Annual Report - Family & Community Medicine

The University of Texas
Health Science Center at San Antonio
School of Medicine
Annual Departmental/Center Review
Department Family & Community Medicine
Winter 2007
For September 2005 – August 2006
Department/Center Annual Review
We ask that the entire report be no longer than five (5) pages. Please use an
executive summary format with bullets as necessary and include an updated
organizational chart (which will not count as one of your pages).
Please submit the report in an electronic format to Dr. Jan Wilson at no later than January 31, 2007. Reviews with the Dean
will begin in February.
Goals and Recent Accomplishments
1. What do you consider to be the most significant accomplishments of your
department/center over the last year in each of our mission areas: Education,
Research, Clinical Care and Service?
 Earned full re-accreditation by the ACGME.
 Made smooth transition to new leadership in both Residency Education and
Medical Student Education programs
 Faculty conducted “academic detailing” faculty development sessions at clerkship
 Awarded over $1.1 million in contracts for the evaluation of the American
Academy of Family Physicians’ national demonstration project – TransforMed –
to assist primary care practices in transitioning to patient-centered operations and
care – Carlos Roberto Jaén, P.I.
 Awarded National Science Foundation support (unusual for a medical school
physician faculty) for study on the dynamics of domestic violence – David
Katerndahl, P.I.
 Dr. Michael Parchman’s RO1 submission received fundable score of 1.53, the
first time in over ten years a family medicine faculty member has earned such a
promising score. Final funding decision is still pending.
Clinical Care
 Implemented wRVU expectation for faculty and on-line report for productivity
Annual Review ◦ Page 1
Grew commercial payor mix at Diagnostic Pavilion primary care site to 43.8%
overall and still increasing; new patients are currently 90% commercial.
Secured $90,000 in new contracts annually for nursing home medical
Developed Skin Clinic with UHS to accommodate demand for dermatological
Family & Community Medicine Residents of the Youth Development COPC
Project interacted with over 700 young adolescents in the 2005-2006 academic
school year. Additionally, residents of the projects interacted with approximately
35 medical and/or college students that assisted with the Saturday morning
o Teen Medical Academy: A total of 62 students from 15 high schools, in 6
school districts in Bexar and Comal counties participated in the Teen
Medical Academy.
o Teen Health Camps: A total of 458 students from 74 secondary (middle &
high) schools, in 21 school districts from Atascosa, Bexar, Frio, Karnes,
Medina, Uvalde, and Wilson counties participated in the Teen Health
o Career & Health Fairs: Residents of the project worked at three fairs in
San Antonio and interacted with a conservative estimate of about 200
young adolescents and 100 parents of these adolescents
2. What are the key short-range and long-range goals over the next year for
your department/center for each of our mission areas?
Education – Short Term Goals
 Revise Goals & Objectives for all rotations to be consistent with the priorities of
the ACGME.
 Utilize Web CT to provide residents with comprehensive access to curriculum,
articles, & questions for each rotation.
 Introduce practice management projects as part of the residency curriculum, and
transition to full E&M coding by residents for all patient encounters.
 Re-vamp clerkship didactics to become more hands-on and interactive.
 Develop new clinical sites in San Antonio to increase the diversity of learning
experiences in the Family Medicine clerkship.
 Recruit new McAllen Residency Program Director to replace Dr. Juan Trevino
upon his retirement 8/31/07.
Education – Long Term Goals
 Incorporate Individual Learning Plans into every rotation of residency curriculum.
 Develop Family Medicine Residency training “tracks” – ie. Translational
Research/Health Services Research, Preventive Medicine, Emergency Medicine,
Maternity, Skin Care, Geriatrics, Leadership (MBA), etc.
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Increase the number of clerkships for fourth year clinical sites in San Antonio and
along the Texas/Mexico border.
 Continue to provide high-quality faculty development activities for our faculty in
Harlingen, McAllen, Corpus Christi, and San Antonio.
Research – Short Term Goals
 Continue data collection on two projects funded by the Robert Wood Johnson
Foundation, Robert Ferrer, PI: “Addressing Health Disparities: Linkages Between
Socioeconomic Status and Physiological Stress” and “Engaging the Team: A
Multilevel Program to Promote Healthy Behaviors.”
 Develop a successful grant application to follow-up the Prescription for Health
Research – Long Term Goals
 Develop existing researchers towards R01 level funding through internal and
external mentoring and collaborations.
 Create translational research collaborations with basic science and other clinical
science departments to test promising relevant interventions in community
primary care settings.
 Develop at least three Endowed Research Chairs: 1) Translational Research in
Primary Care; 2) Primary Care and Psychiatry Research; 3) Eliminating Health
Disparities Research.
Clinical Care – Short Term Goals
 Begin integration of Primary Care and Geriatrics practices of Medicine and
Family Medicine into one clinic in preparation for the MARC.
 Increase the current volume of patients admitted to our inpatient service at the
NIX Hospital (from 350 annual to 500)
 Recruit one additional academic geriatrician and one family physician with
surgical obstetric skills
Clinical Care – Long Term Goals
 Implement lessons learned from the TransforMed project into all our clinical sites
 Be the primary portal of entry for patients to the UT Medicine practice
 Develop ongoing quality assurance programs for both customer service and
clinical care quality benchmarks
Service – Short Term Goals
 Successfully implement MD/MPH Program by supporting its development and
providing opportunities for student involvement in research and policy
Service – Long Term Goals
 In partnership with local school districts and the Area Health Education Center
(AHEC), the department will promote efforts to increase the pipeline of students
interested in health careers.
 In collaboration with the AHEC and the UT School of Public Health, the
department will maximize efforts to promote partnerships with local organizations
to support clinical research studies and promote community-wide efforts for
primary prevention and health promotion.
Annual Review ◦ Page 3
The South Texas Environmental Education and Research (STEER) Center will be
the best venue for training in environmental issues in South Texas promoting
changes that improve the health of South Texas communities.
3. List the major accomplishments of your faculty for FY 2005-2006.
 W. Ross Lawler MD received the 2006 UTHSCSA Presidential Teaching
Excellence Award
 K. Ashok Kumar MD received the 2006 Texas Academy of Family Physicians’
Exemplary Teaching Award for Full-Time Faculty.
 Carlos Roberto Jaén MD PhD appointed to National Advisory Council of the
Agency for Healthcare Research and Quality (AHRQ)
 Robert Ferrer MD, MPH named to AHRQ Expert Panel for its new Innovations
 Michael Parchman, MD, MPH Visiting Professor, University of Warwick, UK
 Dr. Jaén, Member of the American Cancer Society’s Selection Committee for the
Cancer Control Career Development Award for Primary Care Physicians
 Dr. Parchman, VA Health Services Research and Development Scientific Merit
Review Board, External Reviewer
 American Academy of Family Physicians/AAFP Foundation Grants Program
Reviewers: Drs. Burge, Ferrer, Jaén, Katerndahl, Oscós-Sánchez, Parchman, and
 Robert Parker MD received the 2006 UTHSCSA Presidential Clinical Excellence
 Best Doctors In America: Drs. David Espino, Jaén, Lawler, Parchman and
Richard Usatine
 Dr. Jaén Chair of the Research Committee for the Association of Departments of
Family Medicine (ADFM).
 Dr. Parker MD named President-Elect of the Texas Geriatrics Society
 Dr. Kumar elected Vice-President for the Texas Academy of Family Physicians
 Dr. Usatine selected as a Health Care Hero by San Antonio Business Journal for
his work on the Alpha Home.
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