UMass FMCH Tuesday Talk - February 7, 2023/CLINICAL

Welcome to the FMCH Tuesday Talk. Please continue to send us your announcements, celebrations, and accomplishments to [email protected].

Table of Contents

Message from the Chair

Upcoming Events

Focus of the Week - Clinical


Presentations & Publications

Frankly Speaking Podcast

Clinical Services Spotlight

Message from the Chair

The extreme cold of this past weekend led to activating emergency operations and the Command Center due to frozen pipes and loss of heating on the Memorial campus, primarily in the South building. At peak, 32 beds were out of service due to flooding or lack of heat. Thanks to the many people who worked through the challenging circumstances, and especially to those who stepped in to restore heat and plumbing and repair and clean rooms. As of this morning, heat has been restored in most locations, and 15 beds remain out of service. It is expected that all will be available by tomorrow. The Memorial surgical services were impacted but normal surgery scheduling is planned for tomorrow.


On the other side of the world, the devastating earthquake in Turkey and Syria has claimed at least 5000 lives and left countless more injured or homeless. To those in the UMass and Worcester communities with family and friends in that region, we offer our condolences and support. As specific ways to help are identified, we will communicate them to our FMCH community. 

Upcoming Events

Psychiatry Grand Rounds

Thursday, February 9th, 12:00 - 1:00pm, Erica Sorrentino, DO, MA presents "Medicine, Motherhood and Maternity Leave: One Resident's Perspective"

Meeting ID: 818 349 233 Password: PsychGR1

Special Seminar

Wednesday, March 22nd, 12:00 - 1:00pm, "Improving Cancer Health Equity in Rural Settings through Participatory Implementation Science", presented by Melinda M. Davis, Ph.D., M.C.R. Dr. Davis is an Associate Professor at Oregon Health & Sciences University, Interim Director of the Oregon Rural Practice-based Research Network and co-Director of the OCTRI Community and Collaboration Core. Dr. Davis conducts participatory implementation science research with patient, community, and health system partners to improve health and enhance health equity in rural settings. Please register in advance for this webinar.

Career Development Workshop: UMass Cancer Screening Research

Thursday, March 23rd, 12:00 - 1:00pm, Presented by Melinda M. Davis, Ph.D., M.C.R., for early-career researchers and faculty, however, all are welcome.

Focus of the Week - Clinical

UMass alerts

Please check your email for information regarding the Capacity Level Criteria language. You should have received several emails over the weekend informing about the Medical Center Capacity criteria. A copy is attached for your review. 

Frost Bite

Since we may have a few more cold days during this winter season, below are a few things to discuss with your patients. Conditions that may increase risk of frost bite include:

  • Peripheral neuropathy
  • Peripheral artery disease
  • Raynaud phenomenon
  • Dehydration
  • Diabetes
  • Exhaustion
  • Poor blood flow

Those most at risk include children and older adults. Frostbite is most commonly seen in persons 39-49.


Management of Frostbite

See attachment for guidelines. Source: The Red Cross. 

Frostbite_and_Hypothermia.PDF (


Ending the Public Health Emergency

President Biden announced that he will end the Public Health Emergency on May 11, 2023, related to the COVID-19 pandemic. 


Medicare Coverage of Telehealth During the PHE:

  • Medicare beneficiaries in any geographic area can receive telehealth services, rather than beneficiaries living in rural areas only
  • Beneficiaries can remain in their homes for telehealth visits reimbursed by Medicare, rather than needing to travel to a health care facility
  • Telehealth visits can be delivered via smartphone in lieu of equipment with both audio and video capability
  • Federally qualified health centers and rural health clinics can provide telehealth services to Medicare beneficiaries (i.e., can be distant site providers), rather than limited to being an originating site provider for telehealth (i.e., where the beneficiary is located)

The Consolidated Appropriations Act, 2023 extended these flexibilities through December 31, 2024, regardless of the status of the § 319 PHE; previously these flexibilities were set to expire after 151 days after the end of the § 319 PHE.


Past editions of the Tuesday Talk Newsletter are available here under Resources.

MCSTAP Guideline Update: A Series on Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain, The latest CDC Guidelines for Prescribing Opioids for Pain include very important information for prescribers. To support you, MCSTAP is offering a three-part series on applying the Guidelines to managing care for patients with chronic pain. Register for all dates now!  MCSTAP


  • Wednesday, February 15th, 12:00 - 1:00pm, "Initiating Opioids: Applying the 2022 CDC Guidelines"
  • Wednesday, March 15th, 12:00 - 1:00pm, "Continuing Opioids: Applying the 2022 CDC Guidelines
  • Wednesday, April 19th, 12:00 - 1:00pm, " Assessing Risk of Opioid Therapy: Applying the 2022 DCD Guidelines

The STFM Ethics and Humanities Collaborative is excited to announce the 2023 STFM Annual Poetry and Prose Contest. The theme of this year's contest is "Wisdom and Wordcraft: Stories of Healers and Their Art."

Entries are limited to one entry per category. The three submission categories are:

  • Prose—can be in the form of a story, narrative, or essay and should be limited to 1000 words.
  • Poetry—can be in any form 
  • Other short writing—can include 55 word stories, haiku, 7 word stories, or cartoons with captions

First and second place will be awarded for each category. The first and the second place prize in each category is $50 each. Winning pieces will be on display at the 2023 STFM Annual Spring Conference

and awardees will have the opportunity to read their works at the Annual Poetry and Prose Reading on Saturday, Saturday, April 29; 6:45–8 pm at the Annual Spring Conference. A congratulatory letter will be sent to their Chair and/or Dean. Winners to be announced prior to the Annual Spring Conference. To be entered into the contest, send a cover sheet and your entry as Word file (not pdf) to [email protected] by February 17th.

More info here:

The Co-Editors of the APA journal Families, Systems, & Health seek qualified professionals to serve on our Editorial Board. Editorial Board membership provides an opportunity to make a substantial contribution to the process of science and, for this journal, to curating the literature in integrated care, healthcare, and family systems. We have an engaged and diverse leadership team and look forward to adding several new members in Spring 2023. Consistent with our values of equity, diversity, and inclusion, we encourage inquiries and applications from members of minoritized and underrepresented groups. Needed areas of expertise include: pediatrics, addiction medicine, workforce development/interprofessional training, collaborative care management, family systems, nursing, qualitative methods, integrated care in specialty settings, policy research, health services research, and psychiatry.

Editorial Board members’ responsibilities include:

  • completing at least 6 high quality manuscript reviews annually
  • attending twice annual board meetings (by zoom)

Board members are encouraged to take optional leadership roles on special projects. For example, members have written guest editorials, contributed guest commentary, partnered to guest edit a special issue or section, presented on behalf of the journal in webinars or conference venues, and participated in a workgroup to address equity, diversity, and inclusion within the journal. Families, Systems, & Health has a diverse readership including both academics and professionals working in the health care industry. A key focus of the journal has been to promote translational science and accessibility of the work. Thus, we seek professionals from both within and outside traditional academic settings who can demonstrate their fit with this mission. Additional desired qualifications include: past service on an editorial board or the completion of at least 5 ad hoc reviews, track record of at least 5 peer-reviewed publications over the past 5 years, and any additional evidence of experience in scholarly writing and translational work (e.g., book chapters, conference presentations, blogs, podcasts, etc. regarding empirical topics). To apply, please send a CV and short letter of interest/personal statement addressing the qualifications above to: Robyn Shepardson, Ph.D., [email protected] DEADLINE: February 17th.


Mick Huppert Awards!

The department is revising how Mick Huppert Awards are awarded. For those who remember Mick, a long-time faculty member and AHEC leader who died in 2017, his two passions were family medicine and community health. We are revising the award to foster student interest in family medicine during the first year of medical school, engage in a community project, and build a connection with a family medicine mentor who will also be recognized with this award. Please see the attached application for more details. This application is being shared with students as well. The due date for applications is March 10th to [email protected].

SAVE THE DATE: The MassAFP Annual Meeting and Spring Refresher will be

March 24-25. See the attached flyer for more details or go to:

Manju Mahajan is co-chair of the MassAFP Education Committee. 

Mindfulness and Compassion During Tumultuous Times - Essential Tools to Remain Steady and Whole, presented by Paula Gardiner, MD, MPH, CMMT and Gail Gazelle, MD, MCC, CMMT.

Friday, May 5, 2023, 9:00 am - 3:30 pm (ET)

At this in-person program, you will acquire practical strategies to quiet your mind and gain mastery over worries and self-doubt. You’ll learn about the neuroscience behind mindfulness and meditation, and practice with a variety of readily accessible tools that will help you attain calm, clarity, and the balance you need to build resilience and avoid physician burnout. Event Info (

Fellowship Match! - Mark Skiba, MD, PhD, has matched into our Hospice and Palliative Medicine Fellowship. He earned his bachelor’s degree in Biology from Western New England College and obtained a PhD in Mammalian Genetics at Clark University. After postdoctoral research in Molecular Genetics at UMass, Dr. Skiba obtained his MD at UMass Chan Medical School and completed his residency in Internal Medicine at UMass. Dr. Skiba has been practicing hospital-based medicine at Milford Regional Medical Center for the last twenty years.

Photo Sessions (FREE headshots!)

Date: Every other Wednesday starting November 9th

Time: 9:00am - 3:00pm

Location: Sherman Center - 5th floor (near staircase) 

If you are in the need of a faculty headshot or need to update your current one, please sign up via the link below.

Sign Up Link

Presentations & Publications

Dr. Chris Garofaloa, a graduate of Hahnemann Family Health Center, had a story featured in The Boston Globe titled "Why you can’t get in to see your primary care doctor. ‘It’s almost frightening.’"

Bolduc P, Day PG, Behl-Chadha B, Karapanos, M, Carson-Sasso, V, Simpson EH, Hebert, S Community-Based HIV and Viral Hepatitis Fellowship Evaluation: Results from a Qualitative Study. Journal of Primary Care & Community Health. 2022;13.


Congratulations to MSIIIs, Sabine Shaughnessy, Julia Small, and Read Allen, who presented at STFM's conference on Medical Student Education in New Orleans. Their poster described their project "Health Equity and Advocacy in Practice (HEAP): Implementing and Evaluating a Skills-Based Health Equity Elective". Great work!

Frankly Speaking Podcast

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

Listen on Apple Podcasts:

Please join us for an overview: The herpes zoster virus, or shingles, is more than just a rash. Oftentimes we don't consider the long-term risk of viruses, but we should. This episode focuses on the association between the herpes zoster virus and an increased risk of stroke. Join us to discuss data that show a reduction in stroke risk in individuals who receive the herpes zoster vaccine. Guest: Mariyan L. Montaque, DNP, FNP-BC, presents: "Strokes: Which Vaccine Can Reduce Your Risks?". - Frankly Speaking Ep 314.

Clinical Services Spotlight:



  • The overall trend is of a stable 30-35 patients in-house. Most are incidental rather than primary COVID, though this still impacts resources for infection control and isolation.
  • The 7-day positivity rate is 8.5%.
  • The rolling average of employees out due to COVID is 10.


  • Since the onset of COVID-19, MA has had 2.2 million cases with 23,771 deaths.
  • There were 5,460 new COVID cases in the last 7 days and 112 confirmed deaths.
  • The 7-day average of percent positivity was 8.31%.

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, [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 for early morning gentle yoga, Wednesday mornings 6:30am via Zoom. Much appreciation to Dr. Liz Erban for hosting these outstanding classes. 

Join Zoom Meeting ID: 923 9393 3653 Passcode: 764113