UMass FMCH Tuesday Talk - October 31, 2023/DIVERSITY

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 – Diversity

Announcements

Frankly Speaking Podcast

Clinical Services Spotlight

Message From the Chair

M. Diane McKee, MD, MS

Welcome to our new colleagues:

Laquita Morris, MD who is working in Fitchburg and Susan Wardzala who is working with Sports Medicine in Clinton. Welcome!

Upcoming Events


FMCH Grand Rounds

Tuesday, October 31st, 12:00 - 1:00pm, Trish Seymour, MD, presents "Haunted Hospitals and the Paranormal"

Meeting ID: 191 986 273 Passcode: FMCH

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

Focus of the Week - Diversity

Jennifer Bradford, MD, MPH

Director, Diversity and Inclusion


Our diversity team would like to recognize the uncertainty, pain, and overwhelming sadness that result from the ongoing violence in Israel and Palestine. The history of the Middle East conflict is complex. We denounce violence, hatred and oppression and align with peace, religious freedom, and humanity. We remind folks that support is available for school employees through the UMass Chan Employee Assistance Program and the Office for Wellbeing. Clinical employees can access support online at www.LiveandWorkWell.com using Company Code umassmemorial.

Joy and Memory

Whether it’s reflecting on the messages of Dia de los Muertos, Dia de los Difuntos or All Saints’ Day, celebrating Halloween, or gearing up for Thanksgiving, taking time to connect with our chosen communities and celebrate cultural traditions is good for both individual and community health! This week the focus is on Joy and Memory - remembering our ancestors and the strengths they have given us is a reflective exercise that can help us and our patients with stress, depression, isolation and burnout.



Youth Community Health Art Show!

Worcester Division of Public Health is sponsoring a Youth Community Health Art Show at the Jean McDonough Arts Center (JMAC) downtown on Thursday, November 2 from 3:30-6:30pm. Local youth will share their artistic interpretations of the impact of COVID19 on their physical and emotional health. Details on this and other local events supporting community heath can be found on our Community Health Resource Page

Announcements


Past editions of the Tuesday Talk Newsletter are available

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


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/ 

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: Live at Pri-Med East! In this episode, we will examine the association of developmental delays with amount of screen time in children. Guest: Jillian Joseph, MSPAS, PA-C, presents: "Screen Time and Developmental Delays in Children" - Frankly Speaking Ep 351.

Clinical Services Spotlight:

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

COVID-19

  • New variants of COVID-19 continue to emerge. 

COVID-19 UMMMC

  • Prior 7-day average positivity rate, 8.3%.
  • In-house as of 10/31/23, the 7-day average is 21 patients. 71% are considered fully vaccinated.
  • Of the 21 patients, we have 4 in the ICU with 2 fully vaccinated. 

COVID-19 MA

  • The current strain is the EG.5 or Eris.
  • Daily hospital average is 68 patients.
  • The positive test rate is 7.4%
  • Primary vaccination rate, 85%.
  • Thirty-nine percent of the vaccinated have received boosters.
  • Deaths in last 7 days, 29.

 

RSV

RSV in Pregnancy 

  • Abrysvo, developed by Pfizer, is approved for injection into the muscle to give pregnant individuals antibodies against RSV that they would pass along to the fetus—their newborn baby would be protected for the first six months of life. 

Children at greatest risk for severe illness from RSV include the following: 

  1. Premature infants 
  2. Infants up to 12 months, especially those 6 months and younger 
  3. Children younger than 2 years with chronic lung disease or congenital (present from birth) heart disease 
  4. Children with weakened immune systems 
  5. Children who have neuromuscular disorders, including those who have difficulty swallowing or clearing mucus secretions 

 

RSV Vaccination for Newborns 

  • Nirsevimab (Beyfortus) is an immunization recommended for all infants younger than 8 months of age who are born during—or who are entering—their first Respiratory Syncytial Virus (RSV) season. 
  • It is more effective than synagis and lasts longer.  
  • Due to supply, at this time it is offered to high-risk babies in the inpatient setting.  

 

Source: CDC at  https://www.cdc.gov/rsv/high-risk/infants-young-children.html, assessed October 31, 2023. 

 

RSV Vaccine at UMass 

·      We recommend outpatient vaccination only for high-risk infants until there is more supply. 

  • We are offering nirsevimab at Memorial, with a couple of important caveats: 
  • A limited supply of the 50 mg dose is currently available at Memorial.
  • We anticipate additional supply to the state of Massachusetts in 2-3 weeks. 
  • We have a limited supply of the 100mg dose (for kids >5kg that we are reserving for our high-risk NICU patients. 
  • CDC does not expect the supply of 100mg dose to improve this season. 

·      The target date for the CDC is the 11/6 rollout of maternal vaccination (Abrysvo); infants born to mothers who receive it 4 weeks before birth will not qualify for nirsevimab. 


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