UMass FMCH Tuesday Talk - April 9, 2024/EDUCATION

Welcome to the FMCH Tuesday Talk. Please continue to send us your announcements, celebrations, and accomplishments to FMCHtuesdaytalk@umassmed.edu. 

Table of Contents

Message from the Chair

Upcoming Events

Focus of the Week – Education

Announcements

Presentations and Publications

Frankly Speaking Podcast

Message from the Chair

Diane McKee, MD, MS


Registration is open for department’s retreat on May 16th at 12:15 at the South Street campus in Shrewsbury. You can find the agenda here and register here:  

https://umassmed.co1.qualtrics.com/jfe/form/SV_0kMgaoIIyXsKDX0.

Please register by April 22nd. I hope to see you there!

Upcoming Events


No Grand Rounds this week (April 9th). We encourage you to attend Internal Medicine’s Health Equity Distinguished Lecture: Black Women and Maternal Health Disparities: Addressing the Role of Racism. You must register.

Black Maternal Health Week Events

Inaugural Health Equity Distinguished Lecture

Thursday, April 11th, 12:00 - 1:00pm, Albert Sherman Auditorium (AS2-2102)

Ndidiamaka Amutah-Onukagha,PhD, MPH, presents "Black Women and Maternal Health Disparities: Addressing the Role of Racism". Check out the website: 

https://www.umassmed.edu/healthequity/collaborative-in-health-equity/.

See flyer and program for additional information.

Focus of the Week - Education

Mary Lindholm, MD and Frank Domino, MD, interim leaders




Our department had a very successful Match Day this past month!


23 UMass Chan chose to match into family medicine residency programs across the country. This represents 14% of the class. While 10 of the students matched in programs in MA or RI, the remainder matched in highly competitive programs all across the country including CA, NC, OR, WA, PA, NY, TX and VA.


3 out of 8, or 38% of our Rural AHEC Scholars matched in family medicine, while 5 out of 16 or 32% of our Urban AHEC Scholars matched in family medicine. We know that having a longitudinal preceptor who is a family medicine physician greatly increases the likelihood that a student will go into family medicine. Thank you to all who take students in this program!


Eric Romo, who will graduate with an MD/PhD (In QHS/addiction medicine), had the following to say about his experience here. Eric Romo, a son of Mexican immigrants, matched in family medicine at BU Medical Center. He has a strong clinical and research interest in addiction medicine. Eric lives in Newton with his wife, Lindsay Romo, MD/PhD, ’19, a physician-scientist/pediatrics resident at Boston Children’s. “I’ve grown to appreciate over time that UMass Chan is an institution that values primary care. They don’t just say it, but they walk the walk. For me, I came in thinking that I wanted to pursue family medicine, and UMass Chan cultivated that in me,” Romo said. “UMass Chan is an organization that prides itself in being part of the community and the student body really tries to dig in and get involved with the community. Being able to be part of that has helped develop that mindset of what a family physician should be.”


Enough about our med students. We also have an outstanding class of interns who matched into our residency program! Please look at the attached pictures and descriptions of each of our incoming residents if you haven’t already.


Finally, as so many of you work so tirelessly with our students and residents, several have received awards from the school as follows:

Retired Faculty Teaching Award– Lucy Candib

Educational Achievement (Star) Awards (Faculty) – Patricia Seymour

Community Faculty Award– Sara Casey, Laurel Banach, and Naomi Kalliath

Congratulations!!!

Ethics Corner

Philip Day, PhD


Topic: Justice in Healthcare


Question 1: What role does justice play in healthcare? Answer 1: Justice is one of the four fundamental principles of biomedical ethics, as articulated in the work of Beauchamp and Childress (1). Justice, from the 4 principles perspective, pertains to healthcare in terms of distribution of goods – time, personnel, funding, interventions, prioritization of treatment, etc. In this sense, questions of justice are questions of fairness, equality, and equity – or the lack thereof.

Question 2: Are there other theories or forms of justice relevant to healthcare?

Answer 2: Yes! Philosophers, theologians, and legal theorists have been debating the nature of justice since, at least, the time of Plato. Most theories center on justice for individuals, in interactions, or in the law (2). Justice has been construed as a virtue of individuals (virtue ethics); as the product of communities (egalitarianism); and, as a method for restoring and building trust (restorative justice). You can learn more about the latter at UMass Chan here.


Question 3: What about social justice?

Answer 3: With increasing focus on the importance of social determinants of health, social justice principles are being integrated into medical education and practice. Such principles are embodied in addressing health disparities, eliminating health inequities, and advocating for “upstream” policy changes to prevent, where possible, healthcare injustice (3,4). Social justice can be construed as a form of distributive justice but is applied to society rather than individual or timebound healthcare decision making.


References: 1) Beauchamp, Tom L., and James F. Childress. [1979] 1994. Principles of Biomedical Ethics. New York: Oxford University Press. p. 100 2) Miller, David, "Justice", The Stanford Encyclopedia of Philosophy (Fall 2023 Edition), Edward N. Zalta & Uri Nodelman (eds.), https://plato.stanford.edu/archives/fall2023/entries/justice/ 3) Vanderbilt AA, Baugh RF, Hogue PA, Brennan JA, Ali II. Curricular integration of social medicine: a prospective for medical educators. Med Educ Online. 2016;21:30586. Published 2016 Jan 14. doi:10.3402/meo.v21.30586 4) Benfer EA. Health Justice: A Framework (and Call to Action) for the Elimination of Health Inequity and Social Injustice. Am Univ Law Rev. 2015;65(2):275-351. PMID: 28221739.

Announcements


22nd Annual Primary Care Days will be held Tuesday, April 9th and Wednesday, April 10th, 8:30am - 2:00pm, Beechwood Hotel, 363 Plantation Street, Worcester. Please see flyer for additional information and schedule.

Do you know of a graduating medical student going into Family Medicine who stands out as deserving of the Annual Ann Nemitz Award?

The Ann Nemitz Award is given to a student in the graduating class who emulates many of Ann's values. The spirit of this award emanates from the way Ann Nemitz practiced medicine. Her guiding principle, from which all of her behavior followed, was that it was truly "a privilege to serve" others. She was a passionate activist for family medicine, particularly women's health and family-centered maternity care. Ann proved David Loxterkamp's words true: "First is the knowledge that doctors rise to their best by serving the least of the their patients - the least insured, the least curable, the least attractive, responsible, grateful. The least like us." Please send your response to Mike Ennis at michael.ennis@umassmemorial.org 

Addressing Commercial Sexual Exploitation in Healthcare From The Perspectives of Survivors Symposium

Monday, April 29th, 9:00am-2:30pm, A symposium dedicated to understanding the scope of commercial sexual exploitation, its impact in healthcare, and ways in which we can positively impact these patients. Please contact Stevie Yang, Stevie.Yang@umassmed.edu, Evelyn Semenov, Evelyn.Semenov@umassmed.edu or Ivy Mwangi, Ivy.Mwangi@umassmed.edu for more information.

Upcoming Meet the Author Event at UMass

May 9, 2024, 5:30pm, Umass Chan Medical School - Lazare Auditorium

Worcester District Medical Society and the Lamar Soutter Library are proud to offer this Meet the Author Event featuring Dr. Sunita Puri. Dr. Sunita Puri is the Program Director of the UMass Chan Hospice and Palliative Medicine Fellowship and Associate Professor of medicine. A graduate of Yale and a Rhodes Scholar, she completed medical school and residency in internal medicine at UCSF and her palliative medicine fellowship at Stanford. She is a contributor to the NY Times, LA Times, and JAMA. She is the author of That Good Night: Life and Medicine in the Eleventh Hour, a critically acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of a serious illness.


UMass Memorial Children’s Medical Center is hosting a Teddy Bear Clinic on

May 18th, 2024. This year’s Teddy Bear Clinic is sure to be an exciting adventure that kids will love. Not only will they get to learn more about the doctor's office but also meet some educational professionals who will help teach them about proper hygiene and healthy habits. If you are interested in hosting a booth, please fill out the form here: https://forms.office.com/r/QhusB1NXCw. Please note, all booth volunteers who are not already UMass Memorial employees will need to be onboarded by our volunteer services group and will need to be pre-registered with UMass Chan to be on site. If you have any questions or would like to talk more about the Teddy Bear Clinic, please feel free to reach out to Alison.LeBlanc@umassmemorial.org

Presentations and Publications


Congratulations to our FFMR PGY3 resident Lisa MacVane, MD, on a recent publication in Family Medicine titled, Transgender Care Is Family Medicine: A Call to Action

Sullivan EA, Stryker SD, Blaszczak J, et al. Transgender Care Is Family Medicine: A Call to Action. Fam Med. 2024;56(4):229-233. 

https://doi.org/10.22454/FamMed.2024.167363.

Link to Article: https://journals.stfm.org/familymedicine/2024/april/sullivan-0343/

Frankly Speaking Podcast


A weekly Podcast series covering newsworthy topics in primary care medicine.

Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/frankly-speaking-about-family-medicine/id1194659367.


Please join us for an overview: Listen in as we discuss trends seen in breast cancer incidence over recent decades. Despite a notable rise in its prevalence, we've witnessed a decline in mortality rates. This positive shift owes itself to improvements in medication and screening efforts. Explore with us the multifaceted factors shaping this evolving landscape of breast cancer diagnosis and treatment. Guest: Mariyan L. Montaque, DNP, FNP-BC, presents: "Breast Cancer: Increased Incidence Doesn't Mean Increased Mortality" - Frankly Speaking Ep 375.

Clinical Services Spotlight:

Josephine Fowler, MD, MBA, Vice Chair of Clinical Services

Skin Screening Clinic


UMass is hosting a free skin screening clinic on Saturday, May 18th, 2024. Enclosed are two flyers that can be posted for patients to view. (Spanish flyer)


Statement on Improving Health Through DEI

The statement below is from the AMA and the Leading organizations below. https://www.ama-assn.org/press-center/press-releases/statement-improving-health-through-dei

Leading healthcare and medical associations from across the country today made a statement in support of DEI policies in healthcare, as a means to help improve the health of our nation. These organizations include the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS), American Medical Association (AMA), American Osteopathic Association (AOA), Association of American Medical Colleges (AAMC), Council of Medical Specialty Societies (CMSS), National Board of Medical Examiners (NBME), National Board of Osteopathic Medical Examiners (NBOME), and the National Resident Matching Program (NRMP).


“We represent organizations and health care professionals in the United States, including physicians of varied specialties and backgrounds who have dedicated their entire careers to improving patient outcomes. For decades, we have strived to equip physicians with the best tools and evidence, so our patients receive the highest quality care possible.


“Our efforts to promote diversity, equity, and inclusion (DEI) seek to address the long-standing and well-documented inequities in our healthcare system and its impact on the health of our patients and communities. Excellence in patient care cannot exist until we have a physician workforce capable of caring for our patients and their needs holistically, and until the profession of medicine is accessible to all qualified individuals.


“We stand together in our support of enhancing inclusive excellence and yielding the best outcomes for all our members and the patients they serve.”


New Support Resource for Haitian Families https://files.constantcontact.com/9fdd484e001/0556fffe-32ab-44a0-852d-980c7af12853.png

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.

Yoga Classes with Dr. Liz Erban



New members always welcome. 

Please join us at 6:30-7:30am for a gentle awakening yoga session led by the talented

Liz Erban. All are welcome. 

Happy third year anniversary to the yoga class.  

https://umassmed.zoom.us/j/91343267992?pwd=ZHF3NHVrVlR1MVdMV09HSE5lTzdsQT09

Past editions of the Tuesday Talk Newsletter are available at 

https://www.umassmed.edu/fmch/ under Resources.