University of Illinois at Chicago Department of...

University of Illinois at Chicago Department of Family medicine Newsletter

APRIL 2014

The UIC Department of Family Medicine and the Illinois Academy of Fam-ily Physicians (IAFP) teamed up to hold the first annual Chicago Essential Evidence conference on April 11-12, 2014 at the UIC MBRB Herman Au-ditorium. Speakers included:

*John Hickner, MD, MSc., Department Head and Professor of Family Medicine, UIC *Mark Ebell, MD, MSc., Associate Professor Epi-demiology and Biostatistics, University of Georgia *Richard Stringham, MD, Director of Medical

Student Education, Assistant Professor of Clinical Family Medicine, UIC *Abbas Hyderi, MD, MPH, Associate Dean for Undergraduate Medical Education, College of Medicine Associate Professor of Clinical Family Medicine, UIC *Mary Ulery, MS, APN, WHNP-BC, Clinical Instructor, College of Nursing Department of Women, Children, Family Health Science, UIC Testimonials from conference attendees:

“It was great to be presented unbiased evidence that was important and practical. And presented with the presenters and the audience having some personality. Again, the best CME I have attended in 25 years. Kudos to you.” “Let me congratulate you and your fellow colleagues on an excellent job last Friday and Saturday at UIC. The day and a half was filled with evidence-base materials that could and should be used in our daily practices as Family Practitioners.”

Inside this issue:

Arrivals and Departures... 2

Residency... 5-6

Medical Student Education... 7

Research... 8-9

Global Community Health Track... 10-11

Announcements... 12

Clinic news... 3-4

APRIL 2014


ARRIVALS

Yan Xing Research Specialist

We wish Sandy Young, Associate Director of Clini-

cal Operations, luck in her new position in

the MSP office!

Dr. Mariya Dmytriv Assistant Professor of Clini-

cal Family Medicine re-signed in January 2014 to do

some work in the Ukraine and dedicate more time to

her private practice in Ukrainian Village.

Dr. Krupa Patel Assistant Professor of Clini-

cal Family Medicine

Dr. Kameron Matthews Miles Square Medical

Director

DEPARTURES

Barbara Schechtman Director of MATEC will be retiring this summer, after over 25 years of service.

Congratulations!

From left to right:

MATEC Barbara Schectman (25 years),

Ricardo Rivero (10), Anne Marie Fosnacht (5)

DFM

Brian Dudkiewicz (15), Rik Stringham (5), Sandy Young (15),

Maria Albright (20), Liz Hawes (10)

Catherine Newquist-Dejesus

Program Assistant for Faculty Development

and Research

We wish Liz Hawes Asso-ciate Director of Adminis-

trative Operations, luck in her new position in

the CCTS office!

2013 Employee Service Awards

APRIL 2014


Clinic News Clinic Volume

Despite a January hampered by extreme weather, patient volume for University Village Center is still above last year’s levels by 5%. New faculty and additional resident clinics due to the residency expansion have contributed to increased capacity. Expanded hours have also helped improve access to appointments. Thanks to Brian Dudkiewicz (top left) and Sandy Pfantz (top right) for the Friday 7 AM appointments and to Ariel Leifer (bottom left) and Matthew Johnson (bottom right) for the 9 PM closing on Tuesdays and Thursdays. Thanks also to all the staff who adjust their hours to provide this access for patients. These appointments are very popular, and are a great opportunity for patients to connect regularly with their personal physician/APN.

Measuring Our Progress We will soon be inundated by a tidal wave of data measuring our perfor-mance in all aspects of the clinical enterprise. Specifically:

1. The number of patient satisfaction surveys has increased by over 350% in the last month. Before this fiscal year ends we will have reliable satisfaction data down to the individual clinician level.

2. Our clinical quality data is in a data warehouse, and the process is in motion to be able to tap into it in a reliable and understandable fashion.

3. Our financial data is now also available down to the individual level with greatly improved accuracy and timeliness.

Collating, interpreting, and presenting all this data in ways that allow us to improve our performance will be the challenge of the coming year.

Quality Improvement Initiatives Second-year residents, faculty, and clinic staff have been meeting in teams this year to develop 4 quality improvement projects in our clinics. These projects are entering the implementation phase:

1. Improving timeliness of follow-up of patients discharged from the hospital.

2. Improving follow-up of abnormal pap smears to ensure appropri-ate testing is completed.

3. Improving patient communication through development of a clinic Facebook page.

4. Improving our sensitivity to the needs of LGBT patients. We look forward to hearing reports on these initiatives at the June Schol-arship Day.

APRIL 2014


Welcome to the Department Cathy Albecker (right, top) and Kimberley Andrews (right, bottom), the new nurse care coordinators. “A nurse care coordinator is a member of the Care Coordination Team, which is a collaborative ef-fort between the Medical Director, Pharm D’s, Clinical Health Coach and the nurse care coordinators. Our goals are to: improve health outcomes for populations with chronic diseases; increase the number of individ-uals receiving preventive health interventions and screenings; and reduce high cost service utilization (ED, unplanned hospitalizations and re-

hospitalizations). Our strategies will include: continued use of Pharm D expertise and outreach to supplement chronic disease management; use of datasets to identify pa-tients who are missing chronic disease measures; outreach to outliers to schedule ap-pointments; use of patient visits and chart reviews to identify measures or screenings that are due or out of range; write orders for with notification to the MD or NP; use of the Discharge Project care transition process that Drs. Rotert and Hall initiated with the inpatient team to promote and schedule outpatient follow up; utilization of com-plex care management strategies and protocols with eligible patients and in collabora-tion with the patient and physician; and use of telephone and in-person health coach-ing conversations. With the goals in mind and the strategies agreed upon, we are looking forward to increasing our pace and making an impact on the health measures and outcomes of the diverse patients populations at U of I Family Medicine Center. You will be seeing more signs of us, including Clinic Notes in Powerchart! We look forward to working with physicians and nurse practitioners.”

-Cathy Albecker & Kimberley Andrews Nurse Care Coordinators

Clinic News

The project for the IOWA Chronic Care Consortium was titled “System En-hancing for Health Outcome Improvement”. The purpose of the project was to create processes and structures that will fa-cilitate population health management. The focus of the project is to reduce the barriers of effective healthcare utilization and enhance the use of internal resources. Focus will be using available systems (i.e. nursing appointments, to recheck elevated blood pressure measurements). The processes and structure will be expanded to identify and work with patients who need additional and on-going care team management and evaluation.

--Rita Smaw, Director Physician Practice

APRIL 2014

University of Illinois at Chicago Department of Family medicine Residency Program

A big thank you to the Faculty, Staff and residents for yet another successful recruitment season. We matched all 8 positions for 2014. Thank you to everyone for your hard work and teamwork. --Mark Potter

ALSO | February 14-15, 2014 This past February, our department sponsored the AAFP Advanced Life Sup-port in Obstetrics (ALSO) Provider Course for the 7th consecutive year. 47 residents (including our 8 interns), midwives, and family physicians from all over the Midwest region attended the two-day course to learn how to better manage obstetrical emergencies within their own practice. Based on the participants’ reviews, Dr. Evelyn Figueroa co-directed a very successful course this year with the help of Drs. Keia Hobbs, Ariel Leifer, Cari Benbasset-Miller, Janee Ware and other 10 instructors from FM resi-dency programs throughout Chicago. “[I] definitely will feel more comfortable on L&D”, shared one par-ticipant after completing the course, “and have an organized approach to emergencies.” When asked what they liked most about the course, one participant answered, “great leadership, fun, interesting, [and] interac-tive”.

ALSO Faculty. This year’s wonderful team of 15 instructors was made up of both family physicians and residents from UIC and other FM residency pro‐grams, such as Loyola/Cook County Provident, Northshore/University of Chi‐cago, Resurrec on, Advocate Illinois Masonic Medical Center, and Advocate Christ Medical Center.

Above: Our Interns, Yesenia Valdez, Megan Waterman and Nathan Stackhouse, during one of their workshops.

Welcome 2014 Interns! Fri Awasum – University of Chicago Rina Dave – Georgetown University Gillian Eastman – Tufts University

Helena Orbach – University of Illinois at Rockford Meha Patel – Jefferson Medical College

Kimberly Remski – Michigan State University Jessica Richardson – University of Illinois at Rockford

N’Djamina Robinson – University of North Carolina – Chapel Hill

APRIL 2014

University of Illinois at Chicago Department of Family medicine Residency Program

Mini Retreat 2014 Photos- Team Building Cooking Event at Naveens Cuisine Residents and Faculty

Announcements

Graduation will be held at the Parthenon on June 21, 2014 2014 FM residency requirements will include a month of Geriatrics

APRIL 2014

University of Illinois at Chicago Department of Family medicine

Medical Student Education Program

First Annual DFM Spring Celebration/Appreciation Dinner

We had a very successful “First Annual DFM Spring Celebration/Appreciation Dinner". Over 35 people enjoyed them-selves at The Rosebud restaurant on Friday April 11th. Those who attended included a number of UIC M4 students who matched in family medicine residency programs, many community faculty, our own faculty, and many of those groups' significant others. Thank you Dr. Hickner for supporting this successful event that we hope becomes an annual tradition. Thank you to Cheron Zei for coordinating the event. Thank you to everyone in the community and directly in our department who teach UIC medical students. -- Rik Stringham

2014 Match Day Congratulations to the Class of 2014 on a very successful match year! Of UIC’s Chicago campus students, 49 percent will stay in Illinois for their residency pro-grams, with the rest off to medical centers in 24 states. Those who were matched to Family Medicine are listed below.

Name Hospital City, State

Tiana Carrillo UIC/Advocate Illinois Masonic Chicago, IL

Katherine Duffy McGraw Medical Center of Northwestern University Chicago, IL

Andrea Feijoo Advocate Christ Medical Center Oak Lawn, IL

Cassy Friedrich University of California Davis Health System Sacramento, CA

Samantha Ghanayem Bouikidis Advocate Lutheran General Park Ridge, IL

Laura Giegler University of Minnesota Medical Center Minneapolis, MN Alessandra Glaser Mayo School of Graduate Medical Education Rochester, MN

Daniel Hawthorne West Suburban Medical Center Oak Park, IL

Robin Holmes Alaska Family Medicine Center/Providence Hospital Anchorage, AK

Can Jiang O’Conner Hospital San Jose, CA

Anneka Johnson St. Joseph’s Hospital Chicago, IL

Mariko Limpar MacNeal Memorial Hospital Berwyn, IL

Luis Rivera McGraw Medical Center of Northwestern University Chicago, IL

Lizbeth Rodriguez West Suburban Medical Center Oak Park, IL

Anish Shah LaGrange Memorial Hospital LaGrange, IL

Vikram Sharma Indiana University School of Medicine Indianapolis, IN

May Thazin The University of Chicago Hospitals Chicago, IL

Crystal Unzueta California Hospital Medical Center Los Angeles, CA

Shan Shan Xie MacNeal Memorial Hospital Berwyn, IL

Patient-centered Care: Moving the Medical Home Forward

The Department of Family Medicine continues its efforts in advancing patient-centered care and bridging the gap between medical education and practice delivery. The Patient-centered Medicine (PCM) Scholars Program car-ried out another active year filled with a variety of learning experiences. In addition to orientation sessions for the different program components and students’ ongoing direct work with patients, highlights of the year included the Lunch & Learn discussion seminars, symposia led by experts discussing hot topics in the era of health care reform, and the end-of-year Service Learning Showcase. Our M1 Lunch & Learn series commenced in November, with Dr. Richard Stringham presenting “The Patient-Doctor Inter-action: The Patient-centered Medicine Perspective”; in Janu-ary, Dr. Mark Potter presented “PCM and EBM, Where From Here?”; and the series concluded in February with Dr. Samuel Grief and Dr. John Hickner presenting “Healthcare Coverage and Costs” and “Patient-centered Care Coordination” re-spectively. Each Lunch & Learn focused on engaging students in critically ana-lyzing real-life patient care situations through the lens of patient-centered care,

and furthering their under-standing of integrating theory and applied practice of the PCM. The M2-M4 Service Learning Program (SLP) held a sympo-sium in November, titled “Changing Healthcare Policy: Special Considerations for Vulnerable Populations”. Pan-

el speakers included Bryan Becker, MD., Associate Vice President for Opera-tions, University of Illinois Hospital and Health Sciences System; David Ernesto Munar, President and CEO, AIDS Foundation of Chicago; Gita Rampersad, JD, MHA, Director of Communications, Blue Island Community Health Coalition; and PCM M1 Scholar Samuel Wainwright, UIC College of Medicine. After seed talks by the four presenters, participants engaged in a moderated town-hall style discussion that sparked a lively debate on best approaches to meet patients’ needs in our challenging health care system. In January, Dr. Bechara Choucair, Commissioner, Chicago De-partment of Public Health, presented “Healthy Chicago: Ap-proach to Health Disparities”. His insightful presentation led to a lively discussion surrounding the importance of understanding the root causes of health disparities and the role medical students can play now and in the future in reducing them.

University of Illinois at Chicago Department of Family medicine Research Program

APRIL 2014

APRIL 2014

University of Illinois at Chicago Department of Family medicine Research Program

(Cont’d) In March, we held the 9th Annual Service Learning Showcase - Reflections and Lessons from Campus-Community Engagement to Reduce Health Disparities. Dr. John Hickner and Dr. Memoona Hasnain provided a warm welcome and introductory remarks. Dr. Hasnain presented a summary of program history, current focus and future direction. She highlighted the emphasis on integrating an interprofessional training element in the M4 component of the PCM Scholars Pro-gram, utilizing community-based participatory research (CBPR) and quality improvement. M2 and M4 Scholars from each of the five concentrations, Domestic Violence, Geriatrics, HIV/AIDS, Homelessness and Immigrant & Refugee Health, shared their experiences and reflections. As in prior years, students from all five concentrations presented outstanding work. Faculty concentration leaders and community partners were also present and shared their thoughts. Congratulations to all the Scholars for carrying out meaningful work with individual patients as well as community-engaged participatory advocacy, action and scholarship that positively influences the lives of vul-nerable and underserved individuals and builds healthier communities. Special congratulations to Class of 2014 PCM Program Scholars graduating this spring.

ACKNOWLEDGEMENTS

Community Partners: UIC COM PCM Scholars Program -Service Learning Program faculty and students gratefully acknowledge the involvement of the site representatives and personnel at the par-ticipating Community Agencies, includ-ing: Connections for Abused Women and their Children (CAWC) - Stephanie Love-Patterson, Roxana Licona, and Meave Raphelson Housing Opportunities and Maintenance for the Elderly (HOME) - Caren Arden-Tabani EdgeAlliance/AIDSCare Progressive Services - Eric Homer and Cora Anderson Lincoln Park Community Shelter - Erin Ryan, Linda Gibson and Lauren Kirby Heartland Alliance - Darwensi Clark, Lea Tienou and Amy Dix

M1 PCM Preceptors: Maria Albright, MD, Katya Cruz Madrid, MD, J. Andrew Dykens, MD, MPH, Brian Dudkie-wicz, MD, Evelyn Figueroa, MD, Michael Friedman, MD, Thomas Gavagan, MD, MPH, Sam Grief, MD, Sagina Han-jrah MD, John Hickner, MD, MSc, Keia Hobbs, MD, Abbas Hyderi, MD, MPH, Matt Johnson, MD, Ariel Leifer, MD, Mykela Loury, MD, Todd Ochs, MD, Mark Potter, MD, Nimmi Rajagopal, MD, Minesh Shah MD, Augustine Sohn, MD, MPH, Richard Stringham, MD, Jeffery Tiemstra, MD.

M2-M4 SLP Faculty: Sonia Oyola MD - Domestic Violence Concentration Leader; Richard Stringham MD - Geriat-rics Concentration Leader; Minesh Shah MD & Abbas Hyderi MD, MPH - HIV/AIDS Concentration Leaders; Nimmi Rajagopal MD & Keia Hobbs MD - Homelessness Concentration Leaders; Andrew Dykens MD, MPH & Sagina Hanjrah MD - Immigrant and Refugee Health Concentration Lead-ers.

M4 Co-Tutors: Neha Agnihotri, Amanda Allison, Edwina Chang, Michael Charles, Innessa Donskoy (Kipnis), Khushbu Doshi, Aaron Goldstein, Ruth Hsiao, Angela Jiang, Sonny Patel, Luis Rivera, Jenna Spencer.

M3 Selective Instructor: Maureen Gecht-Silver, OTR/L, MPH Program Coordinators: Fasika Alem MPH & Cheron Zei MPH Program Assistant: Catherine Newquist-DeJesus

Program Director: Memoona Hasnain MD, MHPE, PhD

Announcements

Scholarship Day June 11, 2014

12:30 – 5:30 PM, Moss Auditorium The Department of Family Medicine in-vites you to our annual Scholarship Day. Please join us for Family Medicine resi-

dent and faculty research presentations, as well as a keynote address by Dr. Carol

Ferrans, Professor and Associate Dean for Research, UIC College of Nursing.

RSVP: [email protected].

APRIL 2014

University of Illinois at Chicago Department of Family medicine Global Community

Health Track

The Department of Family Medicine at UIC continues to grow our innovative and impactful Global Community Health track which aims to improve health care delivery within low- and middle income country community health care systems as well as provide training in global health and cultural competency for U.S. health care trainees. To date, six UIC Family Medicine alumni have graduated with additional training and experience in Global Health, including on-site experi-ence working with local partners on cur-rent projects. An additional eight current residents are involved in the program, which has enriched the residency’s re-cruitment efforts and training with a rec-

ognized Global Health curriculum. Our program is a leading innovation on campus. Several departments (Medicine and Med/Peds with others interested) have developed full global health tracks based on our program. To facilitate this, Andrew Dykens has recently been appointed as the Director of Postgraduate Global Health Education through our Center for Global Health.

Senegal Project Summary 2010 – 2014 This partnership between the health region of Kedougou, Senegal; Peace Corps, Senegal; and the University of Illinois at Chicago (UIC) Departments of Family Medicine and Obstetrics / Gynecology has a primary focus of cervical cancer preventive services implementation. This was determined by the assessment of local health concerns, the status of the health service de-livery infrastructure, and the priorities of the local health care leadership. The Health Region of Kedougou is located in the South-Eastern part of Senegal with an estimated population of 143,000 inhabitants and comprises twenty-three health posts, three health centers, and the re-gional hospital. This project to date has implemented regional-level cervical cancer prevention guidelines, a service accessible to an estimated 10,000 women in the target population, trained 63 health workers in visual inspection of the cervix with acetic acid, and trained 1 health work-er in cryotherapy as a treatment modality for precancers. We have just completed a region-wide prevalence study with data indicating 2.27% prevalence of cervical dysplasia. Identified next steps are formal policy development through a community participatory approach, the horizontal scaling of this policy and health service to the neighboring region of Sédhiou, and the implementation of a quality improvement process for the clinical services.

Dominican Republic Project Summary 2012 – 2014 The Peace Care Dominican Republic (pcDR) partnership began in 2012 and is a partnership among the Guaymate, Dominican Republic, Peace Corps Dominican Republic, and faculty and trainees from University of Illinois-Chicago (UIC) (Family Medicine, Medicine, and Med/Peds) and Northwestern University (NU). A community-driven assessment of the local health systems and health services needs identified a gap in health services quality at Guaymate Mu-nicipal Hospital and a desire to improve health education of the Guaymate community. Peace Corps-Dominican Republic recommended youth sector volunteer Rosa Lopez has been the principal Peace Corps Volunteer collaborating on this project. Rosa and her replacement, Dyl-an, serve in the municipality of Guaymate in eastern Dominican Republic, a community in great need of health resources and organization.

(cont’d) The community assessment phase began in September 2013, when members of the Community Advisory Board (CAB) conducted focus groups discussions. We conducted a site visit in September 2013 to conduct participatory stra-tegic planning. In February 2014, our team returned. Eight members from UIC and NU participated in this site visit, which began the implementation phase of the partnership. The team introduced EngenderHealth’s Client-Oriented Pro-vider-Efficient (COPE) quality improvement tool to the staff at Guaymate Hospital, which has been used in over 50 LMICs since the 1980s. With external facilitation by a local health educator experienced in using COPE, hospital staff completed self-assessments and client interviews to help arrive at an action plan to improve health services. A COPE Committee was established, and concrete steps were discussed to implement in the near future. Our team also partici-pated in knowledge sharing with health care providers from Guaymate Hospital and Clinica de Familia La Romana. The site visit concluded with a community-based health promotion fair, with leadership provided by the Community Advisory Board and youth group volunteers

Graduating Global Health Scholars are: Lillian Hollow, Dominican Republic Cari Benbasset-Miller and Charles Falzon, Senegal

Current residents include: Morgan Madison and Nathan Stackhouse, Dominican Republic Sarah Johnson, Paul Rotert and Tyrisha Clary, Senegal

We are currently asking for your help in continuing the GCHT’s work through these programs and expansion to new sites and projects. We at UIC DFM depend on fundraising efforts to develop and implement our international work as well as resident training expenses. In addition to oth-er sources of funding and local business support, alumni of the program can help keep the program active and growing. Please see below for more in-formation. THANKS! --------------------------------------------------------------------------------- Your assistance in the form of a tax deductible donation to the UIC Depart-ment of Family Medicine Global Community Health Track will further our efforts in improving the health of communities around the world. Any amount is appreciated and you can choose to donate on a recurring basis if you desire. Many thanks for your generous support! Making a difference in Global Health can be a bit tricky…so please read below for instructions to make the donation process as easy as possible! Go to the UIC Donation website (http://tigger.uic.edu/depts/development/giving/StartGivingUIC.html) Scroll to the paragraph which says "Or choose a fund or campus program that may have special meaning to you." Enter Family Medicine Residency Global Health Program (331686)

If you would like additional information on giving to the UIC Department of Family Medicine Global Community Health program, please contact:

Andrew Dykens, MD, MPH Director, Global Community Health Track Department of Family Medicine UIC College of Medicine 1919 W. Taylor Street, MC 663 Chicago, IL 60612 312.772.2876

APRIL 2014

University of Illinois at Chicago Department of Family medicine Global Community

Health Track

april 2014

Dr. Sam Grief testified at City

Hall in December concerning pro-

posed ordinances strengthening exist-ing tobacco regula-tions in Chicago.

Hours Monday-Friday 9am-5pm

Saturday 8am-12pm Sunday Closed

The new Miles Square Health

Center is now open!!

Dr. Kavita Shank-er, second year

resident, was on the cover of the IAFP

annual Report

http://www.iafp.com/newsletter/

IAFP_Annual_Report/

Congratulations to Dr. Rik String-

ham for receiving the UIC College of

Medicine’s M3 Golden Apple

Award for excel-lence in teaching, for the 4th straight

year.

Dr. John Hickner had an article pub-lished in the March-April 2014 issue

of JABFM entitled “Primary Care Physi-cians’ Challenges in

Ordering Clinical Laboratory Tests and Interpreting Results”

Congratulations to Dr. Memoona

Hasnain for receiv-ing a special recog-nition for Human-ism in Medicine

from the Chicago Medical Student Council (award

below). Dr. Hasnain was also elected for a 2nd two year term to

the Board of Direc-tors for South Asian Public

Health Association (SAPHA).

Congratulations Dr. Eve-lyn Figueroa for receiving

the 2014 Departmental Rising Star of the Year award! Dr. Figueroa is

also the recipient of a grant from STFM for her project entitled “Implementation of a

Model to Empower Family Medi-cine Patients to Achieve Recom-mended IOM Gestational Weight

Gain Recommendations”

Congratulations to Drs. Mark Potter (above) and John Hickner for being named two of Chi-cago Magazine’s

2014 Top Doctors!

Volunteer Faculty Dr. C. Leslie

Smith spoke at the International

Congress of Clini-cians in Comple-

mentary & Integra-tive Medicine con-ference on October

30th

Volunteer Faculty Dr. Fred Richard-son was selected to receive the AOA

Outstanding Facul-ty Teaching Award.

Announcements

Congratulations Dr. Patrick Tranmer for receiving the 2014 Departmental Faculty of the Year award!

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