UMass FMCH Tuesday Talk - October 22, 2024/RESEARCH

Welcome to the FMCH Tuesday Talk. Please continue to send us your announcements, celebrations, and accomplishments to FMCHtuesdaytalk@umassmed.edu. 

Table of Contents

Key Dates to Remember

Upcoming Events

Focus of the Week - Research

Announcements

Presentations and Publications

Frankly Speaking Podcast

Department Resources

Wellness Resources

Yoga Class

Upcoming Events

FMCH Grand Rounds

Tuesday, October 22nd, 12:00 - 1:00pm, "Performing Medical Evaluatons for Asylum Seekers", presented by Katharine Barnard, MD, Satu Salonen, MD, and Reef Al-Asad.

Meeting ID: 191 986 273 Passcode: FMCH

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

Dr. Mitchell will be collaborating with Dr. McKee, Dr. Mullin, Dr. Silk, Dr. Gnazzo and

Ms. Barbara De La Cruz on this project among other collaborators across the U Mass Memorial system and partners at University of Michigan. 

REDDCAT2 Project Abstract Summary

Over 36 million Americans are diagnosed with type 2 diabetes mellitus (T2DM), accounting for more than 7.8 million hospital admissions and $327 billion in healthcare costs each year. Fully, 1 in 5 hospitalizations involve patients with diabetes, largely due to diabetes complications that are attributable to social determinants of health leading to unmet health-related social needs. Often unmet SDOH needs are identified in the course of clinical care, however, there is no streamlined process to comprehensively and

proactively identify, prioritize and address the most important health-related social needs of our patients at the time of hospitalization. Our previous research has increased our understanding of the multitude of SDOH impacting readmission risk and poor outcomes. With NIDDK funding, we developed a measurement system (REDD-CAT) designed to efficiently capture and create a personalized profile of health-related social needs for

patients with diabetes to reduce avoidable hospitalization and emergency department visits. We now aim to study a novel intervention that couples our innovative SDOH screening intervention tool (REDD-CAT) with an evidence-based patient navigation protocol (REDDCAT2) also developed in past NIH-funded work. We will implement this intervention during hospital care transitions in order to leverage hospitalization as an

opportunity to resolve unmet SDOH needs for people living with diabetes. We will study the impact of the REDDCAT2 intervention compared with discharge care as usual readmission risk measured as time to rehospitalization in the 90 days following discharge. The goal of the comparative effectiveness trial is to assess the impact of REDD-CAT on medical service outcome, diabetes outcomes and SDOH outcomes at 30-days and

90-days following hospital discharge. The REDD-CAT tool will rapidly identify individuals with unmet social needs that place them at risk of poor health outcomes. The REDDCAT2 patient navigator will work with the patient to collaboratively prioritize each individual patient’s SDOH needs at the hospital bedside and provide post-discharge PN support for 90-days care transition period to resolve unmet SDOH needs. We will also use this research opportunity to generate a unique patient risk profile algorithm for future work.

Announcements



Sriya Podila, MD Candidate ‘26 is doing a research project with PhD candidate, Clevanne Julce, to understand how primary care providers interact with and counsel patients with mental illnesses in the preconception period, knowing that many patients discontinue their psychiatric medications during pregnancy risking their psychiatric stability. Involvement includes a quick 5-minute survey and a 30-minute recorded Zoom interview with compensation via a $50 gift card. If you'd like to know more contact 

Clevanne.Julce@umassmed.edu or Sriya.Podila@umassmed.edu and see attached.

ANNUAL JUDY SAVAGEAU COAT DRIVE

We are excited to announce another year of the Annual Judy Savageau Coat Drive for Worcester Public Schools! This event is in honor of the late Judy Savageau, who spent 30 years at UMass Chan Medical School working in Family Medicine and Community Health. Judy played a foundational role in supporting our local community through multiple volunteer avenues including her Annual Coats for Kids Campaign. See flyer for information. Questions reach out to Thomas.Giauque@umassmed.edu or hugh.silk@umassmemorial.org 

EVENT DETAILS:

• Submit donations via Venmo to @ThomasGiauque (Thomas is a medical student helping with coat drive) or checks to Linda Cragin at  6 Alcott Dr., Northborough, MA 01532.
• Coat donations are also accepted. Coats donated should be NEW and high school sizes, Women M, L; Men M, L, XL. We are preparing sites at each health center or bring to Benedict or the Department Awards Ceremony on October 29th.

The Department of Psychiatry is looking for patients with treatment-resistant depression for the psilocybin study. Interested patients should call 508-856-1882.

See flyer for additional information.

If you have not already updated to the new RSA app on your mobile device as outlined below, please complete this by December 1st, 2024. After that date, there is no guarantee the old RSA app will continue to work and you may not be able to access the UMass Memorial Health network remotely. Instructions for completing the update are available here: RSA App Conversion Job Aid. Please call the IS Support Center at 508-334-8800 if you have any questions or need any assistance.   

Maternal Morbidity and Mortality: Addressing a National Crisis 

Thursday, October 24, 2024, 7-8 pm Central time 

Join the AMA Minority Affairs Section (MAS) for a program examining maternal morbidity and mortality among at-risk populations, and what the AMA and other stakeholders are doing to address this national crisis. Registration is open: 

https://zoom.us/meeting/register/tJUqdeGvrzsjH9dQTlJXcSkHfwgpYArUZ7N4#/registration

 Moderator:

• Josephine Fowler, MD, Chair, AMA Minority Affairs Section

 Presenter:

• Nicole Plenty, MD, Maternal-fetal medicine specialist and member of the AMA Women Physicians Section Governing Council

Restoring Balance: Increasing Clinician Connection & Care

A transformative 5-hour program to equip clinicians with the skills to combat burnout.

Live webinar on October 25, 2024: 2pm - 5pm (ET).

https://www.umassmed.edu/cipc/webinars-short-courses/webinars/increasing-clinician-connection-and-care-a-program-to-enhance-flourishing/.

Call for Members of an Artificial Intelligence in Medical Education Task Force

STFM is accepting applications for a task force to meet a new STFM strategic plan tactic to lead the adoption, implementation, scholarship, and evaluation of ethical artificial intelligence (AI) in family medicine education. Task force members will develop and implement strategies and resources to educate family medicine education teams and learners on advances in AI. To be considered for the task force, send your name, email address, job title, program/institution affiliation, and a one-page overview of skills and experience that make you a good candidate for the task force to Mary Theobald, mltheobald@stfm.org by November 4, 2024.See link for more information.

https://www.stfm.org/news/2024-news/10124-call-for-members-of-an-artificial-intelligence-in-medical-education-task-force/

Gender Affirming Care Learning Collaborative (GAC-LC) 

The GAC-LC is open for registration throughout the 6-session series! Please see flyer for dates and additional details. The sixth session will be on Wednesday, November 6th, 12:15-1:15pm, with Ashley Alford, MD, presenting "Overview of Surgical Process: Navigating Care in Central Massachusetts."

Learning Objectives:

• List surgical options for gender diverse patients 
• Understand required processes and procedures in Massachusetts 
• Identify basics of mental health evaluations

Free CMEs available, thanks to the New England AIDS Education & Training Center; ​https://www.neaetc.org/. To Register and receive the Zoom link, you need create a profile and register here https://www.neaetc.org/events/view/26089.

Access code: FMCH

You will need to create a profile through NEAETC before you can register.

See GAC-LC Announcement for additional information.

FMCH POCUS Faculty Development Series 

Abdomen and AAA Basics–November 14th, 9:30am-12pm and November 19th, 5:30-8pm. CME credits will be available through AAFP. Questions please reach out to Erin Cathcart at erin.cathcart@umassmemorial.org or Rebecca Gwaltney at rebecca.gwaltney@umassmemorial.org.

SIGNUP: https://forms.gle/5SY1RNP4REjxz53m7 

Find more information about FM POCUS efforts on the sharepoint site: 

https://umassmemorial.sharepoint.com/sites/FMCHPOCUS

Session Learning Objectives: 

• Describe how to assess for symptomatic cholelithiasis by: 
• Identify presence of gallstone versus polyp or artifact
• Describe how to assess for acute cholecystitis
• Identify presence of gallstone versus polyp or artifact
• Identify sonographic Murphy sign
• Screen for anterior gallbladder wall thickening, and pericholecystic fluid
• Describe how to assess for common bile duct obstruction by:
• Identifying stones (Choledocholithiasis)
• Measuring common bile duct (CBD) diameter
• Perform a screening US for AAA

Faculty for Tomorrow Resident Scholarship

The Faculty for Tomorrow Resident Scholarship is currently accepting applications for the 2025 scholarship until Monday, October 28th, 2024. The 2025 Faculty for Tomorrow Workshop for Residents will be held on May 3rd, 2025 as part of the STFM Annual Spring Conference in Salt Lake City, Utah. See link for additional information.

https://www.stfm.org/awardsscholarships/scholarships/facultyfortomorrowresidentscholarship/overview/

Please consider joining the Departments of Ob/Gyn, Family Medicine and Anesthesia in reading and discussing “Invisible Labor: The Untold Story of the Cesarean Section” by Rachel Somerstein, PhD. There will be an in-person book club discussion meeting on December 2nd, 2024 ahead of Dr. Somerstein's Grand Rounds lecture on December 4th.

Book Club Discussion Meeting: Monday, December 2, 2024, 5:30-7:30pm.

Levine 1 Conference Room, Memorial Campus, 119 Belmont St, Worcester, MA.

The Medical Student Education (MSE) Collaborative Steering Committee, has a call for nominations to join the steering committee.  STFM colleagues are encouraged to submit self-nominations to begin a 3-year term beginning at the MSE Annual Conference (2025). The committee meets monthly via Zoom, and with e-mail communication between meetings. It is a wonderful opportunity to network and build working partnerships with other STFM members. Please submit the following materials via e-mail to aclithero@salud.unnm.edu and elizabeth_brown@urmc.rochester.edu by Thursday, December 2nd. All nominated candidates will be notified by early January 2025.

1. Short paragraph statement describing your interest and abilities to serve on the MSE Collaborative Steering Committee
2. Your current CV

Joint Ob/Gyn, FM and Anesthesia Grand Rounds Lecture with Rachel Somerstein, PhD: Wednesday, December 4th, 2024, 7:00-8:00am, Memorial Amphitheater and virtual. Sign up form: https://forms.office.com/r/0ivt820C4g.



Working Together: Treating the Whole Person with Chronic Pain

This six-hour training is focused on a collaborative care model between behavioral health clinicians and primary care clinicians caring for patients with chronic pain. Addressing chronic pain is critically necessary in primary care. This webinar will take place on

December 6th, 2024 from 10:30am-5:30pm. CMEs are available through the American Association of Family Physicians (AAFP) and American Psychological Association (APA). Learn more using the link below!  Register today: 

https://www.umassmed.edu/cipc/webinars-short-courses/webinars/working-together-treating-the-whole-person-with-chronic-pain/

Presentations and Publications

Manju Mahajan was interviewed by Spectrum News about whooping cough! Here’s the link to her interview: Whooping cough cases increasing (spectrumnews1.com)

On October 17th, Daniel Mullin, PsyD, MPH, participated in an Agency for Healthcare Research and Quality sponsored webinar. He was joined by colleagues Paul Cleary, PhD (Yale), Jonathan Bakdash, PhD (AHRQ), Lee Hargraves, PhD (UMass Chan & UMass Boston). More than 450 people registered for this webinar describing the new Consumer Assessment of Healthcare Providers and Systems - Outpatient Mental Health Survey.

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: Recorded live at Pri-Med East! - The American Diabetes Association (ADA) has updated their standards of care for patients with diabetes. In this episode, we discuss some of the changes in the initial selection of glucose-lowering medications for type 2 diabetes mellitus (T2DM), including when alternatives to metformin may be appropriate. Hear strategies for making personalized, guideline-recommended choices that enhance care for patients with T2DM. Guest: Alan M. Ehrlich, MD, FAAFP, presents: "Starting Medications for T2DM: When Metformin Isn't the First Choice" - Frankly Speaking Ep 403.

Department Resources

There are resources available to promote Family Medicine Proud and celebrate our 50th Anniversary: a PowerPoint template, Zoom backgrounds, logo, and letterhead:  https://www.umassmed.edu/fmch/faculty-resources/department-logos/

Past editions of the Tuesday Talk are available at 

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

Wellness Resources

The UMass Memorial Caring for Caregivers Program is available at 508-334-HELP,

EAP at 866-263-3525, and the UMass Chan EAP at 800-322-5327.

www.LiveandWorkWell.com 

Yoga Classes with Dr. Liz Erban



NO Yoga Classes on Wednesday, October 23rd.

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