Volume 4 Issue 5 August 2008 News from the Department of Family and Social Medicine

People in the news… Donna Futterman, MD, Director, Adolescent AIDS Program, was featured in an article on the Time Magazine's website about the new HIV testing initiative in the Bronx. Available at: http://www.time.com/time/printout/0,8816,1822013,00.html Dr. Futterman was also quoted in the Wall Street Journal in an article on the government's failure to release up-to-date AIDS numbers. http://images.burrellesluce.com/image/3308AX/3308AX_802 Steven M. Safyer, MD, President and CEO, interviewed by the New York Sun on August 4 to discuss Montefiore's plans for expanding oncology services. http://www.nysun.com/health-fitness/new-york-hospitals-are-maneuvering-in-war/83119/ Personal Happenings… Congratulations! To Dr. Felise Milan on her promotion to Professor of Clinical Medicine Congratulations! To Dr. Hal Strelnick on his recent wedding to Ms. Deborah Ellis on July 26, 2008 (pictured below). The announcement of their wedding was featured in the July 27 edition of the New York Times which is available at: http://www.nytimes.com/2008/07/27/fashion/weddings/27ellis.html?_r=1&scp=1&sq=Strelnick&st=cse&oref=slogin

Farewell! To Dr. Darwin Deen, who in July, took on a new role as a faculty member at the Sophie Davis School of Biomedical Education, while retaining his faculty appointment in our Department. We also expect and hope that Dr. Deen will continue to be involved with several grant-funded projects that are underway or planned; in addition, we are hoping to take this opportunity to strengthen our relationship with the Sophie Davis program in the area of pipeline programs for undergraduate and graduate medical education. While we are happy that Dr. Deen has found this new and exciting challenge at Sophie Davis, and sad that he will be leaving the Department as a full-time faculty member, we would like to thank Dr. Deen for all of his dedicated work over all of these years, to acknowledge all that he has accomplished both personally and on behalf of our Department, and to wish him the very best in this new role, in the hope that, as suggested above, there will continue to be ample opportunities to continue a close and productive relationship with us and the Department in the future. On June 24, 2008 a surprise farewell gathering was held at Frankie and Johnnies Pine Restaurant (see photos above). Farewell! To Jennifer Rhodes-Kropf who has moved to Boston with her family following her husband’s new appointment as a Professor at Harvard Business School. Jennifer is looking forward to taking on an academic geriatrics/palliative care position at one of the Harvard hospitals. We wish her much success in her new endeavors.

Picture from left: Diane Indyk, Eliana Korin, Elizabeth Lee, Adriana Nieto, Lisa Tiru, Gladys Valdivieso, Arthur Blank, Michael Mulvihill, Charles Schwartz, Michele Vaca, Judith Wylie-Rosett , Darwin Deen, Lisa Hark, Lisa Rucker, Maria Santos, Rounak Ahmed

Pictured from left: Martin Edelstein, Paul Gross, Victoria Gorski, Michael Reichgott, Peter Selwyn, and Janet Townsend

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This month’s Grants, Publications, and Presentations GRANTS

Congratulations! To Drs. Anna Flattau and Diane McKee on receiving a Joint AAFP/F-AAFP Grant Award for their project 'Psychosocial Barriers to Care in Patients with Diabetic Foot Ulcers.' Purpose: Early presentation and adherence to care are important determinants of outcomes for patients with diabetic foot ulcers (DFUs). Psychosocial barriers to care may interfere with these processes. Aims: 1. to identify psychosocial barriers to early presentation and treatment adherence in patients with DFUs, and 2. to explore the perceived roles that health providers, including primary care physicians, play in addressing these barriers. We will conduct interviews with approximately 15 adult patients with DFUs who are enrolled in primary care at Montefiore Medical Center, as well as approximately 10 patients admitted emergently to the hospital for this disease. Qualitative analysis will be applied.

Congratulations! To the Family Medicine and Internal Medicine tracks of RPSM whom have been awarded 3-year HRSA Residency Training in Primary Care Grants. The focus on the Family Medicine grant is to continue to further redesign the curriculum to incorporate the six major elements of the Chronic Care Model . For the Internal Medicine grant, the focus is to redesign the curriculum to more effectively address the pressing health needs that continue to underlie many of our nation’s health disparities: HIV; substance abuse; obesity, diabetes & physical inactivity; and arthritis and pain. Both grants will have didactic, clinical, and team- and community-based components and both will evaluate learners’ achievement of ACGME competencies.

PUBLICATIONS Bonuck K, Freeman K, Henderson J. Growth and growth biomarker changes after adenotonsillectomy: systematic review and meta-analysis. Arch Dis Child, published online August 2008. Available at online at www.adc.bmj.com Cunningham CO, Sanchez JP, Li X, Heller D, Sohler NL. Medical and supportive service utilization in a medical program targeting marginalized HIV-infected individuals. J Health Care Poor Underserved 2008; 19(3):981-990. Jordan WB, Selwyn PA. HIV Prevention in the clubhouse. Psychiatric Services 2008; 59(8):933. Lefer TB, Anderson MR, Fornari A, Lambert A, Fletcher J, Baquero M. Using google earth as an innovative tool for community mapping. Public Health Reports 2008; 123: 474-80. Mund PA, Heller D, Meissner P, Matthews DW, Hill M, Cunningham CO. Delivering care out of the box: The evolution of an HIV harm reduction medical program. J Health Care Poor Underserved 2008;19(3):944-951. O’Mahony S, McHenry J, Snow D, Cassin C, Schumacher D. A Review of barriers to utilization of the medicare hospice benefits in urban populations and strategies for enhanced access. J of Urban Health 2008; 85(2):281-90.

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OPPORTUNITY AVAILABLE

Program Director The South Bronx Health Center for Children and Families/Montefiore Medical Center, an innovative state-of- the-art community health center whose mission is to provide excellence in care and help end health disparities, is seeking an experienced Program Director. The health center is also part of the flagship programs of the Children’s Health Fund dedicated to providing care the children and families with the greatest barriers to care. Join an exceptionally dedicated group of health care professionals to make a difference. Reporting to the Associate Executive Director of the Community Pediatric Programs, the Program Director is responsible for the day-to-day operations of a growing community health center with over 30,000 visits per year. Responsibilities include: program management, development, and evaluation consistent with community needs and programmatic/budget constraints; personnel administration; fiscal/billing oversight; and data reporting. Qualifications: 5-7 years experience in health administration/management and program development, preferably in a community health environment serving children and their families. Grants administration/ management experience desired. Master’s degree (MPH or MPA) or equivalent combination of education/experience. Bilingual Spanish preferred. Please respond with resume and salary requirements to: Montefiore Medical Center, Dept. DS, 317 East 64th Street, NY, NY 10065 or via e-mail: resumes@chfund.org or via Fax: 212-744-7633. NO PHONE CALLS PLEASE. EOE.

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DFSM Newsletter is produced by the Department of Family and Social Medicine at Montefiore Medical Center

Editor/Designer: Tami Rivera, (718) 920-8434, tariver@montefiore.org

Publications continued from page 2 O’Mahony S. Blank A, Persaud J, Hutcheson A, Simpson J, Huvane B, McHugh M, Selwyn PA. Report of a palliative care and case management project for elderly patients in the emergency department in an urban medical center. J Urban Health 2008; 85(3): 443-451. Stark R, Korenstein D, Karani R. Impact of 360-degree professionalism Assessment on faculty comfort and skills in feedback delivery. J Gen Intern Med 2008; 23(7):969-72.

PRESENTATIONS

O'Mahony S, Blank A. Report of a Palliative Care Project in an Urban Emergency Department. American Public Health Academy, Washington, D.C., June 2008. Jacobs B, Korin E, Dognin J. Illness and Disability. American Family Therapy Academy’s 30th Annual Meeting on Intimate Family Bonds: Exploring the Connections, Philadelphia, PA, June 2008. Dognin J. Psychological issues associated with AIDS related malignancies. Presented at St. Luke’s-Roosevelt Hospital, Center for Comprehensive Care’s HIV Noon Conference, New York, May 2008.

BABY FRIENDLY HOSPITAL

The Baby Friendly Hospital initiative, developed by the World Health Organization and UNICEF, provides 10 steps to a Baby Friendly Hospital: 1. Maintain a written breastfeeding policy that is routinely communicated to all health care staff. 2. Train all health care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding. 4. Help mothers initiate breastfeeding within one hour of birth. 5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6. Give infants no food or drink other than breastmilk, unless medically indicated. 7. Practice “rooming in”-- allow mothers and infants to remain together 24 hours a day. 8. Encourage unrestricted breastfeeding. 9. Give no pacifiers or artificial nipples to breastfeeding infants. 10.Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic If you would like to join Dr. Rebecca Williams in working toward baby friendly, please e-mail her at rewillia@montefiore.org. For more information please visit: http://www.babyfriendlyusa.org/

A few of our DFSM staff wearing our newly designed departmental shirts. Pictured from left: Elba Carpio, Tami Rivera, Shannon Lanier, Kim Eady, Carol Whittaker, Wilma Burgos, and Michelle Perez.

DFSM STAFF