state of the section – – 2010 general internal medicine

State of the Section State of the Section –– 2010 2010 General Internal MedicineGeneral Internal Medicine

Jeffrey H. Samet, MD, MA, MPH, Chief Jeffrey H. Samet, MD, MA, MPH, Chief

Section of General Internal Medicine Section of General Internal Medicine Department of MedicineDepartment of Medicine

Boston University School of MedicineBoston University School of MedicineBoston Medical CenterBoston Medical Center

Overview Section of General Internal Medicine

PeoplePeople

ProgramsPrograms

EventsEvents

AccomplishmentsAccomplishments

PeoplePeople

AdministrationAdministration

Debra Paarz Debra Paarz –– AdministratorAdministratorSarah (Gaboriault) Brunt Sarah (Gaboriault) Brunt –– Admin AssistantAdmin AssistantLavondea Elow Lavondea Elow -- WHG Admin AssistantWHG Admin AssistantVeronica Forde Veronica Forde –– GIM Fellowship CoordinatorGIM Fellowship CoordinatorAnn Han Ann Han –– WHU Research Admin ManagerWHU Research Admin ManagerApril Leon April Leon –– Grants ManagerGrants ManagerLisa Morin Lisa Morin –– Executive AssistantExecutive AssistantJenay Nasif Jenay Nasif –– Admin AssistantAdmin Assistant

Efficient, stable, helpfulEfficient, stable, helpful

Retirement Retirement –– Nervene BrowneNervene Browne–– Sarah MaSarah Ma

New Faculty New Faculty 20092009--20102010

7 Primary Care (PC) Clin Educators7 Primary Care (PC) Clin Educators4 Hospitalist Clin Educators4 Hospitalist Clin Educators1 Clinical Investigator1 Clinical Investigator3 Nurse Practitioners3 Nurse Practitioners

New Faculty 2009New Faculty 2009--20102010 PC Clin EducatorsPC Clin EducatorsJ n than B rz, MD, Sc ( ACC)Jonathan Berz, MD, MSc (YACC)–– Medical School: Tufts University Medical School: Tufts University –– Residency: Boston Medical Center, 2006Residency: Boston Medical Center, 2006–– Fellowship: GIM, BUSMFellowship: GIM, BUSM

Ter sa Chen MD, MS ( HGTeresa Cheng, MD, MSc (WHG)–– Medical School: SUNY at Stony BrookMedical School: SUNY at Stony Brook–– Residency: Boston City Hospital, 1992Residency: Boston City Hospital, 1992–– Neponset Health Center, 1994Neponset Health Center, 1994--20072007–– Fellowship: GIM, BUSMFellowship: GIM, BUSM

Tar Dumont MD (WHGTara Dumont, MD (WHG)–– Medical School: University of PennsylvaniaMedical School: University of Pennsylvania–– Residency: Hospital of the University of Penn, 2009Residency: Hospital of the University of Penn, 2009

Katherine Lupton, MD (YACC)Katherine Lupton, MD (YACC)–– Medical School: UC San FranciscoMedical School: UC San Francisco–– Residency: UC San Francisco, 2008Residency: UC San Francisco, 2008–– Fellowship: UC San Francisco, GIMFellowship: UC San Francisco, GIM

Ellen Meltzer, MD (YACC)Ellen Meltzer, MD (YACC)–– Med School: Thomas Jefferson UniversityMed School: Thomas Jefferson University–– Residency: Boston Medical Center, 2007Residency: Boston Medical Center, 2007–– Fellowship: GIM, BUSMFellowship: GIM, BUSM

New Faculty 2009New Faculty 2009--20102010 PC Clin EducatorsPC Clin Educators

Elizabeth Rourke, MD (YACC)Elizabeth Rourke, MD (YACC)–– Medical School: UMassMedical School: UMass–– Residency: Boston Medical Center, 2004Residency: Boston Medical Center, 2004–– Mass General Hospital, 2005Mass General Hospital, 2005--20062006–– South Boston Health Center, 2006South Boston Health Center, 2006--20082008

Anita Ung, MD (DOB Medical Director)Anita Ung, MD (DOB Medical Director)–– Medical School: Johns HopkinsMedical School: Johns Hopkins–– Residency: Boston Medical Center, 2002Residency: Boston Medical Center, 2002–– Faculty: University of Maryland, 2002Faculty: University of Maryland, 2002--20092009

New Faculty 2009New Faculty 2009--20102010 PC Clin EducatorsPC Clin Educators

Dominique Bayard, MDDominique Bayard, MD–– Medical School: Mount Sinai Medical School: Mount Sinai –– Residency: Boston Medical Center, 2009Residency: Boston Medical Center, 2009

Anjali Grandhige, MDAnjali Grandhige, MD–– Medical School: University of AlabamaMedical School: University of Alabama–– Residency: Oregon Health Sciences Residency: Oregon Health Sciences

University, 2007University, 2007

New Faculty 2009New Faculty 2009--20102010 Hospitalist Clin EducatorsHospitalist Clin Educators

Zaffar Haque, MDZaffar Haque, MD–– Medical School: Trinity College, DublinMedical School: Trinity College, Dublin–– Residency: UMass, 2009Residency: UMass, 2009

Clare Horkan, MDClare Horkan, MD–– Medical School: Trinity College, DublinMedical School: Trinity College, Dublin–– Residency:Residency: Boston Medical Center, 2009Boston Medical Center, 2009

New Faculty 2009New Faculty 2009--20102010 Hospitalist Clin EducatorsHospitalist Clin Educators

Timothy Naimi, MD, MPHTimothy Naimi, MD, MPH–– Medical School: UMassMedical School: UMass–– Residency: Mass General HospitalResidency: Mass General Hospital

combined IMcombined IM--Pediatrics, 1991Pediatrics, 1991--19951995–– Indian Health Service/CDC, 1998Indian Health Service/CDC, 1998--20092009

New Faculty 2009New Faculty 2009--20102010 Clinical InvestigatorClinical Investigator

New Faculty 2009New Faculty 2009--20102010 Nurse PractitionersNurse Practitioners

Patricia Flanagan, NPPatricia Flanagan, NP–– Boston College, Connell School of NursingBoston College, Connell School of Nursing

Yolanda PerezYolanda Perez--Shulman, NPShulman, NP–– MGH Institute of Health ProfessionsMGH Institute of Health Professions

Meeky Kim, NPMeeky Kim, NP–– Regis CollegeRegis College

Faculty Recruits Faculty Recruits 20102010--20112011

2 PC Clin Educators 2 PC Clin Educators 2 Hospitalist Clin Educators 2 Hospitalist Clin Educators 1 Nurse Practitioner 1 Nurse Practitioner

Faculty Recruits 2010Faculty Recruits 2010--20112011 PC PC Clin EducatorsClin Educators

Rachel Stark, MDRachel Stark, MD–– M dical School: Boston niversityMedical School: Boston University–– Residency: Mount Sinai, 2005Residency: Mount Sinai, 2005

Devin Mann, MDDevin Mann, MD–– M dical School New Yo k niversity Medical School: New York University –– Residency: NYU Bellevue, 2003Residency: NYU Bellevue, 2003–– Primary appointment as Clin Investigator Primary appointment as Clin Investigator

Section of Preventive MedicineSection of Preventive Medicine–– Second ry ap ointment, GIMSecondary appointment, GIM

Faculty Recruits 2010Faculty Recruits 2010--20112011 Hospitalist Clin EducatorsHospitalist Clin Educators

Joanna Ghobrial, MDJoanna Ghobrial, MD–– M dical School Wayne tate Uni ersityMedical School: Wayne State University–– Residency: Boston Medical Center, 2010Residency: Boston Medical Center, 2010

Felicia Patch, MDFelicia Patch, MD–– Medical School: Baylor College of MedicineMedical School: Baylor College of Medicine–– Residency: Boston Medical Center, 2010Residency: Boston Medical Center, 2010

Faculty Recruits 2010Faculty Recruits 2010--20112011 Nurse PractitionerNurse Practitioner

Marie Ayer, NPMarie Ayer, NP–– Regis CollegeRegis College

Planned RecruitsPlanned Recruits

11--2 PC Clin Educators 2 PC Clin Educators 11--2 PC Nurse Practitioners 2 PC Nurse Practitioners 1 Latino Health PC Clin Educator1 Latino Health PC Clin Educator1 CMG* PC Clin Educator 1 CMG* PC Clin Educator 11--2 Hospitalist Clin Educators2 Hospitalist Clin Educators

*Commonwealth Medical Group*Commonwealth Medical Group

Departing FacultyDeparting Faculty

Arlene Ash, PhD (adjunct, pending)Arlene Ash, PhD (adjunct, pending)Dominique Bayard, MDDominique Bayard, MDLeyda Delgado, MDLeyda Delgado, MDNicolette Fontaine, MDNicolette Fontaine, MDDavid Halle, MD (adjunct, pending)David Halle, MD (adjunct, pending)Zaffar aque, MDZaffar Haque, MDVictoria Hester, MDVictoria Hester, MDBeth Manning, MD (adjunct, pending)Beth Manning, MD (adjunct, pending)Ellen Meltzer, MDEllen Meltzer, MDJoyc Pan anam a PAJoyce Panganamala, PA-CCAndres Solorza, MDAndres Solorza, MDDaniela Winston, MDDaniela Winston, MD

GIM Primary Care GIM Primary Care LeadershipLeadership

Peggy Chou, MDPeggy Chou, MD–– Director, GIM Director, GIM

Primary CarePrimary Care

Jason Worcester, MD Jason Worcester, MD –– Director, Director, YawkeyYawkey

Primary Care Primary Care ClinicClinic

Anita Ung, MDAnita Ung, MD–– Director, DoctorDirector, Doctor’’s s

Off ce Building Office Building (DOB) Primary (DOB) Primary Care ClinicCare Clinic

Elizabeth Dupuis, MDElizabeth Dupuis, MD–– Dire t , Director,

WomenWomen’’s Health s Health Group (WHG)Group (WHG)

Steven Abreu, MDSteven Abreu, MD–– Director, Primary Director, Primary

Care Clinic, Care Clinic, Co monwe l h Commonwealth Medical Group Medical Group (CMG)(CMG)

YACC Primary Care Team YACC Primary Care Team LeadershipLeadership

Craig Noronha, MD Craig Noronha, MD –– Team 1Team 1

Susan Phillips, MD Susan Phillips, MD –– Team 2Team 2

Leila Obeid, MD Leila Obeid, MD –– Team 3Team 3

Claudia Nader, MD Claudia Nader, MD –– Team 4Team 4

ViceVice--Chairs in Chairs in Department of MedicineDepartment of MedicineAngela Jackson, MDAngela Jackson, MD–– Vice Chair for Education Vice Chair for Education

Raj Krishnamurthy, MDRaj Krishnamurthy, MD–– Vice Chair for Outpatient Medicine Vice Chair for Outpatient Medicine

Nila Radhakrishnan, MDNila Radhakrishnan, MD–– Vice Chair for Inpatient Medicine Vice Chair for Inpatient Medicine

Jeffrey Samet, MD, MA, MPHJeffrey Samet, MD, MA, MPH–– V c Ch i for Publ c ealtVice Chair for Public Health

Jay Orlander, MD, MPHJay Orlander, MD, MPH–– Associate Chief, Medical Service, VA Boston Healthcare Associate Chief, Medical Service, VA Boston Healthcare

Syst mSystem

Clinic Staff LeadershipClinic Staff Leadership

J nnifer Furlo ge, Adm nist ati Di ec orJennifer Furlonge, Administrative DirectorM ur e Johnston, RN, N rse Ma agerMaureen Johnston, RN, Nurse ManagerDin Va nas, Mast r S hed erDina Vagenas, Master SchedulerEu ic Eunice E nalEspinal, ll nte Supervi r, Call Center Supervisor

Special programs/locations:Special programs/locations:M rc l eMarcelle D nis, ACC Te m Coordi atorDenis, ACC Team CoordinatorCol een L belle, RN, OB TColleen Labelle, RN, OBOTR rta Roberta Ga elGately, RN T a e cal Home upe sor, RN, Team 1 Medical Home SupervisorJ dy Morr sse RN T a e c l Home upe sorJudy Morrissey, RN, Team 2 Medical Home SupervisorHughe teHughette Joseph RN T a e cal Home upe sorJoseph, RN, Team 3 Medical Home SupervisorCarmen Carmen esTeso RN T a e cal Home uper sor, RN, Team 4 Medical Home SupervisorR gina in DO ist nt N se an ge Regina Chin, DOB Assistant Nurse Manager

Clinic Nurse Practitioners Clinic Nurse Practitioners & Physician Assistants& Physician Assistants

YACCYACC–– Susan Morrissey, NPSusan Morrissey, NP–– Gertha Dabady, NPGertha Dabady, NP

WHGWHG–– Eunice Eunice MacAllisterMacAllister, RNC, RNC–– B t Walsh, R CBetsy Walsh, RNC

DOB 5DOB 5–– Cleo Ferrao, NPCleo Ferrao, NP–– XiuhuanXiuhuan Yan, NPYan, NP

IMPAC, DOB 7IMPAC, DOB 7–– Fabienne PaulFabienne Paul--Blanc, NPBlanc, NP–– Jean Delva, NPJean Delva, NP–– Ja Fleischma , NPJan Fleischman, NP–– Marie Ayer, NPMarie Ayer, NP–– Patricia Flanagan, NPPatricia Flanagan, NP–– Meeky Kim, NPMeeky Kim, NP–– Yolanda PerezYolanda Perez--Shulman, NPShulman, NP

Primary Care Practice Primary Care Practice CommitteeCommittee

Chava Chapman, MDChava Chapman, MDPeggy Chou, MDPeggy Chou, MDPeter Davidson, MDPeter Davidson, MDTara Dumont, MDTara Dumont, MDBeth Manning, MDBeth Manning, MDRenee McKinney, MDRenee McKinney, MD

Mitch Medow, MDMitch Medow, MDCraig Noronha, MDCraig Noronha, MDSusan Phillips, MDSusan Phillips, MDAnita Ung, MDAnita Ung, MDJason Worcester, MDJason Worcester, MDDan Newman, MDDan Newman, MD

Agenda items for GIM standardization, 2009-2010:

- clinical correspondence- problem list- lab order sets- med lists

Section of GIM Section of GIM LeadershipLeadership

Jeffrey Samet, MD, MA, MPHJeffrey Samet, MD, MA, MPH–– ChiefChief

Peter Davidson, MDPeter Davidson, MD–– Associate ChiefAssociate Chief

ProgramsPrograms

Primary CarePrimary Care

YawkeyYawkey (BMC(BMC--YACC)YACC)

DoctorDoctor’’s Office Building (BMCs Office Building (BMC--DOB)DOB)

WomenWomen’’s Health Group (BMCs Health Group (BMC--WHG)WHG)

Commonwealth Medical Group (CMG)Commonwealth Medical Group (CMG)

Neighborhood Health Centers (NHC)Neighborhood Health Centers (NHC)

BMC Outpatient and Inpatient BMC Outpatient and Inpatient Clinical Productivity: Clinical Productivity:

Total Work Total Work RVUsRVUs ((wRVUswRVUs))

189,691 198,411

160,533

102,822 96,392*93,779

0

50,000

100,000

150,000

200,000

250,000

FY03 FY05 FY07 FY08 FY09 FY10

* g re l ic m d E r e c d i*Urgent Care clinic moved to Emergency Medicine

GIMGIM Outpatient Outpatient Visits Visits –– BMCBMCY03FY03 F 0FY05 FY07FY07* Y 8FY08 Y 9FY09 Y 0FY10 % %

Change Change (prior (prior year)year)

Y CYACC ,0642,066 42 0542,405 35 9035,590 3,943,996 6,846,896 4,9 354,983 +1 %+17%

DODOB ,7119,713 21 0821,808 19 8019,880 4,224,239 6,226,220 9,5 729,587 +1 %+13%

W GWHG 6, 96,129 ,7927,792 ,048,040 9 149,514 9 429,442 1,711,767 +2 %+25%

IM CIMPAC 7 397,339 8, 838,983 0,010,021 +1+12%

CMGCMG 6, 946,094 6, 16,201 6 096,809 +1+10%

Tot lTotal 67 0867,908 2,0072,005 ,5163,510 85,0 885,088 97,7 297,742 113,167113,167 +1+16%

* Urgent Care clinic moved to Emergency Medicine

GIM Attending Coverage GIM Attending Coverage at BMC 2009at BMC 2009--20102010

62%62% of of inpatient inpatient medicine medicine blocks are blocks are covered by covered by GIMGIM**

36%

38%

26%

*not including ICU, CCU, Geriatrics, & Oncology Services

Other

GIM (non- hospitalist)

GIM (hospitalist)

Innovations in Innovations in Primary Care 2009Primary Care 2009--20102010

New:New:Hepatitis C Treatment ClinicHepatitis C Treatment ClinicDiabetes Team in Primary CareDiabetes Team in Primary Care

Established:Established:Patient NavigatorPatient Navigator——Breast HealthBreast HealthScreening for alcohol and drugs via MASBIRTScreening for alcohol and drugs via MASBIRTOffice Based Opioid TreatmentOffice Based Opioid TreatmentDiabetes group appointmentsDiabetes group appointmentsSmoking cessation/behavioral medicineSmoking cessation/behavioral medicineRefugee Health ClinicRefugee Health Clinic

Ongoing Areas of Operational Ongoing Areas of Operational Improvement in Primary CareImprovement in Primary Care

Patient flowPatient flowNursing roles and structure revisionsNursing roles and structure revisionsCall center process improvementsCall center process improvementsExtended hoursExtended hoursNew patient access within 30 daysNew patient access within 30 daysPrePre--registration to improve checkregistration to improve check--inin

Physician Productivity in Physician Productivity in Primary CarePrimary Care

Feedback provided on:Feedback provided on:–– wRVUwRVU–– Visits per sessionsVisits per sessions–– Expected # of sessionsExpected # of sessions–– Panel SizePanel Size–– New patient visitsNew patient visits

Primary Care Quality Primary Care Quality Initiatives for 2010Initiatives for 2010--20112011

Opioid Management Clinic Opioid Management Clinic

QI resident education projectsQI resident education projects

Improved Diabetes foot exam metricImproved Diabetes foot exam metric

Carl J. and Ruth Shapiro Carl J. and Ruth Shapiro Ambulatory Care CenterAmbulatory Care Center

New site of PC beginning Spring 2011New site of PC beginning Spring 2011

GIM Clinic AttendingGIM Clinic AttendingPrimary care clinic sessions at BMC in Primary care clinic sessions at BMC in

which BUSM students are preceptedwhich BUSM students are preceptedAcademic Academic YearYear

# Clinic # Clinic SessionsSessions

% Change % Change (prior year)(prior year)

2002 2002 –– 20032003 700700 ----

2003 2003 –– 20042004 750750 +7+7

2004 2004 –– 20052005 640640 --1414

2005 2005 –– 2002006 4482 -2525

2006 2006 –– 2002007 3399 -1717

2007 2007 –– 2008 2008 502502 +25+25

2008 2008 –– 20092009 410410 --1818

2009 2009 –– 20102010 589589 +43+43

BUSM Precepting DOM BUSM Precepting DOM Clinical Sessions 2009Clinical Sessions 2009--20102010

72%

28%

GIM

Sub- specialties

ICMICM** TeachingTeaching 20092009--20102010

Jo athan Be z, MD, MScJonathan Berz, MD, MScDaniel Chen, MD, MScDaniel Chen, MD, MScTeresa Cheng, MD, MScTeresa Cheng, MD, MScTara Dumont, MDTara Dumont, MDSuparna Dutta, MDSuparna Dutta, MDW ndy Gray MDWendy Gray, MDKaren Lasser, MD, MPHKaren Lasser, MD, MPHKarsten Lunze, MD, MPHKarsten Lunze, MD, MPHKa Kate Lupton, MDEllen Meltzer, MDEllen Meltzer, MDAzadeh Nasseh, MDAzadeh Nasseh, MDJudith Tsui, D Judith Tsui, MD, MPHJason Worcester, MDJason Worcester, MD

*Introduction to Clinical Medicine

EBMEBM** TeachingTeaching 20092009--20102010

Jonathan Berz, MD, Jonathan Berz, MD, MScMSc

Daniel Chen, MD, Daniel Chen, MD, MScMSc

Julien Dedier, MD, Julien Dedier, MD, MPHMPH

Warren Hershman, Warren Hershman, MD, MPHMD, MPH

Karsten Lunze, MD, Karsten Lunze, MD, MPHMPH

Craig Noronha, MDCraig Noronha, MD

*Evidence Based Medicine

Ambulatory Student Ambulatory Student Report 2009Report 2009--20102010

Thomas Barber, MDThomas Barber, MDDaniel Chen, MD, MScDaniel Chen, MD, MScPeggy Chou, MDPeggy Chou, MDKathleen Crowley, MD, Kathleen Crowley, MD, MPHMPHLeyda Delgado, MD, Leyda Delgado, MD, MPHMPHMelissa DiPetrillo, MDMelissa DiPetrillo, MDBerni Kreger, MD, Bernie Kreger, MD, MPHMPH

Renee McKinney, MDRenee McKinney, MDDan Newman, MDDan Newman, MDCraig Noronha, MDCraig Noronha, MDLeila Obeid, MDLeila Obeid, MDChristine Phillips, MDChristine Phillips, MDSusan Phillips, MDSusan Phillips, MDJason Worcester, MDJason Worcester, MDLaura Wung, MDLaura Wung, MD

DOM Morning Report DOM Morning Report AttendingsAttendings 20092009--20102010

CaslowitzCaslowitzHalleHalleHershmanHershmanHughesHughesHylekHylekJacksonJacksonKrishnamurthyKrishnamurthyManningManning

MeiselMeiselRadhakrishnanRadhakrishnanRamaniRamaniSaitzSaitzSametSametWalleyWalleyWitzburgWitzburgWeigelWeigel

IInternal nternal MMedicine edicine PPrere--operative operative AAssessment ssessment CCenter enter (IMPAC)(IMPAC)

GIM preGIM pre--operative medicine serviceoperative medicine service

CoCo--Directors (2009Directors (2009--2010):2010):–– Craig Noronha, MDCraig Noronha, MD–– Alok Kapoor, MD, MScAlok Kapoor, MD, MSc

Faculty: Faculty: –– Melissa DiPetrillo, MDMelissa DiPetrillo, MD–– Peter Davidson, MDPeter Davidson, MD–– HMU and inpatient consult HMU and inpatient consult attendingsattendings

Primary Care Training Program Primary Care Training Program 20092009--20102010

PGY 1 PGY 1 –– AnithaAnitha BhatBhat, Lydia , Lydia EfirdEfird, Tiffany , Tiffany GrooverGroover, Irene , Irene RahmanRahman, , SwatiSwati ShroffShroff

PGY 2 PGY 2 –– MagalieMagalie BruneusBruneus, Alexis , Alexis CavicCavic, Ben Han, , Ben Han, HaenaHaenaMin, Rachel Min, Rachel NgernmaneepothongNgernmaneepothong, Sarah Sloan, Sarah Sloan

PGY 3 PGY 3 –– Andrew Andrew FedaFeda, , PriyaPriya Joshi, Rachel King, Joshi, Rachel King, VasudevVasudevMandyamMandyam, John Myers, Dylan , John Myers, Dylan StentifordStentiford

Chief Resident: Ryan Chief Resident: Ryan ZitnayZitnay, MD, MD

Director, PC Training Program: Angela Jackson, MDDirector, PC Training Program: Angela Jackson, MD

Department of MedicineDepartment of Medicine Internal Medicine Residency Internal Medicine Residency Program Directors from GIMProgram Directors from GIM

20092009--20102010David Halle, MD, Program DirectorDavid Halle, MD, Program Director

20102010--20112011Kate Lupton, MD, Associate Program DirectorKate Lupton, MD, Associate Program Director

Rachel Stark, MD, Assistant Program Director; Rachel Stark, MD, Assistant Program Director; Assistant Director, Primary Care Training ProgramAssistant Director, Primary Care Training Program

2 092009--20 12011Subha Ramani, MD, Associate Program DirectorSubha Ramani, MD, Associate Program Director

Charlene Weigel, MD, Associate Program DirectorCharlene Weigel, MD, Associate Program Director

GIM BUSM Medical Student GIM BUSM Medical Student Admission Committee MembersAdmission Committee Members

20092009--20102010Robert Witzburg, MD, Assoc. DeanRobert Witzburg, MD, Assoc. DeanSusan Phillips, MDSusan Phillips, MDNila Radhakrishnan, MDNila Radhakrishnan, MDChristine Phillips, MDChristine Phillips, MDRichard Kalish, MD, MPHRichard Kalish, MD, MPHPeter Davidson, MDPeter Davidson, MDKathleen Crowley, MD, MPHKathleen Crowley, MD, MPHCatherine Rich, MDCatherine Rich, MD

GIM Presence at GIM Presence at Other BUMC Clinical SitesOther BUMC Clinical Sites

ID Clinic ID Clinic International ClinicInternational ClinicAnticoagulation & Thrombosis ServiceAnticoagulation & Thrombosis ServiceMcInnis Group/Woods Mullen ShelterMcInnis Group/Woods Mullen ShelterFrontage Road Methadone Program Frontage Road Methadone Program Transitional Opioid Program (TOP)Transitional Opioid Program (TOP)Belkin Breast Health Center (Moakley) Belkin Breast Health Center (Moakley) Boston Community Medical GroupBoston Community Medical Group

GIM Presence at BMC GIM Presence at BMC Information TechnologyInformation TechnologyDaniel Newman, MDDaniel Newman, MD–– Chief Medic In o mati n Off cer Chief Medical Information Officer

Christopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

–– Directo , Res ch and System Innov ti n Uni (RISUDirector, Research and Systems Innovation Unit (RISU)–– Physician Analyst, Knowledge Management Physician Analyst, Knowledge Management

GIM Presence at Mass. Dept. of GIM Presence at Mass. Dept. of Public Health (MDPH) and Boston Public Health (MDPH) and Boston Public Health Commission (BPHC)Public Health Commission (BPHC)Michele David, MD, MBA, MPH, Member, Michele David, MD, MBA, MPH, Member, Massachusetts Public Health CouncilMassachusetts Public Health Council

Nancy Norman, MD, MPH, Medical Director, BPHCNancy Norman, MD, MPH, Medical Director, BPHC

Alex W lley, MD, MSc, Med cal i ectorAlex Walley, MD, MSc, Medical DirectorFrontage Road Methadone ProgramFrontage Road Methadone Program

Sheila Chapman, MD, PhysicianSheila Chapman, MD, PhysicianFrontag Ro d Methad n ProgramFrontage Road Methadone Program

Jeffrey Samet, MD, MA, MPH, Medical Director, BPHC, Jeffrey Samet, MD, MA, MPH, Medical Director, BPHC, Addictions Prevention, Treatment and Recovery Support Addictions Prevention, Treatment and Recovery Support Ser ic Services

GIM ConferencesGIM Conferences Course DirectorsCourse Directors

GIM Grand RoundsGIM Grand Rounds*

B r e r ger, MD, M HBernie Kreger, MD, MPHA u atory Morbi ity nd Mo ta i y fer nceAmbulatory Morbidity and Mortality Conference‡

Julie Crosson, MD and Raj Krishnamurthy, MDJulie Crosson, MD and Raj Krishnamurthy, MDResear h in Pr res (RiPResearch in Progress (RiP)†

Michael PaascheMichael Paasche--Orlow, MD, MPHOrlow, MD, MPHMISU Con re cMISU Conference‡

Julien Dedier, MD, MPHJulien Dedier, MD, MPHAdvocacy, Public Policy and WomenAdvocacy, Public Policy and Women’’s Health Seriess Health Series§

Michele David, MD, MBA, MPHMichele David, MD, MBA, MPHCARE Unit Journal ClubCARE Unit Journal Club‡

Rich Saitz, MD, MPHRich Saitz, MD, MPHHealth Disparities Grand RoundsHealth Disparities Grand Rounds§

K r n Las r, D, PHKaren Lasser, MD, MPH

* weekly †biweekly ‡monthly § quarterly

Boston University School of MedicineBoston University School of Medicine Department of MedicineDepartment of Medicine

Medical Grand Rounds by GIM Faculty Medical Grand Rounds by GIM Faculty 20092009--20102010

Daniel Alford, MD, MPHDaniel Alford, MD, MPHOpioids for Chronic Pain: Maximizing Opioids for Chronic Pain: Maximizing

Benefits and Minimizing Risks Benefits and Minimizing Risks (Feb 19, 2010)(Feb 19, 2010)

General Internal Medicine (GIM)/Family General Internal Medicine (GIM)/Family Medicine (FM) FellowshipMedicine (FM) Fellowship Preventive Medicine (PM) Preventive Medicine (PM)

Residency Program LeadershipResidency Program Leadership

Jane Liebschutz, MD, MPH Jane Liebschutz, MD, MPH –– DirectorDirector

Brian Jack, MD Brian Jack, MD –– Director, FM FellowshipDirector, FM Fellowship

Michael PaascheMichael Paasche--Orlow, MD, MPH Orlow, MD, MPH –– Associate Associate Director, GIM FellowshipDirector, GIM Fellowship

Jay Orl der D, MPH Jay Orlander, MD, MPH –– s ociate Di ector Associate Director forfor Education, GIM FellowshipEducation, GIM Fellowship

Jonathan Berz, MD, MSc Jonathan Berz, MD, MSc –– Associate Director, PM Associate Director, PM Resi encResidency

GIM/FM Fellowship & Preventive GIM/FM Fellowship & Preventive Medicine Residency Programs: Medicine Residency Programs:

11stst Year, 2010Year, 2010--20112011

Nicole LaRue, MDNicole LaRue, MD–– Residency: Primary Care Internal Medicine, Residency: Primary Care Internal Medicine,

Boston Medical C n r, BUMCBoston Medical Center, BUMC

Christine Pace, MDChristine Pace, MD–– Residency: Primary Care Internal Medicine, Residency: Primary Care Internal Medicine,

Brigham & WomenBrigham & Women’’s Hospital, Bostons Hospital, Boston

Kasia Budzynska, MDKasia Budzynska, MD–– Residency: Family Medicine, St John Hospital, Residency: Family Medicine, St John Hospital,

Detroit, MIDetroit, MI

GIM Fellowship/Preventive GIM Fellowship/Preventive Medicine Residency Programs: Medicine Residency Programs:

22ndnd and 3and 3rdrd Year, 2010Year, 2010--2011201122nd Year:Year:

Wendy Gray, MDWendy Gray, MD–– Residency: Cambridge Health Alliance, Cambridge, MAResidency: Cambridge Health Alliance, Cambridge, MA

Karsten Lunze, MD, MPHKarsten Lunze, MD, MPH–– Residency: Pediatrics, Johns Hopkins, Baltimore, MDResidency: Pediatrics, Johns Hopkins, Baltimore, MD

Azadeh Nasseh, MDAzadeh Nasseh, MD–– Re dency: Lenox H ll ospi al, Ne York, YResidency: Lenox Hill Hospital, New York, NY

33rd Year:Year:Dhayana Dallmeier Rojas, MDDhayana Dallmeier Rojas, MD–– Residency: Pennsylvania Hospital, Philadelphia, PAResidency: Pennsylvania Hospital, Philadelphia, PA

Amy Linsky, MDAmy Linsky, MD–– Residency: University of Pennsylvania, Philadelphia, PAResidency: University of Pennsylvania, Philadelphia, PA

Geriatric Center of Excellence Geriatric Center of Excellence Faculty FellowshipFaculty Fellowship

20092009--20102010–– Sheila Chapman, MD; Melissa DiPetrillo, MD; Claudia Nader, MDSheila Chapman, MD; Melissa DiPetrillo, MD; Claudia Nader, MD

20082008--20092009–– enri e MHenri Lee, MD

20072007--20082008–– Charlene Weigel, MD; Susan Phillips, MD; Leila Obeid, MD Charlene Weigel, MD; Susan Phillips, MD; Leila Obeid, MD

2 062006--2 02007–– Nila Radhakrishnan, MDNila Radhakrishnan, MD

2005 2005 –– 20062006–– istine h ips, MD; J ff e Gree wa MChristine Phillips, MD; Jeffrey Greenwald, MD

2004 2004 –– 20052005–– ha l P a heMichael Paasche--O low, MOrlow, MD, MPH

2003 2003 –– 20042004–– Jennifer Hughes, MDJennifer Hughes, MD

GIM UnitsGIM Units

Health Care Disparities Research UnitHealth Care Disparities Research UnitClinical Addiction Research & Education Clinical Addiction Research & Education (CARE) Unit (CARE) Unit WomenWomen’’s Health Unit (WHU)s Health Unit (WHU)Medical Information Systems Unit Medical Information Systems Unit (MISU)(MISU)Hospital Medicine Unit (HMU)Hospital Medicine Unit (HMU)Community Medicine Unit (CMU)Community Medicine Unit (CMU)

Healthcare Disparities Healthcare Disparities Research UnitResearch Unit

Director: Nancy Kressin, PhDDirector: Nancy Kressin, PhD

Conduct research to understand and Conduct research to understand and alleviatealleviate inequities in health care, inequities in health care, and to ensure the provision of exceptional health care without eand to ensure the provision of exceptional health care without exception. xception.

Facilitates the training of a new generation of healthcare equitFacilitates the training of a new generation of healthcare equity y r se r he s. P ogram aculty are inte lectual a c te a l aresearchers. Program faculty are intellectual advocates and leaders f r ders for health equity research both locally and nationally. health equity research both locally and nationally.

CollaborationsCollaborations::–– Karen Lasser, MD, MPH, Amresh Hanchate, PhD, Alok Kapoor, MD, Karen Lasser, MD, MPH, Amresh Hanchate, PhD, Alok Kapoor, MD,

Adam Rose, MD, MPH (Effects of MA Health Reform on Adam Rose, MD, MPH (Effects of MA Health Reform on Cardiovascular Outcomes)Cardiovascular Outcomes)

–– Bill Adams, MD, MPH, Christopher Shanahan, MD, MPH, Michael Bill Adams, MD, MPH, Christopher Shanahan, MD, MPH, Michael PaaschePaasche--Orlow, MD, MPH, Amresh Hanchate, PhD (and UMass Orlow, MD, MPH, Amresh Hanchate, PhD (and UMass colleagues) (Massachusetts Health Disparities Monitoring System)colleagues) (Massachusetts Health Disparities Monitoring System)

–– Elaine Hylek, MD, MPH (Disparities in Adherence to AnticoagulatiElaine Hylek, MD, MPH (Disparities in Adherence to Anticoagulation on Therapy and Monitoring)Therapy and Monitoring)

C nic l:Clinical:Office Based Opioid Treatment (OBOT)Office Based Opioid Treatment (OBOT)M ha one t nMethadone maintenanceT n i ona i (Transitional Opioid Program (TOP)Chronic care management (FASTChronic care management (FAST--PATH)PATH)Screening Brief Intervention and Referral to Treatment (MASBIRT)Screening Brief Intervention and Referral to Treatment (MASBIRT)–– collaboration with Massachusetts BSAScollaboration with Massachusetts BSAS

Re ea h:Research:Screening and brief intervention for drug use in primary care RCScreening and brief intervention for drug use in primary care RCT(ASPIRE)T(ASPIRE)A i i hroni ea M nagement RC A EA AAddiction Chronic Disease Management RCT (AHEAD & FAST--P TPATH)Ef ect of al s i et m Effects of alcohol across lifetime – col abora on th rami ha n Sect on re ent v Mcollaboration with Framingham Study and Section of Preventive M diedicineElectronic approaches to alcohol problems Electronic approaches to alcohol problems –– collaboration with MISU and BU psychologycollaboration with MISU and BU psychologyHIV prevention in substance abusers HIV prevention in substance abusers –– collaboration with St. Petersburg State Pavlov Medical Universicollaboration with St. Petersburg State Pavlov Medical University, Russiaty, RussiaPres r i abuse nd e pe ra mPrescription drug abuse and interpersonal traumaSu oneSuboxone T t on Transition to i dopioid ( OP) program (STOP) – col abora on h rown ni ers ycollaboration with Brown University

Education:Education:M ct ca on I RMD addiction education (NIDA R- 25: A H al hAODHealth C s; RIT ( i oa of M Ex rs ni a& ACT Websites; CRIT) (National Board of Med Examiners initiati o ve to i rov M E a )improve USMLE exam)M arch r , i e bl at on addi onMed student research program, resident block rotation, addiction a journal clubA i i ci f l w p, Addiction medicine fellowship, K eawardeeNIDA Center of excellence/Med school consortiumNIDA Center of excellence/Med school consortiumN t l m ori h don , National mentoring (methadone, uprenorphi ebuprenorphine)A e can oard dd ct on edi n ea pAmerican Board of Addiction Medicine leadership

Policy:Policy:A : Conf dent al t a ons s h y a pl o nte ed ASAM: Confidentiality regulations as they apply to integrated ca ; d ct n di i t ogyre; addiction diagnostic terminologyQ a i dd ct on ormance sures (Wa on rcQuality of addiction care/performance measures (Washington Circl )le)

Clinical Addiction Research and Clinical Addiction Research and Education UnitEducation Unit

Director: Richard Saitz, MD, MPHDirector: Richard Saitz, MD, MPH

www.bumc.bu.edu/careunit

WomenWomen’’s Health Units Health Unit A National Center of Excellence in WomenA National Center of Excellence in Women’’s Healths Health

Chief: Karen Freund, MD, MPHChief: Karen Freund, MD, MPH

ClinicalClinicalResearchResearchPublic Policy/Community OutreachPublic Policy/Community OutreachMedical Education/Faculty DevelopmentMedical Education/Faculty Development

Faculty:Faculty: Tracy Battaglia, MD, MPH; Phyllis Carr, MD; Tracy Battaglia, MD, MPH; Phyllis Carr, MD; Chava Chapman, MD; Teresa Cheng, MD, MSc; Chava Chapman, MD; Teresa Cheng, MD, MSc; Michele David, MD, MBA, MPH; Tara Dumont, MD; Michele David, MD, MBA, MPH; Tara Dumont, MD; Elizabeth Dupuis, MD; Andrea Kronman, MD, MPH; Elizabeth Dupuis, MD; Andrea Kronman, MD, MPH; Eunice Eunice MacAllisterMacAllister, RNC; Renee McKinney, MD; Bonnie , RNC; Renee McKinney, MD; Bonnie Sherman, PhD; Betsy Walsh, RNCSherman, PhD; Betsy Walsh, RNC

http://www.bumc.bu.edu/gim/whu

Medical Information Medical Information Systems UnitSystems Unit

Chief: Robert Friedman, MDChief: Robert Friedman, MD

Performs research and provides education and training in Performs research and provides education and training in medical informatics (computer applications in medicine and medical informatics (computer applications in medicine and public health)public health)–– Automated programs in primary prevention by reducing Automated programs in primary prevention by reducing

be avioral risk factors for diseases (smo g, lcoh l behavioral risk factors for diseases (smoking, alcohol, diet, physical activity)diet, physical activity)

–– Automated programs for patients with chronic disease Automated programs for patients with chronic disease that support their optimal selfthat support their optimal self--care, monitor disease, care, monitor disease, and notify responsible clinicians about clinically and notify responsible clinicians about clinically significant problemssignificant problems

http://www.misu.bmc.org

Hospital Medicine UnitHospital Medicine Unit Director: Nila Radhakrishnan, MDDirector: Nila Radhakrishnan, MD

http://www.bumc.bu.edu/gim/hmu

Quality Improvement Quality Improvement (CHF, pneumonia)(CHF, pneumonia)

Inpatient electronic Inpatient electronic documentationdocumentation

PerioperativePerioperative MedicineMedicineResearch in Research in PeriopPeriop Medicine for Medicine for

Geriatric patientsGeriatric patientsFaculty development on Faculty development on

inpatient teaching and feedbackinpatient teaching and feedback

Palliative care Palliative care Transitions of CareTransitions of CareCIWA protocolCIWA protocolUncovered service in ICU Uncovered service in ICU Mortality Reduction Project Mortality Reduction Project Night Float education and Night Float education and

Evening Evening NocturnistNocturnist ProgramProgramResidency EducationResidency EducationMedical Student EducationMedical Student Education

Faculty: Daniel, Grandhige, Ghobrial, Horkan, Hughes, Kapoor, Lee, Meisel, Patch, Radhakrishnan, Rao, Solorza, Syed, Weigel

Community Medicine UnitCommunity Medicine Unit Director: Christopher Shanahan, MD, MPH, F.A.C.PDirector: Christopher Shanahan, MD, MPH, F.A.C.P..

B C o m tBMC Community- a ed P vi e N tw rkBased Provider Network–– ver : B redent lin E o ommu yOversee: BMC Credentialing & PPE of Community-b se Prov rsbased Providers–– Support: Relationship between DOM & CommunitySupport: Relationship between DOM & Community--based Providers & based Providers & CBOsCBOs–– upp t BU cademic A point s of Com nitSupport: BU Academic Appointments of Community-- a d acu ybased Faculty–– Provide: Career counseling (Medical Student, House Officers, FelProvide: Career counseling (Medical Student, House Officers, Fellows)lows)–– Represent: CommunityRepresent: Community--based Providers at DOM Faculty Development & Diversity based Providers at DOM Faculty Development & Diversity

ommit eCommittee–– Represent: CommunityRepresent: Community--based Providers and Organizations at DOM Quality Councilbased Providers and Organizations at DOM Quality Council

T i Training –– ver : B oint re Pr gr Oversee: BMC Joint Hire Program –– Support: Podcasting of GIM Grand Rounds (Peter Smith M.D., EBNHCSupport: Podcasting of GIM Grand Rounds (Peter Smith M.D., EBNHC))–– o borate: ternation ar ar raining itu e r 2Collaborate: International Primary Care Training Institute (Yr 2))–– Collaborate: Residency Program to promote Primary CareCollaborate: Residency Program to promote Primary Care–– Jointly Develop: BUSMJointly Develop: BUSM--BUSPH Course BUSPH Course -- Leading Community Health Initiatives: Leading Community Health Initiatives:

edici e n u He a P t sMedicine and Public Health as Partners (Y 2)(Yr 2)ResearchResearch

–– o bo ate: H lt Ca ispar ies e rch UnitCollaborate: Health Care Disparities Research Unit–– o borate: a ealth re Dis a it R g t yCollaborate: Mass Healthcare Disparities Registry

Professional Policy & AdvocacyProfessional Policy & Advocacy–– o borate: MaCollaborate: Mass--A o e s C ncil t r e ternal MedicineACP Governor's Council to promote Internal Medicine–– t e: v m t o OHH Pri y e Medical H iParticipate: Development of EOHHS Primary Care Medical Home pilo gra tt grants

http://www.bumc.bu.edu/gim/cmu

Academic Month for Academic Month for PC Clin EducatorsPC Clin Educators

EligibilityEligibility–– 77--8 sessions in primary care8 sessions in primary care–– Maintain clinical threshold targetMaintain clinical threshold target

ActivityActivity–– 4 week block with academic project pre4 week block with academic project pre--defined defined

and clinical work decreased to 2 sessions/weekand clinical work decreased to 2 sessions/week

FY 2009FY 2009--2010 2010 –– Leila Obeid, MDLeila Obeid, MD–– Blood Pressure Measurement Technique Blood Pressure Measurement Technique

StandardizationStandardization

Incentive Plans Incentive Plans 20092009--20102010

Clinical:Clinical: RVU and FTERVU and FTE--basedbased

Research:Research: indirect costsindirect costs--basedbased

Priorities for the Section Priorities for the Section 20092009--20102010

Set the Hospital Medicine Unit on an Set the Hospital Medicine Unit on an enhanced academic course with enhanced academic course with challenging challenging wRVUwRVU targets targets

Work with GIM clinical investigator Work with GIM clinical investigator faculty to achieve funding for nonfaculty to achieve funding for non--clinical activitiesclinical activities

AA--

AA--

Priorities for the SectionPriorities for the Section 20092009--20102010

Elevate the Primary Care practice Elevate the Primary Care practice function to achieve departmental goalsfunction to achieve departmental goals–– Expand current evening sessionsExpand current evening sessions–– Create Saturday urgent care sessionsCreate Saturday urgent care sessions–– Use panel size metrics to expand PC MD Use panel size metrics to expand PC MD

patient panelspatient panels–– Build a high functioning PC phone roomBuild a high functioning PC phone room–– Improve quality scoresImprove quality scores

AA--II

AA

AACC


Obtain funding for ongoing GIM fellowship Obtain funding for ongoing GIM fellowship activities and recruitment of high quality activities and recruitment of high quality fellowsfellowsTransition IMPAC into the next phase with Transition IMPAC into the next phase with new leadership for its MD teamnew leadership for its MD teamDevelopment of a GIM section within the Development of a GIM section within the Boston VAMCBoston VAMCCreation of a more formal mentoring Creation of a more formal mentoring program for junior clinician educator facultyprogram for junior clinician educator faculty

BB--/A/A

AA

DD

BB


A successful transition into the Shapiro A successful transition into the Shapiro Ambulatory Care Center for all GIM Primary Care Ambulatory Care Center for all GIM Primary Care practicespractices

Stabilization of the Hospital Medicine Unit faculty Stabilization of the Hospital Medicine Unit faculty and their responsibilitiesand their responsibilities

Maintenance of the high quality and productivity Maintenance of the high quality and productivity of the outpatient clinical faculty while adjusting to of the outpatient clinical faculty while adjusting to the changing portfolio of expectationsthe changing portfolio of expectations


Successful acquisition of external grant support Successful acquisition of external grant support to maintain and grow the clinical research to maintain and grow the clinical research activities of the Sectionactivities of the Section

Successful acquisition of external grant support Successful acquisition of external grant support to maintain and grow the fellowship training to maintain and grow the fellowship training infrastructure of the Section (GIM/Family infrastructure of the Section (GIM/Family Medicine, Preventive Medicine, WomenMedicine, Preventive Medicine, Women’’s Health, s Health, IT and Addiction Medicine)IT and Addiction Medicine)


Select leadership for Palliative Care and grow its Select leadership for Palliative Care and grow its clinical activities while developing a training clinical activities while developing a training program to share among GIM, Geriatrics and program to share among GIM, Geriatrics and OncologyOncology

Establish a primary mentor and mentee list Establish a primary mentor and mentee list accounting for every GIM faculty with an accounting for every GIM faculty with an academic rank below Professoracademic rank below Professor

Stay on track with >100 annual peer reviewed Stay on track with >100 annual peer reviewed publications by GIM facultypublications by GIM faculty

EventsEvents

Mark Moskowitz Memorial Mark Moskowitz Memorial Visiting ProfessorVisiting Professor

rid , Mar h 2 , 01Friday, March 26, 2010

John Rich, MD, MPHJohn Rich, MD, MPHChair and Professor

Health Management and PolicyDrexel University School of Public Health

SGIM Grand RoundsTrauma, Adversity and Health: The Role of Primary Care

Medical Grand RoundsWrong Place, Wrong Time: Trauma, Violence and Young Black Men

Family Winter Festival Family Winter Festival February 2010February 2010

Endicott Estate, Dedham

Family Winter FestivalFamily Winter Festival

Primary Care Training Primary Care Training Institute at BU (PCTI@BU)Institute at BU (PCTI@BU)

Институт

Амбулаторной

МедициныБостонского

Университета

October 5 – 15, 2009

Christopher Shanahan, MD, MPH John Noble, MD

Co-directors

6 attendees in 2009

Russian Physician-Executives training course on topics concerning the creation and management of state-of-the-art

Primary Care Practices

Primary Care Holiday Primary Care Holiday PartyParty

Thanks to:Thanks to:Chava ChapmanChava ChapmanPeggy ChouPeggy ChouElizabeth DupuisElizabeth DupuisJen FurlongeJen FurlongeMitch MedowMitch Medow

Ellen MeltzerEllen MeltzerCraig NoronhaCraig NoronhaJudy TsuiJudy TsuiAnita UngAnita UngJason WorcesterJason Worcester

Society of General Internal Medicine (SGIM) National Meeting 2010

Minneapolis, MN

SGIM National Meeting 2010SGIM National Meeting 2010

SGIM National Meeting SGIM National Meeting GIM Attendees (n=37)GIM Attendees (n=37)

Daniel AlfordDaniel AlfordT r sa he gTeresa ChengAmresh HanchateAmresh HanchateNancy KressinNancy KressinJane LiebschutzJane LiebschutzNi a a kr shnaNila RadhakrishnanAdam RoseAdam RoseChristopher ShanahanChristopher Shanahan

Tracy BattagliaTracy BattagliaM c l D viMichele DavidAngela JacksonAngela JacksonAndrea KronmanAndrea KronmanMitchell MedowMitchell MedowRicha d SaitzRichard Saitz

Jonathan BerzJonathan Berzaren F eKaren Freund

Theresa KimTheresa KimKaren LasserKaren LasserMichael PaascheMichael Paasche--OrlowOrlowudi h TsuiJudith Tsui

Alexander WalleyAlexander WalleyJeffrey SametJeffrey Samet

Faculty:Faculty:

Fellows:Fellows:Deborah DreyfusDeborah DreyfusKarsten LunzeKarsten Lunze

Wendy GrayWendy GrayAzadeh NassehAzadeh Nasseh Amy LinskyAmy Linsky

Molly EvansMolly EvansNicole LaRueNicole LaRueLyndonnaLyndonna MarrastMarrast

Rebecca GrochowRebecca GrochowSuruSuru LinLinRajesh PatelRajesh Patel

AroojArooj HyatHyatari Lo zMaria Lopezeah Leah Za lmaZallman

Residents:Residents:

AcademyHealth Annual AcademyHealth Annual Research Meeting 2010Research Meeting 2010

BMC Gala 2010BMC Gala 2010 GIM and CMU GIM and CMU –– Community Donor Community Donor

SponsorsSponsors

Saturday, May 8th at the Seaport World Trade Center

AccomplishmentsAccomplishments

Current Annual Direct Research and Current Annual Direct Research and Training Grant AwardsTraining Grant Awards

$13,435,556$14,366,537

$12,804,764

$10,785,625

$8,013,091

$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000

$14,000,000

$16,000,000

FY05 FY07 FY08 FY09 FY10

FY10 Total Direct FY10 Total Direct & Indirect& Indirect Research & Training Grant Awards: Research & Training Grant Awards: $17,309,320$17,309,320

Total GIM Research Total GIM Research Grant AwardsGrant Awards**

$70,427,284

$64,264,260

$48,964,697$47,558,036

$32,196,253

$0

$10,000,000

$20,000,000

$30,000,000

$40,000,000

$50,000,000

$60,000,000

$70,000,000

$80,000,000


*Includes Direct and Indirect Costs

$8,360,717

$9,849,566

$7,842,058

$5,788,519$6,142,010

$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000


Total Fellowship & Total Fellowship & Training Grant AwardsTraining Grant Awards**

*Includes Direct and Indirect Costs

GIM Clin Educator GIM Clin Educator Grant SupportGrant Support

Elizabeth DupuisElizabeth DupuisAndrea Kr nmanAndrea KronmanRenee McKinneyRenee McKinney

Breast Health Initiative, AVONBreast Health Initiative, AVON

Patient Navigation, DPHPatient Navigation, DPH

Chava ChapmanChava ChapmanAndrea Kr nmanAndrea KronmanEunice Eunice MacAllisterMacAllister

MASBIRT, DPHMASBIRT, DPH

Christopher ShanahanChristopher ShanahanDanie lforDaniel AlfordTheresa KimTheresa Kim

FAST PATH, SAMHSAFAST PATH, SAMHSA

Sandra GordonSandra Gordon

GIM Clin Educator GIM Clin Educator Grant SupportGrant Support

PC Training Program, HRSAPC Training Program, HRSA

Craig NoronhaCraig NoronhaCatherine ichCatherine RichAngela JacksonAngela Jackson

Boston Center for Refugee Health Boston Center for Refugee Health & Human Rights, Mass DPH& Human Rights, Mass DPH

Sondra CrosbySondra Crosby

Bernie KregerBernie KregerFramingham Heart Study, NIHFramingham Heart Study, NIH

New Research GrantsNew Research Grants GIM PIsGIM PIs

Chapman, C:Chapman, C: KomenKomen, Reach Out to Increase Hope; , Reach Out to Increase Hope; $39,827; 4/10$39,827; 4/10--3/113/11David:David: Leadership in Advocacy Blo k Leadership in Advocacy Block, InstitInstit of ed; of Med; $75,000; 8/09$75,000; 8/09--9/119/11Dedier:Dedier: Robert Wood Johnson Foundation; Robert Wood Johnson Foundation; $258,483; 9/09$258,483; 9/09--11/1111/11Freund:Freund:–– NCMHD, Health Insurance Reform & Cancer NCMHD, Health Insurance Reform & Cancer

Disparities; $939,585; 9/09Disparities; $939,585; 9/09--6/116/11–– NIGMS, Nat Faculty Survey; $1,277,764; 9/09NIGMS, Nat Faculty Survey; $1,277,764; 9/09--8/138/13–– KomenKomen, Patient Navigation; $405,000; 5/10, Patient Navigation; $405,000; 5/10--4/134/13

New Research GrantsNew Research Grants GIM PIsGIM PIs

Hylek:Hylek: NHLBI, Bridge Trial; $297,046; 11/09NHLBI, Bridge Trial; $297,046; 11/09--10/1310/13Kapoor:Kapoor: NCRR, CTSA; $114,967; 1/10NCRR, CTSA; $114,967; 1/10--4/104/10Kressin:Kressin: NHLBI, Health Disparities Monitoring System; NHLBI, Health Disparities Monitoring System; $3,559,943; 9/09$3,559,943; 9/09--7/117/11Kronman:Kronman: ACS, Patient Navigation; $300,000; 7/09ACS, Patient Navigation; $300,000; 7/09--6/126/12Lasser:Lasser: ACS, Barriers to Colorectal Cancer; ACS, Barriers to Colorectal Cancer; $244,008; 10/09$244,008; 10/09--12/1012/10Naimi:Naimi: NIAAA, Youth Drinking; $1,978,063; 5/10NIAAA, Youth Drinking; $1,978,063; 5/10--8/138/13Tsui:Tsui: NIDA, SSRI Treatment; $32,480; 7/09NIDA, SSRI Treatment; $32,480; 7/09--5/105/10WalleyWalley: CDC Ove d se r entio ; $350,043 9/09CDC, Overdose Prevention; $350,043; 9/09-- /119/11

Career Development Career Development AwardsAwards

TsuiTsui–– NIDA, HCV and Pain in Substance Users; NIDA, HCV and Pain in Substance Users;

$655,739; 6/10$655,739; 6/10--5/145/14

72

92

103

5846

31

24

0102030405060708090

100110

2003 2004 2005 2006 2007 2008 2009

2009 GIM Publications2009 GIM Publications

GIM Faculty and Fellow GIM Faculty and Fellow Authors in 2009 (n=40)Authors in 2009 (n=40)AlfordAshBattagliaBerlowitzBerzCarrChenCheng DebbieCheng TeresaDedierFreundGerber Gifford

GreenwaldHanchateHermosHylekJacksonKapoorKimKressinKronmanLasserLiebschutzLunzeMeiselMurabito

NaderNaimiOrlanderPaasche-OrlowRajRoseSaitzSametSelim BernardoSmith PeterStillmanTsuiWalley

Invited Lectureships Invited Lectureships 20092009--20102010

Michele David, MD, MBA, MPHMichele David, MD, MBA, MPH–– 2010 William A. Hinton Award Lecture, 2010 William A. Hinton Award Lecture,

Massachusetts Health & Human ServicesMassachusetts Health & Human Services

Jeffrey Samet, MD, MA, MPHJeffrey Samet, MD, MA, MPH–– Samuel. S. Samuel. S. RivenRiven General Internal Medicine & General Internal Medicine &

Public Health Visiting Lectureship, Vanderbilt Public Health Visiting Lectureship, Vanderbilt University School of Medicine University School of Medicine

AwardsAwards

Daniel Chen, MD, MScDaniel Chen, MD, MSc–– Clinical Sciences Educator of the Year, BUSMClinical Sciences Educator of the Year, BUSM

Peter Davidson, MDPeter Davidson, MD–– 2009 Robert A. Witzburg Ambulatory Teaching 2009 Robert A. Witzburg Ambulatory Teaching

AwardAwardAdam Rose, MDAdam Rose, MD–– 2009 Pier M. 2009 Pier M. MannucciMannucci Young Investigator AwardYoung Investigator Award

Alexander Walley, MD, MScAlexander Walley, MD, MSc–– 2010 New England Region Society of General 2010 New England Region Society of General

Internal Medicine Clinician Investigator AwardInternal Medicine Clinician Investigator Award

AwardsAwards

James OJames O’’Connell, MDConnell, MD–– J.H. J.H. KanterKanter Prize Laureate, Enhancing Health Care Prize Laureate, Enhancing Health Care

DeliveryDeliveryNancy Kressin, PhDNancy Kressin, PhD–– 2010 2010 GiddonGiddon Award for Distinguished Research in Award for Distinguished Research in

the Behavioral Sciencesthe Behavioral SciencesCatherine Rich, MDCatherine Rich, MD–– 2010 Community2010 Community--Based Faculty Teacher AwardBased Faculty Teacher Award

Karen Lasser, MD, MPHKaren Lasser, MD, MPH–– Best Oral Presentation at Best Oral Presentation at SGIMSGIM’’ss Distinguished Distinguished

Professor Program in Cancer ResearchProfessor Program in Cancer Research

Appointments & Appointments & PromotionsPromotions

Professor:Professor:–– a ren He shm n, MDWarren Hershman, MD–– Nancy Kressin, PhDNancy Kressin, PhD–– Jay Orlander, MDJay Orlander, MD–– William Barron, MDWilliam Barron, MD

Associate Professor:Associate Professor:–– Karen Lasser, MD, MPHKaren Lasser, MD, MPH–– Timothy Naimi, MD, MPHTimothy Naimi, MD, MPH

Assistant Professor:Assistant Professor:–– Jonathan Berz, MD, MScJonathan Berz, MD, MSc–– Teresa Cheng, MD, MScTeresa Cheng, MD, MSc–– e issa DiP t il o, MDMelissa DiPetrillo, MD–– le M ltze , MEllen Meltzer, MD–– Daniel Newman, MDDaniel Newman, MD–– Charlene Weigel, MDCharlene Weigel, MD

Clinical Assistant Professor:Clinical Assistant Professor:–– HernanHernan LopezLopez--MorraMorra, MD, MD

Ins ruct r:Instructor:–– Tara Dumont, MDTara Dumont, MD–– Clare Horkan, MB, Clare Horkan, MB, BChBCh–– r h nDarshan Shah, MDShah, MD

Clinical Instructor:Clinical Instructor:–– Eunice Eunice MacAllisterMacAllister, RNC, RNC

Renee McKinney, MDRenee McKinney, MDElaine Hylek, MDElaine Hylek, MDTom Barber, MDTom Barber, MDJulie Crosson, MDJulie Crosson, MD

GIM Evans EducatorsGIM Evans Educators 20092009--20102010

Welcomed AdditionsWelcomed Additions

ZahinZahin Aziz to Alok Kapoor and Aziz to Alok Kapoor and EloraEloraRazaRaza to Muhammad Syed and to Muhammad Syed and RababRababNina Ann to Leyda Delgado and RonNina Ann to Leyda Delgado and RonMaria to Craig Noronha and Maria to Craig Noronha and AnsuAnsuNandhiniNandhini to Anjali Grandhige and to Anjali Grandhige and HemanthHemanthRory to Clare Horkan and KennethRory to Clare Horkan and KennethJulian Diaz to Peter Smith and JodiJulian Diaz to Peter Smith and JodiAgnes YingAgnes Ying--Lin to Judy Tsui and PeterLin to Judy Tsui and Peter

NuptialsNuptials

Catherine Rich to AndrewCatherine Rich to AndrewCarrie Daniel to JeffreyCarrie Daniel to JeffreyNila Radhakrishnan to Nila Radhakrishnan to HariHariLeila Obeid to CharlesLeila Obeid to Charles

ChallengesChallenges

Transformation of GIM PC to meet criteria of Transformation of GIM PC to meet criteria of a PCMHa PCMHMeasurement of quality of GIM care on the Measurement of quality of GIM care on the inpatient medical servicesinpatient medical servicesGrant support of research and training Grant support of research and training programs programs Further development of academic and clinical Further development of academic and clinical character of the Hospital Medicine Unit character of the Hospital Medicine Unit Balance of clinical and educational Balance of clinical and educational expectationsexpectations

Section of General Section of General Internal MedicineInternal Medicine

Most Valuable Player Award

Craig Noronha , MD

We remain a We remain a Formidable CrewFormidable Crew

Congratulations on all Our SuccessesCongratulations on all Our Successes Good luck with all Our ChallengesGood luck with all Our Challenges

Thanks for all the hard work and Thanks for all the hard work and perseverance!perseverance!

Thanks to Thanks to Debra Paarz and Sarah Brunt Debra Paarz and Sarah Brunt

for all the persistence and talent for all the persistence and talent in the preparation of this in the preparation of this

State of the SectionState of the Section

state of the section – – 2010 general internal medicine

Documents