university of illinois at chicago department of family...
TRANSCRIPT
Inside this issue:
Arrivals
Residency
Clinic News
Medical Student Educa‐
on
PCM‐SLP
EBM Conference
MATEC
Announcements
University of Illinois at Chicago Department of Family Medicine
Residency Gradua on June 18, 2016
Congratulations to the Honored Graduates! Keia Hobbs (Associate Director), Amy Arialis (Chief), Megan Waterman, Nathan Stackhouse
(Chief), Christine Neeb, Tyrisha Clary, Yesenia Valdez, Lupita Gallardo, Aneta Kowalska,
Evelyn Figueroa (Director)
Richard Stringham, MD, MPH Inpa ent A ending of the Year
2015‐2016
Michael Abern, MD Specialty A ending Teacher of
the Year 2015‐2016
Nimmi Rajagopal, MD Preceptor of the Year
2015‐2016
Bernardita Del Rosario Support Staff of the Year
2015‐2016
Tanya Lucke Support Staff of the Year
2015‐2016
Ariel Leifer, MD FCMC A ending Teacher of the
Year 2015‐2016
University of Illinois at Chicago Family Medicine Residency Program Recognizes:
Welcome!
Welcome Residency Class of !!
Dr. Tabatha Wells
joined the depart‐
ment November
2015, as a core
residency faculty
member.
Dr. Megan Waterman (left) and Dr.
Nathan Stackhouse (right) will begin the
Academic Career Fellowship July 16, 2016.
Both will see patients at Mile Square
Health Center
Dr. Javette Orgain (left) and Dr. Akavut
Suesakul (right) have joined the depart‐
ment this spring as part of the home visit
program.
(More information about home visits on
page 5)
Residency Program
The Stork stopped by Family
Medicine Residency …
It was love at first sight: Dr. Keia Hobbs
with her husband Richard Hobbs &
Cameron Corinne Hobbs.
Meet Maxwell
Stephen Cor‐
nelius, mom‐
my and daddy
(Amy Arialis
and Tyler
Cornelius) are
madly in love!
Meet adorable Yakov Simcha Kondrashov
Hirschfeld (“Yasha”), mommy (Arielle
Hirschfeld) and daddy Dmytri are in
love.
ALSO
The UIC Department of Family Medicine sponsored and hosted its annual Advanced Life Support in Obstetrics (ALSO) two‐day Provider Course on February th‐ th. The course is an evidence‐based multidisciplinary training pro‐
gram that prepares ma‐ternity health care pro‐viders to better manage obstetric emergencies. Led by directors Evelyn Figueroa, MD (UIC) and Juliet Bradley, MD (Cook County/Loyola/Provident), the program successfully trained and accredited attend‐ings, residents, and mid‐
wives from all over the country as certified ALSO Providers. The course's faculty consisted of area MDs, including based at UIC: Evelyn Figueroa, Karl Kochendorfer, Glen‐da Rios, and Tabatha Wells. UIC FM wishes to thank all of the staff and volunteers for the valuable skills, services, and time that they provided throughout the event and, ultimate‐ly, ensured the first‐rate quality of the program's numerous sessions.
Spring Mini‐Retreat 2016
The residents were able to connect with one another for an
afternoon in February. They participated in teambuilding
exercise's, planned for new academic endeavors for 2016‐2017
and expressed their creativity via a painting lesson.
Residency Program—Scholarship Day May 25, 2016
PGY‐ “Prevalence and Management of Positive Depression Screens in Uncontrolled Diabetes in an FQHC Setting” Fri Awasum, MD & Meha Patel, MD
“Screening for Cervical Cancer—Compliance and Follow‐up” Gillian Eastman, MD & Helena Orbach, MD
“The Relationship between Time– to Appointment and No‐Show Rates in a Busy Family Medicine Clinic” Kimberly Remski, MD & N’Djamina Robsinson, MD
“Post‐Partum Care Quality Improvement” Rina Dave, MD & Jessica Richardson, MD
Summer Research Fellow: “IUD Insertion Skills Assessment for Family Medicine Faculty and Resident Physicians” Chelsie Carlton & Evelyn Figueroa, MD
PGY‐ “Characterizing Overweight and Obesity at Mile Square Health Center” Tyrisha Clary, MD & Megan Waterman, MD
“Retention of Family Medicine Planning Grant‐Funded Long‐Acting Reversible Contraceptive Devices at an Academic Center” Christine Neeb, MD & Evelyn Figueroa, MD
“Determining Patient Satisfaction with Interpreter Use at the UIC Hospital Emergency Department” Aneta Kowalska, MD & Nathan Stackhouse, MD
”Implementation of a Model to Empower Family Medicine Patients to Achieve Institute of Medicine Gestational Weight Gain Recommendations” Lupita Gallardo, MD & Evelyn Figueroa, MD
“Prevalence of Hypertension in a Church‐based Latino Population in Chicago” Yesenia Valdez, MD & Evelyn Figueroa, MD
Keynote Speaker
“Off the Hamster Wheel: New Models of Family Medicine” Joseph E. Scherger, MD, MPH
Thank you to all who presented and attended this year’s Scholarship Day!
Clinic News
DAISY Award to Cathy Albecker!
“Thank you University of Illinois of Chicago for the caring nurses that you have on your staff. I really don’t know how my recovery would have went had it not been for caring nurses like Cathy Albecker.” ‐ From patient nomination letter The DAISY Award was established by The DAISY Foundation in memory of J. Patrick Barnes who died at 33 of ITP, an auto‐immune disease. The Barnes Family was awestruck by the clinical skills, caring and compassion of the nurses who cared for Patrick, so they created this international award to say thank you to nurses everywhere.
It gives us great pleasure to wish all our nurses
at UI Health a happy Nurses Week. Your com‐
mitment to excellence and compassionate pa‐
tient care is at the heart of our mission. We
greatly appreciate your dedication, and on be‐
half of our patients, we thank you for the work
you do every day.
Left to Right: Joe Ann Lonzo‐Jackson, Janet Juricic, Ditas Del Rosario, Julienne Rodriguez (Not pictured: Jackie Kelly)
Nurses Week Thank You!
DFM has initiated our Home Visit Program as of April 2016. Dr. Javette Orgain and Dr. Avakut Suesakul have begun seeing patients in their own homes and have reported positive responses already from several patients. Referrals can be established in many ways. Typically, you can call the clinic number and leave information for Kim Lee, who will arrange for a appointment with one of the physicians. Later in May and June, Dr. Hickner and Jerry King will be visiting other Medical Staff Departments and Nursing/Hospital Department to get the word out and make sure that UIC staff are aware of the program. You may have seen that the program has already been introduced on the hospital home page. The in‐tent of the program is to provide better service options to our patients, reduce hospital and emergency depart‐ment re‐admissions, and give training op‐portunities to our own department and to other UIC depart‐ments.
Home Visit Program
Medical Student Education
Adrian Zamora MacNeal Memorial Hospital Family Medicine Berwyn Illinois
Alan Luo Mercy Medical Center Family Medicine Redding California
Alba Molina MacNeal Memorial Hospital Family Medicine Berwyn Illinois
Anastasia Munoz St. Joseph Hospital Family Medicine Chicago Illinois
Annakaren Morelos Sts. Mary and Elizabeth Medical Center Family Medicine Chicago Illinois
Christopher Oh Fairview Hospital Family Medicine Cleveland Ohio
James Swakow University of Illinois at Chicago College of Medicine
Family Medicine Chicago Illinois
Kevin Conley Advocate Lutheran General Hospital Family Medicine Park Ridge Illinois
Kimberly Beiting McGaw Medical Center of Northwestern University
Family Medicine Chicago Illinois
Liezet Cepeda University of Texas Rio Grande Valley Family Medicine Mcallen Texas
Rosalinda Campos Hinsdale Hospital Family Medicine Hinsdale Illinois
Sandra Villalpando MacNeal Memorial Hospital Family Medicine Berwyn Illinois
Sandra Pena Community Hospitals Family Medicine Indianapolis Indiana
Simone Asare University of California Davis Health System
Family Medicine Sacramento California
Tamara Martinez St. Joseph Hospital Family Medicine Chicago Illinois
Timothy Lee Univerity of California Irvine Medical Center
Family Medicine Orange California
2016 Match Day Congratulations to the Class of 2016 on a very successful match year!
Dr. Hanjrah would like to thank the faculty, residents, and staff of the department for their support and excellent teaching of our 3 extern students. These three UIC medical students – Py-one David (left), Taylor Duke (center), and Lindsay Waggerman (right)- were between their 1st and 2nd years of medical school. This was the 5th year we have had this successful program. Our goal is for this program to showcase the department to highly qualified students and thus en-courage them to pursue family medicine as their career choice (and encourage others to do the same).
5th Annual DFM Summer Externship
Patient-centered Medicine Service Learning Program Showcase
March 24, 2016
Domes c Violence Concentra on M2: Tara Bylsma, Vidya Govind‐Thomas, Takahiro
Yamaguchi, Rachel Tatz, Yuli Zhu M4: Caroline Holmes, Cynthia Orantes, Megha Shankar,
Anne Henson Concentra on Leader: Sonia Oyola, MD Community Agency: Connec ons for Abused Women and
their Children (CAWC) Homelessness Concentra on M2: Amalia Hatcher, Bhavik Patel, Andrew Russell,
Nathan Lin M4: Shuvani Shanyal, Jeremy Kruger, Lauren Hughes,
Bryan Killian (M3) Concentra on Leaders: Keia Hobbs, MD &
Nimmi Rajagopal, MD Community Agency: Lincoln Park Community Shelter
Immigrant & Refugee Health Concentra on M2: Omar Jamil, Eden Liu, Joshua Muniz M4: Wemi Adeyanju, Dani Guerrero, Roland Njei,
Ann Schraufnagel Concentra on Leaders: Andrew Dykens, MD, MPH &
Sagina Hanjrah, MD Community Agency: Heartland Alliance
Geriatrics Concentra on M2: Adrian Boscolo‐Hightower, Shani Chibber,
Kieran Holzhauer, Jasmine Par da Concentra on Leader: Richard Stringham, MD Community Agency: Housing Opportuni es and
Maintenance for the Elderly (HOME) HIV/AIDS Concentra on M2: Samantha Glass, Ashley Patel, Katherine Venegas,
Divya Verma, Elizabeth Nagel, Katherine Reifler M4: Kimberly Bei ng, Samuel Muench, Jacob Fyda, Jim
Swakow Concentra on Leaders: Paul Rotert, DO, Ariel Leifer, MD,
Memoona Hasnain, MD, MHPE, PhD Community Agency: Project VIDA
Program Director: Memoona Hasnain, MD, MHPE, PhD Interim Director: Nimmi Rajagopal, MD Program Coordinator: Claire Bridges
We would like to thank the students, concentra on leaders and community agencies for their commitment to
the Service Learning Program!
Thank you to all who
a ended this year’s
EBM conference!
2016 Speakers:
John Hickner, MD, MSc
Mark Ebell, MD, MS
Heather Laird‐Fick, MD
Rick Guthmann, MD, MPH
Kate Rowland, MD, MS
Abbas Hyderi, MD, MPH
Emily Hall, MD
Paul Stranges, Pharm D
Feedback from 2016 A endees:
“I loved ge ng the most useful, per nent informa on efficiently”
“This mee ng was outstanding. One of the most high yield learning experiences I’ve had in the past
year. Most topics directly relevant to clinical ques ons I’ve actually had myself in the past year. It’s
like they were in clinic with me for the past 6 months, looking up my clinical ques ons!”
“I really enjoyed it, got a lot of knowledge that I will use in my career.”
“Very focused and useful evidence based data that I can use in my clinical prac ce. Answered ques‐
ons with evidence based data‐ ques ons that I have wondered about but not been able to take
the me to look up myself to see if data/ recommenda ons have changed”
“Great highlight of current evidence”
“It was brilliant”
“Great, I loved the short sec on. Conference moves well and keeps you engaged, keep it fast!
Evidence Based Medicine Conference March 17-18, 2016
Mark your calendars for the 2017 EBM Conference:
March 23‐24, 2017
More Informa on can be found here
Responding to an HIV Outbreak in Indiana.
In March of 2015, the Indiana State Health Depart-ment (ISDH) released a statement that Indiana was in the midst of an HIV outbreak. It would soon be known that the small, rural town of Austin in Scott County was at the epicenter of what would become the worst HIV outbreak in Indiana history. About Scott County and the Town of Austin Scott County is located in Southeastern Indiana and has a population of 23,744. The county’s health and social-economic factors give us an indication of what life is like in Scott County. They rank 92nd out of 92 counties when it comes to length of life, 89th out of 92 counties when it comes to quality of life and 90th of 92 counties on socio-economic indicators. The Town of Austin has a population of only 4,295. Although small, Austin sits directly off interstate I-65, a major trucking corridor that connects it to much larger cities like Lou-isville, KY, Indianapolis, IN and Chicago, IL. The Start of an Outbreak The outbreak began in December 2014, when Scott County reported three new HIV infections in Austin. This was alarming because in the prior nine years combined, the town of Austin had only reported 5 cas-es of HIV infection. By February 25, 2015, there were 26 confirmed and another 4 preliminary cases of HIV. ISDH soon revealed that injections drug use and sy-ringe-sharing was commonplace in Austin and their drug of choice was Opana, an opioid oxymorphone. It was further revealed that injection drug use in this community is a multi-generational activity, with as many as three generations of a family and multiple community members injecting together and that due to the short half-life of the drug, persons who inject drugs may have injected multiple times per day (up to 10 in one case). MATEC’s Response MATEC Indiana (MATEC-IN) is housed at Eskenazi Health on the campus of the Indiana University School of Medicine in Indianapolis, Indiana. The office is lo-cated in the same physical space as the Bell Flower STD clinic, Indiana’s largest STD clinic. Disease Inter-vention Specialists (DIS) from Bell Flower were among the first to be deployed to Scott County to assist with the outbreak. Additionally, the Centers for Disease Control (CDC), the ISDH and the Indiana School of Medicine’s Infectious Diseases Division often held meetings at Bell Flower, all of which made it possible for MATEC-IN to learn what was happening with the outbreak and to be asked to assist.
MATEC-IN began offering support to Scott County in March, 2015 in the way of technical assistance. In mid-March, they participated in a town hall meeting at Scott Memorial Hospital which allowed them to learn about the needs of the community and local clinicians. On March 31st, MATEC-IN helped to staff the first free HIV clinic in the area. Staff provided HIV testing, tri-age, registration and other support. In April, they be-gan offering training on HIV, Hepatitis C and HIV screening. Initial trainings targeted law enforcement, department of child services, community members and faith-based communities at the request of state and local health officials. In May, MATEC-IN partnered with Indiana Primary Health Care Association (IPCHA), to provide Routine HIV screening trainings in Scott and surrounding coun-ties. These trainings were designed to prepare partici-pants to offer, conduct and interpret rapid HIV screen-ing tests. This was vital because the number of con-firmed infections had grown to 159 and no one knew when the outbreak might end. Indiana approved a sy-ringe exchange program (SEP) in May. This prompted requests for harm reduction training and materials in counties that wanted to begin offering syringe ex-change. MATEC-IN, in partnership with IPHCA and Bell Flower, began offering varied levels of harm re-duction training to support these counties. MATEC-IN also began incorporating updates on the outbreak in other trainings at the request of clinicians. By June, 2015 there were 169 confirmed cases and it was becoming clear that the outbreak was losing mo-mentum. This prompted the CDC and the ISDH to begin transitioning the public health response to local officials. MATEC-IN continued to assist with HIV and Hepatitis C 101 trainings, Harm Reduction training, including PrEP, and to support efforts to expand HIV screening in Southern Indiana. As of May 2, 2016, 191 people have tested positive for HIV infection in Scott County Indiana. There is no doubt that the HIV outbreak will impact Scott County and Austin Indiana for years to come. However, it is clear that MATEC made an impact. As a result of the efforts of MATEC-IN: Law enforcement personnel are better prepared to
work with the community and be a reliable source of information about HIV
Scott County Jail staff members are trained to offer HIV screening to inmates
A local family medicine physician and his staff are building their capacity to provide HIV care and pre-vention through their participation in the MATEC Clinician Scholars Program
Medical providers in Scott and surrounding counties are more aware of resources for HIV care and prevention, including PrEP
The Department of Child Services in Scott and sur-rounding counties is better prepared to assist families impacted by HIV infection
Volunteer and faith-based groups are able to add HIV screening to their free clinics and make it a standard part of their community outreach efforts
Lessons Learned Scott County is not much different from other rural com-munities around the United States. What happened in Austin, Indiana could easily happen in other small towns throughout the country – so how can we prepare? MATEC-IN suggests: Breakdown silos between HIV, STD and Viral Hepatitis
Programs. Care is prevention. Prevention is care. Increase funding for rural initiatives. Most programs
only have enough funding to focus on high HIV preva-lence areas. Rural communities with low prevalence do not make the list.
Expand access to HIV testing and prevention services, including jails and drug treatment facilities.
Introduce campaigns to increase the number of provid-ers willing to treat HIV and HIV/Hepatitis C co-infected patients.
Incentivize providing health care to people with HIV infection with increased reimbursement.
According to Dr. Jonathan Mermin, Director of CDC’s Center for HIV/AIDS, Viral Hepatitis, STD, and TB Pre-vention, healthcare workers can: Screen patients for substance-use and mental health
disorders. Provide medication-assisted treatment for opioid addic-
tion or offer immediate referrals to substance-use treat-ment programs.
Test patients and their sex and drug-injection partners for HIV, HCV, hepatitis B virus, and sexually transmit-ted diseases, and offer immediate treatment to those who test positive.
Offer pre-exposure prophylaxis to prevent HIV infection among uninfected persons at continued substantial risk.
Provide hepatitis B vaccination. Use current guidelines for prescription of opioid medi-
cation to effectively address pain management while reducing misuse.
Counsel patients who inject drugs about not sharing needles and syringes, and refer them to programs that provide access to sterile injection equipment.
Notify state or local health departments about any clus-ters of HIV or HCV infection.
Resources April 24, 2015 Indiana outbreak CDC Health Advisory: http://bit.ly/apr24-2015cdcinadvisory HIV Resource page (PDF): https://uofi.box.com/v/HIVresourcepage
Save the Date!
MATEP 19th Annual HIV Treatment Update Of the 21st International AIDS Conference,
Durban, South Africa
In memory of Bonnie Lubin, PhD, MATEP Planning Committee member
Thursday, September 15, 2016
Evening Dinner Program Crowne Plaza Chicago Metro Downtown
733 West Madison (at Halsted) Chicago, IL
For physicians, physician assistants, nurses, advanced practice nurses, and pharmacists interested in the
latest in HIV/AIDS treatment and prevention.
Midwest AIDS Training + Educa on Center
Regional Headquarters
University of Illinois College of Medicine at Chicago
Department of Family Medicine
1919 W. Taylor M/C 779, 8th Floor (MC779)
Chicago, IL 60612
www.matec.info
Congratulations!
Website:
http://chicago.medicine.uic.edu/departments___programs/departments/fammed/
Dr. Abbas
Hyderi was
elected DFM’s
Faculty of the
Year!
Dr. Evelyn
Figueroa was
elected to the
STFM Board as a
Member–at‐Large
Upcoming Event
Dr. Rik
Stringham was
elected DFM’s
Rising Star and
2016 M3 Golden
Apple Award (for
the 6th year in a
row!)
Outpa ent Maternity Care UpdateOutpa ent Maternity Care Update When: Friday, July 22nd 2016 Register by July 15.
Where: UIC, 1919 W Taylor St, Room 846
Course Objec ve: This educa on program is designed to enhance cogni ve skills of maternity care providers to
assist them managing outpa ent maternity care condi ons. This single day course is for maternity care provid‐
ers including physicians and midwives.
More informa on: Contact Dr. Evelyn Figueroa ([email protected]) or Claire Bridges ([email protected])
Dr. Kristina
Dakis, R1 was
elected Resident
Board Member of
the Illinois Acad‐
emy of Family
Physicians.
Maureen
Gecht, OTD,
MPH completed
her doctoral
degree in occu‐
pational therapy
this spring.
Congratulations
Dr. Gecht!