Volume 1 – No. 8 September 2005 DFSM E-Newsletter Department of Family and Social Medicine Montefiore Medical Center Albert Einstein College of Medicine AECOM 1300 Morris Park Ave, Bronx, NY 10461 718-430-2900 MMC 3544 Jerome Ave, Bronx, NY 10467 718-920-4678 We hope that you are enjoying our monthly newsletter. Remember the deadline for submissions is the 20th of each month! We look forward to hearing from you! Editors-at-Large: Mark Polisar, MD Tami Rivera Peter Selwyn, MD, MPH Becky Williams, MD, MHPE PUBLICATIONS Anderson, M. "Social Medicine 101" Monthly Review eZine, July 14, 2005, Available at http://mrzine.monthlyreview.org/anderson140705.html Anderson, M. "What Makes a Drug 'OTC'? The Case of Plan B. Medscape General Medicine 2005; 10(1). Available at: http://www.medscape.com/viewarticle/505440 Anderson M, Karasz A. How do Clinicians Manage Vaginal Complaints: An Internet Survey." Medscape General Medicine, June 21,7(2). 2005. Available at: http://www.medscape.com/viewarticle/505432 Fornari A. Developed 12 Case Studies and Instructor Answer Key to accompany text chapters in the Community Nutrition in Action, 4th edition, M. Boyle and D. Holben eds, 2005. GRANTS HRSA Title VII grants awarded to Education Division faculty We are pleased to announce that the department has recently been awarded three grants from the Health Resources and Services Administration Bureau of Health Professions (Title VII). Predoctoral Training in Primary Care, Project Director: Darwin Deen, MD, MS This grant seeks to create a Generalist Careers Pathway program (GCP) that will consist of: (1) a voluntary primary care mentoring program, (2) faculty training to support mentoring, (3) delivery of a primary care curriculum, (4) a longitudinal clinical experience (linking existing 1st and 2nd year primary care clinical experiences with those in the 3rd or 4th year) for students in the mentoring program, (5) generalist faculty mentoring students participating in projects, (6) an Interdisciplinary Generalist Grand Rounds series to foster increased interactions between generalist faculty in different disciplines and improve the status of generalist disciplines within AECOM, and (7) exposing 2-3 medical students each year to a national or regional primary care conference who then share their experiences with other students in group sessions. The Pre-doc grant project is a collaborative project with the departments of Pediatrics and Internal Medicine. Academic Administrative Units, Family Medicine, Project Director: Janet Townsend, MD The grant’s primary goal is to promote scholarship, aimed at reducing health disparities, by: 1) developing an infrastructure to support resident community based research and education projects (Social Medicine Projects) addressing racial and ethnic health disparities, and 2) developing a structured program to support clinicianeducator faculty in conducting educational scholarship. The grant provides support for a half-time educator/coordinator, Education Visiting Professorships and some protected time for clinician educators 1 participating in a Disparities Scholars program as well as ongoing support for faculty and staff who support and mentor resident Social Medicine Projects. Residency Training in Family Medicine, Project Director: Mary Duggan, MD The project supports the training of thirty residents in family medicine over three years. The project has two goals that specifically target smoking cessation and behaviors to improve health outcomes in people with diabetes. These are to demonstrate competence in: 1) Practice-based Learning and Improvement and Systemsbased Practice to reduce health disparities and 2) Communication and Interpersonal skills particularly in counseling for behavior change and use of a Motivational Interviewing approach. This grant will allow the residency to hire an additional half-time behavioral science faculty member to support this program as well as support current faculty and staff in carrying out these new curricular activities. These grants were the result of an intensive period of grant writing in late November and early December carried out by a team of faculty and staff that included Darwin Deen, Mary Duggan, Alice Fornari, Marji Gold, Victoria Gorski, Eliana Korin, Paul Meissner, Janet Townsend and Mona Weinberger. The grants will bring in more than $500,000 dollars annually to the DFSM’s education programs. Nicole Lewis, Cathy Scuola, Audrey Stephens, Tami Rivera, Carol Whittaker lent invaluable support in putting together the grants, as well as the rest of the administrative staff in both DFSM offices. Arthur Blank, Hal Strelnick and Peter Selwyn provided invaluable feedback to the grant writers. The grants resulted from a period of discussion of Education Division priorities and needs that helped to coordinate the objectives of the grants. Congratulations to all who contributed to this remarkable effort. Title VII funding has been instrumental over the years in assuring stability of the training programs and in supporting curricular innovations. Appropriations for Title VII are frequently threatened, and intensive lobbying efforts by primary care educators and organizations was necessary this year as well to assure that funding was available for approved grants. We may be calling on you in the future to contact federal representatives to advocate for continued Title VII funding. The Hispanic Center for Excellence, Project Director: Hal Strelnick, MD The Hispanic Center of Excellence was renewed for 3 years, beginning August 1, 2005, and will be integrated with the AECOM Office of Education (OOE), directed by Associate Dean Al Kuperman. Dr. Strelnick will be director and Elizabeth Lee-Rey, MD, and Maria Marzan, MPH, will be Co-Directors. Other DFSM faculty who are supported by the HCOE include Alice Fornari, EdD; Rose Guilbe, MD; Eliana Korin, Dipl. Psic.; and Gladys Valdivieso. OOE faculty supported by the grant include Asst. Deans Penny Grossman and Nilda Soto and Mildred Witt, PhD. It will expand support services for AECOM students, renew the HCOE faculty development fellowship, develop a resource center at the AECOM library, expand Medical Spanish courses & resources at AECOM, support the ECHO clinic, and provide student scholarship to attend professional conferences and present their research. South Bronx environmental Justice Partnership, Project Director: Hal Strelnick, MD The South Bronx Environmental Justice Partnership (SBEJP) will be renewed for 4 years. The Partnership has been expanded to include the community-based organization, For a Better Bronx (FABB), and Lehman College. The grant will support new research using Geographic Information Services (GIS) to study the distribution of heart disease hospitalizations and air pollution in the Bronx, diabetes and parks, and parks and poverty. SBEJP will also be establishing model demonstrations addressing the built environment and health in the South Bronx. WELCOMES & FAREWELLS As the academic year begins again we see many comings and goings of our colleagues. Please welcome the newcomers and send well wishes to those who are departing. Farewell to Margaret Coughlan Personal message from Dr. Coughlan: “I'm finding it difficult to say goodbye to all of the friends I have made over the past three years here at Montefiore. I've been very impressed with each and every one of you and all of your very unique qualities/personalities. Thank you all for your support over the past few months as we make this transition in our lives. Special thanks to the Williamsbridge staff, the Family Medicine Faculty and Residents, and the wonderful support staff at the program. I will cherish your gifts and kind words. Some say it is difficult to keep in touch. I hope that won't be the case. Please call, write, or stop by.” 2 Contact information: 37 Forest Meadow Drive, Salt Point, NY 12578, 845-266-8139, cell: 914-907-6206, work: 845-483-5700 (after 9/12/05) Farewell to Fred Lambert After seven years at Montefiore, Fred is leaving but won’t be far away. Personal message from Dr. Lambert: “I want to thank all of you for working with me and serving as my colleagues for the last 7 years. I have truly enjoyed my time here at Montefiore, I have learned a lot, and I will miss all of you terribly.” Contact information: Work: John S. Hong Family Practice Center, 114-49 Sutphin Blvd, Jamaica NY 11436, Phone: 718-558-7160 Home: 2 Lily Lane, Levittown, NY 11756, Phone: 516-644-5347. Please use my home email: drfred1@optonline.net SCHEDULE HIGHLIGHTS Saundra D. Shepherd Memorial Lecture Wednesday September 7, 2005 8:30 am at Cherkasky Auditorium. This year's guest speakers are Dr. T. Berry Brazelton, and Dr. Joshua David Sparrow. The Title of the presentation is: "Touchpoints...Putting the Fun Back into Pediatric Medicine." Dr. Brazelton graduated in 1943 from Columbia University College of Physicians and Surgeons. He completed his medical residency at Massachusetts General Hospital. He trained in Child Psychiatry at Massachusetts General Hospital and James Jackson Putnam Children’s Center. He subsequently served as a Fellow at the Center for Cognitive Studies at Harvard University. In 1972, Dr. Brazelton established the Child Development Institute, a pediatric training and research center at Children’s Hospital in Boston. In 1993, he founded the Brazelton Touchpoints Center, which trains professionals nationwide to better serve families of infants and children. One of Dr. Brazelton’s greatest achievements in pediatrics is his Neonatal Behavioral Assessment Scale, first published in 1973. Known as the “Brazelton,” this evaluation tool is used worldwide clinically and in research to assess newborns’ physical, neurological responses as well as emotional well-being. Dr. Joshua David Sparrow is Assistant Professor of Psychiatry at the Harvard Medical School, supervisor for outpatient psychiatry services at Children’s Hospital Boston, and Director of Special Initiatives at the Brazelton Touchpoints Center. Dr. Sparrow’s work has included consultation on child development and parenting to the Harlem Children’s Zone, and to American Indian Early Head Start Programs. Dr. Sparrow obtained his medical degree from Yale University. He completed a Psychiatry residency at Cambridge Hospital, and then a fellowship in Child Psychiatry at McLean Hospital. He has received numerous awards for his work at the Touchpoints Center, and has been the Keynote Speaker at presentations around the world. PASSINGS Dr. Luz Towns-Miranda would like to express her deep appreciation for the understanding, support and kindness she received after her father’s passing. The flowers were beautiful and soothing. My dad had always recalled as a child, helping his mother in her beautiful flower garden and had a special regard for their beauty and effect. It is at times like these that the emotional richness of this department is so evident! PERSONAL HAPPENINGS People in the News..... Congratulations! To Dr. Charles Schwartz who became board-certified in Psychosomatic Medicine in June. Psychosomatic Medicine is a new subspecialty that was approved by the American Board of Psychiatry and Neurology and the American Board of Medical Specialties in 2004. The specialty was previously known as 3 Consultation-Liaison Psychiatry. This is the first year that the boards were given; Dr. Schwartz is in the first group to be certified. Congratulations! To Dr. Chinazo Cunningham who has been awarded the Harold Amos Medical Faculty Development Award of The Robert Wood Johnson Foundation, formerly known as the Minority Medical Faculty Development Program. The purpose of this award and program is to increase the number of faculty from historically disadvantaged backgrounds who can achieve senior rank in academic medicine and who will encourage and foster the development of succeeding classes of such physicians. The 4-year research awards are offered to historically disadvantaged physicians who are committed to developing careers in academic medicine and to serving as role models for students and faculty of similar background. Dr. Cunningham’s project will focus on barriers to hepatitis C evaluation and treatment in substance users. Congratulations! To Dr. Alice Fornari who was appointed to the American Dietetic Association Ethics Committee of the Board of Directors and House of Delegates from 2005-08. From September 7-9, 2005, Dr. Hal Strelnick will be a Visiting Professor at the Department of Family Medicine and Community Health at the University of Minnesota, presenting the work of the Institute for Community & Collaborative Health, SBEJP, Bronx CREED, and the Bronx Science Education Partnership. OPPORTUNITIES Grant Writing Training November 14-18, 2005, 8:00 AM - 5:00 PM, St. John’s University-Manhattan Campus, Manhattan, New York The Grant Institute is offering a Certificate in Professional Program Development and Grant Communication. Interested development professionals, researchers, faculty, and graduate students should register as soon as possible, as demand means that seats will fill up quickly. All participants will receive certification in professional grant writing from the Institute, as well as 3.5 CEU units. For more information call (888) 824 - 4424 or visit The Grant Institute website at http://www.thegrantinstitute.com. Patient care for former adolescents Sara Buchdahl Levine, MD, MPH, Post-Doctoral Fellow, in Pediatrics is assembling a list of physicians interested in seeing patients who “age out” of the adolescent clinic at age 21. Please contact sarlevin@montefiore.org if you would like to be listed. Education & Training Updates Montefiore has several ongoing leadership training programs. Meetings that Work, the Shackleton Series: Leadership Lessons from the Extraordinary Saga, Managing Multiple Projects Objectives and Deadlines, and many others. Contact Michele Adams, Training Manager, Division of Education & Organizational Development, Montefiore Medical Center, (718) 920-2974 office, e-mail: MAdams@Montefiore.org MISCELLANEOUS A JACHO moment: The following abbreviations are unacceptable: U, IU, Q.D., QD, qd, Q.O.D., QOD, qod, x.0 (trailing zero), MS, MSO4, MgSO4. Refer to the Montefiore policy on unacceptable abbreviations for more details. Maternal and Child Health (MCH) Mentoring Program The Department was host for the fourth summer to a wonderful group of 12 high school and college students interested in health careers who participated in the HRSA/AHEC sponsored Maternal and Child Health Summer Mentoring Program. Janet Townsend, Paul Meissner and Carol Whittaker form a team that planned and administered the program with the able assistance of current and past student coordinators. This year, Kara Dempsey, Fordham 2005 and a DFSM research assistant, and Lourdes Ventura, Hunter College 2005, served as the day-to-day supervisors and contributed many creative ideas and activities to the program, as well as expert help to the students on their projects. Jon Paul Sanchez, AECOM 2006, made a return appearance, leading the efforts to help students plan and carry out their projects. Adamma Mba-Jones, AECOM 2006, and Wendy Daley, AECOM 2007, former student coordinators helped with interviewing and project development, respectively. Of the 7 college students and 5 high school seniors who participated this year, 7-8 plan on careers in medicine, 2-3 in 4 nursing, 1 in midwifery and 1 in child psychology. The students participated in a variety of shadowing experiences in family medicine, pediatrics, ob-gyn and emergency medicine as well as field visits to the NYC and Bronx DOHMH, the March of Dimes, the Children’s Defense Fund, Hunter Schools of Public Health and Nursing. Faculty, fellows, and residents from RPSM and OB-GYN and Women’s Health gave seminars on various maternal and child health topics, COPC, health disparities and health activism, academic/professional skills and health careers. Nursing colleagues and Montefiore associates from Human Resources also assisted in presentations for the students. AECOM medical students assisted with editing of the students’ papers. Each student researched a community health project, wrote a 10-page paper, prepared and presented a PowerPoint presentation as the culmination of their six-week experience on August 11th. The presentations were attended by several generations of family members as well as RPSM faculty and residents and reflected a great deal of work and thoughtful analysis of health problems important to the Bronx and similar communities. The MCH program participated in an evening workshop for parents and a picnic at Dr. Nellie Correa’s house with the Hispanic Center of Excellence Mentoring Program for college students interested in medicine. Students reported feeling welcomed and encouraged by all, including patients whom they met, and felt that their skills and knowledge related to pursuing their dreams of a career in health had increased a great deal. The students received certificates of completion at a ceremony in Cherkasky Auditorium on August 12. Mariange Tardieu, MD, AECOM 1985, gave a keynote address on the History of Medicine. On September 1, Bronx 12 taped and aired an interview with several of this summer’s participants, several parents and Janet Townsend. A MCH Alumni Council formed after completion of this year’s program plans to increase networking and referral services for graduates and other students interested in health careers and will seek funding for more year round activities as well as assist with a survey of the 54 graduates to assess the impact of the program. The following students participated and presented in the program this year. Congratulations to them for their remarkable work and energy, and heartfelt thanks to the dozens of Montefiore staff that assisted with the program. Erica Acosta, Health Opportunities High School Presented on Sudden Infant Death Syndrome (SIDS) Donovan Brown, Jr., Bronx Leadership Academy Presented on Diabetes Mellitus Type 2 Jahaira Capellan, SUNY Binghamton Presented on Twin to Twin Transfusion Syndrome (TTTS) Jorge Chan, SUNY Stony Brook Presented on Infectious Mononucleosis Charles Chukweumeka, Lehman College Presented on Prevalence of Asthma in the Urban Community Jade Gardner, SUNY Binghamton Presented on The HIV Epidemiology of the Black Woman and the Impact of the “DL” Phenomena Chavone Lake, Christopher Columbus High School Presented on Smoking as a Risk Factor for Pre-Term Labor & Infant Mortality Jael Kemp, Bronx Leadership Academy Presented on Munchausen Syndrone by Proxy (MSBP) Marie-France Likanje, SUNY Stony Brook Presented on Myth and Miseducation: the Social Background of Rape as cure for HIV/AIDS in South Africa. Nadilynn Melendez, Manhattanville College Presented on Hemolytic Uremic Syndrome (HUS) Michelle Reyes, Fordham College 5 Presented on Spina Bifida Raquel Richardson, Delhi College Presented on Introduction to Stillbirth MONTHLY SCHEDULE REMINDERS All Faculty Administrative meetings for 2005 1:30 to 3:00 p.m., 3544 Jerome Ave, 3rd Floor Conference Room: September 6 Presenter: Jonathan Swartz, MD Topic: Clinical Jack Wolf, Chief Information Officer at Montefiore, and Dorrie Napoleone, who runs the Clinical Information system (CIS), are coming to talk with us re information technology at Montefiore and how current systems and Monte's strategic plan relate to our needs as clinicians and teachers at our practice sites. Please come prepared with your thoughts and questions. November 1 Presenter: Jonathan Swartz, MD Topic: Education December 6 Presenter: Peter Selwyn, MD Topic: Departmental Review and Strategic Planning Social Medicine Rounds Convener: Matt Anderson, MD 4:30 p.m. to 6 p.m., Binswanger Auditorium located in the Moses Hospital [enter 210th street entrance, ask security, and follow the arrows] Lite refreshments will be served. September 6 Presenter: Olveen Carrasquillo, Assistant Professor of Medicine Health Policy & Management, Columbia University Topic: Healthcare Access for Latino Patients September 20 Presenter: John Wargo, MD, Professor of Environmental Risk Analysis, Yale University Topic: Environmental Toxins and Their Impact on Health DFSM Grand Rounds 8:00 - 9:15 a.m., Moses II Conference Room: September 23 Presenter: Jon Swartz, MD Topic: Clinical Services Update Palliative Care Grand Rounds: This event is open to the public. 8:00 - 9:00 a.m., Tishman A Conference Room, North 2 MMC **No PCare Grand Rounds this month** Educational Scholarship Group, September 13 This event is open to all faculty. 5:30pm - 7pm, 3544 Jerome Ave, 3rd Floor Conference Room Light dinner will be provided. 6 To see a complete list of MonteTalk E-Bulletins click here: http://intranet/newsevents/montetalk *********************************************************************************** If you wish to receive a copy of a previously released electronic newsletter, please contact Tami Rivera at (718) 920-8434 or at the e-mail listed below. Please send email submissions for upcoming newsletters, by the 20th of each month, to: Becky Williams Mark Polisar Tami Rivera Peter Selwyn rewillia@montefiore.org mpolisar@montefiore.org tariver@montefiore.org pselwyn@montefiore.org 7