UMass FMCH Tuesday Talk - September 10, 2024/EDUCATION | |
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
Department Member Recognition
Frankly Speaking Podcast
Department Resources
Wellness Resources
Yoga Class
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Message From the Chair
Just a reminder to all that Annual Required Education (ARE) is due 9/30/2024. With less than a month until the deadline, the Medical Center has a completion rate of 53.2%. Family Medicine is at 40%. Please keep in mind that the deadline will NOT be extended this year, so please plan accordingly. Since no one will be able to see patients if not complete, not meeting the deadline will have major implications for our operations and our patients.
See the attached job aid for accessing the content in Workday. Completion on a mobile devise is not the preferred platform, but if you must, see the attached job aid.
Please don't hesitate to reach out if you need help. Below are some resources that may help:
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Organization and People Development is hosting weekly office hours to answer questions and provide support. The team can also provide support navigating Workday and accessing reports.
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The HR Solution Center will answer questions and support troubleshooting as needed. Contact by opening a ticket in ServiceNow or call 508-334-8800.
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Save These Dates!
On October 4th the department is co-hosting a memorial service for Jim Ledwith with his family at the Epworth United Methodist Church, 64 Salisbury St., Worcester. The program will begin at 6:00pm. It will also be livestreamed:
https://www.facebook.com/epworthworcester/videos/. If you would like to share a tribute during the memorial, please contact Pamela.Tero@umassmemorial.org.
Department Annual Awards Celebration
Tuesday evening, October 29th in the UMass Chan Faculty Conference Room.
This evening will recognize our 50th Anniversary!
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Upcoming Events
FMCH Grand Rounds
Tuesday, September 10th, 12:00 - 1:00pm, "Top 10: EBM Updates from the Medical Literatures", presented by Frank J. Domino, MD.
Meeting ID: 191 986 273 Passcode: FMCH
https://us02web.zoom.us/j/191986273?pwd=NEtlZmNkdWlSUGwyeTJQU3dCeUs1QT09
FMCH Grand Rounds – 26th Annual Steven L. Putterman Memorial Lecture
Tuesday, October 8th, 12:00 – 1:00pm, “Working Towards Greater Equity Through Gradual Steps and Abundant Love”, presented by alumnus guest speaker Pamela K. Adelstein, MD, Worcester Family Health Center, graduating class of 2000, UMass Chan Medical School in the Lazare Auditorium S1-607 or via Zoom URL:
https://us02web.zoom.us/j/191986273?pwd=NEtlZmNkdWlSUGwyeTJQU3dCeUs1QT09
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Focus of the Week - Education
Jeanne Cawse-Lucas, MD, Vice Chair of Education
From the desk of Jeanne Cawse-Lucas:
When I was a medical student here, the words “Family and Community Medicine” were my first introduction to our specialty and described perfectly what I wanted to do in my career in medicine. It still does, and it’s great to be back in this department and institution.
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I trained in Seattle at Swedish-Cherry Hill Family Medicine Residency. After two years of community practice, I joined the faculty at the University of Washington, where I had a range of responsibilities including clerkship director, core residency faculty, family medicine career advisor, founding director of a longitudinal primary care clinical experience (like LPP) for MS1 and MS2 students, and vice chair for faculty affairs. I learned that cultivating a community of engaged faculty through regular, high yield faculty development is the key to excellent learner experiences and emphasized faculty development and retention in my leadership efforts.
I am excited to keep growing at UMass-Chan: I can continue leading efforts for faculty development and promotion while also supporting already great educational programming. Over the upcoming weeks, I hope to meet you and learn your perspectives on what your programs do well, and where there is room for growth or need for support. My clinical practice will be at Benedict Family Medicine, and I will rotate precepting residents at the four residency clinics.
I moved here with my husband, two kids, and sweet dog, close to family and dear friends in the northeast. The kids are in 5th and 7th grades in Worcester Public Schools. There are a lot of musical instruments in our house, and I love to cook and eat, run, bike, and cross-country ski. Please feel free to send tips on Worcester-area favorites for any of the above. Thanks to everyone for the warm welcome. I look forward to working together!
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Ethics Corner
Philip Day, PhD
Topic: Everyday Clinical Ethics
Question 1: What is “everyday” ethics?
Answer 1: Also referred to as “microethics,” everyday clinical ethics focuses on quotidian scenarios germane to clinical practice, rather than dramatic, complex topics that proliferate in the bioethics literature. As indicated by the name, it focuses on the ethics of everyday clinical practice and decision-making (1).
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Question 2: Why do we need another form of ethics?
Answer 2: It has been argued that every patient-clinician interaction has a moral dimension (2). In order to address everyday ethical issues, they must first be identified and aligned with a framework built to analyze them. While stark ethical scenarios (“when is lying to a patient morally permissible?”) engender rich discussion and analysis, most clinical practice is ordinary, noncontroversial, and straightforward.
Question 3: What are some examples?
Answer 3: Examples can include: upholding patient confidentiality; honoring patient values and preferences; effectively communicating treatment options; managing eye contact and body language; using person-first language; use, or not, of self-disclosure of own healthcare preferences; respecting cultural norms; managing personal stress and burnout; etc. If interested, I have worked with colleagues on an everyday ethics approach to the informed consent process, which can be found in reference (3) below.
I will explore everyday ethics skills in future Ethics Corner editions.
Please feel free to submit your own questions, ideas, or topics for the Ethics Corner to: philip.day@umassmed.edu.
References
1. Meyer EC, Lamiani G, Uveges M, McLeod-Sordjan R, Mitchell C, Truog RD, Marron JM, Kennedy KO, Ritholz M, Teti SL, Milliken AB. Everyday Clinical Ethics: Essential Skills and Educational Case Scenarios. HEC Forum. 2024 Jul 9. doi: 10.1007/s10730-024-09533-6. Epub ahead of print. PMID: 38980646.
2. P. A. Komesaroff, “ From Bioethics to Microethics: Ethical Debate and Clinical Medicine,” in Troubled Bodies: Critical Perspectives on Postmodernism, Medical Ethics, and the Body, ed. P. A. Komesaroff (Durham, NC: Duke University Press, 1995), 62–86, at 68.
3. Tunzi M, Satin DJ, Day PG. The Consent Continuum: A New Model of Consent, Assent, and Nondissent for Primary Care. Hastings Cent Rep. 2021 Mar;51(2):33-40. doi: 10.1002/hast.1243. PMID: 33840103.
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Announcements
Welcome to those who joined us in August and September:
Brian Stran-Joy, psychologist at Hahnemann, Pamela Graboso, dental hygienist working with Dr. Karasz on a project in New York, Sarah Miller, a behavioral health fellow, Brett Lehner who is staying on in Barre after his residency and new resident Anusmirita Guragain.
Thanks to all the future Longitudinal Preceptors for MassAHEC’s Urban and Rural Health Scholars. From 76 applicants, 23 Urban Health Scholars were accepted from the Worcester campus, 8 PURCH and 5 LEAD and 1 GSN. And for Rural Health Scholars, 9 from Worcester, 8 PURCH and 1 LEAD. This was the highest response rate in 7 years!
Give Family Medicine a powerful voice! Participate in the medical school interview process to select the next generation. Multiple-Mini Interviews are 90 minute sessions done remotely using zoom. Each interviewer is assigned a brief “scenario” with a few follow-up questions and spends 8 minutes with 8 applicants. There is no preparation and a quick, 5 question, on-line form is completed about each encounter. Sessions are timed to have limited impact upon our daily schedules starting at 8:30 AM or 4:00 PM. You sign up for whatever number of sessions works for you. The training is at your convenience using a 30-minute, online module. This is a wonderful way to perform academic service. To participate, reach out to Brenda.Fusaro@umassmed.edu. For any questions or comments email me at Tracy.Kedian@umassmed.edu.
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HEALL has recruitment opportunities to join the Health Educators Academy for Leadership and Learning. We are extending our Membership application deadline to Friday, September 13, 2024.We are looking for all those interested in healthcare education. Explore the levels of membership you are most interested in.
Application due September 13, 2024. Visit our website to learn more about upcoming events and calls for involvement in HEALL. See Standard CV Format Information.
Trauma-Informed Care of Children and Adolescents
Friday, September 13th, 8:30am-3:00pm. Provided by the Baystate Dept. of Family Medicine, Baystate Dept. of Psychiatry, and Baystate Continuing Interprofessional Education. See flyer for additional information.
We will be launching a monthly Lunch & Learn Series. These will be informal sessions for anyone to share de-identified cases, as well as tips and tricks so we can all advance our skills together! The first session will be held September 15th, 12:15pm-12:55pm via zoom. More information can be found on the FMCH POCUS sharepoint site: https://umassmemorial.sharepoint.com/sites/FMCHPOCUS. Please reach out to erin.cathcart@umassmemorial.org or rebecca.gwaltney@umassmemorial.org with questions!
UMass ARC PBRN Pilot Project Awards 2024 Call for Applications
The UMass Ambulatory Research Consortium (ARC) practice-based research network (PBRN) welcomes submissions for Pilot Project Awards. Study teams should include a practicing clinician and a health services investigator. Awardees will have access to support from PBRN core staff, the DOM Research Core, and CCTS cores, as appropriate for the project. Letters of Intent are due September 16th.
Visit the website to learn more and apply.
Mass AFP medical student and resident committee is hosting a Fall Apple Picking event on September 22nd at Honey Pot Hill Orchards in Stow, MA to connect within the family medicine community and have some fun. Please see the flyer here to register.
POCUS Faculty Development Sessions Launching!
The FMCH Workgroup has been working hard to create a plan for AY25 POCUS faculty development opportunities. We are offering a variety of learning opportunities, starting with: POCUS Basics, September 17th, 6-8pm, and September 26th, 1-3pm.
Please sign up here: https://forms.gle/eP8kyCkFfqLJ2wGw8
Sessions will be limited to 12 participants. Participants should wear loose-fitting clothing. Self-reported CME credit will be available through AAFP.
Transforming Opioid Use Disorder Care CME Conference
Hosted by UMass Memorial Health/Road to Care Mobile Clinic
In-Person, Monday, September 23rd, 7:30 am - 5:30 pm.
Free, one-day CME event, designed to meet the federal training mandate for opioid use disorder and pain management. Breakfast and lunch included. DoubleTree Leominster 99 Erdman Way, Leominster, MA
Please join Geriatrics on Tuesday, October 1st at 12pm ET as Barrett Bowling, MD (Duke University) presents on "Using the 5Ts Framework to support inclusion across the lifespan: A focus on older adults with Multiple Chronic Conditions (MCCs)".
5Ts Framework is a structured approach designed to improve the inclusion of older adults in clinical research. Please click here to register now.
Visit https://5tsframework.duke.edu/ to learn more about the framework.
Please reach out to ollie.desrochers@umassmed.edu with any questions.
Gender Affirming Care Learning Collaborative (GAC-LC)
The GAC-LC is open for registration at any time throughout the 6-session series! Even if you missed our first session on June 5th you can register and join any other sessions/topics. Please see flyer for dates and additional details. The third session will be on Wednesday, October 2, 12:15-1:15pm. Our next presenter is Anna McMahan, MD.
Presentation Topic: Primary Care Basics of Gender Affirming Care
Learning Objectives:
- Understand traditional applications of primary care to gender diverse and transgender patients
- Understand resources and interventions beyond hormone therapy and surgery that patients can access
- Describe common co-occurring conditions
Free CMEs available, thanks to the New England AIDS Education & Training Center; https://www.neaetc.org/. To Register and receive the Zoom link, you need create a profile and register here https://www.neaetc.org/events/view/26089.
Access code: FMCH
You will need to create a profile through NEAETC before you can register.
See GAC-LC Announcement for additional information.
Teaching of Tomorrow (TOT) is a nationally recognized and highly acclaimed faculty development program that focuses on building and refining foundational skills for effective clinical teaching in inpatient and ambulatory settings. Preceptors from any specialty and discipline will enhance their clinical teaching skills through discourse and practice. Workshop dates are November 22-23, 2024, and March 7-8, 2025, and will be held at the Wellsworth Hotel, Southbridge, MA. Attendance is required all four conference days. Please see the attached flyer for details and register at
https://umassmed.co1.qualtrics.com/jfe/form/SV_5byKNy7pGjtyWkS.
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Department Member Recognition
Congratulations to 2024 FMEC writing award winners Hugh Silk, second place prose for “Letters to Myself on My First Day” and Srijesa Khasnabish DO, PGY2, Fitchburg for 1st place poetry, “No Time for Loss.”
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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: In this episode, we review the T Trials-a coordinated set of 7 research trials that assessed the efficacy of testosterone gel treatment in 7 functional domains for men aged 65 years or older. Hear best practices for determining testosterone levels and how to balance the benefits and risks of testosterone replacement therapy during patient discussions. Guest: Robert A. Baldor, MD, FAAFP, presents: "Does Testosterone Replacement Therapy Help Men Live Healthier Lives?" - Frankly Speaking Ep 397.
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Clinical Services Spotlight:
Josephine Fowler, MD, MBA, Vice Chair of Clinical Services
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USPSTF - Iron Screening in Pregnancy
Recommendation Summary
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| Population | Recommendation | Grade | | Asymptomatic pregnant adolescents and adults | The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency and iron deficiency anemia in pregnant persons to prevent adverse maternal and infant health outcomes. | 1 | | Asymptomatic pregnant adolescents and adults | The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine iron supplementation in pregnant persons to prevent adverse maternal and infant health outcomes. | 1 | | |
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Source:https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation
System Updates and Announcements
Change to Masking Mandate
As of late last week, we ended our mask mandate as the rolling average of COVID-positive caregivers has dropped below our masking threshold. Masks remain strongly encouraged but not required.
Flu Vaccine Availability
Starting on Tuesday, September 10th, Flu vaccine will be loaded and available in Ambulatory clinics.
- Please note, this year all influenza vaccine is trivalent per the CDC (there are no quadrivalent flu vaccines available for the 2024-2025 season)
- In addition, this year our primary flu vaccine for adults < 65 years of age will be Afluria, and for adults 65 and above, Fluad.
- Fluad is replacing Fluzone HD as the preferred agent at UMass Memorial for patients and employees age 65 and above. The correct volume for Fluad is 0.5 mL.
- Fluad is an adjuvanted inactivated influenza vaccine and is one of the flu vaccines recommended for adults over age 65 by the CDC.
- For Inpatients, Flu vaccine will be available starting on Tuesday, September 17th. The same vaccines highlighted above for Ambulatory patients will be available for inpatients.
- For Employees, Flu clinics begin across Med Center locations on September 30th and continue through November 1st.
- Flu vaccine will also be available on units for nurse managers/supervisors starting on September 17th, and additional details on that program will be forthcoming.
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Wellness Resources
The UMass Memorial Caring for Caregivers Program is available at 508-334-HELP,
EAP at 866-263-3525, and the UMass Chan EAP at 800-322-5327.
www.LiveandWorkWell.com
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