UMass FMCH Tuesday Talk - October 12, 2021/EDUCATION
Welcome to the FMCH Tuesday Talk. Please continue to send us your announcements, celebrations, and accomplishments to [email protected].
Table of Contents
Upcoming Events
Focus of the Week - Education
Announcements
Frankly Speaking Podcast
Department Member Recognition
Faculty Presentations/Publications
Clinical Services Spotlight
Upcoming Events

FMCH Grand Rounds
Tuesday, October 12th, 12:00 - 1:00 pm, "'Getting Home for Dinner' Initiative: 5 Epic Best Practices To Use Right Now". Presented by Henry Del Rosario, MD, Stephanie Carter-Henry, MD, Nicholas Hajj, MD and Jeanette Ryan-Alkasab, MD.
Meeting ID: 191 986 273 Passcode: FMCH
https://us02web.zoom.us/j/191986273?pwd=NEtlZmNkdWlSUGwyeTJQU3dCeUs1QT09

FMCH Monthly Research Form
Friday, October 15th, 12:00 -1:00 pm, "A Qualitative Study of Vocational Rehabilitation & Community Living Services for People with Disabilities in Massachusetts"
Meeting ID: 93066045211 Passcode: 623481

FMCH Grand Rounds
Tuesday, October 19th, 12:00 - 1:00 pm, "Family Medicine in Liberia: History, Challenges, Successes and Opportunities". Presented by Olga Valdman, MD and Richard Sacra, MD.
Meeting ID: 191 986 273 Passcode: FMCH
https://us02web.zoom.us/j/191986273?pwd=NEtlZmNkdWlSUGwyeTJQU3dCeUs1QT09

American Board of Family Medicine Maintenance of Certification
KSA (SAM) Workshop: “Care of Children”
Thursday, November 18, 2021, 8:00 – 10:00 AM
WEBINAR (no need to leave your desk) Link will be sent prior to 11/18/2021
We will complete the latest (just released) 60 question Care of Children KSA via a virtual CME event. You will record your answers while we work through the KSA, then after completion, log into your ABFM account and enter the results and claim your CME credits through the ABFM. Successful Completion of the Knowledge Self-Assessment (KSA) Module is eligible for up to 10 ABFM Credit Hours.
See the attached invitation for a WEBINAR to complete the ABFM KSA: Caring for Children. To register, please complete and follow the directions on the attached registration form.
Focus of the Week - Education

FMEC Awards
Congratulations to our many award winners at the FMEC annual meeting this past weekend.

This We Believe Award Winners
John Romano MSIV, "A little trust"
Hugh Silk, MD, "I Believe in Mentorship"
Best Overall Visual Arts
Henry Del Rosario, MD, "Workers of Worcester"
Second Place Poetry
Katharine Barnard, MD, "Portraits in Dignity"
 
FMEC Annual Conference occurred IN PERSON this past weekend. It was a great opportunity to share our work. The following is a list of the presentations and posters shared. Congratulations to the following faculty, residents, and students who were able to attend and disseminate our work. If I missed anyone, please submit to next week's Tuesday Talk.
Presentations
Virginia Van Duyne, MD, Nicholas Martin, MD, Maegan Pollard, MD, with Lee Mancini, MD and Laurel Banach, MD in absence, "A Longitudinal Curriculum Approach for Sports Medicine Training within a Family Medicine Residency Training" Lecture-Discussion
Stacy Potts, MD, "The Juggling Act: Women, Medicine, and Families" Seminar;
"Responding to the Primary Care Workforce Challenge" Workshop
"Shaping GME for the Future of Family Medicine: Updates on the ACGME FM Requirements Major Revisions"
Posters
Maegan Pollard, MD and Kristina Gracey, MD
"Standardized References to Improve Safety and Quality of Maternal Care: MCH Intern Cards"

FMCH Vision 2030 Strategic Planning Fall Listening Sessions 
With 2021 drawing to a close, the department would like to continue work on a strategic planning process.  Vision 2030 is a project to look at the department’s long-term goals. What do you want our department to achieve by 2030? What will we be known for? We want your voice to be heard, please consider attending one (or more) listening sessions which will occur over the next two months. Site specific sessions will occur during standard meeting times to allow for easy access and minimize scheduling issues. Dates and times will be forthcoming about other groups that will open across sites.

Faculty Development Workshops
  • Build QuickActions Workshop - 7:30-8:30am, Thur, Oct 28
  • Build Speed buttons Workshop - 12:30pm-1:30pm, Thur Nov 4
  • Optimizing Epic during a live patient encounter - 7:30-8:30am, Thur, Nov 18
  • Smartphrases Workshop - 12:30pm-1:30pm, Thur, Dec 2
Please RSVP to Jennifer Masoud at [email protected].
Announcements
UMass Cancer Walk and Run
I will be participating in the 23rd annual UMass Cancer Walk and Run, on Sunday, October 17th at Polar Park in Worcester. Please consider donating to a great cause! The money raised supports adult and pediatric cancer research and care as well as clinical trials of new potentially lifesaving therapies taking place at the UMass Chan Medical School. The Cancer Walk and Run began in 1999 and since then has become the largest, one-day, single-location fundraising event in our area.
The following is a direct link to donate to my fund raiser page. https://support.umasscancerwalk.org/fundraiser/3339386.
Thank you for your consideration! Sandra Girouard
TendHealth Faculty COVID Recovery Series
You matter! The Department wants to support you through your COVID recovery efforts. We have hired TendHealth to provide recovery courses for our faculty.  A series of four sessions over two months will guide you through recovery and build resilience. 
Objectives:
Learn new concepts, build resiliency, and find community through live courses.
The team of expert and diverse instructors bring together a community of like-minded health professionals to learn new skills and expand our insights.
Faculty will need to choose one cohort and stick with it for all the sessions. 
TEND is able to move the start date of the faculty cohorts back to hopefully avoid cancelling patient sessions. Here are the new dates:
Cohort 1: Mondays 8-9:15am, 11/1, 11/15, 11/29, 12/13
Cohort 2: Fridays 4-5:15pm, 11/5, 11/19, 12/3, 12/17
RSVP as soon as possible to Jennifer Masoud to reserve your spot in your chosen cohort, Jennifer.masoud@umassmemorial.org.

UMass Chan Medical School is implementing multi-factor authentication (MFA) to reduce the risk of unauthorized access to information systems. MFA is a digital authentication method that requires two or more forms of verification factors before access is granted. Prior to MFA, only a valid username and password have been required. Adding a second form of authentication is a best practice. MFA registration is required for all who use UMass Chan information systems, including email. Students, faculty, and staff must register by Friday, December 17th. You will need to choose at least one secondary authentication method: a text to a mobile device; a phone call to a mobile device or landline; or an alert on the Microsoft Authenticator mobile app. Similar to our current use of the Duo app to access HR Direct, Microsoft Authenticator provides a secure method for multi-factor authentication. To learn more about multi-factor authentication and how to register, visit the MFA information page. The Help Desk will also host training sessions on Thursdays from noon to 12:30 to assist users in learning how to register. Register here for a session. By December 31st, all users will need to use MFA. If you have any questions, please contact the IT Help Desk via chat, email or phone (508-856-8653).
 
Please share your thoughts as we develop a departmental diversity plan that responds to identified needs among our faculty, staff, and learners on both the school and clinical sides. Your participation in this survey will help us to see where we are as a department and will direct meaningful, data-driven action toward a more inclusive workplace.  This survey is intended for faculty, staff, and learners who identify as current members of the Department of Family Medicine and Community Health (FMCH). Your responses are anonymous and data will only be shared in ways that protect individual identities. Please get your responses in before Saturday, October 16th. Thank you.

REQUIRED TRAINING: School faculty and staff
In compliance with the requirements of Title IX, 34 C.F.R. §106.45(B)(1)(III), UMass Chan requires training for all faculty and staff entitled 'Title IX for Higher Education' by October 29, 2021. The course takes an estimated 17 minutes to complete. Please access it in the Learning Management System (LMS): LMS Access and Information Page or direct access: https://umassmedical.litmos.com/. You will need to log in using your employee ID#.

eIRB:
To continue to promote the changes with the school’s research management system: 
eIRB is being upgraded to a cloud-based environment that will provide greater product stability. The anticipated go-live date is October 12, 2021. The Legacy eIRB production system will close on Friday 10/1/21 at 5pm to all researchers, and a hold on new submissions will be in place from 10/1/21 through 10/11/21.
These two steps above are critical to ensuring that approved studies successfully transfer to the new system. The most recent test run identified many studies that are at risk of failure because these two steps have not been completed. Please do not delay; complete these steps today.

The WFMR Structural Oppression and Anti-Racism (SOAR) Committee is planning a number of upcoming didactic sessions as part of the SOAR framework for residents. We are looking for faculty and residents interested in co-facilitating the following sessions:
  • Intersectional Feminism and Reproductive Justice on 11/16/21 (specifically looking for faculty co-facilitator)
  • Anti-AAPI Racism (AY21)
  • Oppression Against Indigenous Peoples (AY21)
  • Anti-Latinx Discrimination (AY21)
  • Disability, Ableism, and Holding Medicine Accountable (AY22)
  • Immigration and Colonialism (AY22)
  • Medicine and the LGBTQ+ Community (AY22)
If you are interested or have questions, please contact Jordan Howard-Young, MD at

Please consider for in-person learning Pri-Med East 
Thursday−Saturday, December 9−11, 2021 at the Boston Exhibition and Convention Center. Many of our colleagues will be presenting for 19 AAFP CME hours. This year’s keynote speaker is Pulitzer Prize-winning author Siddhartha Mukherjee, MD on: “Themes From the Future of Medicine”. I hope to see you there.

STEP UP
Program Dates: September 1st, 2021 to October 31st, 2021.
Using your smart phone and/or smart watch track the number of steps each week and enter it into the data base link that will be sent out at the end of each week by your designated team leader. You can choose your own team, designate a name for your team and a leader who can keep track of data by each team member using a smart link. Your team leader will complete the first sign up survey after which we will create a “team link” for you where each member of your team can enter their own numbers/data. It will take less than a minute for the whole week’s activity tracking. Incentive: Improve team bonding, improved physical activity, friendships among co-workers, recognition in the Tuesday Talk and system wide recognition at the end of the program.

FMCH Teacherless Writing Group Opportunity
Are you wishing you could write more? Would you like to move it up on your priority list?
Would seeing friends and writing make it easier to put it up higher in your goals? Join family medicine faculty at our monthly Teacherless Writing Group where we read our work to each other, give and receive loving feedback and write for 12 minutes. We have been meeting on Tuesday nights, previously over dinner at Fatima’s, this past year on Zoom, and lately outside in warm weather. We are open to other options for time and place. If you would like to participate in a doodle poll for the date and time of our next meeting, send an email to one of the following members: Lucy Candib ([email protected]); Lisa Gussak ([email protected]); Katharine Barnard ([email protected]); or Stacy Potts ([email protected]). We hope you will join us!

Teaching of Tomorrow (TOT)
January 7-8 and March 25-26, 2022
Registration is Open! 
For over 25 years, UMass faculty from the departments of Family Medicine and Community Health, Internal Medicine and Pediatrics have trained over 1,500 clinical faculty and preceptors from across the Northeast and beyond. TOT focuses on building and refining foundational skills for effective clinical teaching in both the inpatient and ambulatory settings. Preceptors from any specialty and discipline will enhance their clinical teaching skills through discourse and practice. TOT also provides valuable opportunities to network with other clinician educators. Our award-winning faculty utilize the principles of adult learning, drawing on participants’ experience and building knowledge through dialogue. The conference provides frequent opportunities to practice and assess new skills in a safe and fun environment.
Audience:
  • Clinical educators – MDs, DOs, NPs, PAs, RNs, Behavioral Health, Pharmacists
  • Primary Care and Specialty providers
  • Teachers of students, residents, and advanced learners
  • Teachers in both In-patient and Ambulatory settings

Trying to Keep Up with the Literature?
The department pulls together the tables of contents (TOCs) for about 15 medical journals and distributes this bundle monthly to a select listserve that people can easily sign up for. The TOCs include 4-5 FM journals, JAMA, NEJM, AJPH, Health Affairs, Medical Care, JGIM, Am J Prev Med; etc. – lots of great articles that can easily be accessed through links within the bundle. We are also open to adding more journals if there’s an interest expressed! Take a look at what's been posted in the past several months by going to the department's web pages under the section on Research. You will see a tab in the left-hand margin for these TOC bundles that we post monthly (www.umassmed.edu/fmch/research)
If you’d like to be on the distribution list, please send an email to Judy Savageau ([email protected]). 

Research Forums:
In September, we started the first of this academic year’s research forums and invite all of you to attend (held through zoom). These run from September through June on the 3rd Friday of each month from noon-1pm. We would be happy to add you to our list of upcoming presentations (it’s very informal) if you’re working on a new project idea or an on-going project and would love some feedback from attendees. Please contact Judy Savageau ([email protected]) if you would like to be on our schedule of an upcoming presentation.
                                                                                                                                       
Research Web Pages:
Our department’s web pages have a specific section for ‘research’ (www.umassmed.edu/fmch/research) where we list publications, presentations, student/resident projects, information on getting support from the department for your particular project, etc. Please be sure to let us know (or make sure you send a notice to the Tuesday Talk about, for example, a new publication) so that we can highlight your great work!
Frankly Speaking Podcast

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

Join us for an overview: When your patient has an elevated screening PSA level, your first inclination may be to refer for a biopsy, but have you considered obtaining a pre-biopsy MRI? In this podcast, we will review the appropriate management for an elevated screening PSA. You'll want to hear about the new benefit of obtaining a pre-biopsy MRI to guide diagnostic procedures.. Guest: Frank J. Domino, MD, presents: "MRI for Elevated PSA". - Frankly Speaking Ep 245.
Department Member Recognition

Hugh Silk, MD, MPH, FAAFP was a Panelist for a webinar on October 6th, hosted by the Harvard School of Dental Medicine Initiative on the topic of "From Classroom to Clinic to the Global Community: Training Non-Traditional Oral Health Providers".
 
Judy Savageau, MPH and Hugh Silk, MD, MPH, FAAFP, with medical student Mack Jones, presented a poster at the American Academy of Pediatrics Annual Conference on October 9th on the topic of "Creating a Model Oral Health Curriculum for Medical Schools and Pediatric Residencies" based on Mack's summer research at UMCMS.

Congratulations to Jim Ledwith, MD and medical students Tyler Healy, Grant Garcia, Mina Botros for receiving funding from the Remillard Family Community Service Fund for funding for: Improving Oral Health Among Patients at the Worcester Free Care Collaborative Clinics by Increasing Access to Dental Services and Education. At the monthly Oral Health Night at the Epworth Methodist Free Medical Program, dental hygienists and students from the Massachusetts College of Pharmacy and Health Sciences will work alongside medical students to integrate free fluoride varnish applications and dental screenings into the usual clinical evaluation.
Faculty Presentations/Publications

Steve Martin, MD and colleagues from Bassett Health in New York state published on Project ECHO work lead by CIPC: 
Anderson JB, Martin SA, Gadomski A, et al. Project ECHO and primary care buprenorphine treatment for opioid use disorder: Implementation and clinical outcomes [published online ahead of print, 2021 Jun 4]. Subst Abus. 2021;1-9. doi:10.1080/08897077.2021.1931633

Two of our UMMS medical school graduates who developed the Med Moth program here at UMass, and their team of Capstone Advisors, recently published the evaluation of this new program with support from the department’s research infrastructure group. The paper was recently accepted for publication: Michelle Silver, Sarah Ohnigian, Hugh Silk, Mike Ennis, and Judy Savageau. Med Moth: A Storytelling Platform for Improving Wellness in Medical Education. International Journal of Medical Students, in press, 2021. https://doi.org/10.5195/ijms.2021.1070
Clinical Services Spotlight:
COVID-19 UPDATES

State of MA
  • There have been 768,466 confirmed cases of COVID-19 in MA.
  • The 7-day average positivity is 1.80%. 
  • There are 562 patients hospitalized for COVID-19 in MA with 147 in the ICU and 93 intubated. There are 18,358 confirmed deaths.
  • The MU variant is present in the US and most likely present in MA. The MU variant is possibly more resistant to the vaccines.

UMMMC
  • The 7-day average caseload is 26.
  • On 10/10/21, there were 26 COVID positive patients in-house; 6 of 26 fully vaccinated (23%).

October is Depression and Mental Health Awareness Month
Many thanks to my FM colleagues and Behavioral Health and Mental Health Professionals for your commitment to addressing mental health. We appreciate all you do to help our patients.
 
Focus on Osteoporosis Screening
Osteoporosis is a system wide quality metric for 2022. Below are a few facts about osteoporosis. 
  • Osteoporosis is a disease that causes bones to become weak and porous. Decreased bone mass and strength can lead to fractures. 
  • The USPSTF recommends screening for osteoporosis in women aged 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors. The USPTF recommendation is pending update.
  • Dual-energy X-ray absorptiometry (DEXA) screening for osteoporosis is not indicated for women under age 65 or men under 70 with no risk factors.
  • The AAFP recommends measurement of BMD in women aged 65 years and older and women aged 60 years and older at increased risk for osteoporotic fracture. 
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.
Working on Wellness
Yoga Classes with Dr. Liz Erban
Please join department members for early morning gentle yoga, Wednesday mornings 6:30am via Zoom.

Much appreciation to Dr. Erban for hosting these outstanding classes. Join Zoom Meeting
Zumba with Dr. Anna Zheng

Please join department members Monday mornings at 6:00am over ZOOM, Thursday evenings at 6:15pm**(30 Anna Street, NEW tall, spacious indoor location), some Saturday mornings at 9:15am and get moving with Zumba. Please note details and any changes via webpage: http://annazheng.zumba.com/. ZOOM still possible for all classes.

Much appreciation to Dr. Anna Zheng for hosting these outstanding classes. Join Zoom meeting: https://kennedychc.zoom.us/j/5578995952 pwd=bzVnY0xXdFNTQkpQQ1hmZkw3Snh6Zz09.