Annual Report - MedStar Health

Annual Report
2014-2015
The Department of Family Medicine
“Improving health through partnership,
scholarship and advocacy”
A Year In Review From Dr. Melly Goodell
Chair, Department of Family Medicine
I am pleased to share with you the Department of Family Medicine MedStar Franklin Square Medical Center
Annual Report, a summary of our activities and accomplishments from July 1, 2014 to June 30, 2015. The Family
Medicine Residency continues to build on its successful reputation of outstanding clinical training, community
based research and quality improvement efforts, and leadership development.
At the Family Health Center, we continue to improve our patient centered medical home model. With more than
31,000 visits a year for FY15, we are reaching across generations to help make entire families healthier. Family
doctors are working with nurses and community health workers, pharmacists and social workers to provide a
comprehensive team model of care.
As we witness the landscape of health care transforming, with primary care at the forefront, we are ready and
positioned to “Improve health through partnership, scholarship and advocacy” as well as prepare our residents to
be family physician leaders. Please contact us to learn more about our programs or to join our team.
Residency Happenings
We are very pleased with our past academic year for
2014-2015.
We were successful with our recruiting season and we
filled in the match with high quality residents. We also
have our third resident in our combined Family
Medicine/Preventive Medicine program.
Our residents and faculty have been involved in numerous
national and regional leadership positions and presented
at local and national conferences. We continue to
participate in the Maryland PCMH Collaborative and are a
level 3 PCMH. We look forward to continuing to build on
the successes of this year.
2
Family Medicine Core Faculty
The Heart of Our Department
Nancy Barr, MD
Medical Director ,
FHC/Med Student Educ
Sharon Chung, DO
Faculty (Clinical)
Claudia Harding,
LCSW-C, BCD,
Dir of Behavior Science/
Comm Med
Kate Jacobson, MD
Faculty (Clinical)
Emily Richie, MD
Director of Chronic Disease
Programs
Michael Dwyer, MD
Program Director, FM
Residency
Martha Johnson, MD
Faculty
Sallie Rixey, MD, MEd
Vice Chair, Dept of FM,
Co-Dir of FM
Prev Med Education
Uchenna Emeche, MD
Faculty, FM
Associate Medical Director
Joyce King, MD
Director of Inpatient
Training
Kelly Ryan, DO
Faculty & Sports
Medicine
Andrea Gauld, PharmD,
BCACP, BCPS
Melly Goodell, MD
Chair, FM
Laura “Eli” Moreno, MD
Faculty
Michael Niehoff, MD
Director of
Musculoskeletal
Programs
Tobie Lynn Smith, MD
Medical Director, HCH-BC
Katherine Stolarz, DO
Faculty
Lauren Gordon, MD
Director of Women’s Health
Kendal O’Hare, MD
Faculty
Netra Thakur, MD
Associate Program Director,
FM Residency
3
Family Medicine Pediatric Faculty
Harsha Bhagtani, MD
Robin Chernoff, MD
Lee Fireman, MD
Scott Krugman, MD,
Chairman, Dept of Pediatrics
Gaurav Kumar, MD
Family Medicine Departures
Matthew Burke, MD
Faculty
Veronica Deza, MD
Director of Geriatrics
Dr. Matthew Burke and Veronica Deza departed from the Department of Family
Medicine in 2015. We appreciate their commitment and dedication to family
medicine and wish them well on their new endeavors.
Anna Reed, MD
“At MedStar Franklin Square Medical Center
we define Family Medicine in our patient care
as well as interpersonal relationships amongst our staff.
We take pride in our continuity of care and our holistic appreciation
for aspects of our patients' lives.”
Family Medicine Residency Class of 2016
Seung (Jay) Chung, DO
Mary (Kate) Diehn, MD
Chief Resident
Jean Masoso, MD
Chief Resident
Allison Parker-Fahey, MD
Chief Resident
Crystal Peralta, MD
Rachael Randall, MD
Arifuz Zaman, MD
Family Medicine Residency Class of 2017
Richard Bruno, MD
FM-PREV MED
Nikhil Desai, DO
Ashley Dunn, DO
Max Dutkin, MD
Tamkeen Farooq,DO
Ypapanti Meris, MD Cynthia Omokaro, MD Melanie Powell, MD
Patrick Smith, MD
Successful Match and Welcome
New Residents - Class of 2018
Julian Barkan, DO, MPH
Suchi Nagaraj, MD
Jasmeen Gill, MD
Melissa Nicoletti, MD
W. Jordan Gottschalk, DO
Congratulations from the Department of Family Medicine to
the new members of our team. We are proud to add this
team of family medicine physicians while they embark on
their new journey as future leaders!
Ijeoma Okeke, DO
Julian Barkan, Philadelphia College of Osteo Medicine
Jasmeen Gill, Medical Univ. of the Americas
William Gottschalk, Lake Erie College of Osteo Medicine
Suchi Nagaraj, Medical Univ. of the Americas
Melissa Nicoletti, Trinity School of Medicine
Ijeoma Okeke, Rowan University School of Osteo Medicine
Jamille Taylor, Brown University
Grace Cho Wessling, Univ. of Maryland School of Medicine
Jamille Taylor, MD, MPH
Grace Cho Wessling, MD
Max Roman, MD, MPH
FM-PREV MED
Class 2019
Hasan Shihab, MBChB
FM-PREV MED
Class 2018
Family Medicine/Preventive Medicine
Max Romano, Johns Hopkins University, Class of 2019
Hasan Shihab, Johns Hopkins University, Class of 2018
6
Faculty Happenings
July 2014
July 2014
Sept. 2014
Faculty Appointments
Congratulations to the following Family
Medicine Faculty that have been appointed
academic ranks from Georgetown University
Medical Center in Clinical Family Medicine:
Medical Mission Brings Hope,
Healing and Help
Recent Family Medicine alumnus and current
faculty, Kate Jacobson, and third year resident,
Ansu Punnoose, accompanied 13 other team
members on a trip to the Dominican Republic
this past summer for a medical mission. Armed
with suitcases containing medications, medical
supplies, glasses, clothing and shoes, they
traveled to seven villages and conducted ten
medical clinics.
Family Health Center Awarded Funding
from Share Our Strength
The award will allow the FHC to continue its
works providing Cooking Matters at the Store
tours in its center. The grant was made by
Share Our Strength on behalf of the
Partnership to End Childhood Hunger in
Maryland that will enable the Family Health
Center to reach out to patients to connect them
to this community resource.
Nancy Barr, MD: Assistant Professor
Mike Dwyer, MD: Assistant Professor
Melly Goodell, MD: Associate Professor
Claudia Harding, LCSW-C, BCD:
Assistant Professor
Netra Thakur, MD: Assistant Professor
Through the collaboration with Georgetown,
our faculty will have the opportunity to make
important and continuing contributions to the
education of Georgetown students and
residents or others in the medical and
biomedical field.
They set up clinic/pharmacy stations in
churches, under the shades of trees and even
sugar cane plantations with sessions consist-ing
of approximately 50-60 patients. Not only did
Drs. Jacobson and Punnoose have the
opportunity to use their medical knowledge and
bring healing to many people, they also
witnessed transformation taking place in some
of the villages including a water purification
system as well as the beginning stages of a
vocational school to help people develop skill
sets.
Share Our Strength partners with non-profits,
community groups and public organizations
across the country to provide Cooking Matters
programming to low-income families in venues
that are convenient and familiar to them.
Patients at the Family Health Center will have
the opportunity to experience hands-on
cooking courses and grocery store tours and
other food skills education. In 2012, Share Our
Strength taught more than 23,000 families in
29 states to shop for and cook healthy meals
on a budget.
Aug. 2014
Dr. Burke Elected to Fellow Status
of the AAFP
The Degree of Fellow “recognizes AAFP
members who have distinguished themselves
among their colleagues, as well as in their
communities, by their service to family medicine,
by their advancement of health care to the
American people and by their professional
development through medical education and
research.” Congratulations Dr. Burke for being
recognized as a “Champion of Family Medicine.”
7
Faculty Happenings
Oct. 2014
Family Medicine Presents at FMEC
Family Medicine attended the 33rd Annual FMEC Northeast Region Meeting on October 24-26 in
Arlington, Virginia. The meeting brought together 300 Family Physicians from academic and
community-based practices, 200 Family Medicine residents and more than 250 medical
students.
Family Medicine faculty Drs. Matthew Burke, Sallie Rixey and Netra Thakur were on the host
committee and MedStar Health was a leading sponsor. Dr. Mike Rosenthal, Chair of Family
Medicine at Christiana Care and Dr. Sallie Rixey co-led a pre-conference featuring the AMA and
YMCA partnerships for outcomes in diabetes.
Pre-conference Presentations:
- Super-Utilizer Curriculum for Residents, Uchenna Emeche, MD
- Innovations in Population Health Education for Residents, Katharine Barnard, MD, Suzanne
Cashman, ScD, Chantal Dewey, MD, Claudia Harding, LCSW-C, BCD, Sallie Rixey, MD, MEd.
- The Spice of Life: Promoting Wellness through Nature's Inflammation Fighters, Monica
Aggarwal, MD, Jyothi Rao, MD, Netra Thakur, MD.
Other FMEC News:
- Uchenna Emeche, MD won the Emerging Leader Award.
- MedStar Franklin Square Medical Center Family Medicine won the Best Residency Fair Group
Costume for our recruitment booth, costumes and song on “Gridlock in Healthcare”.
- Sallie Rixey, MD, MEd came off the board after a tenure that started in 2007 including serving
as President.
Oct. 2014
Oct. 2014
People, Power and Change
Dr Sallie Rixey presented at the AMA-JHM
meeting in Chicago and facilitated an
"engaging discussion" around our blood
pressure action plan for community
engagement for the Family Health Center.
Dr. King Named 2014 “Top Doc”
Congratulations to Dr. Joyce King,
who was named one of the 2014
"Top Docs” by Baltimore magazine!
We also congratulate the other great
Physicians throughout MedStar, all
chosen by their peers as the best in
the region.
8
Faculty Happenings – March 2015
Working with “Shoulder-to-Shoulder”
Foundation”
After leaving the hustle and bustle of Baltimore
and landing in Honduras, Dr. Lauren Gordon
and a team of colleagues affiliated with the
Shoulder to Shoulder Foundation, ascend on a
long drive on thin roads winding through
mountains, ultimately ending up in clinics
housed in small villages throughout the region.
Their mission and that of the "Shoulder to
Shoulder" organization is to work with
communities in the Intibuca region to create
and operate sustainable health, nutrition and
education services with equitable access for
everyone in the rural frontera of Honduras.
For one week, Dr. Gordon once again had
familiarity with sparse electricity and limited
resources to help people who have had very
little or no access to healthcare. Dr. Gordon
worked both in the clinic in Pinares as well as
hiked to local villages to do outreach care for
children in these villages.
The Annual Faculty Retreat was held March
26 with family medicine residency milestones,
curriculum, didactics and population health
discussions on the agenda as well as MedStar
initiative updates that impact family medicine.
And highlights on Family Medicine for
America's Health (Health is Primary), a new
healthcare commitment with the goal of
positioning FM with strategic and
communication plans to create better health
care and lower cost for patients and
communities.
Drs. Burke, Smith and Bruno Attend
the AAFP National Conference of
Constituency Leaders in Kansas City. It
was a very productive meeting and we
are excited to announce that Dr. Burke
was elected Co-Convener and Alternate
Delegate to the Congress of Delegates
by the New Physician constituency. Dr.
Smith served as representative to the
Women's Constituency, as well as
serving on a reference committee for
Practice Enhancement, making
recommendations on dozens of
resolutions. Dr. Bruno, in preparation for
chairing the National Conference of
Students and Residents this July, was
able to get behind the scenes experience
in learning how large meetings are run.
Drs. Bruno, Goodell and Burke Attend the
Family Medicine Congressional Conference in
Washington, DC on May 12 and 13
Sponsored by AAFP and the Council of Academic
Family Medicine (CAFM), FMCC educates
participants on family
medicine’s legislative
priority issues, trains
attendees on how to
lobby on Capitol Hill,
And allows participants
to put these skills to
Use with federal
Legislators and their
staff.
9
Faculty Happenings
April 2015
Dr. Goodell Elected to STFM Board as
President-Elect
Congratulations to Dr. Melly Goodell for her
election to the 2015-2016 STFM Board of
Directors. She will serve as President-Elect
this year, and assume the role of President
of STFM in April 2016 through April 2017.
She will then remain on the Board of Directors
serving as immediate Past-President from 20172018
May 2015
Outstanding, Dr. Barr!
Dr. Katye Hart and Dr. Mozella Williams presented
Dr. Nancy Barr with the “Outstanding Community
Teacher” award for University of Maryland,
Department of Family Medicine, for her
outstanding efforts on student teaching.
Congratulations, Dr. Barr!
May 2015
Dr. Chung, Mr. Kielek, Dr. Chung
and Dr. Neihoff Attended the
Musculoskeletal Innovations
Conference Hosted by
MedStar Health
Topics included: The Diagnosis, Evaluation and
Management of Sports Related Concussion in the
Outpatient Setting, Throwing Injuries in the
Adolescent Athlete, Pediatric and Adolescent
Scoliosis, Ultrasound Injections, Treatment
Options for Hip and Knee Osteoarthritis and many
others.
May 2015
National High Blood Pressure
Education Month
and the Family Health Center is helping
to raise awareness and improve control
rates. From generating monthly
provider/team specific reports for our
uncontrolled hypertensive patients (thank
you CMAs, Julie Owens, Leah Schueler,
and Dr. Matthew Burke) to implementing
a home blood pressure monitoring
program (Drs. Mike Niehoff, Crystal
Peralta and Jay Chung) and engaging
community resources in our catchment
area (Drs. Sallie Rixey and Avi Narine),
we are working towards improving blood
pressure outcomes for our patients and
identifying successful collaborations with
community partners.
Congratulations to our team on improving
blood pressure outcomes by 10% for
year end 2014, with an overall control
rate of 68.6% through March 2015.
10
Scholars’ Corner and Conferences
Oct. 2014
Engaging Our Patients
Jay Chung, DO and Crystal Peralta, MD
presented at the AMA Collaborative
Learning Event in October. Both residents
provided an overview of the home BP
monitoring pilot and shared success stories
and improvement efforts.
Aug. 2015
AAFP National Conference in Kansas City
Drs. Jean Masoso, Dan Gold, Fatmatta
Kuyateh, Jill Cotter and Nancy Barr represent
us well at the AAFP National Conference for
Family Medicine Residents and Medical
Students in Kansas City.
Jan. 2015
Department of Family Medicine Featured in Winter Edition of the Maryland Family Doctor
The following link highlights the work and accomplishments of our faculty, residents and alumni:
http://mdafp.org/wp-content/uploads/2015/01/Winter-2015.pdf
Jan. 2015
Dr. Kuyateh Promoted to Rank
of Lieutenant Commander
(LCDR) in U.S. Navy Medical
Corps
Dr. Kuyateh’s achievement was
recognized at our monthly
Performance Improvement
Meeting as James Kielek, PA
administered her renewed oath of
office. Dr. Kuyateh was presented
with her second “challenge coin”
and “Navy motivation kit”. Dr.
Kuyateh will be serving in a naval
hospital in Okinawa, Japan after
graduation.
- Kathryn A. Boling, MD, FM Alumni, Physician Heal Thyself…And in the Process Improve Patient Health, page 8.
- Ansu M. Punnoose, DO,R-3, The Depressed Physician, Page 11; Happenings at FM Residency Programs, page 25.
- Matthew Loftus, MD, FM Alumni, The Importance of Spiritual Health, Page 13.
- Samyra Sealy, MD, FM Alumni, Burned…?, page 15.
- Katherine J. Jacobson, MD, FM Clinical Faculty, Dr. Linda Walsh Receives 2014 AAFP Humanitarian Award, Page 18.
- Matthew Burke, MD, FM Faculty and Tobie-Lynn Smith, MD, Medical Director, HCH/FM Faculty, Maryland Chapter well represented at 2014 AAFP State
Legislative Conference, page 20.
- MAFP Winter Regional CME Conference, February 21, 2015: FM Speakers include: Amanda P. Guzman, MD, R-3; FM Faculty Matthew T. Burke, MD and
Nancy Beth Barr, MD, page 23.
-Special Appointments, Honors, and Achievements: Matthew Loftus, FM Alumni; FM Faculty, Matthew T. Burke, MD and Joyce King, MD, page 28. 11
Scholars’ Corner and Conferences – Feb. 2015
Drs. Maryann Salib, Sallie
Rixey, Richard Bruno and
Margarete Everts connect
at ACPM's Preventive
Medicine Conference in
Atlanta, Georgia in
February.
Department of Family Medicine Featured in Spring Edition of
the Maryland Family Doctor
The following link highlights the work and accomplishments of our faculty, residents
and alumni: http://epubs.democratprinting.com/publication/?i=252846
Dr. Richard Bruno had a very insightful
interview with former President Bill Clinton for
his public health leadership class. Dr. Bruno
adds, "The main part of my work was to give
people the chance to have better stories.“
Department of FM faculty, alumni and residents have contributed the following articles:
- Matthew Loftus, MD, The Perfect Patients For A Family Doctor (page 8)
- Joseph Nichols, MD, How Family Doctors Can Address the Challenges of Adverse
Childhood Events (page 10)
- Andrea Gauld, PharmD, BCACP, BCPS, Understanding the Patient Provider
Relationship when Prescribing Controlled Substances (page 13)
- Nancy Barr, MD; Kathryn Boling, MD; Sarah Ramirez, MD; Sallie Rixey, MEd;
Jessica Shreve, MD, Difficult Patient Encounters: A Virtual Discussion Panel
(page 15)
- Ansu Punnoose, DO, Happenings at Family Medicine Residency Program (page 27)
12
Scholars’ Corner and Conferences
April 2015
Fatmatta Kuyateh, MD, MS, 3rd year resident, shares her
poster presentation at the 48th STFM Annual Spring
Conference in Orlando, Florida:
AUTHOR’S DAY: Mindy Guzman, MD,
year resident presented
"Training Future Physicians to Address Intimate Partner Violence: A
Public Health and Primary Care Priority" at Author's Day, hosted by
Library Services at MedStarFranklin Square on April 23.
3rd
Fatmatta Kuyateh, MD, MS; Nancy Beth Barr, MD; Claudia
Harding, LCSW-C, BCD. FP135 Health Care Provider
Reminder Calls to Reduce Missed Appointments in a
Residency-Based Primary Care Office.
Special thanks to Library Services for hosting this event every year. Dan
Gold, Chief Resident, adds, "The library at Franklin Square has been an
invaluable resource when answering clinical questions, performing
research projects, or just obtaining study materials. The staff is wonderful
to work with, and we are continually impressed with how helpful they have
been during our medical education.“
13
Scholars’ Corner and Conferences
June 2015
Rising 3rd year residents, Kate Diehn,
Jean Masoso and Allison Parker-Fahey
Attended the chief resident retreat on
May 28 on the beautiful Wye River on
the Eastern Shore. MedStar Health, in
collaboration with the Graduate Medical
Education Department and MedStar
Organizational Effectiveness (OE) team,
hosted the Clinical Leadership retreat
for Chief Residents.
Claudia Harding, LCSW-C, BCD, Director of Behavior Science and Community
Medicine, FM; Lori Blander, Senior Consultant, OE, and Judy Weber-Lucas,
Senior Consultant, OE facilitated the retreat.
May 2015
Allison Parker-Fahey, MD, 2nd year resident, as well as Harsha
Bhagtani, MD and Carolinne Mrozek, NP, are involved in the
“Reach out and Read Project,” training and support for physicians
who provide books to children, and discussions with parents at
well child exams about the importance of reading aloud to
children. A “Reach Out and Read” Anniversary Event was held on
May 22 at the Creative Kids Community Center in Essex. The
event included a program performed by the Creative Kids
afterschool students and staff including poetry, African-American
folktales, speeches, biographies, and a play adapted from
“Ferdinand the Bull.”
Congratulations to Melanie
Powell, MD, rising PGY-2,
for being awarded the
Holcomb Award for 2015 for
excellence in Pediatrics.
The award was presented by
Scott Krugman, MD.
Dr. Thomas Holcomb was the
first Chair of Pediatrics at
MedStar Franklin Square
Medical Center.
In addition to Family Medicine at Franklin Square, staff from the
Maryland American Academy of Pediatrics, the Baltimore County
Public Library, Young Parent Support Group, and Family Tree
participated in the event.
14
Scholar’s Forum
Mohini Bedi, MD, Advance Directive Practice Improvement
Jill Cotter, DO, Assessing Knowledge of Nutrition in Pregnant Women
Fatmatta Kuyateh, MD, Health Care Provider Reminder Calls to Reduce Missed Appointments in a Residency-Based Primary Care Office
Avinash Narine, MD, Reaching Out: Engaging the Community for Better Blood Pressure
15
Amanda Guzman, MD, Intimate Partner Violence
Ansu Punnoose, DO, The Impact of Breastfeeding Education for Family Health Center Provider and Staff on Initiation and Continuation Rates
of Breastfeeding of Patients at the Family Health Center
Daniel Gold, MD, Insomnia evaluation and management at a Family Health Center
Eric Swearengen, MD, Workflow Improvement in an Outpatient Clinical Office with Standardized Order Sets
16
Resident Graduation
Congratulations to the Class of 2015
Future Plans:
Mohini Kaur Bedi, MD
EM Fellowship
University of Tennessee
Jill M. Cotter, DO
OB Fellowship
University of Texas at Austin
Daniel C. Gold, MD
MedStar Physician Partners
Gaithersburg, MD
Amanda P. Guzman, MD
Practice plans pending
Fatmatta M. Kuyateh, MD, MS
U.S. Navy
Okinawa, Japan
Avinash Narine, MD, MPH
Practice plans pending
Ansu Mathew Punnoose, DO
MedPeds Private Practice
Laurel, MD
Eric Robert Swearengen, MD
Practice plans pending
17
Farewell, but Armed
Not too long ago were we, demure,
Set adrift, on this, our three year tour,
Its completion swift, its journey for sure,
Raucous; engulfed by methicillin resistant
staphylococcus; it’s passengers, us, chosen from a caucus
composed of attendings and residents, whose
meanderings and ponderings and ruminating summoned
us here.
We started, certainly,
Wet behind each ear, full of fear, and endured intern year
With, or without, a teardrop on our face, but often
Supported by a warm embrace, a kind word or face, the
omnipresent coffee taste, while ever intrigued by the
inhibiting ACE, or the puzzling case, or the hot trend of a
bearded face.
And, we sailed on.
Through these tempestuous waters, you helped us sail,
In times when we thought we’d certainly fail, through
snow-laden winters that made us pale, our sole
nourishment from Old Bay and ale,
You helped us respire, even conspired to inspire in us that
righteous desire to succeed.
Indeed!
We experienced patients deceptive,
Continually saw what happens without contraceptives,
Found ways to be much more receptive,
Became pros at gauging those who were precepting,
Promulgated to patients, Advanced Directives
And, even learned the incentives of practicing Medicine
Preventive,
And, we sailed on.
And in our shades of mediocrity,
Asking, “who is your community,”
Through way too many colposcopies, the stressful world
that is OB,
And patients demanding so much OXY,
Someone was always there to comfort, now we…..are
practice bound.
For now, we are thick skinned!
A cohort, if you will, of Acanthoses,
Armed with diagnoses
Well versed in neuroses
And apt at prognoses.
But, we sail on, and away respectively,
Much to the delight of the faculty,
To storm the beaches of Cali,
To fulfill the duties to our Navy,
To deliver cowgirls in all things OB,
To Florida or someplace greater than 70 degrees,
To the mountains of NC,
To emergencies in Tennessee,
To Gaithersburg and Laurel, places close to this vicinity.
We, unfortunately, separate,
In body, but not in mind
For we are all aligned, as we’ve been refined,
To help mankind,
To be kind,
To not needing our darn notes cosigned.
As we sail now unto our own waters and stay afloat,
We can reminisce and think, “Why did we never ride on Dwyer’s
boat?”
And if we did, would there have been beef?—questions, that will
plague each present and future chief, may indeed cause grief, but
certainly calls for an aperitif.
As we bid farewell, we’ll think of the poet of lore
From this city of Baltimore, and think of the gentle tapping and
rapping upon the Family Health Center door,
Possibly even smell the indigenous flora.
We won’t think of the maiden he named Lenore,
But rather think of how we worked hardcore,
Remember the importance of the Apgar score,
Embrace the Family Medicine Core,
And, forever and always thank Nora.
Thank you. Good luck Graduates, and Godspeed.
Avinash Narine, MD MPH
June 19, 2015
18
Medical Student Education
Teaching Is Our Passion
The Department of Family Medicine and Family Medicine Residency at MedStar Franklin Square Medical Center have many opportunities for medical students
at all levels of training interested in Family Medicine. We accept students from various institutions for elective rotations including two students from the
University of Maryland who rotate every month to satisfy their core family medicine rotation. In addition to medical students, we also host students in other
related fields such as pharmacy and social work.
Rotations are four weeks in length and can be a combination of outpatient and inpatient experiences. Priority will be given to medical students enrolled in an
LCGME accredited medical school in the USA or Canada who are also in their fourth year of medical school and applying to family medicine residency programs
through ERAS or in their third year of medical school and have an interest in pursuing a career in family medicine.
Our Family Health Center is a NCQA Level III PCMH (patient centered
medical home), a model of healthcare delivery aimed at improving the quality
and efficiency of care by using evidence-based, patient-centered processes
that focus on highly-coordinated care and long-term participative relationships.
With more than 10,000 patients and 30,000 visits per year, our Family Health
Center exposes medical students to a very diverse patient population and a
large percentage of pediatric patients. This allows students to participate in the
management of chronic diseases, preventive care, developmental
assessment, acute patient issues, project based learning quality improvement,
patient registry data and other PCMH projects.
During their rotation, medical students work 1:1 with senior residents and
faculty in a welcoming teaching environment and are exposed to a wide
variety of clinical experiences, including adult medicine, pediatrics, geriatrics,
orthopedics, gynecology, obstetrics, office procedures and behavioral health.
Our students go on home visits and participate in didactics alongside the
residents and also participate in specialty clinics within our health center such
as sports medicine and dermatology. Students also have the opportunity to
work at Health Care for the Homeless (HCH) and visit a variety of community
based facilities that collaborate with the Family Health Center in an effort to
provide better care for our patients. In addition, our core faculty is augmented
by five pediatricians and a PharmD who have regular clinical and teaching
roles that add to the elective rotation. Pharmacy educational sessions cover
multiple areas of pharmacology including hypertension, antibiotic selection,
smoking cessation, patient education and adverse drug reactions.
First year Georgetown University School of Medicine students
Dori Abel, Ngoc Bui and Carol Barnes.
19
Family Medicine Community Network
The 21st century primary care physician must be a true public health professional, forming partnerships and assisting data sharing with community
organizations to facilitate healthy changes. Residents here in Family Medicine develop networks and projects with the Baltimore Department of Aging, The
Y of Central Maryland, the Maryland State Department of Education, Health Care for the Homeless, the Baltimore County Health Department and others.
They apply their growing knowledge and skills in community engagement, epidemiology, translational research, policy and systems as they learn to make a
difference. Here are the groups and organizations our residents and faculty partner with to achieve our departmental goals.
20
Family Medicine on The Hill
The Department of Family Medicine faculty and residents
keep abreast of the latest information and updates on issues
critical to family medicine. In today’s complex and fastchanging health care environment, there are a range of
matters that could directly impact our patients. Our faculty and
residents have also lobbied in Annapolis and Washington,
DC, testifying for healthcare reform, primary care, and
residency education.
Advocating for our patients and promoting the value of family
medicine to legislators and policymakers is an important
component of our program and the Department of Family
Medicine is pleased to report that for FY13, Dr. Matthew
Burke was appointed Chair of the Government Advocacy
Committee at Maryland Academy of Family Physicians
(MAFP). The Committee has made it its mission statement to
better serve MAFP and the patients of Maryland. The first
order of business was hosting an Advocacy Day in Annapolis
for which the Maryland Academy won funding from the
American Academy of Family Physicians (AAFP). Attended
by two dozen Family Physicians from across the state,
Advocacy Day provided an exciting and informative
experience to membership on how to lobby and open the
doors of communication with legislators. We helped
legislators gain a sense of Family Medicine’s value in health
care delivery, and that systems built around primary care are
met with better patient outcomes and lower costs.
The MedStar Franklin Square residency program has also established a Health Policy Elective for the residency program. Lastly, Health Policy Day
was held in June 2014 and residents and students representing MedStar Franklin Square, Virginia Commonwealth University, Georgetown University
and Howard University went to Washington, DC for a lobby day on Capitol Hill with content focused on national policies endorsed by the AAFP.
Our goal for next year will be to continue these great programs and increase resident involvement in policy, instilling in them how advocacy can be a
potent tool for improving patient health and the lives of people living in our community. Furthermore, we would hope to continue to express to our
lawmakers that intelligent policy that focuses on primary care reaps rewards in terms of building more responsive and less costly health care systems.
21
Collaborative Projects
What we’ve achieved together:
Department of Family Medicine Collaborates
with the AMA and JHM
• Implemented PopulationManager® and used blood pressure control rates
to guide improvement
As part of our quality improvement efforts, Family Medicine is working
with the American Medical Association and Johns Hopkins Medicine to
improve hypertension control rates for our patients.
AMA and JHM have partnered to create a set of evidence-based
recommendations for use by members of the care team. We are pilottesting the program’s recommendations by figuring out how they fit with
our patient population and within our workflows, and identifying what new
tools and resources would be needed to make them work best.
• Developed a Practice Context Assessment (PCA) to identify/target areas in
need of improvement
• Developed an evidence-based checklist
• Developed a program guide and toolkit to support improved blood pressure
control rates
• Built a web-based curriculum for engaging sites in sharing experiences
• Tested the value of practice facilitation support
Family Medicine and four other pilot sites in Maryland -- and five in the
Chicago area, are part of this collaboration. This is a unique opportunity
for Family Medicine to co-develop a quality improvement intervention
that AMA and JHM will spread throughout Maryland and Illinois, and then
to other communities across the country. In addition, it has provided the
opportunity for our residents to participate or have some part in this
project including Avinash Narine, MD, Crystal Peralta, MD, Jay Chung,
DO, Richard Bruno, MD, Kate Diehn, MD and Hasan Shihab, MD.
• Established pilots for clinical-community partnerships
• Engaged patients and family advisors
• Used BP control rates and action lists to guide improvement
• Refined a set of three evidence based check-lists
• Developed a program for the QIN-QIO and others to use to improve BP
control
• Produced a 1.0 CME online course on the MAP framework
• Adapted the CUSP Model for ambulatory care
• Demonstrated the value of practice facilitation support
• Employed digital and social media to promote our collective
accomplishments
• Continue efforts to pilot clinical-community partnerships
• And for the Family Health Center BP control rates, we went from 55% in
February 2014 to 67.5% in May 2015.
22
The Family Health Center
PCMH: A Model of Healthcare
The most important question in The Family Health Center
at MedStar Franklin Square Medical Center is
“Who's Your Doctor?”
The Family Health Center is a NCQA Level III PCMH (patient centered medical
home). PCMH is a model of healthcare delivery aimed at improving the quality
and efficiency of care by using evidence-based, patient-centered processes that
focus on highly-coordinated care and long-term participative relationships.
Our Care Coordination team at the Family Health Center identifies and assesses
the adult high risk patient population, manages social barriers to care with the
goal of reducing over utilization of ER and hospitals, follows patients through
various transitions of care, offers counseling services and chronic disease
management providing education and follow-up.
The Family Health Center is a participant in the Maryland Multi-Payer Patient
Centered Medical Home Program (MMPP). The Family Health Center works as a
team, providing expanded access to care, actively works with patients to promote
optimal health, coordinates patients’ care with other providers and uses data to
manage quality in the practice.
Average Number of Patient Calls to FHC: 500/Day
Active Patients Per Year: 11,000
Annual Visits: More than 31,000
Specialties: Adult Medicine, Pediatrics, Geriatrics, Orthopedics, Gynecology, Obstetrics,
Office Procedures, and Behavioral Health
Quality Measures: Colorectal, Cancer Screening, Diabetes, Asthma, Smoking, Depression,
ER/Hospital Measures
23
Alumni News
Rachelle Alexion, MD, 1994
My career since residency has gone from part time employment treating the
full gamut of family medicine (hospitals, pediatrics, outpatient and nursing
home coverage) to a position focusing on adolescents and well woman care
(some hospital coverage and outpatient) to now a full time position as a
geriatrician. I am presently employed by Erickson Health Medical Group. I
have been working at the Riderwood Village location in Silver Spring.
Maryland since 2007. Our facility has a DXA scanner and I have taken the
training to become a certified clinical densitometrist
Clarke B. Andrews, MD, 1982
33 years practice, 38 years marriage, 4 grandchildren, and still some hair on
the head.
Andrea Ceccarelli Cuniff, MD, 2009
Working in private practice in Annapolis, MD for Maryland Primary Care
Physicians (whom I joined upon graduation from residency). I moved to the
Annapolis office two years ago so I am really close to home. I love it!
Veronica Deza, MD, 1998
After many years of teaching at Franklin Square, I decided to switch to
private practice. I joined Kaiser Permanente Midatlantic Medical Group at
Columbia, MD in January 2015. I have been quite busy seeing patients.
Kaiser now accepts medical assistance patients and patients with insurance
through the Affordable Care Act. I have been seeing a lot of these new
patients, who have not had medical care in a few years, on top of learning
new computer systems. I hope to get involved with research again at some
point soon.
Roberto Echeverri, MD, MPH, FAAFP, 2008
Completed a Masters of Public Health at Tulane University (2014); received
the Degree of Fellow by the AAFP (2014).
Michelle M. Edwards, MD, 2002
I have been living in Seattle, WA for the past two years, and this summer I
will be getting a Master of Public Health degree from the University of
Washington. I hope for a new career in public health focusing on prevention
of chronic disease.
N. Margarete Ezinwa, MD, MPH, 2013
- 2014-2015 General Preventive Medicine Residency Johns Hopkins
- World Health Organizations, Geneva
- Center for Livable Future (JHSPH)
- Office of Global Research (NIH / NIAID / OGR)
- GlaxoSmithKlein, Philadelphia
- 2015 Assistant Professor Family Medicine / Preventive Medicine, Loma
Linda University, CA
- Preventive Medicine Resident 2015, Johns Hopkins Bloomberg School of
Public Health
Robert Gotfried, DO FAAFP, 1992
Medical Director, Valley View Health Centers - 7 Site FQHC in Southeast
Ohio
Matthew Loftus, MD, 2014
- Cover story on vaccines and public health published in May 2015 edition of
Christianity Today.
- Guest-editor of Maryland Family Physician's Spring 2015 edition.
- Dr. Loftus and his family are moving to a hospital in South Sudan at the end
of 2015 to teach and practice family medicine.
Deborah Metz, MD, 1999
Clinical Faculty at John F. Kennedy Family Medicine Residency in Edison,
NJ.
I completed Six Sigma Green Belt Training in 2014 and continue to work on
the Performance Improvement Committee for the Residency program.
Sloan Robinson, MD, 1979
Our practice was chosen for CPCIand NCQA certified, not bad for a 3 FP
practice
Robert C. Vanzant, MD, 1977
- 2005, President, Harris County Medical Society (largest county med
society in the country, 12,000 members)
- 2009-2012 , 1st Chief of Staff, Houston Methodist, West Hospital
(www.houstonmethodist.org)
- 2010 to present, Board of Trustees, Houston Methodist Hospital
24
Contact Information
Department of Family Medicine
MedStar Franklin Square Medical Center
Medical Arts Building
9101 Franklin Square Drive, Suite 205
Baltimore, MD 21237
medstarfranklin.org
Melly Goodell, MD, Chair, Department of Family Medicine
[email protected]
Nancy Beth Barr, MD, Medical Director, Family Health Center
and Director of Medical Student Education
[email protected]
Mike Dwyer, MD, Program Director
[email protected]
Nora Kellner, Residency Coordinator
[email protected]
Sallie Rixey, MD, MEd, Vice Chair; Co-Director of
Preventive Med Education
[email protected]
Netra Thakur, MD, Assoc Program Director
[email protected]
Elaine Orbino
Coordinator of Office Administration
443-777-2037
[email protected]
25