UMass FMCH Tuesday Talk - February 13, 2024/EDUCATION

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 – Education

Announcements

Department Member Recognition

Presentations and Publications

Frankly Speaking Podcast

Clinical Services Spotlight

Message From the Chair

 Diane McKee, MD, MS


Coming soon! 

We will have the RSVP link available shortly for the department’s annual retreat on May 16th, from 12:00 - 6:00pm at the UMass South Street campus in Shrewsbury. Please save this date on your calendar.  If you are interested in moderating a session, or if you have an idea of a session that you think should be offered, please email [email protected]. Thank you!  

Upcoming Events


FMCH Grand Rounds

Tuesday, February 13th, 12:00 - 1:00pmAnthony Lorusso, MD, presents, "Navigating New Frontiers: Updates in Hospital Medicine 2023".

Meeting ID: 191 986 273 Passcode: FMCH

https://us02web.zoom.us/j/191986273?pwd=NEtlZmNkdWlSUGwyeTJQU3dCeUs1QT09

Focus of the Week - Education

Mary Lindholm, MD and Frank Domino, MD, interim leaders


The Medical Education track of the IM Pulmonary/Critical Care fellowship is hosting Dr. Calvin Chou, a nationally recognized thought leader on supporting struggling learners and learner remediation on Tuesday, March 5th, at 12:00pm. Details can be found in the flyer. 

The STFM Medical Student Educators Conference took place this past week in Atlanta Georgia. Elizabeth Irvin, Kristina Gracey, Cynthia Jeremiah and Mary Lindholm presented the following sessions:

  • Kristina Gracey presented a poster entitled-“Increasing Racial Equity in the Care of Birthing: People Incorporating Education and OB Advocates Into Perinatal Care” which was co-authored with medical students Ivy Mwangi and Sara Hansen
  • Cynthia Jeremiah and Mary Lindholm presented “Should Your Clerkship Be Pass/Fail? The Impact of Non-Tiered Grading on Student Evaluation, Wellness and Match Outcomes”
  • Mary Lindholm presented a lecture entitled "Utilizing Reflective Essays to Promote Well-Being and Explore Learners' Experiences in FM Clerkship” which was co-authored by Philip Day and was part of a multi group presentation entitled: “Clerkship and Course Director Challenges 2024: Leadership Development and Collaborative Solutions to Wicked Problems”
  • Elizabeth Irvin, Class of ‘26, presented her poster entitled "All in your Head: Recognizing Brain Injury Among Survivors of Intimate Partner Violence" summarizing her work with Lucy Candib supported with a Huppert Scholars Award.

Ethics Corner

Philip Day, PhD


Topic: Massachusetts End of Life Options Act (S1331/H2246)


Question 1: What is the MA EoL Options Act?

Answer 1: In February 2023, this bill was filed in the Massachusetts legislature. If passed, it would allow MA residents who are terminally ill, mentally capable adults with a prognosis of 6 months or less to live to “make an oral request for medical aid in dying and a prescription for medication that the patient can choose to self-administer to bring about a peaceful death.” The bill is modeled after Oregon’s Death with Dignity Act.

Question 2: What’s the process for patients and healthcare providers if the bill passes?

Answer 2: The bill provides several safeguards, checks, and requirements for use. Amongst other things, the bill requires that: two physicians to confirm the terminal illness prognosis; patients are informed about all of their end-of-life options including hospice and pain management; two requests, 15 days apart, must be made by the patient; the patient must be able to self-ingest the medication; patient mental capacity must be assessed and confirmed. Furthermore, no healthcare provider, personnel, or professional is required to participate. Professional codes of ethics provide support for either participating or declining to participate in medical aid in dying processes.


Question 3: What’s the status of these laws nationally?

Answer 3: Currently, 8 states in the USA have legislation providing for medical aid in dying. 18 states, including Massachusetts, Rhode Island, and New Hampshire, are currently considering such legislation. These bills remain controversial legally and ethically, and I encourage you to read the full text of MA S1331/H2246.


Further reading 1)The full bill: https://malegislature.gov/Bills/193/H2246 2) An easy to parse summary of the bill: https://www.compassionandchoices.org/in-your-state/massachusetts/bill-summary 3)

Announcements


Apply Today to Attend NCCL As a Massachusetts Delegate!

The Mass Academy of Family Physicians is seeking physicians to serve as delegates to the American Academy of Family Physicians (AAFP) National Conference of Constituency Leaders. NCCL will be held Thursday-Saturday, April 18-20, 2024, in Kansas City, MO. 

If you are interested, please submit a letter of interest for which constituency no later than Friday, February 16th. Please see flyer for additional information. 

Clinician burnout is an epidemic in healthcare, CIPC is proud to announce two initiatives: a free webinar and a 5-session CME risk management course.

  • Restoring Balance Webinar: March 1st at 12:00pm (ET), is a free webinar as we delve into revisiting core values and exploring practical strategies to reduce burnout. Save me a seat!
  • Restoring Balance CourseLearn more about our five-session course and the experts that will provide an in-depth exploration. Learn more!


HOLD THE DATE FOR BOOK EVENT - March 6th

Lucy Candib has authored/edited a book entitled Family Doctors Say Goodbye with her co-author/editor Will Miller. The Department, in partnership with the medical school library, will host an event on March 6th at 6:00pm live on campus for a discussion of the book and about transitions in general as a medical clinician. Please plan to attend.


Share your SUTURING skills with MassAHEC Rural and Urban Health Scholars on March 14th at 6:00pm in the Albert Sherman Center/University campus (dinner and parking passes provided with our thanks!). This is an opportunity to share your passion for family medicine too! (Half of the students matching for FM this year are in MassAHEC). If interested, please let [email protected] know.

Department Member Recognition



Congratulations to Sara Shields for receiving the 2024 Advocacy/Public Health Award from the Mass Academy of Family Physicians. This award recognizes the efforts to advocate on behalf of patients or the specialty of family medicine and bring awareness to an issue in public health or impacted access to care.

Presentations and Publications


Dr. Pivovarova was invited to give a talk titled Clinical Organization and Legal Agency Alliance Building (COLLAB): Improving collaborations between Recovery Courts and Providers at the Substance Use Policy and Evaluation Research Symposium in Orlando, FL.

 

Dr. Pivovarova was an invited guest on The Regimen podcast focused on pharmacists in public health how pharmacists can work in specialty courts and community corrections programs. https://open.spotify.com/episode/3Q5rFcBz6FWnsYOEO0R4cP?si=f2a75e411011461a&nd=1&dlsi=a605073ea9764581


Amber Cahill, PsyD, and Jordan Howard-Young, MD, MA, along with colleagues from Arizona State University and Central Washington Family Medicine Residency published the following article: Cahill A, Martin M, Beachy B, Bauman D, Howard-Young J. The contextual interview: a cross-cutting patient-interviewing approach for social context. Med Educ Online. 2024;29(1):2295049. doi:10.1080/10872981.2023.2295049

Article Link: https://www.tandfonline.com/doi/full/10.1080/10872981.2023.2295049?scroll=top&needAccess=true

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: Join us for a look at the Portfolio Diet, a plant-based approach with potential to improve cardiovascular outcomes. We'll take you through the details of this regimen and what the evidence says about its effect on the risks of cardiovascular diseases. Stay informed on the latest research and feel prepared to answer your patients' questions about the Portfolio Diet. Guest: Robert A. Baldor, MD, FAAFP, presents: "The Portfolio Diet-Another Approach to Eating Healthy?" - Frankly Speaking Ep 367.

Clinical Services Spotlight:

Josephine Fowler, MD, MBA, Vice Chair of Clinical Services

Announcement from the Board of Registration in Medicine


1. The state’s Registry of Vital Records and Statistics (RVRS) will implement a new state

system for the registration of vital records called MAVRIC, launching in April.

  • The training link is now available. Please go to the link below to assess training.
  • https://www.mass.gov/alerts/massachusetts-physicians-update-on-the-newmassachusetts-death-registration-system-what-you-need-to-know#3466586


2. CME requirements


Upcoming Educational Event- Transforming Care: Harm Reduction, Overdose Prevention, & Management of Opioid Disorder

  • Please see the enclosed document.
  • Free of Charge.
  • Date: 4-29-24, 7:30 am to 5:30 pm.
  • Sponsored by Road to Care.
  • Location: Wellsworth Hotel, Southbridge, MA.


COVID-19 US

  • Hospitalizations in the week of January 28-February 3 were 20,772.
  • Deaths in the US due to COVID, 3.1%.
  • The test positivity rate is 10%, down from 10.8%.


COVID-19 MA

  • There were 2,292 reported COVID cases January 28-Febrary 3.
  • There have been 79,584 cases this season.
  • There were 37 confirmed deaths during the same period and 740 confirmed deaths this season.


COVID-19 UMMMC

  • The 7-day average positivity rate is 8.1% as of today.
  • Patients in-house with primary COVID-19, 43. (10 of 43 requiring Dexamethasone)
  • Fully vaccinated 83%.
  • Of the 5 in the ICU, 4 are fully vaccinated.

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.

Yoga Classes with Dr. Liz Erban



New members always welcome. 

Please join us at 6:30-7:30am for a gentle awakening yoga session led by the talented

Liz Erban. All are welcome. 

Happy third year anniversary to the yoga class.  

https://umassmed.zoom.us/j/91343267992?pwd=ZHF3NHVrVlR1MVdMV09HSE5lTzdsQT09

Past editions of the Tuesday Talk Newsletter are available at 

https://www.umassmed.edu/fmch/ under Resources.