June-July 2012

1

7

P7 Social Medicine

in the

Literature

Social Medicine

in the

Kitchen

9

P9 Presentations

&

Publications

P10-12

10-12

P13-14

13-14

Future Dates

Social Medicine

on the Web

15

P15

ALSO

IN THIS ISSUE

Departmental NewsDepartmental News

In The NewsIn The News

Farewells/WelcomesFarewells/Welcomes

DFSM Lobbying in AlbanyDFSM Lobbying in Albany

MonteHOP Class of 2012MonteHOP Class of 2012

Pages 2Pages 2--55

“Just the Facts” About the “Just the Facts” About the

Affordable Care ActAffordable Care Act

Pages 6Pages 6

Dear SummerDear Summer

Page 8Page 8

OpportunitiesOpportunities

Page 13Page 13

Photo by: New NYC - Bronx - Bronx Zoo

2

Departmental News

IN THE NEWS

Evening Edition News 12 The Bronx, April 25, 2012

Dr. Hal Strelnick was interviewed about the Air Quality in the Bronx

http://360mediawatch.com/download.php?vid=26406

ABC News, May 4, 2012

Therapy Dog 'Spirit', Once Abused, Eases Pain for Sick, Dying

http://abcnews.go.com/Health/therapy-dog-spirit-abused-comforts-sick-

dying/story?id=16270952

HealthDay News, June 1, 2012

Narrative Medicine Aims to Improve Physician-Patient Communica-

tion, and Care Paul Gross, MD, Department of Family and Social Medicine, discusses

narrative medicine, where physicians and other clinicians engage patients in

dialogue and storytelling to learn more about their lives, and how this prac-

tice can enhance patient care. Dr. Gross is founder and editor of Pulse:

Voices from the Heart of Medicine, a weekly online magazine that features

original nonfiction stories and poems written by doctors, other health pro-

fessionals and patients. Pulse submissions shed light on the emotionally

wrenching and inspirational moments that define the practice of medicine.

http://health.usnews.com/health-news/news/articles/2012/06/01/bridging-

the-doctor-patient-gap

MikeBloomberg.com, June 5, 2012

Mayor Bloomberg Highlights Health Impacts of Obesity Press release from the City of New York Office of the Mayor announcing

press conference held at Montefiore Medical Center on June 5 about the

potential positive outcomes which could result from limiting soda portion

sizes. Montefiore's efforts to combat obesity are recognized and Montefiore

representatives who attended the press conference are mentioned, includ-

ing: David Appel, MD, Director, School Health Program; Jessica Rieder,

MD, Director, B'N Fit Program; Peter Selwyn, MD, MPH, Chairman, De-

partment of Family and Social Medicine and Director of Community Health

and Wellness. Steven M. Safyer, MD, President and CEO; and Philip O.

Ozuah, MD, PhD, Executive Vice President, COO, Chair of Pediatrics and

Physician-in-Chief, CHAM, are quoted.

http://www.mikebloomberg.com/index.cfm?objectid=BD4E3DCD-C29C-

7CA2-F2BD49AA7F9ED450

NY 1 Noticias, Univision Ch. 41, June 5, 2012

Mayor Bloomberg Hosts Press Conference on 16+ Oz Soda Ban at

Montefiore Extensive coverage of Mayor Michael Bloomberg's press conference on the

effects of soda on obesity that was held at Montefiore, with quotes from

Philip Ozuah, MD, PhD, Executive Vice President, COO, Chair of Pediat-

rics and Physician-in-Chief, CHAM, about the numbers of children being

treated for diabetes increasing by 40%. Peter Selwyn, MD, MPH, Chair-

man, Department of Family and Social Medicine, Director of Community

Health & Wellness, was interviewed by the Hispanic TV stations.

http://360mediawatch.com/download.php?vid=27516

http://www.ny1noticias.com/content/162526/funcionarios-respaldan-

iniciativa-de-bloomberg-de-prohibir-bebidas-azucaradas-de-16-onzas

Left to right: Pretha Iyengar, PGY3

Social Peds. Chief (2011-2012); Milani

Patel PGY3; Maribelis Perez PGY3

Marlene McHugh,

FNP was focused in a

“Faculty Focus” article

in “The Academic

Nurse” The Journal of

Columbia University

School of Nursing and

It’s Alumni, Spring 2012. In the article

Palliative Care and family nurse practi-

tioner and Assistant Professor of Clinical

Nursing Marlene McHugh, DNP, DCC,

expresses her believes in that teaching

patient care across the settings is one of

the most valuable lessons she can impart

to her students.

Tuesday, June 17, 2012 during the Co-

lumbia University Nursing Graduation,

Marlene McHugh was given the Distin-

guished Faculty Award 2012.

“Department of Pediatrics

Research Day”

on April 25, 2012, CHAM

Departmental News

3

Dr. Hillary Kunins (Director, Primary

Care/Social Internal Medicine) will be

leaving Montefiore at the end of June.

After 16 years at Montefiore and more

than 5 as Track Director, she has ac-

cepted a position in New York City’s

Department of Health as Assistant

Commissioner, leading the Bureau of Alcohol and Drugs

– Prevention Care and Treatment. Dr. Kunins looks for-

ward to staying in touch with Montefiore and RPSM!

Dr. Lanny Smith, will be moving to

Boston this summer, where he has

accepted a position at Beth Israel-

Deaconess/Harvard Medical School.

Lanny has served as a core faculty

member in our program for 12 years,

leading the PC/SIM Liberation Medi-

cine Course, the OPEN-IT Clinic, Community Medicine

Journal Club – among many other activities - and has

been a role model and mentor to our residents. Consum-

mate advocate, activist, and champion for our patients

and communities, we will miss Lanny very much!

Dr. Elliot DeHaan will be leaving at

the end of June. Dr. DeHaan came to

Montefiore as a PC/SIM core faculty

member two years ago. He has been

instrumental in developing our link

with Bronxworks’ supportive housing

facility, The Brooke, and developing a medical and edu-

cational program there. Dr. Andrea Card will be continu-

ing the program at The Brooke. Dr. DeHaan also initiat-

ed a treatment program for patients with chronic Hepati-

tis C infection at CHCC, which will be continued under

the leadership of Dr. Laura Guderian.

We would like to welcome the new Primary

Care/Social Internal Medicine leadership

team:

Drs. Linnea Capps and Lauren Shapiro

(Montefiore’s own) will take on the roles of Interim

Co-Program Directors. Dr. Capps will bring with her

many years of experience and leadership, global

health work and advocacy, including as President and

CEO of Doctors for Global Health, Program Director

for Internal Medicine Residency at Harlem Hospital,

Director of Division of General Internal Medicine at

Harlem Hospital, and as a clinical educator.

Dr. Lauren Shapiro is a 2008 graduate of the Primary

Care/Social Internal Medicine Program. Following

graduation, she served as Chief Resident of Firm III in

the Internal Medicine Program, and since then, has

served as the Assistant Firm III Director. Dr. Shapiro

will bring an intimate knowledge of the program, out-

standing organizational and educational skills, and

commitment to residency education and leadership.

Her enthusiasm for PC/SIM and for our residents is

unparalleled.

Melissa Bender will join PC/

SIM as Associate Program Di-

rector. Dr. Bender joins us from

NYU, where she has worked for

the last 2 years as a clinician,

researcher, and as a teacher of

clinical epidemiology. Melissa

was a Clinical and Research Fel-

low at MGH/Brigham in Infectious Diseases (04-07),

received an MPH in Clinical Effectiveness at Harvard

(09), and had conducted studies on TB and HIV in

low resource settings.

Farewells Welcomes

Departmental News

4

C ongratulations to the many residents who spent the day in Al-

bany meeting with dozens of State Senators and Assembly

members asking them to co-sponsor the NY Medicare-for-all

Single Payer Bill.

Thanks to Asiya Tschannerl and Laurie Wen of PNHP for being a

chief organizers of the event, Matt Anderson for facilitating the logis-

tics, the photographer Bhavik Kumar, and to all the DFSM leaders

who created flexibility in schedules to help this happen. (As an FYI,

this was done as part of Health Systems course, though many resi-

dents who were not in the HS course made space in their schedules to

join the event)

Senator Duane and Assembly Member Gottfried loved the blizzard of

white coats behind them

—Dan O’Connell, MD

Here we are with Hilarious and Historic State

Senator Tom Duane (chief sponsor of NY

Marriage Equality law) and brilliant Health

Care Stalwart Assemblyman Richard Gottfried.

DFSM Lobbying in Albany for Single Payer

Departmental News

5

Please Welcome Our MonteHOP Class of 2012

Tiffany Reid

Quinnipiac University

Lisa Constantine

Long Island University Reisha Armstrong York College CUNY

Morgan Betancourt Monsignor Scanlan

High School

Jafar Ali University of Buffalo

Alexis Dyer Kingsborrough

Community College

Angela Lopez Mercy College

Jihan Maria Mercy College

Indra Nandalalla Lehman College

Stephanie Nava Manhattan College

Uyen Nguyen Harry Truman High

School

Nicolette Nuñez Fordham University

Marina Ovanesyan Fordham University

Giancarlos Oviedo Leman College

Jesus Rodriguez Iona College

Edwin Rosendo Cornell University

Saba Solomon SUNY New Paltz

Tyeshawn Thigpen Lehman College

Coordinators

Tianna John

Lehman College

Hugo Ortega

St. Johns University

6

I grew up watching the TV classic Dragnet, which ran

on NBC from 1951 to 1959 and then from 1967 to

1970. Each episode opened with a dramatic four-note

brass-and-tympani musical theme and the warning,

“The story you are about to see is true. Only the names have

been changed to protect the innocent.” I still quote producer

and actor Jack Webb’s Sergeant Joe Friday, whose inter-

views with witnesses were punctuated with “Just the facts,

ma’am, just the facts!”

After listening to the news coverage and audiotapes of the

unprecedented three days of U.S. Supreme Court hearings

on the constitutionality of the Affordable Care Act—all re-

lated to speculations about what might happen in 2014 and

beyond (when the government might even mandate broccoli

consumption, according to one justice)—I began to hear

Sergeant Friday’s gravelly voice: “Just the facts, ma’am!”

I thought you might be interested in what the Affordable

Care Act (ACA) has actually already done in the two years

since President Obama signed it into law on March 23, 2010

(with apologies to Harper’s Magazine’s “Index”):

• Individuals with preexisting conditions who now have

secured health insurance: 48,879

• Children with preexisting conditions protected against

health-insurance denials: 17,600,000

• Insured patients who received preventive services without

co-payments or deductibles: 54,000,000

• Medicare patients who received such co-payment- and

deductible-free preventive services: 32,500,000

• Seniors who used new Medicare pharmacy bene-

fits: 3,600,000

• Average annual savings in prescription-drug costs for the-

se seniors: $604

• Increase in senior participation in Medicare Ad-

vantage: 17%

• Reduction in premiums for Medicare Advantage: 16%

• Insured individuals who no longer have lifetime coverage

limits: 105,000,000

• Individuals whose insurance companies must now devote

80% of their income to paying for healthcare: 76,000,000

• Small businesses receiving tax credits for providing health

coverage for their employees: 360,000

• Small-business employees receiving health insurance sup-

ported by these tax credits: 2,000,000

• States already building health-insurance exchang-

es: 33 (plus the District of Columbia and, as of April 12,

2012, New York)

• Federally recognized Accountable Care Organiza-

tions: 32 Pioneers; 27 added on April 10, 2012; and 150 in

the application pipeline (Montefiore is the only Pioneer in

New York)

• Medicare and Medicaid fraud prosecutions in

FY2011: 1,430

• Increase in such prosecutions compared to FY2008 with

tools provided by the ACA: 74%

• Correction in the 10-year projection for deficit reduction

by the Congressional Budget Office for the impact of the

ACA: $50,000,000,000 more than the original projection

of $143,000,000,000

Source: U.S. Department of Health and Human Services

Whenever I lecture on what the ACA does now and plans

for the future, I always first ask my audience members, pri-

marily health and social-service professionals, to raise their

hands if they understand the law. Never are more than one

or two hands raised. According to tracking polls by the Kai-

ser Family Foundation, opinions are strongly and equally

divided for and against the law and largely unchanged since

its passage. From the poll:

• Americans who believe the U.S. Supreme Court has al-

ready overturned the ACA and believe it is no longer law:

14%; those polled who don’t know: 28%

• Americans who say they have not been personally affect-

ed by the ACA: 67%

As the facts above show, the ACA has already had a huge

impact. To adapt a familiar phrase, never have so many felt

so strongly based on so little information. And never have

the benefits of legislation been so invisible to the public.

“Just the Facts” About the Affordable Care Act

By Hal Strelnick , MD

Social Medicine in the Literature...

7

Patients With Multiple Chronic Conditions:

Ubiquitous, and Poorly Served

People with two or more chronic disorders — multimorbidity — are often not well served by a healthcare sys-

tem focused on single disease entities. How prevalent is multimorbidity in the general population?

In a study about to be published in the Lancet, researchers used national primary care data to identify 40 com-

mon chronic physical and mental conditions in 1.7 million patients in Scotland. Forty-two percent had at least

one morbidity; of those patients, 55% had multimorbidity, and 20% had physical and mental health multimor-

bidity. Multimorbidity rose markedly with age, although most multimorbid patients were younger than 65.

Adults younger than 65 in the poorest socioeconomic decile had rates of multimorbidity equivalent to those of

people 10 to 15 years older in the most affluent decile.

Mental health disorders were present in 36% of patients with multimorbidity and were more common in those

with more multimorbid conditions. The socioeconomic gradient for physical and mental health multimorbidity

was steeper than that for multimorbidity in general; after adjustment for age, physical and mental health multi-

morbidity was more than twice as prevalent among the poorest decile as in the most affluent decile.

Comment: Although patients with multimorbidity disproportionately use clinical services, their care is often

fragmented, poorly coordinated, potentially unsafe, and unnecessarily costly, and their circumstances are inad-

equately addressed in professional training, research, and clinical guidelines. Primary care providers are

uniquely qualified to treat patients with multimorbidity, but — particularly in poor communities — primary

care panels are too large and visits too brief to adequately address this need. Academic primary care physi-

cians--and adequate funding-- are needed to develop the educational programs and research needed to improve

the quality of care for this large and complex population.

The prevalence of multimorbidity makes a powerful epidemiologic case for the essential role of generalist

physicians in improving the health of communities. And the prevalence of physical and mental health multi-

morbidity argues strongly for the tight integration of mental health professionals into primary care teams. The

epidemiology of multimorbidity in the U.S. is probably not much different from that in Scotland. Knowledge

of this epidemiology should help us advocate for and develop the more robust and comprehensive primary care

services our patients require.

Lancet 2012 May 10 (article and editorial published on-line ahead of print)

http://www.lancet.com/journals/lancet/article/PIIS0140-6736(12)60240-2/fulltext

A slightly different version of this article is scheduled for publication in "Journal Watch General Medicine" in

June.

—Bruce Soloway, MD

Dear Summer

8

111 Wear Sunscreen

Wearing sunscreen is an important

summer safety tip. Getting sunburned

is not comfortable and is definitely unhealthy

for your skin. Skin cancer is very common in

people that get sunburned too much. Wear

sunscreen so you can protect your skin from

damaging your skin.

222 Stay Hydrated

Drink plenty of fluids and stay hydrat-

ed during the hot summer months.

Drinking water, gatorade, lemonade and iced

tea are popular cold drink choices during the

summer. It is important to drink enough so

you don't get dehydrated.

333 Stay Cool

Staying cool is important during sum-

mer. You may want to cool off inside

your home or in a store. Sometimes the fore-

cast may recommend that you stay indoors

because of the extreme heat.

4 Get Outside

Yes, getting outside is an important

summer safety tip. It is important for

your health to get a breath of fresh air every

once in a while. Getting outside for a physical

activity is very important.

555 Dress For the Weather

Heat stroke is very common if you are

outside in the heat for too long. If you

dress for the weather it is helpful for you to

keep cool. Wearing shirts, tank tops and shirts

will keep you cooler than wearing pants and

long sleeved shirts.

1. Wilma Burgos “Un Verano en NY” By El Gran Combo

http://youtu.be/Xq3t3GLMwJU

2. Josephine Byfield “Umbrella” By Rihanna

http://youtu.be/CvBfHwUxHIk

3. Paul Gross “In The Summertime” By Mungo Jerry

http://youtu.be/zc9wIzi96_E

4. Rose Guilbe “Sail Away” By Earth, Wind & Fire

http://youtu.be/L4036Bw7_2Q

5. Angela Jeffers “Summertime” By DJ Jazzy Jeff & The Fresh

Prince http://youtu.be/Kr0tTbTbmVA

6. Star Lyles “It’s a Beautiful Morning” By The Rascals

http://youtu.be/WrwhfhncPfM

7. Tami Rivera “Cruel Summer” By Bananrama

http://youtu.be/5n6chxpEINs

8. Jenna Scholnick “American Pie” By Don Mclean

http://youtu.be/Y0Y_XRiJsCI

9. Reene Shanker “Summer Time” By Ella Fitzgerald & Louis

Armstrong http://youtu.be/MIDOEsQL7lA

10. Nicole Towolawi “Turn!Turn! Turn!” By The Byrds

http://youtu.be/W4ga_M5Zdn4

Minted Mango Tea Makes: 6 servings

Serving size: 8 ounce

Prep: 10 mins Cool: 1 hr

Ingredients

1 cup chopped refrigerated mango slices

1 cup pineapple juice

8 green tea bags

2 mint sprigs

4 cups boiling water

1 - 2 tablespoons sugar

Ice cubes

Directions

1. Place the chopped mango and pineapple juice in a blender

container or food processor bowl. Cover and blend or process

until smooth. Cover and refrigerate the pureed mixture.

2. Meanwhile, in a large glass bowl, pour boiling water over the

tea bags and mint sprigs. Cover and let steep 5 minutes. Re-

move and discard the tea bags and mint sprigs. Cool, cov-

ered, for 1 hour. Chill for 2 hours.

3. Transfer the chilled tea to a 2-quart pitcher; add the pureed

mango mixture and sugar. Stir until the sugar is dissolved.

4. To serve, pour the tea mixture into ice-filled glasses. Garnish

each glass with an additional mango slice and a pineapple

star. Makes 6 (8-ounce) servings.

Nutrition Facts (Minted Mango Tea)

Servings Per Recipe 6,

Calories 66,

Carbohydrate (gm) 16,

Vitamin A (RE) 52,

Vitamin C (mg) 18,

Sodium (mg) 4,

Calcium (DV %) 10,

Iron (DV %) 1,

Percent Daily Values are based on a 2,000 calorie diet

Yoga: If you have never done a sun saluta-

tion, check these out

http://yogasite.com/sunsalute.htm

they are deceivingly intense... starting your

days off with some of these will create inner

Summer Time Play List From OurSummer Time Play List From OurSummer Time Play List From Our Faculty & StaffFaculty & StaffFaculty & Staff

Summer DrinkSummer DrinkSummer Drink

Summer Safety TipsSummer Safety TipsSummer Safety Tips

Summer Workout Summer Workout Summer Workout

Social Medicine in the Kitchen...

Serves 8

Photo and recipe adapted from:

http://www.eatingwell.com/recipes/sausage_gumbo.html

Serves 4-6

Modifications

1. Got another can of beans on hand? Substitute another bean for

chickpeas to use what’s in your pantry.

2. Add variety! Use half okra, half Brussels sprouts.

3. Make it a meal. Serve over brown rice for a hearty vegetarian

main course!

Photo and recipe adapted from:

http://www.epicurious.com/recipes/food/views/Curried-Okra-with-

Chickpeas-and-Tomatoes-232795

9

Recipe Submitted by: Ann Votaw & Renee Shanker

Ingredients

1 1/4 lb small fresh okra, trimmed: cut

off bottoms, leaving the tops intact (be

careful not to cut into pods)

1 1/2 tablespoons vegetable oil

1 medium onion, chopped

2 garlic cloves, finely chopped

4 teaspoons finely chopped peeled

fresh ginger

2 teaspoons curry powder

1 (15-oz) can chickpeas, drained and rinsed (2 cups)

14 to 15 oz can diced tomatoes in juice

2/3 cup water

3/4 teaspoon salt

1/4 teaspoon black pepper

Ingredients

12 ounces hot Italian turkey sausage

links, removed from casings

2 teaspoons olive oil

1 large onion, diced

4 cloves garlic, minced

1 teaspoon Cajun seasoning

2 tablespoons all-purpose flour

4 cups chopped tomatoes

4 cups reduced-sodium chicken broth

2 1/2 cups okra, trimmed and chopped

3/4 cup instant brown rice

1 bunch scallions, trimmed and sliced

Curried Okra with Chickpeas

Direction:

1. Heat oil in large heavy skillet over medium high heat until-

hot. Add onion, garlic with ginger and curry powder to

skillet. Sauté, stirring, about 2 minutes.

2. Add chickpeas, tomatoes and water and bring to a boil,

uncovered.

3. Stir in okra, salt, and pepper. Cook, stirring occasionally,

until okra is tender, about 10 minutes.

Key Points

Choose bright green pods, about 3-4 inches long that are firm

and moist. Avoid okra that is spotted, moldy, limp or dry.

Store okra in a plastic bag in the refrigerator up to 2-3 days.

Wash well in cold water just before using.

Cook okra with acid like lemon juice, tomato, or vinegar, to

keep it from getting slimy

Sausage Gumbo

Directions 1. Cook sausage in a large soup pot over medium-high heat,

breaking it up into small pieces with a wooden spoon, until

cooked through, about 5 minutes. Transfer to a medium bowl

lined with paper towels to absorb excess fat.

2. Return the pan to medium-high heat and add oil. Add onion and

cook, stirring often, until translucent, about 2 minutes. Add

garlic and Cajun seasoning and cook, stirring often, until fra-

grant, about 30 seconds. Add flour and cook, stirring to coat the

vegetables, until the flour browns, about 1 minute. Add toma-

toes and cook, stirring occasionally, until they begin to release

their juices, about 2 minutes. Stir in broth, cover, increase heat

to high and bring to a boil. 3. Return the sausage to the pan, along with okra and rice; reduce

the heat to a simmer. Cook until the okra is heated through and

the rice is tender, about 10 minutes. Serve sprinkled with sliced scallions, if using.

Health Benefits of Okra

Low calorie: ½ cup of okra has only 25 calories.

Okra contains antioxidants which protect the body from illnesses

such as heart disease and cancer.

Okra is a good source of vitamins, minerals, and fiber. It has:

Vitamin C—for wound healing, fighting off illness, and keeping

gums healthy

Folate—needed to make red blood cells and for metabolism.

Especially important for women of child-bearing age or who are

pregnant to support proper spinal cord and brain development

Fiber—helps with digestion, weight loss/maintenance, and can

lower cholesterol

Publications

Blais C, Selwyn P, Tucker R, Hutton N, Merlin J. Pallia-

tive Care for Patients With HIV: Challenges and Controver-

sies . Journal of Pain and Symptom Management. Feb

2012;43(2):406-407.

Bonuck K, Freeman K, Chervin R, Xu L. Sleep Disor-

dered Breathing in a Population-Based Cohort: Behavioral

Effects at 4 and 7 years. Pediatrics 2012 Apr: 129(4):e857-

865.

Bonuck K, Grant R. Sleep Problems and Early Develop-

mental Delay: Implications for Early Intervention Programs.

Intellectual and Developmental Disabilities. Feb 2012;50

(1):41-52.

Freeman K, Bonuck K. Snoring, mouth-breathing, and ap-

nea trajectories in a population-based cohort followed from

infancy to 81 months: A cluster analysis. International Jour-

nal of Pediatric Otorhinolaryngology. Jan 2012;76(1):122-

130.

Herbitter C, Greenberg M, Fletcher J, Query C, Dalby J,

Gold M. Family Planning Training in U.S Family Medicine

Residencies. Family Medicine 2011 Sep: 43(8):574-581.

Lucan SC, “This is Progress?”, Families, Systems and

Health. 2011, Vol. 29, No. 4330.

Milan FB, Dyche L, Fletcher J. “How am I doing” Teach

ing Medical Students to Elic It Feedback During Their

Clerkships. Medical Teacher, 2011:33(11):904-910.

O'Callaghan K, Moadel A, Blank A, Rainone F, Kolidas

E, Martinez M. The Voice of the Hispanic Cancer Patient:

Is it Being Heard? A Psychosocial Needs Assessment.

Psycho-Oncology. Feb 2012;21:32-33.

Rubin SE, Davis K, McKee MD. Providing Long-Acting

Reversible Contraception to Adolescents: What are Urban

Primary Care Providers Thinking? Journal of Adolescent

Health. Feb 2012;50(2):S14-S15.

Voskanian A, Merlin J, Selwyn P. HIV/AIDS: Past, Pre

sent, and Future. Journal of Pain and Symptom

Management. Feb 2012;43(2):359-359.

Presentations

Sean Lucan. 4/13/12 Invited lecture for Health Disparities

Workshop Series: “Food environments and the urban under-

served: food deserts, swamps, oases: disparities”, Underserv-

ed/Urban Health Program, College of Medicine University

of Illinois, Urbana-Champaign, IL

Sean Lucan. 5/15/12 Invited lecture: “Measuring the food

environment: approaches, challenges, and future directions”,

health geography course in MPH program at The Dartmouth

Institute and Geography program at Dartmouth College,

Hanover, NH

Victor Sidel, Barry Levy 5/11/12. “The Health Conse-

quences of the ‘War on Terror’: Lessons for the Future” Pro-

gram in Science and Global Security, Woodrow Wilson

School of Public and International Affairs. Princeton Uni-

versity.

Recent Publications & Presentations

10

STFM 45th Annual Spring Conference

April 25-29, 2012

Seattle, Washington

“Advocacy for Reproductive Health: Successes and Challenges.”

Sharon Phillips, Dana Schonberg, Lin-Fan Wang, Marji Gold.

“Addressing LCME and ACGME Requirements: Adapting a Tool

for Medical Student Assessment of Resident Clinical Teaching.”

Pablo Joo, Lisa Baron, William Jordan, Ellen Tattleman, Ma-

ria T. Santos, Jennifer Purcell.

“Ambivalence About Pregnancy Planning: A Qualitative Study of

Providers and the Women They Counsel.” Sarah Miller, Ariana

Bennett, Marji Gold.

“Bringing Lesbian, Gay, Bisexual and Transgender Medical Edu-

cation Into the Mainstream: Competencies, Resources, and Collab-

oration” Abbas Hyderi, Keisa Bennett, Anita Brakman, Shelly

Henderson, Cara Herbitter, Jae Truesdell.

“Contraceptive Needs of Women Incarcerated at Rikers Island Jail

Complex” Dana Schonberg, Ariana Bennett, Marji Gold.

“Countering Misinformation From Crisis Pregnancy Centers: Is-

sues for Resident and Patient Education.” Marji Gold, Dana

Schonberg, Lin-Fan Wang, Finn Schubert, Cara Herbitter.

“Creating Development Milestones in a Family Medicine Residen-

cy Program” Mary Duggan.

“Determining Resident’s OMT Comfort Contraceptive Needs of

Women Incarcerated at Rikers Island Jail Complex.” Dana

Schongerg, Ariana Bennett, Marji Gold.

“Equal or Same? Responding to Differences in Education for Male

and Female Residents.” Heather Paladine, Janice Spalding, Viv-

iana Martinez- Bianchi, Marji Gold, Roberta Gebhard, Lisa

Singh.

“Implementing Group Well-child Visits as an Alternative to the

Individual provider Model.” Elizabeth Alt, Margaret Rosen-

berg, Carol Mendez, Alice Teich, Rebecca Williams.

“Lost in Translation: Examining Impact of Electronic Health Rec-

ords on Family Systems and Biopsychosocial Integration.”

Anu Kotay, Eliana Korin, William Jordan, Mary Duggan.

“Mystery in Medicine: Comfort With the Unknown.” Ellen Tat-

tleman, Margaret Rosenburg, Marji Gold.

“Representations of Abortion in Pop Culture: Helping Learners

Develop Media Awareness and Teaching Skills.” Marji Gold,

Dana Schonberg, Lin-Fan Wang, Cara Herbitter, Finn Schu-

bert, Ariana Bennett.

“Self-Portrait of a Teacher: Writing a Teaching Philosophy.” Ha-

rini Kumar, Lisa Lapman, Jennifer Purcell, Stacia Maher,

Ellen Tattleman.

“Social Medicine and Physician Activism in the Era of Occupy

Wall Street.” Asiya Tschannerl, Himabindu Ekanandham, Ern-

esto Guevara, Angelina Shigura, Roona Ray, Jun Mitsumoto,

Matthew Anderson, Manisha Sharma, Alisha Liggett, Dan

O’Connell, William Jordan.

“Strong, Black, and Hurting—Eliminating the Disparity.”

Michelle St. Fleur, Tanya White-Davis, Eliana Korin.

“The Benefits of Fellowship Training for New Behavioral Science

Educators.” Deborah Taylor, Victoria Gorski.

“The Three Cs for Developing a Psychosocial Curriculum: Con-

text, Content, Competencies.” Eliana Korin, Victoria Gorski.

“Training Family Physicians to Provide HIV Care in the Medical

Home” Peter Selwyn, Carolyn Chu, John Nusser, Clay Roscoe,

David Spach.

“Where is the Family in Family Medicine? A National Survey of

Family Medicine Residency Programs.” Eliana Korin, Nancy

Newman, Amy Odom.

“Williamsbridge Wellness Initiative: A Patient Survey in the

Bronx, NY.” Ruth Chritoforetti, Mark Polisar.

“Working Part Time in Academic Family Medicine: A Panel Dis-

cussion” Sarina Schrager, Tracy Juliao, Marji Gold, MD, Mari

Egan, Cheryl Seymour.

Recent Publications & Presentations

11

SGIM 35th Annual Meeting

May 9-12, 2012

Walt Disney World Swan & Dolphin Resort

Orlando, Florida

Labor: Not Your Typical Pain in the Neck. Lauren

Shapiro; Maeema Ginwala.

Beyond the Themes: Applying Best Practices in Quali-

tative and Mixed Methods Research from Grant Prepa-

ration to Meaningful Translation. Marcella Nunez-

Smith; Palav Babaria; Chinazo Cunningham; Leslie

Curry; Calie Santana; Karen Wang

Urine Drug Testing in Primary Care Settings: Practical

Considerations for Clinicians and Educators. Eliza-

beth Warner; Jane Liebschutz; Emily Lorch; Joan-

na Starrels; Melissa Weimer

Relative Influence of Physicians versus Patients in

Measures of Diabetes Control. Calie Santana; Joseph

Deluca; Elisabeth Ihler; Marta Rico; William

Southern; Yuming Ning.

Sign-out; What really goes on? Lauren Shapiro; Na-

talie Zelta; Kevin Hauck; Joseph Deluca; Hillary

Kunins.

Hydronephrosis in a healthy 40 year old: what’s the

role of routine screening? Christian Suarez-Fuentes;

Ashwin Sridharan; Ari Kriegsman; Lauren Shapiro.

A Questionable Clot. Samuel E. Cohen; Manuela

Calvo; David de Gijsel.

Foraging for Liver Failure. Alvin Htut; Lauren

Shapiro.

Improvements in Diabetes Quality Over Time Are As-

sociated with Differences in Payer Mix, Teaching Sta-

tus, and the Presence of Diabetes Personnel in a Large

Urban Ambulatory Network. Calie Santana; James

Grigg; Yuming Ning.

They don’t know what they don’t know: Internal medi-

cine residents’ knowledge and confidence in urine drug

test interpretation for patients with chronic pain. Joan-

na L. Starrels; Aaron Fox; Hillary Kunins; Chinazo

Cunningham.

Does Transition to a Patient Centered Medical Home

effect Teamwork and Burnout at Residency and Non-

Residency Clinics Similarly? Erin J. Goss; Jason

Fletcher; Claudia Lechuga; Paul Meissner; David

Lounsbury; Arthur Blank; Diane McKee.

An 8-Module Intern Night Float Curriculum: Enhanc-

ing the Educational Value of Intern “Night Float” and

the Teaching Skills of Senior Residents. Erin Goss;

Danit Arad.

Update in Addiction Medicine. Adam Gordon; Hilla-

ry Kunins; Darius A. Rastegar; Jeanette M.

Tetrault; Alexander Y. Walley

Teaching Transitions of Care Through Home Visits

Linda DeCherrie; Bruce Konosian; Justin

Lafreniere; Rachel Miller; Ania Wajnberg; Christi-

Recent Publications & Presentations

12

13

Opportunities

UCSF Family and Community Medicine

Director of UCSF-SF General Hospital Family

Medicine Residency Program The Department of

Family and Community Medicine at the Universi-

ty of California San Francisco seeks a Family

Physician for faculty appointment as the Director

of the UCSF Family Medicine Residency Pro-

gram at San Francisco General Hospital. Founded

in 1972, the residency has trained over 400 family

physicians and is expanding to a 15-15-15 pro-

gram. The Residency Program’s mission is to

prepare Family Physicians to care for patients and

families in urban underserved areas.

The candidate must be a board certified Family

Physician with at least 5 years experience in a

leadership position in residency and/or predoctor-

al medical education programs in family medi-

cine, including development of curricular innova-

tions, demonstrated excellence in teaching, and

strong commitment to the care of underserved

populations and workforce diversity. The ideal

candidate will also have experience in scholarly

activity, faculty development, and successful ac-

quisition and management of educational grants.

The Program Director appointment will be at the

Associate or Professor rank in the Clinical X or

HS Clinical Professor series.

UCSF seeks candidates whose experience, teach-

ing, research, or community service has prepared

them to contribute to our commitment to diversity

and excellence. UCSF is an Equal Opportunity/

Affirmative Action Employer. The University

undertakes affirmative action to assure equal em-

ployment opportunity for underrepresented minor-

ities and women, for persons with disabilities, and

for covered veterans. All qualified applicants are

encouraged to apply, including minorities and

women.

By May 31st, candidates should submit an elec-

tronic CV and a statement of interest to:

George Saba, PhD,

Search Committee Chair

Gsaba@fcm.ucsf.edu

Residency Director Position

Family and Community

Future Dates

Save the Date: Join us at the next DGH Annual Gen-

eral Assembly as we explore this year's

theme:

"Challenging Scarcity: Health Justice

for All."

Keynote Speakers:

Heidi Behforouz, MD, Director of

PACT Project, Partners in Health

M. Brinton Lykes, PhD, Associate

Director of the Center for Human

Rights and International Justice, Profes-

sor of Community/Social Psychology,

Boston College

Panel Discussions:

Themes of Music & Arts, Local Activism, Occupy Health, Youth and Compli-

mentary & Alternative Medicine.

Other Activities: Video contest winners announcement and showing

(First prize: Video reporting trip to document one of our

partner communities).

Live music Saturday night.

Silent auction of a wide cultural range of handicrafts

from rural India and El Salvador.

Where? Simmons College in Boston, MA

When? August 11-12, 2012

If you plan to attend the GA, you can order personalized wood crafts hand made

by Santa Marta's Youth Group. Your items will be delivered to you at the GA in

Boston.

Stay tuned for more details and

registration. In the meantime, experience some

of the last DGH General Assem-

bly by reading the live blogs post-

ed during the conference.

Future dates continue next page

DGH 2012 Video Contest-July 12th Deadline

Doctors for Global Health (DGH) is

conducting it's first ever video contest

Challenging Scarcity: Health Justice

for all. We are inviting individuals and/

or groups to submit an original and

creative video exploring their vision of

scarcity today in support and in cele-

bration of health justice.

http://dghonline.org/videocontest

Future Dates

For our next issue

coming in August

Social Medicine Rounds

Every 2nd & 4th Tuesday of the Month—4:30-6PM

3544 Jerome Ave, 3rd flr conference room

For more info go to: www.socialmedicine.info

June July August September

06/12 07/10 08/14 09/11

06/26 07/24 08/28 09/25

October November December

10/09 11/13 12/11

10/30 11/27 12/25

Grand Rounds Every 1st & 3rd Friday of the Month—8:00-9AM

—Internet Broadcast: Montefiore Family Health

Center, 3rd fl. Conf. RM

—Williamsbridge Family Practice-Precepting Room

—Moses Family Inpatient Unit- NW7 Conf RM

June July August September

06/01 07/06 08/03 09/07

06/15 07/20 08/17 09/21

October November December

10/05 11/02 12/07

10/19 11/16 12/21

Upcoming Events Residency Program in Social Medicine Class of

2012

Graduation Ceremony

Saturday, June 23, 2012

5:00PM

DAVENPORT CLUB

400 Davenport Avenue

New Rochelle, New York 10805

Semi-Formal Attire

Faculty/Administrators - $25 per person.

Residents/Staff/Nursing - $15 per person.

For tickets, please contact: Star Lyles

3544 Jerome Ave 2nd Floor - 718 920-5521

14

Third People’s Health Assembly (PHA3) - Cape Town

July 6-11, 2012

After travelling from Bangladesh (2000) to Cuenca

(2005), the People’s Health Assembly will land in Cape

Town South Africa! We look forward welcoming you all

from 6 to 11 July 2012 to celebrate the movement and find

a way forward in achieving Health For All! Register now!

Third People's Health Assembly website

RPSM New Intern Welcome June 26, 2012

4:30-6PM

Location:

Park across the Street from 3544 Jerome Ave

Social Medicine on the Web... "

Social Medicine / Medicina Social

The Social Medicine Portal An Alternative to Corporate Health

Social Medicine Portal, a project developed by faculty mem-

bers of the Department of Family and Social Medicine of the

Albert Einstein College of Medicine. The portal contains links

to websites, documents and presentations devoted to social

medicine. Our goal in creating this site is to link together the

diverse international community of people working in social

medicine and health activism. We encourage visitors to e-mail

us materials for inclusion.

http://www.socialmedicine.org/

Social Medicine is a bilingual, academic, open-access journal pub-

lished since 2006 by the Department of Family and Social Medi-

cine at Montefiore Medical Center/Albert Einstein College of

Medicine and the Latin American Social Medicine Association

(ALAMES). Registration with the journal is not necessary to read

the content.

http://www.socialmedicine.info/index.php/socialmedicine

Pulse on the Move

Pulse--voices from the heart of medicine, the weekly online publication created by DFSM in 2008 continues to attract new read-

ers from around the world. Our weekly circulation will soon top 7,000.

Every Friday, Pulse e-mails its readers via e-mail a first-person story or poem about health care. These pieces are personal and

compelling--and written by patients, healthcare professionals and students alike, providing a rare forum where all those who are

a part of health care can share our experiences on an equal footing.

Because of their power and authenticity, Pulse stories are circulated by organizations like the IHI (Institute for Healthcare Im-

provement) and picked up by websites like Kevin MD; Pulse has been featured in the Wall Street Journal, Washington Post and

Los Angeles Times.

Dr. Donald Berwick, Administrator of Medicare and Medicare Services, spoke for many when he said, "I not only read Pulse, I

adore it... The supply of compelling, often poetic accounts is the best around."

Larry Dyche and Justin Sanders have published stories in Pulse. So have Jenny Reckrey and Joanna Dognin, as well as a num-

ber of Einstein students. Perhaps you have a story you'd like to tell?

If you don't receive Pulse and would like to, simply visit our website: www.pulsemagazine.org and click on "Become a

Friend." It's easy to sign up--and it's free!

—Paul Gross, MD

Editor in Chief, Pulse

15

Helping Students Succeed in Health Careers

Montefiore’s Health Opportunities Program (Monte H.O.P.) is a

summer enrichment program for students from economically or

educationally disadvantaged backgrounds and/or from groups

typically considered underrepresented in the health care fields.

http://www.montehop.org/

MONTE H.O.P

DFSM Newsletter is produced by the

Department of Family and Social Medicine at

Montefiore Medical Center

Editor/Designer Deyanira Acevedo

(718) 920-7519

deaceved@montefiore.org