UMass FMCH Tuesday Talk - April 4, 2023/CLINICAL

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 Clinical



Department Member Recognition

Frankly Speaking Podcast

Clinical Services Spotlight

Message from the Chair

2023 Worcester Foundation Grants – Request for Proposals

We encourage you to review the notice attached and consider applying for the 2023 Worcester Foundation Grants, due on Friday, April 14th, 2023. Funds have been earmarked for start-up or seed grants, termed “Worcester Foundation Grants”, to be awarded to UMass Chan Medical School faculty in support of promising and innovative research projects. These projects may be basic, translational, clinical research, education research, or population health research. The ideal applications are for support of projects without current major funding that initial or additional data would likely advance the project’s merit for federal or other external funding.

Welcome to Cassindra Wamester who joined the WFMR central residency team last month as residency coordinator! She started at UMass in 2018 as a medical secretary (where Hilda worked with her) and worked as the Neurosurgery residency coordinator since 2019. Welcome! 

Upcoming Events

FMCH Grand Rounds

Tuesday, April 4th, 12:00 - 1:00pm"Occupational Health: Ergonomic Considerations for Physicians & Patients", presented by Jennifer Graham, PT, CEAS.

Meeting ID: 191 986 273 Passcode: FMCH

Psychiatry Grand Rounds - Shriver Lecture

Thursday, April 6th, 12:00 - 1:00pm"Adverse Social Determinants of Health: How Exposure and Resiliency Affects Mental or Behavioral Health Outcomes for Children with Developmental Disabilities", presented by Emily Lauer, PhD, MPH.

Meeting ID: 818 349 233 Passcode: PsychGR1

Black Maternal Health 6th Annual Conference (BMHC)

Friday, April 7th; "Centering the Role of Nurses and Midwives in Addressing the Black Maternal Health Crisis", this conference is hybrid, with virtual spots remaining, and is free.

You can register here:

FMCH Grand Rounds

Tuesday, April 11th, 12:00 - 1:00pm"HIV in Primary Care", presented by 

Laurel Banach, MD.

Meeting ID: 191 986 273 Passcode: FMCH

Focus of the Week - Clinical

World Health Day is April 7th.

  • The World Health organization will celebrate its 75th Anniversary.
  • On this 75th Anniversary, WHO calls for a renewed drive to address Health Equity.
  • The Director of WHO, Dr. Tedros Adhanom Ghebreyesus, urges the healthcare industry to have a renewed interest in expanding the healthcare workforce.
  • It is important that the focus is directed towards preventing disease and identifying the root causes.

National Public Health Week April 3-9, 2023

The theme for the week is "Centering and Celebrating Cultures in Health"

  • The work you do in the community counts. 
  • Below are the daily themes for the week.
  • Community (Monday)
  • Violence Prevention (Tuesday)
  • Reproductive and Sexual health (Wednesday)
  • Mental Health (Thursday)
  • Rural Health (Friday)
  • Accessibility (Saturday)
  • Food and Nutrition (Sunday)

Find additional information at the link below.

Thank you to all of our peers and colleagues who have chosen to make our community a healthier place for all.


Past editions of the Tuesday Talk Newsletter are available

at under Resources.

The 21st Annual Primary Care Day will be held Wednesday, April 12th, 2023 at the DoubleTree Hotel, 5400 Computer Drive, Westborough, MA 01581, 8:00am-3:00pm. 

You can Register now . This program will provide updates on a wide range of rapidly changing primary care topics and will feature concurrent presentations from which attendees can select their own learning track and is sponsored by the UMass Chan Office of Continuing Medical Education. See flyer for additional information.


The UMass Chan Interprofessional Center for Experiential Learning and Simulation (iCELS) is pleased to announce the 1st Point of Care Ultrasound (POCUS) Basics for Primary Care Hands-on Skills Session, Thursday, April 13th, 2022, 8:00am-12:00pm. The session will cover basic ultrasound skills and several applications geared towards primary care providers.

You can Register now. See flyer for additional information.

Commission on the Health of the Public and Science (CHPS) - please provide your post-Dobbs (and soon to be post-Alliance for Hippcratic Medicine) stories (see link below)!

Background: last week, AAFP President Tochi Iroku-Malize, participated in an event hosted by Vice President Kamala Harris, on the topic of reproductive health. The Vice President's team was interested in learning more about how groups are preparing for a potential decision in the case Alliance for Hippocratic Medicine v. FDA – which seeks to overturn the 2000 approve of Mifepristone. Dr. Iroku-Malize was joined by the President of ACOG and several other reproductive and legal organizations. The administration is preparing for a decision that could come as soon as today. In a discussion about realities Post-Dobbs – the Vice President was interested in learning more from clinicians about any impact stories we have received from our members. Last year, a link was created where members could offer stories. AAFP is not looking for names or locations beyond the state to protect confidentiality. If you have a story to share, we encourage you to submit it through this survey: Action Center (

Undergraduate Medical Education

Vista Town Hall: Please join us in person or online at the Vista Town Hall. The purpose of our time together is to share new information and collaborate with our community on topics related to Exploration and Horizons planning and development. From time to time, we will share Discovery phase milestones. 

  • Wednesday, April 12th, 12:00-1:00pm (online, physical location TBD)
  • Wednesday, May 10th, 12:00-1:00pm (hybrid), Amp 3

Join from PC, Mac, Linux, iOS or Android: Password: 890756

Call for Nominations: Standing Committees

It is time for us to initiate the process of determining membership for the Standing Committees for the upcoming Academic Year. If you are interested in self-nominating for any of the committees described below, please submit your name, the committee of interest and the responses to the questions below to [email protected] The deadline for self-nomination is April 14th, 2023.

  • Committee on Equal Opportunity & Diversity
  • Faculty Grievance Committee (elected by faculty-at-large)
  • Information Technology Committee
  • Intellectual Property Committee 
  • Library and Learning Resources Committee
  • Personnel Action Committee (elected by faculty-at-large)
  • Women’s Faculty Committee

With your self-nomination, please include your responses to the questions below.

  1. Briefly describe your position & role at UMass Chan
  2. Why are you interested in serving this committee?
  3. What specific skills or strengths can you bring to this committee?

If you are interested in serving on a departmentally elected committee, as listed below, please contact your department chair:

  • Faculty Council
  • Committee on Scientific and Research Affairs
  • Tenure Committee (if applicable to your department)

School committees are a great opportunity for career development and networking. More information on each of the committees and nomination process can be found here ( access required). Please consider sharing your passion and expertise with the institution.

Announcing the 19th Annual Gerald F. Berlin Prize for Creating Writing

Be sure to tell students and residents you know who like to write about the 19th Annual Gerald F. Berlin Prize for Creative writing. The Gerald F. Berlin Prize is awarded for creative writing, prose or poetry, authored by medical students, nursing students, graduate students, residents, and fellows based at UMass Chan Medical school, Berkshire Medical center, Worcester Medical Center/St. Vincent's or Baystate Medical Center. Submission deadline: April 15th, 2023. Click flyer for details. For guidelines visit Library's website at

MCSTAP Guideline Update: A Series on Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain. The latest CDC Guidelines for Prescribing Opioids for Pain include very important information for prescribers. To support you, MCSTAP is offering a three-part series on applying the Guidelines to managing care for patients with chronic pain. Register for the last session now!  MCSTAP


  • Wednesday, April 19th, 12:00 - 1:00pm, "Assessing Risk of Opioid Therapy: Applying the 2022 DCD Guidelines".

Save the date: Huppert award winning students are preparing presentations for the April 21st Research in Progress noon seminar. Presenters include: 

  • Michael Urbanowski, PhD (SOM), working with mentor Daria L. Szkwarko, DO, MPH on a retrospective program evaluation of latent tuberculosis infection screening and treatment in an urban FQHC and 
  • Samantha Creamer (GSN) and Annie Thornton (SOM), with mentors Linda Cragin, MS, and Janet Hale, RN, PhD, on Operation Conversation: Bridging the Gap between the Veteran Community and Future Health Care Providers. 

Senior Scholars Day is Wednesday, April 26th

Twenty-five of our 4th year medical students participated in this year’s Senior Scholars Program – some of whom worked with faculty in our department. Senior Scholars Day is Wednesday, April 26th from 2:00-6:00pm in the medical school lobby (where students will formally present their work) and the faculty conference room (guest speaker this year: David Ayers, MD / Department of Orthopedics and Physical Medicine). Additional faculty are needed to help judge the student projects between 3 and 4 pm. If you’d be willing to have a student present their work to you and provide feedback/evaluation, we’re still looking for an additional 2-3 faculty (as well as Chief Residents) to help with judging the student’s work. If you’re interested in working with a Senior Scholars student for AY24, please let Judy Savageau know ([email protected]).

The Massachusetts Psychiatric Society is offering Psychiatry for the Primary Care Physician, a virtual program, on Saturday, April 29th from 8:15am-3:45pm. Massachusetts Primary Care Physicians are often the de facto providers of psychiatric care. Compared to the past, PCPs today are often responsible for diagnosing and treating patients with more serious, complicated, and chronic psychiatric disorders. This course was designed to provide PCPs and other clinicians with lectures on salient topics of psychiatric diagnosis and treatment in Primary Care. The course provides 6.5 AMA PRA Category 1 Credits; 1 credit meets MA BORM for Risk Management and 1 credit for Risk Management/Opioid Education and Pain Management. The course is $150 for MMS members, $15 for fellows and free for students. Register here:

Click flyer for additional information.

Mindfulness and Compassion During Tumultuous Times - Essential Tools to Remain Steady and Whole, presented by Paula Gardiner, MD, MPH, CMMT and Gail Gazelle, MD, MCC, CMMT.

Friday, May 5th, 2023, 9:00 am - 3:30 pm (ET)

At this in-person program, you will acquire practical strategies to quiet your mind and gain mastery over worries and self-doubt. You’ll learn about the neuroscience behind mindfulness and meditation, and practice with a variety of readily accessible tools that will help you attain calm, clarity, and the balance you need to build resilience and avoid physician burnout. Event Info (

FMCH Vision 2030 – Next Steps: Belonging and Engagement

Dear Faculty, Residents/Fellows, and Staff, please join us for the FMCH Annual Retreat on Thursday, May 11th at UMass Chan South Street Campus, 333 South Street, Shrewsbury.

As a participant you will have the opportunity to:

  • Revisit FMCH Vision 2030
  • Promote Advocacy Efforts for Primary Care
  • Provide Faculty Development
  • Build a Culture of Mentorship

In follow up of our strategic planning last year, we have identified two areas to expand upon this year.  As we develop our role as leaders in Family Medicine across the state, we will explore legislative advocacy activities. Additionally, we will launch our new department mentorship program. Breakout sessions in the afternoon will include areas of continuing medical education as listed below:

  • Belonging –Restorative Justice
  • MCH – Shoulder Dystocia
  • Epic Mastery Workshop (Laptops required)
  • Educational Scholarship
  • Medical Humanities
  • Advocacy, Legislative Action

Lunch and Registration will open at 12:00 noon with the formal program commencing at 1:00pm. Lunch topics will be available to gather to discuss areas of interest. The retreat will conclude with an hors d'oeuvre, networking reception and cash bar with musical entertainment from 5:00 – 6:30pm.Here is the agenda. Please Register Here. We hope to see you there!

Primary Care Bootcamp for NPs and PAs

Jillian Joseph, MPAS, PA-C, Kristin Wickstrom, PA-C, Megan Brochu, PA-C, and former Barre APPs Mariyan Montaque, NP, Andrea Julian, NP, and several other APPs from UMass and GSN collaborated with Pri-Med to create Primary Care Bootcamp for NPs and PAs. The Bootcamp is a digital, on-demand curriculum designed to help early career APPs build confidence and hone skills in primary care. The platform is now live at and open for registration! There are over 20 hours of CME available through the Bootcamp and the courses are organized into two distinct tracks that cover a range of topics, including chronic disease and concern-based sessions, professional development topics, as well as practice management concepts. Any questions can be sent to [email protected].

Click flyer for additional information.

AY22-23 Student and Advisor Recognition

Student Awardees:

  • Mitali Doshi | A pilot test for implementing a Train-the-Trainers model for community health workers of the Bateyes of the Dominican Republic, Project Advisor Michele Pugnaire, MD.
  • Elizabeth Makris | Documentation of Prenatal Safe Sleep and Breastfeeding Education in the Outpatient Setting at a Federally Qualified Health Center, Project Advisor, Sara Shields, MD, MS.
  • Ashwin Panda | The Current Climate of Oral Health Training in Obstetrical Care in Massachusetts, Project Advisor, Judith Savageau, MPH.

Faculty Awardees:

  • Warren Ferguson, MD, Professor, Department of Family Medicine & Community Health
  • Linda Long-Bellil, PhD, JD, Assistant Professor, Department of Family Medicine & Community Health.
  • Judith Savageau, MPH, Associate Professor, Department of Family Medicine & Community Health.
  • Sara Shields, MD, MS, Professor, Department of Family Medicine & Community Health.

Photo Sessions (FREE headshots!)

Date: Every other Wednesday

Time: 9:00am - 3:00pm

Locations: Sherman Center - 5th floor (near staircase) 

If you are in the need of a faculty headshot or need to update your current one, please sign up via the link below.

Sign Up Link here.


Hugh Silk, MD, MPH, FAAFP, was an invited speaker at the Harvard School of Dental Medicine's Integrating Health Systems: Global Policies and Programs That Work in Boston, MA, on March 27 and 28th, first as the Moderator of an international panel on Integrated Approaches to Tackling Disease Burden and then as a speaker on HSDM Initiative and CIPCOH Collaborators: Integration Research and Demonstration Projects.

Suzanne B. Cashman, ScD, MS, is a coauthor on the recent Academic Medicine issue of an article entitled, "Public and Population Health in U.S. Medical Education: A Review of Guidance in Extraordinary Times"

Department Member Recognition

Carole Upshur, EdD, Professor Emerita, participated on two NIDDK review panels on March 30th to establish Stakeholder Engagement Innovation Centers to Advance Health Equity in T1D and T2D. These centers are to address health disparities, increase health equity, and impact the spread, effectiveness, and cultural/linguistic appropriateness in delivering high quality care, particularly the introduction of new technologies, to underserved populations in which incidence of both T1D and T2D are increasing. 

James Ledwith, MD, was a co-presenter of the MCSTAP CME series. MCSTAP Guideline Update: A Series on Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain.

James Ledwith, MD, gave a presentation at the MassAFP Spring Refresher titled "Opioid Prescribing and the New CDC Guidelines".

The Center for Integrated Primary Care (CIPC) delivered a 3-day intensive training entitled, “Treatment of Patients with Opioid Use Disorder with MOUD” for BOP clinical leaders on March 21-23. The training was led by: Ruth Potee, MD, FASAM, Stephen Martin, MD, EdM, FASAM, Jennifer Bradford, MD, MPH and the leadership of CIPC, Daniel Mullin, PsyD, MPH, and Amber Cahill, PsyD. The event could not have taken place without the tireless production efforts of Amy Green, CIPC Manger, and Jess Baer, MA, CIPC Instructional Designer. CIPC is thrilled for this impactful opportunity to enhance medication treatment services among this population, and the Federal Bureau of Prisons is looking forward to working with CIPC on future projects! For more information see attached.

Frankly Speaking Podcast

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

Listen on Apple Podcasts:

Please join us for an overview: Patients deserve compassionate, safe, and effective pain management. But it's important to remember that safe prescribing does not mean no prescribing. Join us as we discuss the 2022 CDC Clinical Practice Guidelines for prescribing opioids in the adult population. The updated and expanded guidelines can assist you in delivering patient-centered care for management of acute, subacute, and chronic pain. Guest: Jill Terrien, PhD, ANP-BC, presents: "2022 CDC Clinical Practice Guidelines: What's the Update on Prescribing Opioids for Pain?". - Frankly Speaking Ep 322.

Clinical Services Spotlight:


Will COVID Ever end?

  • New subvariant, XBB.1.16.
  • WHO currently monitoring in 22 countries with the most cases in India. 
  • The new strain has appeared in the US but not yet on the CDC tracker list.
  • The dominant strain in the US remains XBB.1.5, accounting for more than 89.7 percent of cases.



  • As of March 29, the 7-day average of weekly cases dropped to 19,999.
  • Weekly reported cases are down about 9.2%.
  • As of March 29, 104,137,196 cases have been reported in the US.
  • The number of new hospital admissions for COVID from March 22-28 is 2,370.



  • The public health emergency will end in MA on May 11th. 
  • There were 2,023 new cases reported in the last 7 days. 
  • On March 28, there were 84 patients primarily hospitalized for COVID. There are 315 hospitalized patients with COVID.
  • There were 59 new confirmed deaths in the last 7 days.



  • The prior 7-day average of percent positivity is 3.3 percent. 
  • The day average of confirmed inpatient cases was 13.
  • Of the 13, 69% were fully vaccinated. 
  • Of the 13, 4 were in the ICU. 

Candida Auris

  • The CDC issued a warning about the spreading of candida auris in immunocompromised persons.
  • In the last 12 months, there have been 2,377 clinical cases and 5,754 screening cases.
  • MA has only reported 2 cases.
  • CDC warns the fungus is drug resistant and is reported in more than half of the US states. It does not easily respond to the medication commonly used.
  • The fatality rate is close to 72 percent.
  • Most common presentation is fever and chills and not responding to antibiotic therapy.
  • Spread occurs through contact with contaminated surfaces and physical contact with an infected person.

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, [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 for early morning gentle yoga, Wednesday mornings 6:30am via Zoom.

Much appreciation to Dr. Liz Erban for hosting these outstanding classes. 

Join Zoom Meeting ID: 923 9393 3653 Passcode: 764113