UMass FMCH Tuesday Talk - November 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

Upcoming Events

Focus of the Week – Clinical

Announcements

Presentations and Publications

Frankly Speaking Podcast

Clinical Services Spotlight

Upcoming Events


FMCH Grand Rounds

Tuesday, November 7th, 12:00 - 1:00pm, Kyle Staller, MD, MPH, presents "Myths in GI Motility: Practical Advice for the Family Practitioner."

Meeting ID: 191 986 273 Passcode: FMCH

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


Psychiatry Grand Rounds

Thursday, November 9th, 12:00 - 1:00pm, Andrew E. Budson, MD, presents "Consciousness as a Memory System."

Meeting ID: 818 349 233 Passcode: PsychGR1

https://umassmed.zoom.us/j/818349233?pwd=VVRDNUxZZmF4K3NqNXppTHJiVmNSUT09


FMCH Grand Rounds

Tuesday, November 14th, 12:00 - 1:00pm, Thomas Scornavacca, DO, presents "The Current State of Population Health at UMass."

Meeting ID: 191 986 273 Passcode: FMCH

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

Focus of the Week - Clinical

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

Flu Vaccination

  • Please note that the influenza (flu) vaccine is mandated consistent with Massachusetts Department of Health (“DPH”) regulations for all caregivers each year.
  • All caregivers, clinical and non-clinical, who may work on any UMass Memorial Health site for at least one day during the influenza season (between October 1 and April 30) regardless of their employment status, must report having received the flu vaccine or attest they are declining the immunization for medical, religious or personal reasons by December 1st.
  • Those caregivers who decline the vaccine must wear a UMMH-issued surgical mask at all times while in clinical care areas.

Announcements


Past editions of the Tuesday Talk Newsletter are available

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

Judy Savageau Annual Coat Drive:

In memory of Judy Savageau, we are collecting coats for the Union Hill School in Worcester – you can donate by venmo or check (see the attached flyer for details) or buy a coat for the boxes in your practice area. The most needed coat sizes are 5/6 (youth small) for boys, 7/8 (youth medium) for boys and girls, 10/12 (youth large) for boys and girls, and 14/16 (youth x-large) for boys and girls. If you buy a coat, please let [email protected] know the size and gender. We will collect coats through December 1st. Thank you!


Consistent with existing policy, all IRB submissions from faculty and their supervisees are required to undergo internal departmental review before formal submission to the IRB. Philip G Day ([email protected]) will be assuming the responsibility as the department’s IRB consultant. He will screen all IRB submissions and provide brief feedback to the investigators. Please expect a two-week turnaround time for this process. For details and updates, please visit: 

https://www.umassmed.edu/fmch/research/irb/


The Massachusetts Department of Public Health (DPH) would like to call your attention to the ongoing national shortage of Bicillin L-A®. In the context of this shortage, appropriate staging for syphilis is especially important to ensure optimal treatment and preserve the supply of Bicillin L-A®. Massachusetts clinicians should contact the Partner Services and Reporting Line at 617-983-6999 for technical assistance including historical syphilis testing and treatment information for their patients. Clinical consultation on complex cases is available through the STD Clinical Consultation Network (www.stdccn.org) or by calling the DPH Division of STD Prevention clinical team at 617-983-6940. DPH's Division of STD Prevention operates a Bicillin L-A® Delivery program. If you are a clinician unable to obtain Bicillin L-A® to treat patients with infectious syphilis or their contacts, DPH will deliver the medication to your clinic as long as there is sufficient inventory at DPH. Massachusetts clinicians in need of Bicillin L-A® for their patients diagnosed with infectious syphilis should first try to place an order for the medication via their clinic’s routine processes. If they are unable to obtain the medication, clinicians may call the DPH STD Partners Services and Reporting line at 617-983-6999 to arrange for Bicillin L-A® delivery. Additional information and guidance can be found in attached communication, and on the DPH website. It will be updated as the situation evolves.


Give Family Medicine a powerful voice! Participate in the medical school interview process to select the next generation. Multiple-Mini Interviews are 90 minute sessions done remotely using zoom. Each interviewer is assigned a brief “scenario” with a few follow-up questions and spends 8 minutes with 8 applicants. There is no preparation and a quick, 5 question, on-line form is completed about each encounter. Sessions are timed to have limited impact upon our daily schedules starting at 8:00 AM or 4:30 PM). You sign up for whatever number of sessions works for you. The training is at your convenience using a 30-minute, online module. This is a wonderful way to perform academic service. To participate, reach out to [email protected]. For any questions or comments email me at [email protected]


Simulation-Based Training

Are you passionate about patients and caregivers feeling seen and heard, especially when they are living with serious illnesses? Do you enjoy teaching medical students the fundamental skills of communication and compassionate presence to form therapeutic relationships? If so, we have a great opportunity for you! We are recruiting faculty facilitators for a required simulation-based training for all 3rd-year students during their family medicine and internal medicine clerkships. During the 3-hour session, students work in small groups with a patient actor and faculty facilitator to take turns leading a discussion about the patient as a person, their prognosis, goals of care and treatment options. Experienced faculty from palliative care have designed the curriculum and will prepare new facilitators via formal faculty development and coaching. The time commitment is variable, depending on level of interest, but at a minimum includes 2 hours of faculty development and participation in two 4-hour sessions per year at iCELS. For background on this curriculum and teaching method, please see our MedEd Portal publication on our resident curriculum which was adapted for students:

https://www.mededportal.org/doi/full/10.15766/mep_2374-8265.11122

If you're interested in participating, and/or for more information, please contact Jennifer Reidy, MD ([email protected]), Vandana Nagpal, MD ([email protected]), Mary Lindholm, MD ([email protected]) and Nancy Skehan, MD ([email protected])


UMass Memorial Health received grant funding to upskill providers in Central MA with respect to Suboxone access. We are offering a free one-day CME course on December 14th. Any provider from Central MA is welcome. We will be focused on the why behind Suboxone prescribing as well as its nuts and bolts. There is a registration link and more information here: https://www.rizema.org/foundations-support-umass-memorial-health-prescriber-training-to-expand-opioid-use-disorder-treatment/ 

Presentations and Publications


Dr. Ekaterina Pivovarova presented her findings from a NIDA K23 grant that described perspectives of clinicians about working with drug courts at the Association for Multidisciplinary Education and Research in Substance Use and Addiction.

Pivovarova, E., Taxman, F., Boland, A., & Friedmann, P.D. Medications for Opioid Use Disorders (MOUD) providers’ perspectives on working with drug courts. Presented at the Association for Multidisciplinary Education and Research in Substance Use and Addiction in Washington, D.C.


Recent national conference presentations from Fitchburg residency program:

  • Fareed, S, Justine, ME. (2023). Wellness Curriculum for Family Medicine Residents: Moving Conversation from Burnout to Wellness. CFHA Annual conference 2023, Phoenix, AZ.
  • Juliette, C., Fareed, S., Justine, ME., Alex, G., Joanna, W. (2023)Creating Space and Taking Responsibility: Power Differentials and Bias in Collegial Relationship. CFHA Annual conference 2023, Phoenix, AZ.

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: Bronchiolitis caused by respiratory syncytial virus (RSV) infection in infants is common and can lead to hospitalization if severe. There are now 2 ways to prevent this: immunizing the mother during pregnancy or giving monoclonal antibodies. Listen in as we discuss the recommendations for RSV prevention and how to best incorporate them into your practice. Guest: Alan M. Ehrlich, MD, FAAFP, presents: "RSV in Infants: An Ounce of Prevention" - Frankly Speaking Ep 353.

Clinical Services Spotlight:

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

COVID UMMMC

  • The 7-day positivity rate is 9.3%.
  • There are 21 confirmed positive in-house cases. Of the 21, 76% are fully vaccinated.
  • Forty-three percent of the 21 in-house patients are admitted primarily for COVID-19.


COVID-19 MA

  • There were 1,735 confirmed COVID-19 cases from October 22 to October 28, 2023.
  • There were 16 COVID-19 deaths.
  • There have been 31,522 confirmed COVID-19 cases this season.


MA and the Healthcare Crisis

  • The COVID-19 pandemic has affected the healthcare workforce in MA.
  • The lack of diversity in the healthcare workforce adversely affects the outcomes of diverse populations.
  • There is a growing concern in MA that the nursing shortage is contributing to burnout and impacting patient care.
  • Forty-one percent of MA families struggle to afford healthcare.
  • At the end of 2022, there were more than 19,000 acute care openings in MA.


RSV UMMMC

In-House RSV test positivity is increasing.

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 6:30-730am 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