UMass FMCH Tuesday Talk - August 2, 2022/CLINICAL
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
Focus of the Week - Clinical
Announcements
Frankly Speaking Podcast
Clinical Services Spotlight
Message from the Chair

Congratulations to Dr. Henry Del Rosario and the entire Epic Task Force team for receiving a grant from the Chief Experience Officer to address in-basket management in Epic. This reflects the team’s hard work and commitment to improving the usability and efficiency of Epic, and a major step forward to meet our goals. Great work!
Focus of the Week - Clinical

Health Equity and the Well Child Care Visit
  • Health Equity in healthcare means that every patient can achieve their full potential of health. 
  • The American Academy of Family Medicine and the American Academy of Pediatrics support the prevention of illness from ages 0 to 21 years old.
  • Through our Well Child Health Equity Initiative, we are committed to improving the care of all children.
  • Key ways to improve well-child visits:
  • Remind parents about the importance of visits.
  • Evaluate social determinants of health that might impact getting to visits. 
  • If a child comes for an emergency visit, consider doing the WCC visit at that visit.
  • Schedule WCC visits for newborns before leaving the hospital. 
  • Educate parents about the schedule for WCC visits. 
Announcements

The Admissions Office is recruiting for MMI (Multiple Mini Interview) raters to assess the applicant pool to UMass Chan Medical School. As a volunteer, you interview applicants during a 3-hour, scheduled window. To sign-up for the training please go here: https://doodle.com/meeting/participate/id/eERjZKWa or contact Brenda Fusaro, MMI Coordinator at Brenda.Fusaro@umassmed.edu.

Information for members of the American Academy of Family Physicians:
To report CMEs on the AAFP website, search activity number 95264 for a listing of all 2022 FMCH Faculty Development sessions, 91384 for a listing of all 2021 FMCH Faculty Development sessions, and 88033 for a listing of 2020 FMCH Grand Rounds.
Frankly Speaking Podcast

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

Please join us to discuss the rates of false positives in mammography and how to decrease them. Specifically, this session reviews data from an observational comparative effectiveness study suggesting that the type of mammography interval, and other factors can affect the probability of false positive results. Guest: Jill M. Terrien, PhD, ANP-BC, presents: "Biennial Screening Could Decrease False Positives in Screening Mammography". - Frankly Speaking Ep 287.
Clinical Services Spotlight:
CLINICAL UPDATES

COVID-19 and Health Equity
  • In rural America, COVID has hit Black and Hispanic people the hardest. Black and Hispanic people in rural America are 34 percent more likely to die of COVID when compared to whites. Rural areas saw 2.4 times more cases per capita than urban areas. 
  • Addressing health equity means taking the initiative to eliminate health disparities. 
  • In alignment with the CDC, we must eliminate barriers to equitable health and health care services. 

COVID-19 and US
  • The US continues to lead in the number of COVID cases and deaths (93,225,110 cases with 1,055,576 deaths) with recent increases in cases.
  • The US continues to have more than twice the cases and deaths of the second-ranked country (India) and the third country (France). 
  • California and Texas have the most cases. Massachusetts ranks 14 among the States and US territories.

COVID-19 MA
  • 1,803,391 cases to date in MA, and 19,898 deaths.
  • 7-day percent positivity: 8.09%.
  • On July 26, there were 171 patients hospitalized for a COVID-related illness and 616 hospitalized with COVID positive tests. There were 48 patients in the ICU. 

COVID-19 UMMMC
  • The 7-day positivity rate is 7.3%.
  • There are 32 in-house COVID positive cases. Of these cases, 69% are fully vaccinated and 6 patients are in the ICU.

Monkeypox
  • WHO has named Monkeypox a global health emergency. 
  • There are 5,811 cases in the US.
  • To date, more than 340,000 doses of vaccine have been given in the US.
  • Vaccinations are increasing. Access is improving. However, priority remains those most at risk and any person that has had contact with someone with Monkeypox. 
  • Both NY and California governors have declared a state of emergency over Monkeypox.
  • There are 134 cases in MA compared to 1390 cases in NY and 827 cases in California. 
  • Signs and Symptoms of Monkeypox:
  • Fever
  • Headache
  • Muscle aches and backache
  • Swollen lymph nodes
  • Chills
  • Exhaustion
  • Respiratory symptoms (e.g. sore throat, nasal congestion, or cough)
  • A rash that may be located on or near the genitals (penis, testicles, labia, and vagina) or anus but could also be on other areas like the hands, feet, chest, face, or mouth. 
  • The rash will go through several stages, including scabs, before healing.
  • The rash can look like pimples or blisters and may be painful or itchy.
  • Symptoms vary, some people may get the rash first. 
  • If you have a new unexplained rash, isolate yourself.
  • Prevention
  • Avoid close, skin-to-skin contact with people who have a rash that looks like Monkeypox. 
  • Do not touch the rash or scabs of a person with Monkeypox.
  • Do not kiss, hug, cuddle or have sex with someone with Monkeypox.
  • Avoid contact with objects and materials that a person with Monkeypox has used. 
  • Do not share eating utensils or cups with a person with Monkeypox.
  • Do not handle or touch the bedding, towels, or clothing of a person with Monkeypox.
  • Wash your hands often with soap and water or use an alcohol-based hand sanitizer, especially before eating or touching your face and after you use the bathroom.
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.

Wellness
You are invited to become a member of the Department Wellness Committee. Key goals for this year include improving the efficiency of use with the Electronic Health Record. Watch your email for future training sessions.
Working on Wellness
Yoga Classes with Dr. Liz Erban

Classes have resumed!!

Great time to join!
This is a great time to join, new members always welcome. Start your mid week with some relaxing yoga! 

Please join for early morning gentle yoga, Wednesday mornings 6:30am via Zoom.
Join Zoom Meeting ID: 923 9393 3653 Passcode: 764113
Zumba with Dr. Anna Zheng

ZOOM Zumba, Thursdays at 6:00am.
Meeting ID: 557 899 5952
Passcode: 123456

Please join department members Thursday, early mornings at 6:00am. Please note details and any changes via webpage: http://annazheng.zumba.com/. Much appreciation to Dr. Anna Zheng for hosting these outstanding classes. New to the class? Please email Dr. Zheng at ZumbawithAnnaZheng@gmail.com to register, complete brief health screen if it's your first class and the ZOOM link.