UMass FMCH Tuesday Talk Volume 48 2020| December 15, 2020
Tuesday Talk - New Format!
The Department of Family Medicine and Community Health Monday Morning Memo has undergone a facelift - Welcome to the FMCH Tuesday Talk. Please let us know what you think of the new format.

We will have a focus of the memo each week, along with timely upcoming events and other announcements.

Week 1 – Clinical Updates
Week 2 – Education Updates
Week 3 – Community Health Updates
Week 4 – Research Updates
Week 5 - (when available) – Other

Please continue to send us your announcements, celebrations, and accomplishments to FMCHtuesdaytalk@umassmed.edu. Feel free to title according to the focus area. We look forward to hearing your news!
Upcoming Events
FMCH Grand Rounds
December 15th, Tuesday - 12pm - 1pm: Sharone Green, MD, Department of Infectious Disease will be presenting "COVID Testing/Management in the College Health Setting"

FMCH Monthly Research Forum
December 18th, Friday - 12pm - 1pm: Rachel Davis-Martin, PhD, who has a joint appointment in our department as well as in Emergency Medicine, will be presenting “Integrating Computer Adaptive Testing into Electronic Health Records and Clinical Care”

FMCH 2020-2021 Annual Awards Ceremony
January 12th, Tuesday - 12pm - 1pm: Please join us (virtually) to acknowledge great teaching, great care and community engagement in our department.

FMCH Virtual Town Hall Meeting
January 19th, Tuesday - 12pm - 1pm: Zoom information to follow. 

Ongoing Faculty Development
On behalf of Sara Shields, MD, MS, FAAFP: We are looking at ways to do some ongoing faculty development for our MCH attendings. While we work on how to find a time/structure for this longer-term, we are going to start with inviting everyone to join the FHCW faculty for a 30min discussion of Induction of Labor, based on my FCMC talk and a recent CMQCC webinar on the topic. Thanks to Laura Sturgill for allowing this use of our monthly faculty meeting time. We are going to do this as part of our faculty meeting on Monday, December 21, 1:00 - 1:30pm. We know this time won't work for everyone, but please join if you can, using the zoom link below. We will also record and upload it to the MCH drive for asynchronous viewing.

Department Member Recognition
James Ledwith, MD has been asked to serve as Faculty Supervisor for the UMMS Student COVID Response Task Force, coordinating volunteer service activities of our students in numerous areas, including a new initiative to assist in administration of COVID immunizations. Established free care programs across the city were converted into a coordinated telehealth program when most sites could no longer serve patients in person.

Presentations
The following presentations were part of the UMMHC November Opioid Series on 11/9/2020. the presentations will be repeated on 12/17/2020 to a Boston Medical Center seminar series
  • Kavita Babu, MD presented "IM Noon Conference: Prevention of Opioid Overdose", "Narcan - Everything you need to know", "The Illicit Opioids 101" and "Anesthesia Grand Rounds: Perioperative Buprenorphine Prescribing"
  • Katherine Callaghan, MD presented "OUD & the Pregnant Patient" and Anesthesia Grand Rounds: Perioperative Buprenorphine Prescribing"
  • Rachel Davis-Martin, PhD presented "Screening for OUD"
  • Stephanie Carreiro, MD presented "Emerging Technologies and Opioid Use Disorders"
  • Phoebe Cushman, MD presented "Myths and Realities of Medications for Opioid Use Disorder"
  • Caridad Ponce Martinez, MD presented "The Approach to OUDs in Inpatient Settings"
  • Pamela Manor, DNP RN-BC and Kathy Clement, Clinical Information Specialist presented "Avoiding Opioid Induced Respiratory Depression in Hospital"
  • James Ledwith, MD presented "Managing Opioid Legacy Patients"
  • Stephen Martin, MD presented "Common Misperceptions about Treating Opioid Use Disorder"
  • Amy Harrington, MD presented "IM Noon Conference: Laboratory Testing in the Management of Patients with OUD"
  • Erik Garcia, MD presented "Addiction 101 with Q&A"
  • Gerardo Gonzalez, MD PhD presented "Treatment of OUD Complicated with other SUDS"
  • Paula Gardiner, MD MPH presented "Non-Pharmacologic Approaches to Chronic Pain Management"

Job Opportunity
The New England AIDS Education and Training Center (NEAETC) is recruiting a Healthcare Data Analyst I to be responsible for data management, secondary data collection, and to provide training and TA to project partners. The ideal candidate will have an innovative approach to data management, analytics and visual presentation and also be committed to improving care for people living with HIV and those at risk. 
(Healthcare Data Analyst I - Job Number: 2020-36069)
Community Health Spotlight
Massachusetts AHEC update:
Students in the MassAHEC Urban and Rural Health Scholars Pathways have completed several community health learning opportunities – sometimes creatively conducted via Zoom. 
Urban Health Scholars:
  • Did a socially distanced walking tour of Worcester led by Warren Ferguson
  • Discussed issues of addiction and recovery with Eric Garcia and a recovery coach and had a demonstration of Narcan administration
  • Addressed the inequities of oral health with Hugh Silk
  • Learned about the link between justice involvement and social determinants of health from Warren Ferguson. 
Rural Health Scholars have:
  • Discussed practice in the rural communities of Great Barrington, MA and Montana with RHS alum, Josh Pacheco, Class of 2008 as well as in Barre and Fort Kent Maine, with Nick Hajj, RHS alum and RHS faculty and Ali Roberts, Barre residency alum
  • Participated in a virtual suturing session with Nick Hajj and Steve Martin.
  • Enjoyed a late September Saturday afternoon masked and socially distanced at our State Office of Rural Health partner’s farm for an afternoon trauma assessment session with Ben Woodard, NP and Nick Hajj and farm tour
  • Learned about food policy from Kathryn Brodowski, one of our preventive medicine grads. 

Suzanne Cashman, DSc presented a virtual community vital signs session for the Berkshire AHEC Scholars. These students are in nursing and physical therapy programs at Berkshire Community College. 

Mick Huppert Community Health Scholar Awards
This is the third year that the annual Mick Huppert Community Health Scholar awards will be given to second year medical and/or graduate school of nursing students interested in family medicine who have demonstrated a commitment to community engaged service and scholarship. Between two and four awards, each up to $2,500 will support awardees’ proposed community health initiatives. Medical and nursing student pairs are eligible and are encouraged. A pair would split one award. For more information, see here.

Criminal Justice Health Interstitial Curriculum
  • Warren Ferguson, MD and Janet Hale (GSN) led what is likely the only required medical student curriculum on this topic in the country to a combined group of 185 third year medical and graduate nursing students on Friday, December 11. Warren delivered the plenary presentation and 2 workshops on Medication Assisted Treatment and Community Reentry.
  • Kate Pivovarva, Assistant Professor of FMCH, presented two workshops on drug courts.
  • Patricia Ruze, MD, Assistant Professor of FMCH and Desire Huckfeldt-Kangsen, nurse practitioner at Federal Medical Center, Devens, presented two workshops on team-based primary care in prisons.
  • Donald Perry, a new Instructor in the FMCH, was one of two plenary panelists presenting on required skills to properly care for justice-involved persons post-release. 
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Clinical Services Spotlight: COVID 19 Updates
MESSAGE FROM THE CHAIR
Thanks to everyone for all your efforts during these unprecedented times. Despite the incredible stress that everyone is experiencing at home and work, we continue to find ways to meet the needs of our patients and support each other. Please know that words cannot express my gratitude. We will resume Town Halls to facilitate keeping everyone as well informed as possible. Our next Town Hall will be January 19, Tuesday at 12pm.

COVID-19 UPDATES
PPE
All caregivers are reminded to maintain social distancing, wear goggles in the patient care area, and wear a mask at all times. Please discuss with your clinical area leaders about when to wear N95 masks and additional protective gear. If you need a mask replacement, please contact the clinical area leader where you are working or your department liaison.

UMass plans to begin administering the COVID-19 vaccine this week.
  • COVID-19 Vaccination Program:
  • CDC order of distribution
  • Phase 1 Healthcare workers, clinical and non-clinical. Long-term care facilities, healthcare workers doing non-COVID facing care. The first administration will go to frontline workers in selected area. (December to February) ** may extend longer into the Spring.
  • Who are first line? Emergency room, ICU, anesthesia, front line workers in positive units.
  • Phase 2 Individuals with comorbidities, Adults > 65 years of age. Those with multiple comorbidities will go first. (February to April)
  • Phase 3 General Public. (April to June)

Pfizer Vaccine
  • December 11, 2020 -FDA approved vaccine emergency use.
  • December 15, 2020 - UMass Memorial Supply arrives Vaccination Begins for Healthcare professionals
  • 1,950 doses of the vaccine on December 15th  
  • December 17, 2020 – Planned administration to frontline caregivers.
  • Location: Medical School lobby and UMass Memorial in Knowles Hall.

The program will be ongoing for several months. By the end of the vaccination period (Spring 2021), every caregiver will have the opportunity for vaccination.

Each health care worker will be required to complete e-learning related to COVID and the vaccine. Consents will be signed electronically. Please wait until you are contacted to present for the vaccine. Directions on how to sign up will be on the e-learning. (Time for opening of e-learning to be determined)
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Wellness Resources
  • Wellness Rounds have resumed on Monday, Tuesday, Wednesday, and Thursday evenings from 5:45 - 6:30 via Zoom, hosted by Dan Mullin, Ethan Eisdorfer, or Shahida Fareed. Everyone should feel free to drop in as often as they like.

  • 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.


Working on Wellness
Yoga Classes with Dr. Liz Erban

Please join department members for early morning gentle yoga via Zoom. Much appreciation to Dr. Erban for hosting these outstanding classes that started November 11.
Zoomba with Dr. Anna Zheng
Please join department members and get moving via Zumba and Zoom. Much appreciation to Dr. Anna Zheng for hosting these outstanding classes that started October 31.