Step Up" Competition. They walked 3,309,318 steps over 60 days.
- Hahnemann Family Health Center walked 1,004,850 over 60 days.
Thank you to both teams for being great role models.
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Clinical Services Spotlight: |
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COVID-19 UPDATES
- There are 901,430 total confirmed cases in MA; the total confirmed deaths - 19,217.
- There are 1,238 hospitalized patients with COVID, 266 are in the ICU, and 148 are intubated.
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The state has required Massachusetts hospitals to cut non-essential surgery to half due to the current COVID surge.
- The 7-day average percent positivity is 5.17%.
- Total cases have increased two-fold over the last 3-4 weeks; ICU admissions have increased by 50% in the past 2 weeks.
COVID-19 Update- UMMMC
- Today there were 158 patients with COVID-19 infection across the system, and 84 at the medical center (25 in ICU).
- 29% of recent admissions were fully vaccinated.
- The 7-day positivity rate for symptomatic patients is 13.3%; the asymptomatic test positivity has increased to about 5%.
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As a result of the high asymptomatic test and high community transmission, new guidance regarding pre-procedure testing is expected later this week.
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Visitation policy has been changed to allow 1 designated visitor per hospitalization.
Physician Advocacy in Healthcare
Congress has delayed Medicare cuts through 2022; had the legislation succeeded, physicians would have seen a 10% cut in payments.
Health Equity and Well Child Care
We are thankful for the work that was completed to improve the gap between white children and Black and Hispanic children. Because of your commitment along with all providers who take care of children, UMass was awarded the Inaugural Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity. One of our department's goals this year will be the continuation of the well-child visit initiative.
Improving Osteoporosis Care
Osteoporosis is underdiagnosed in both men and women. Osteoporosis is more common in White, Hispanic, Native American, and Asian women when compared to black women. Women are more likely to get osteoporosis than men.
The US Preventive task force recommends screening for osteoporosis in women aged 65 or older and women younger than that age who have a risk of fracture equal to or greater than that of a 65-year-old white woman. This is a Grade B recommendation.
The True North goal for this year is to increase the amount of screening for osteoporosis among non-white patients.
Long COVID Resources
- Symptoms for patients with long COVID vary. Patients present with cardiac complaints, respiratory problems such as shortness of breath, sleeping problems, cough, muscle aches, headaches, fevers, brain fog, fatigue, headaches, dizziness, anxiety, depression, and multiple GI complaints. These symptoms and more affect all ages. In some populations, up to 1/3 - 1/2 of patients who are diagnosed with COVID have persisting symptoms.
- Below are a few links related to long COVID or post COVID syndrome:
Vaccination Mandates
- Proof of Flu vaccination is due by December 15th.
- All caregivers must have completed the COVID vaccination by January 4th.
- Walk-in Flu Clinics for Care Team
Monday, 12/13/21, Memorial Campus, 7:00 am - 3:00 pm.
Tuesday, 12/14/21, University Campus – Lakeside A, 7:00 am - 5:00 pm.
Wednesday, 12/15/21, University Campus – Lakeside A, 9:00 am - 7:00 pm.
Wellness
Thank you to both HA Fitchburg Family Medicine and Hahnemann Family Health Center for their participation in the First Fall Step Up Competition by WOW.
- Congratulations HA Fitchburg Family Medicine on your winning the "Step Up" Competition. They walked 3,309,318 steps over 60 days.
- Hahnemann Family Health Center walked 1,004,850 over 60 days.
Thank you to both teams for being great role models.
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Wellness Resources
The Caring for the Caregiver Program provides resources such as the Caregiver Support Line (508-334-HELP) and The Employee Assistance Program (EAP) which offers a variety of services and supports (including virtual peer support and wellness tips. EAP can be accessed at 866-263-3525, or www.LiveandWorkWell.com, [company code UmassMemorial]. More information is available on the Caring for the Caregiver page.
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Yoga Classes with Dr. Liz Erban
New Yoga Link!
Our Yoga class hit the 1 year anniversary - which in zoomland means we need a new link. Happy anniversary yogis and much gratitude to our fearless leader, Liz!
Also, a great time to join, new members always welcome. Start your mid week with some relaxing yoga!
Please join department members for early morning gentle yoga, Wednesday mornings 6:30am via Zoom.
Join Zoom Meeting ID: 923 9393 3653 Passcode: 764113
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Zumba with Dr. Anna Zheng
Zumba Monday 6am is on hold.
On hold until the new year in 2022.
Thursdays 6:15pm: In-person or ZOOM
Please join department members Thursday evenings at 6:15pm**(30 Anna Street: tall & spacious indoor location) and get moving with Zumba. Please note details and any changes via webpage: http://annazheng.zumba.com/. ZOOM still possible for all classes.
Much appreciation to Dr. Anna Zheng for hosting these outstanding classes. New to the class? Please email Dr. Zheng at ZumbawithAnnaZheng@gmail.com to register, complete brief health screen if it's your first class and the ZOOM link.
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