state of the section – 2011 general internal medicine · state of the section – 2013 general...

State of the Section – 2013 General Internal Medicine

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

Section of General Internal Medicine Department of Medicine

Boston University School of Medicine Boston Medical Center

Overview Section of General Internal Medicine

People

Programs

Events

Accomplishments

People

Administration

Debra Paarz – Administrator Kathleen Blackett – NEW Grants Manager Sarah Brunt – Faculty Support Coordinator Veronica Forde – GIM Fellowship Coordinator &

Program Manager April Leon – Grants Manager Lisa Morin – Executive Assistant Jenay Nasif – Admin Assistant Lorraine Williams – Admin Assistant

New Faculty 2012-2013

5 PC Clin Educators

4 Hospitalist Clin Educators

1 Nurse Practitioner

1 Clinical Investigator

New Faculty 2012-2013 PC Clin Educators

Christine Pace, MD Medical School: Harvard Medical School Residency: Brigham & Women’s Hospital, 2010 Fellowship: GIM, BUSM 2012

Jennifer Gutierrez McCarty, MD Medical School: Case Western Reserve Univ.

School of Medicine Residency: Duke University, 2012

New Faculty 2012-2013 PC Clin Educators

Lisa Skowronek, MD Medical School: Albany Medical College Residency: Lahey Clinic Med Ctr, Burlington, MA, 2006

New Faculty 2012-2013 PC Clin Educators - Women’s Health Group

Khelda Jabbar, MD Medical School: Al-Mustansiria College of Medicine,

Baghdad, Iraq Residency: Family Medicine,

Forest Park, St. Louis, MO, 2001-2004 Residency: Preventive Medicine,

Forest Park, St. Louis, MO, 2006-2008 Fellowship: Women’s Health, BMC, 2008

Azadeh Nasseh, MD Medical School: Tehran University of Medical Sciences,

Tehran, Iran Residency: Lenox Hill Hospital, New York, NY, 2009 Fellowship: Preventive Medicine Residency, BMC, 2011

New Faculty 2012-2013 Hospitalist Clin Educators

Janelle Baptiste, MD Medical School: Tufts University School of Medicine Residency: Boston Medical Center, 2012

Patrick Fleming, MD Medical School: Columbia Univ. College

of Physicians and Surgeons Residency: Boston Medical Center, 2012

New Faculty 2012-2013 Hospitalist Clin Educators

Fausto Ortiz, MD Medical School: Harvard Medical School Residency: Boston Medical Center, 2012

Jaymin Patel, MD Medical School: New Jersey Medical School Residency: Boston Medical Center, 2011 Chief Resident: Boston Medical Center, 2012 Nocturnist

New Faculty 2012-2013 Nurse Practitioner

Julia Matthews, RN, MSN, MPH MGH Institute of Health Professions

New Faculty 2012-2013 Clinical Investigator

Karsten Lunze, MD, MPH Medical School: Charite Medical School, Germany Residency: Johns Hopkins, Peds

Preventive Medicine, BUSM, 2011 Fellowship: Addiction Medicine, BUSM, 2012

Faculty Recruits 2013-2014

2 PC Clin Educators

4 Hospitalist Clin Educators

1 Primary Care Director

Faculty Recruits 2013-2014 PC Clin Educators - Women’s Health Group

Shwetha Sequeira, MD, MPH Medical School: Kasturba Medical College, India Residency: University of Texas, Southwestern, Dallas,

TX, 2011 Fellowship: Women’s Health, BMC, 2013

Nicolette Oleng’, MD Medical School: SUNY Upstate Medical University,

Syracuse, NY Residency: Internal Medicine, Beth Israel Medical

Center, New York, NY, 2013

Faculty Recruits 2013-2014 Hospitalist Clin Educators

Linda Pang, MD Medical School: Thomas Jefferson University,

Philadelphia, PA Residency: Boston Medical Center, 2013

Thomas Ostrander, MD Medical School: Tufts University School of Medicine Residency: Boston Medical Center, 2013

Faculty Recruits 2013-2014 Hospitalist Clin Educators

Elizabeth Hutton, MD Medical School: Alpert School of Medicine, Brown

University, Providence, RI Residency: Medicine-Pediatrics, Brigham & Women’s

Hospital and Boston Children’s Hospital, 2013

Syed Mahmood, MD Medical School: University of Miami Miller School of

Medicine, Miami, FL Residency: Boston Medical Center, 2013

Faculty Recruits 2013-2014 Primary Care Director

Charlotte Wu, MD Medical School: Yale University School of Medicine, New

Haven, CT Residency: Beth Israel Deaconess Medical Center,

Boston, MA, 2010 Faculty: Brigham & Women’s Hospital, 2010-2013

Departing Faculty

Hospitalists PC Clin Educators

Jacob Feldman, MD Jennifer Hughes, MD Jaymin Patel, MD

Phyllis Carr, MD Peter Davidson, MD Tara Dumont, MD Raj Krishnamurthy, MD

2012-2013 Vice-Chairs in Dept of Medicine

Jeffrey Samet, MD, MA, MPH Vice Chair for Public Health

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

System

2013-2014 BUSM Deans from GIM

Robert Witzburg, MD Associate Dean for Admissions

Angela Jackson, MD Associate Dean for Student Affairs

Daniel Alford, MD, MPH Assistant Dean for Continuing Medical Education

Daniel Chen, MD, MSc Assistant Dean for Student Affairs

Suzanne Sarfaty, MD Assistant Dean for Student Affairs

2013-2014 BMC Vice Presidents from GIM

Eric Poon, MD, MPH Vice President & Chief Medical Information Officer

Section of GIM Leadership

Jeffrey Samet, MD, MA, MPH Chief

Jane Liebschutz, MD, MPH Associate Chief for Faculty Affairs

Michael Paasche-Orlow, MD, MA, MPH Associate Chief for Research

Primary Care Leadership

Charlotte Wu, MD Primary Care Director

Jason Worcester, MD Associate Primary Care Director

Ellen Ginman Administrative Director

Christine Pace, MD, MPH Behavioral Health Leader

Khelda Jabbar, MD, MPH Transitional Team Medical Director, WHG

Primary Care Quality Team

Karen Lasser, MD, MPH

Quality Leader

Julien Dedier, MD, MPH

Marshall Fleurant, MD, MPH

Shwetha Sequeira, MD

Nurse Practitioners (NPs)

Shapiro 5

Gertha Dabady, NP

Cleo Ferrao, NP

Eunice MacAllister, NP

Julia Matthews, NP

Shapiro 6

Irina Dauphinee, NP

Sue Morrissey, NP

Xiuhuan Yan, NP

NP Physician Supervisors


Irina Dauphinee, NP

Xiuhuan Yan, NP


Gertha Dabady, NP

NP Physician Supervisors

Khelda Jabbar, MD, MPH


Julia Matthews, NP

Priya Joshi, MD

Cleo Ferrao, NP

GIM Hospital-Based Consult Services

Daniel Cottrell, MD

Director, Med Consult Service

Patrick Fleming, MD

Director, Orthopedics Joint Replacement Co-management Service for HMU

GIM HMU/Geriatrics/Nursing Palliative Care Service

Henri Lee, MD

Sandhya Rao, MD

GIM Faculty – IT/EMR Innovators

Eric Poon, MD, MPH

Chief Medical Information Officer

James Meisel, MD

Epic/eMERGE Implementation – Inpatient Clinical Lead

Devin Mann, MD, MS

Epic/eMERGE Implementation – Ambulatory Clinical Lead

Programs

Primary Care

Shapiro, Adult Primary Care

Shapiro, Women’s Health Group, Primary Care

Neighborhood Health Centers (NHC)

BMC GIM Primary Care Practice

Carl J. and Ruth Shapiro Ambulatory Care Center

BMC Outpatient and Inpatient Clinical Productivity (wRVUs)

96,392

160,533

189,691 198,411 200,627190,190

173,875

0

50,000

100,000

150,000

200,000

250,000

FY07 FY08 FY09 FY10 FY11 FY12 FY13

GIM Outpatient Visits – BMC§

Includes YACC, DOB, WHG, CMG and now merged practice at Shapiro

Total

FY07 FY09 FY12 FY13

63,510 97,742 105,712 89,338

Innovative Programs Embedded in Primary Care 2012-2013

Behavioral Medicine Programs – Sokolove, Patterson

HTN Management

Smoking Cessation

Chronic Pain

Individual Counseling

Hepatitis C Treatment Program – Tsui

Hypertension Clinic – Gavras

Infectious Disease – Fagan

Injection Clinic – Worcester

Diabetes Management – Rosenzweig, Capelson, Chalmers

Outpatient-Based Opioid Treatment (OBOT) Program – Labelle, Alford

Psychiatry Preceptor Resource for Residents

Clinical Pharmacy Program – Bergstrom, Arena

Refugee Health Clinic – Crosby, Rourke

Breast Health Navigation Program – C. Chapman, MacAllister

GIM Clinic Attending Primary care clinic sessions at BMC

in which BUSM students are precepted

Academic Year # Clinic Sessions % Change (prior year)

2002 – 2003 700 --

2003 – 2004 750 +7

2004 – 2005 640 -14

2005 – 2006 482 -25

2006 – 2007 399 -17

2007 – 2008 502 +25

2008 – 2009 410 -18

2009 – 2010 589 +43

2010 – 2011 844 +43

2011 – 2012 663 -22%

2012 – 2013 Pending

ICM1* Teaching 2012-2013

Daniel Ambrus, MD

Tracy Battaglia, MD, MPH

Jonathan Berz, MD, MSc

Daniel Cottrell, MD

Julie Crosson, MD

Mohini Daya, MD



Jane Liebschutz, MD, MPH


Noemi Pedraza, MD

Ambili Ramachandran, MD

Jonathan Rothberg, MD

Jenny Siegel, MD

Lisa Skowronek, MD

Gabriel Wishik-Miller, MD

Jason Worcester, MD

Xiuhuan Yan, NP

*Introduction to Clinical Medicine

ICM2* Teaching 2012-2013

Janelle Baptiste, MD


Lorie Berger, MD

Jonathan Berz, MD, MSc

Chava Chapman, MD, MPH

Teresa Cheng, MD, MSc

Mohini Daya, MD

Jacob Feldman, MD

Patrick Fleming, MD

James Hudspeth, MD


Laila Khalid, MD

Vasken Kroshian, MD



Fausto Ortiz, MD

Felicia Patch, MD


Shivani Reddy, MD

Jonathan Rothberg, MD

Suzanne Sarfaty, MD

Lorraine Stanfield, MD

*Introduction to Clinical Medicine

EBM* Teaching & Ambulatory Student Report 2012-2013

Thomas Barber, MD

Warren Hershman, MD, MPH

Suzanne Sarfaty, MD

*Evidence Based Medicine

The Ambulatory Internal Medicine clerkship offers an Evidence Based Medicine seminar in which students work in pairs to formulate a clinical question, perform a literature search and co-present a "critically appraised topic" (CAT) to their peers and to a clinician-educator faculty member. The faculty member facilitates a discussion of the applicability of the CAT findings to the care of patients.

DOM Morning Report Attendings 2012-2013

Barber

Caslowitz

Hudspeth

Noronha

Rich

Witzburg

Department of Medicine 2012-2013 Internal Medicine Residency Program Directors from GIM

Craig Noronha, MD, Associate Program Director Catherine Rich, MD, Associate Program Director,

Primary Care Training Program

Primary Care Training Program Residents 2013-2014

PGY 1:

Gabriela Gryczynski

Juhee McDougal

Mara Murray Horwitz

Vassiliki Pravodelov

Payal Roy


PGY 2:

Myfanwy Callahan

Kim Chiang

Pooja Raval

Jennifer Russo


PGY 3:

Matthew Corey

Ricardo Cruz

Jessica Hurst

Shane Magee

Zoe Weinstein

GIM Presence at Other BUMC Clinical Sites

ID Clinic - Walley

Anticoagulation & Thrombosis Service – Hylek

McInnis Group/Woods Mullen Shelter – Kim

Belkin Breast Health Center (Moakley) – WHG

Women’s Health Clinic, Jamaica Plain VA – Karwowski

GIM Presence at Boston Public Health Commission (BPHC)

Alex Walley, MD, MSc, Medical Director Frontage Road Methadone Program & Addictions Prevention, Treatment and Recovery Support Services, BPHC

Sheila Chapman, MD, Physician Frontage Road Methadone Program

Christine Pace, MD, Physician Frontage Road Methadone Program Sandra Gordon, MD, Medical Director Baycove Treatment Center

GIM Conferences Course Directors 2012-2013

GIM Grand Rounds*

Bernie Kreger, MD, MPH

Ambulatory Morbidity and Mortality Conference‡

Julie Crosson, MD

Research in Progress (RiP)†

Judy Tsui, MD, MPH & Devin Mann, MD, MS

* weekly †biweekly ‡monthly

GIM Conferences Course Directors 2012-2013

MISU Conference‡


CARE Unit Journal Club‡

Rich Saitz, MD, MPH

CARE Addiction Case Conference‡

Alex Walley, MD, MSc

Clinical Case Conference‡


* weekly †biweekly ‡monthly

Ambulatory M & Ms 2012-2013

10.17.12 – A Trembling Story presented by Marshall Fleurant, MD, Rob Sokolove, PhD, Isidore Berenbaum, MD & Julie Crosson, MD

11.14.12 – A Cross-Cultural Challenge in Primary Care Liz Rourke, MD & Julie Crosson, MD

12.19.12 – It’s Raining Meds Jenny Siegel, MD & Julie Crosson, MD

1.23.13 – Shared Decision Making When the Menu of Options Overwhelms You Dan Cottrell, MD, Mark Katz, MD & Julie Crosson, MD

Ambulatory M & Ms 2012-2013

3.13.13 – An ED CT Scan: Hidden Result and Consequences Christine Pace, MD, MSc, Jeffrey Samet, MD, MA, MPH & Julie Crosson, MD

4.17.13 – "Don’t Shoot the Messenger" Jessica Hurst, MD, Sonia Ananthakrishnan, MD, Sheryl Katzanek & Ed Christiansen, Esq & Julie Crosson, MD

5.15.13 – Dealing with Uncertainty in Primary Care: “Doctor, When Can I Get Pregnant?” Catherine Rich, MD, Ashish Upadhyay, MD, Jodi Abbott, MD & Julie Crosson, MD

6.19.13 – How We Cope Sue Morrissey, NP, David Lichtenstein, MD, Sheryl Katzanek, Ed Christiansen, Esq, Thomas Barber, MD, Kenneth M. Settel, MD & Julie Crosson, MD

Boston University School of Medicine Department of Medicine Medical Grand Rounds by GIM Faculty 2012-2013

Daniel Alford, MD, MPH Opioids for Chronic Pain: The

Good, The Bad and The Ugly (Nov 9th, 2012)

Robert Sokolove, PhD (with Michael York, MD) Fibromyalgia: A Controversial Entity

(Feb 1st, 2013)

Jane Liebschutz, MD, MPH – Director Joanne Wilkinson, MD, MSc – Director, FM Fellowship Megan Bair-Merritt, MD – Director, Peds Fellowship

Michael Paasche-Orlow, MD, MPH – Associate Director, GIM

Fellowship

General Internal Medicine (GIM), Family Medicine (FM), Pediatrics (Peds) Fellowships, Addiction Medicine Fellowship & Preventive Medicine (PM) Residency Program Leadership

Jonathan Berz, MD, MSc – Director, PM Residency Daniel Alford, MD, MPH – Director, Addiction Medicine

Fellowship Alex Walley, MD, MSc – Associate Director, Addiction Medicine

Fellowship


Angela Jackson, MD – Associate Director

for Education, GIM/FM/Peds Fellowship

Jeffrey Markuns, MD, MEd – Associate Director for Education, GIM/FM/Peds Fellowship

Robert Friedman, MD – Director, Emeritus


GIM Fellowship & Preventive Medicine Residency Programs: 3rd Year, 2013-2014

Elizabeth Karwowski, MD

Residency: IM, University of Wisconsin, Madison, WI

GIM Fellowship & Preventive Medicine Residency Programs: 2nd Year, 2013-2014

Daniel Ambrus, MD Residency: Internal Medicine (IM), Dartmouth-Hitchcock Medical Center

Sarah Bagley, MD Residency: Med/Peds, Brown University/Rhode Island Hospital

Laila Khalid, MD Residency: IM, Mt. Auburn Hospital

Ambili Ramachandran, MD Residency: IM, Emory University School of Medicine

GIM Fellowship & Preventive Medicine Residency Programs: 2nd Year, 2013-2014

Zayd Razouki, MD Residency: IM, Norwalk Hospital, Norwalk, CT

Shivani Reddy, MD Residency: IM, Brown University/Rhode Island Hospital

Ramon Cancino, MD Residency: Family Med, Mayo School of Graduate Medical Education

GIM Fellowship/Preventive Medicine Residency Program 2013 Graduates

Shwetha Sequeira, MD

Residency: IM, University of Texas, Southwestern, Dallas, TX

Current position: Assistant Professor, Women’s Health, BUSM/BMC

Cara Poland, MD Residency: IM, St. Joseph Mercy Hospital, Ann Arbor, MI Current position: Assistant Professor, Central Michigan University

College of Medicine, Mt. Pleasant, MI

Marjory Charlot, MD Residency: IM, BUSM

Current position: Faculty, Hem/Onc, BUSM/BMC

Loretta Berger, MD Residency: IM, University of South Alabama, Mobile, AL

Current position: pending

GIM Unit Directors

Health/Care Disparities Research Unit

Clinical Addiction

Research & Education (CARE) Unit

Women’s Health Unit

(WHU)

Medical Information Systems Unit (MISU)

Hospital Medicine Unit (HMU)

Community Medicine Unit (CMU)

Healthcare Disparities Research Unit Director: Nancy Kressin, PhD

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

Facilitate the training of a new generation of healthcare equity researchers.

Program faculty are intellectual advocates and leaders for health equity research both locally and nationally.

Funded Collaborations:

Karen Lasser, MD, MPH, Amresh Hanchate, PhD, Alok Kapoor, MD, Adam Rose, MD, MPH (Effects of MA Health Reform on Cardiovascular Outcomes)

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

http://www.bumc.bu.edu/medicine/healthcare-disparities-research-program

Clinical Addiction Research & Education Unit Director: Rich Saitz, MD, MPH

Clinical:

Office Based Opioid Treatment (OBOT)

Methadone maintenance

Transitional Opioid Program (TOP)

Chronic care management (FAST-PATH)

Screening Brief Intervention and Referral to Treatment (MASBIRT)– collaboration with MA BSAS

Research:

Screening and brief intervention for drug use in primary care RCT(ASPIRE)

Addiction Chronic Disease Management RCT (AHEAD & FAST-PATH)

Effects of alcohol across lifetime – collaboration with Framingham Study and Section of Preventive Medicine

Electronic approaches to alcohol problems – collaboration with MISU and BU psychology

Overdose prevention with layperson use of naloxone

HIV prevention in substance abusers – collaboration with St. Petersburg State Pavlov Medical University, Russia

Prescription drug abuse and interpersonal trauma

Youth and adult alcohol policy research

Hepatitis C, pain and alcohol and other drug use

Suboxone Transition to opioid program (STOP) – collaboration with Brown University

Education:

NEW Medline-indexed journal: Addiction Science & Clinical Practice

INTERNATIONAL meeting September 2011: alcohol and other drug screening and brief intervention/INEBRIA

MD addiction education (NIDA R-25: AODHealth & ACT Websites; CRIT)

Med student research program, resident block rotation, addiction journal club

Addiction medicine fellowship

NIDA Center of excellence/Med school consortium

National mentoring (methadone, buprenorphine, primary care physicians)

American Board of Addiction Medicine leadership

Policy:

ASAM: addiction diagnostic terminology

Quality of addiction care/performance measures (Washington Circle)

www.bumc.bu.edu/careunit

Women’s Health Unit A National Center of Excellence in Women’s Health Director: Tracy Battaglia, MD, MPH

Clinical

Research

Public Policy/Community Outreach

Medical Education/Faculty Development

Faculty: Tracy Battaglia, MD, MPH; Chava Chapman, MD, MPH; Khelda Jabbar, MD, MPH; Naomi Ko, MD; Eunice MacAllister, RNC; Julia Matthews, NP; Azadeh Nasseh, MD; Nicolette Oleng’, MD; Shwetha Sequeira, MD; Bonnie Sherman, PhD

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

Medical Information Systems Unit Chief: Robert Friedman, MD

Performs research and provides education and training in medical informatics (computer applications in medicine and public health)

Automated programs in primary prevention by reducing behavioral risk factors for diseases (smoking, alcohol, diet, physical activity)

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

http://www.misu.bmc.org

Hospital Medicine Unit Director: Henri Lee, MD

Quality Improvement (CHF, pneumonia)

Inpatient electronic documentation

Perioperative Medicine

Research in Periop Medicine for Geriatric patients

Faculty development on inpatient teaching and feedback

Faculty: Baptiste, Fleming, Hudspeth, Hutton, Kapoor, Lee, Mahmood, Meisel, Ortiz, Ostrander, Pang, Patch, Rao

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

Palliative care Transitions of care Uncovered service in ICU Night Float education and

Evening Nocturnist Program Residency Education Medical Student Education MD/RN Liaison, Menino

Pavilion

Community Medicine Unit

Director: Christopher Shanahan, MD, MPH, FACP

BMC Community-Based Provider Network • Oversee: BMC Credentialing & PPE of Community-based Providers

• Support: Relationship between DOM & Community-based Providers & CBOs

• Support: BU Academic Appointments of Community-based Faculty

• Provide: Career counseling (Medical Student, House Officers, Fellows, Attendings)

• Represent: Community-based Providers at DOM Faculty Development & Diversity Committee Training

• Oversee: BMC Joint Hire Program

• Support: Podcasting of GIM Grand Rounds (Peter Smith M.D., EBNHC)

• Collaborate: International Primary Care Training Institute (Year 3)

• Collaborate: Residency Program to promote Primary Care

• Sponsoring Master Preceptor Faculty development Program with the Residency Training Program

• Collaborate: BUSM-BUSPH-GSDM Course - Leading Community Health Initiatives: Medicine and Public Health as Partners (Year 3)

Research • Collaborate: Health Care Disparities Research Unit

• Collaborate: Mass Healthcare Disparities Registry Professional Policy & Advocacy

• Collaborate: Mass-ACP Governor's Council to promote Internal Medicine

• Participate: Development of EOHHS Primary Care Medical Home pilot grants

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

Incentive Plans 2012-2013

Clinical: RVU and FTE-based

Research: indirect costs-based

Priorities for the Section 2012-2013

I

B+

A Obtain Medical Home official certification for activities in Shapiro Primary Care

Meet the new panel size expectations to improve

access to Primary Care Achieve collective wRVU expectations for GIM clinical

faculty


Obtain academic promotion for 10% of GIM eligible faculty

Recruit outstanding new leadership for the Director of

Primary Care

Retain existing outstanding GIM faculty

A

A-

C


Continue success with publications/research funding

Maintain and enhance excellence with GIM Grand

Rounds and Research-in-Progress conferences Attract excellent physicians to GIM Fellowship who will

become future GIM academic faculty

A

A-/B+


Continued progress advancing the patient-centered medical home focus in the Shapiro GIM Primary Care practice

Strengthen the academic dimension of the HMU and

Clinician Educator faculty Active recruitment and retention of PC-based GIM

Clinician Educator faculty


Recruitment of one Clinical Investigator Acquisition of external grant support for GIM research Continue scholarly publications productivity

(publish > 100 peer reviewed papers)

Meet wRVU expectations for GIM – both HMU and non-HMU faculty


Meet the PC patient access goals (75% within 2 weeks) while serving the needs of our current PC patients

Continue to host the foremost GIM Grand Rounds in

the country Recruit 3-5 strong GIM fellows for the GIM/FM/Peds

Fellowship program

Events

GIM Retreat Friday, December 14th, 2012

Resulting Products of the GIM Retreat Friday, December 14th, 2012

GIM Associate Chief for Research – Michael Paasche-Orlow, MD, MA, MPH

Enhanced commitment of BMC/BUSM leadership to GIM

(CEO, Dean, CMO, Chair-DOM)

Need for NP support led to NP supervision initiative

Need to advance PC infrastructure led to many initiatives, including new leadership structure

Evans Foundation: 100th Anniversary Friday, October 5th, 2012 – GIM Event

Catherine Lucey, MD Vice Dean for Education, UCSF School of Medicine Professor of Medicine, UCSF School of Medicine

SGIM Special Presentation Case Scenarios - Clinician Educator Challenges

Moderator: Angela Jackson, MD

Mark Moskowitz Memorial Visiting Professor Friday, April 12th, 2013

David Battinelli, MD Dean for Medical Education, Hofstra North Shore-LIJ School of Medicine

Chief Academic Officer, North Shore-LIJ Health System Professor of Medicine, Hofstra North Shore-LIJ School of Medicine

SGIM Grand Rounds The Role of Generalists in Reforming Education

Medical Grand Rounds Lessons from the Carnegie Report on Medical Education:

Opportunities and Contradictions 100 Years after Flexner

GIM Winter Festival February 2013

Endicott Estate, Dedham

GIM Winter Festival February 2013

Society of General Internal Medicine (SGIM) National Meeting 2013

Denver, CO

Society of General Internal Medicine (SGIM) National Meeting 2013

SGIM National Meeting GIM Attendees (n=41)

Dan Alford Tracy Battaglia Jonathan Berz Teresa Cheng Dan Cottrell Jake Feldman Marshall Fleurant Megan Gerber (VA)

Allen Gifford (VA) Amresh Hanchate Angela Jackson Nancy Kressin Karen Lasser Jane Liebschutz Amy Linsky (VA) Catherine Rich

Adam Rose (VA) Rich Saitz Jeffrey Samet Jenny Siegel Steven Simon (VA) Judy Tsui Alex Walley

Faculty:

Fellows:

John Noble Scholars & other Residents:

Daniel Ambrus

Elizabeth Karwowski

Laila Khalid

Cara Poland

Ambili Ramachandran

Zayd Razouki

Shivani Reddy

Anitha Bhat

Matthew Corey (Scholar)

Ricardo Cruz

Lydia Efird

Jessica Hurst (Scholar)

Manas Kaushik (Scholar)

Shane Magee

Irene Rahman (Scholar)

Swati Shroff (Scholar)

Artur Viana (Scholar)

Zoe Weinstein (Scholar)

John Noble Scholars Dinner

Matthew Corey

Jessica Hurst

Manas Kaushik

Irene Rahman

Swati Shroff

Artur Viana

Zoe Weinstein

Scholars

BMC Gala 2013 GIM Sponsors

Sat, May 4th at the Seaport World Trade Center

Accomplishments

$10,785,625

$12,804,764

$14,366,537

$13,435,556$13,182,475

$13,430,002

$9,453,027

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

FY07 FY08 FY09 FY10 FY11 FY12 FY13

Current Annual Direct Research and Training Grant Awards

Fiscal Year Number of

Awards Total Support

FY09 20 $7,332,510

FY10 35 $12,150,594

FY11 36 $19,613,220

FY12 18 $12,596,484

FY13 12 $9,235,028

New GIM Research Awards

$32,196,253

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

$64,264,260

$70,427,284

$76,140,520

$72,136,345

$54,784,068

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

FY05 FY07 FY08 FY09 FY10 FY11 FY12 FY13

Total GIM Research Grant Awards*

*Includes Direct and Indirect Costs

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

$7,842,058$8,360,717

$9,849,566

$7,291,806

$10,750,791

$8,704,455

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000

FY05 FY07 FY08 FY09 FY10 FY11 FY12 FY13

Total Fellowship & Training Grant Awards

*

*Includes Direct and Indirect Costs

New Grants GIM PIs

Hanchate:

NIMHHD, National Estimates for Inpatient Care, Outcomes & Hospital Effect among Hispanics; R01; $2,161,624; 7/13 - 1/18

Paasche-Orlow:

NHLBI, Refining Conceptual Models for the Role of Health Literacy in Health Outcomes; R01; $1,155,299; 8/13 – 7/16

Lilly USA, Advancing Research in Health literacy, $25,000; 03/13 – 03/14

Merck, Publishing Proceedings of the 4th Annual Health literacy Annual Research, $10,000; 3/13 – 2/14

Rourke:

NIA, NBER, Financial Incentives for Improving Adherence in Diabetes: Phase II, $66,565; 9/12 – 8/13

NIAAA, NBER, Financial Incentives for Medication Adherence in Diabetes: Phase III; $14,821; 9/12 – 6/13

Battaglia: AVON, Avon Breast Health Initiative; $500,000; 7/12 - 6/14 AVON, Global Breast Cancer Clinical Scholar, $10,000; 7/12 – 6/14 NCI, NSABP, National Surgical Adjuvant Breast and Bowel Project;

Supplement; $26,599; 6/12 - 5/13 NCI, BMC, Navigation in the Safety Net, Community Health Educator;

Supplement; $139,989; 6/12 – 5/13 NCI, BMC, Navigation in the Safety Net, HIV; Supplement; $110,510;

6/12 – 5/13 NIGMS, Tufts, Longitudinal Follow-Up to the National Faculty Survey,

$70,000; 9/12 – 8/14 Komen, Creation of Website Content for Breast Cancer Patient

Navigation Program Development and Navigator, $10,000; 1/13 – 12/13 ACS, Medical Legal Partnership to Reduce Cancer Health Disparities,

$1,748,000; 7/13 – 6/18

New Grants GIM PIs

New Grants GIM PIs – CARE Unit

Alford: DPH; SBIRT Development, Implementation and Integration, $697,090;

7/12 – 6/14 DOJ, Brandeis, Prescription Behavior Surveillance System (PBSS)/FDA

Center for Drug Evaluation and Research (CDER) Project, $30,000; 7/12 – 9/13

Lasser/Liebschutz: NIDA, Implementing Opioid Risk Reduction Strategies into Primary

Care Practice; R01; $2,676,770; 7/12 – 6/17

Liebschutz: HRSA, Preventive Medicine Residencies, $2,382,511; 7/13 – 6/18 HRSA, Integrative Medicine Program, $139,200; 9/12 – 9/14

Pace:

DPH, Bureau of Substance Abuse Services (BSAS), $71,820; 9/12 -6/14

Saitz:

NIDA, UCLA, SBIRT for Substance Abuse in Mental Health Treatment Settings; $161,870; 9/12 – 8/17

NIDA, Efficacy/Effectiveness of Unhealthy Drug Use Screening/Brief Intervention Models; Supplement; $120,757; 5/12 – 4/13

Samet:

NIDA, INVEST Fellowship; $44,000; 12/12 – 11/13

NIAAA, Russian ARCH Cohort Supplement; $61,586; 8/13 – 8/13

NIAAA, ZINC for HIV Disease Among Alcohol Users- An RCT in the Russia ARCH Cohort; U01; $3,142,755; 9/12 – 8/17

New Grants GIM PIs – CARE Unit

2431

46

58

72

92103

109118

107

0

20

40

60

80

100

120

140

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

2012 GIM Publications

GIM Faculty and Fellow Authors in 2012 (n=42)

Alford Battaglia Berlowitz Borzecki Chapman, C Cheng, D Crosby D‘Amore David Dedier Dumont Fleurant Friedman Freund

Fuster Gerber Gifford Hanchate Hermos Hylek Jabbar Kalish Kapoor Kim Kreger Kressin Kronman Lasser

Liebschutz Linsky Lunze McKinney Murabito Naimi Orlander Paasche-Orlow Rose Saitz Samet Smith Tsui Walley

Awards


2012 Outstanding Citizenship Award, DOM

Christine Phillips, MD

2012 Robert Dawson Evans Special Recognition Teaching Award, DOM

Alex Walley, MD

2012 Association for Medical Education and Research in Substance Abuse (AMERSA) New Investigator/Educator Award

Awards

James O’Connell, MD, FACP

2012 Albert Schweitzer Prize for Humanitarianism


2013 New England Regional SGIM award for Poster Trainee Abstract – “Multiple Barriers Associated with Delays in Care Among Women with Abnormal Cancer Screening in the Boston Patient Navigation Research Program”

Lorraine Stanfield, MD

2013 Committee on Faculty Affairs Educator of the Year (Pre-clinical)

Awards

Jenny Siegel, MD

2013 Witzburg Award for Outstanding Ambulatory Medical Education

2013 Sam Putnam Award for Training to Enhance Patient-Doctor Communication

Lars Reinhold, MD

2013 Outstanding Community Preceptor Award

Jessie Gaeta, MD

2013 BUSM Commencement Speaker

DOM Faculty Development Awards

Dan Cottrell, MD $2,000 to attend SGIM TEACH Certificate Program

Marshall Fleurant, MD, MPH $1,325 to attend AAMC (Association of American Medical

Colleges) Minority Faculty Career Development Seminar Karen Lasser, MD, MPH

$1,697 to attend the AAMC Mid-Career Women Faculty Professional Development Seminar

Patrick Fleming, MD $1,400 to attend the Academic Hospitalist Academy Meeting

Lisa Quintiliani, PhD $825 to attend the Training in Adult Weight Management

Program

Promotions

Associate Professor

Adam Rose, MD, MSc

Professor Emeritus

John Noble, MD

Clinical Assistant Professor

Jessie Gaeta, MD

GIM Evans Educators 2012-2013

Joel Caslowitz, MD

Daniel Chen, MD, MSc

Melissa DiPetrillo, MD

James Meisel, MD

Christine Phillips, MD

GIM Evans Educators 2012-2013

James Hudspeth, MD – Global Health Pathway

Jenny Siegel – Urban Health Pathway

Teresa Cheng, MD, MSc – Academic Half Day Coordinator

Newly Created Evans Educator Positions

General Recognitions

Dan Alford, MD, MPH

Elected AMERSA National President (2013-2015)

Rich Saitz, MD, MPH

Published book: “Addressing Unhealthy Alcohol Use In Primary Care”

Chair, Community Health Sciences, BUSPH Nov 2013


BMC’s Health & Fitness Expo 2013 Participants

Dan Alford, MD, MPH Tom Barber, MD Dan Cottrell, MD Cleo Ferrao, FNP Marshall Fleurant, MD, MPH

Karen Lasser, MD, MPH Christine Pace, MD, MSc Eric Poon, MD Jason Worcester, MD


Best of Boston, Top Docs for 2012

Tom Barber, MD Elaine Hylek, MD Angela Jackson, MD

Jeffrey Samet, MD, MA, MPH Charles Tifft, MD Bob Witzburg, MD

General Recognitions – Thank you

John Barlow, Director, Ambulatory Operations Transitioning to sub-specialty services focus

Welcomed Additions

Claire Yook-Hei to Eric Poon and Michael

Ted to Jason Worcester and Linda

Adahlia to Janelle Baptiste and Laurnell

Samantha to Dan Chen and Tracy

Nuptials

James Hudspeth to Sarah

Xiuhuan Yan to Yue Fang

Challenges

Transformation of GIM PC to improve care quality, efficiency and both patient and provider satisfaction while enhancing access

Engagement of all PC physicians and other team members to contribute to the improvements of outpatient clinical care

Receipt of grant support for and performance of work commitments associated with GIM research studies

Provide sufficient support to enable the further development of the academic and clinical character of the GIM Clinician Educators – both PC and Hospitalists

Pursuit of a balance of clinical, research and educational contributions for all faculty

Section of General Internal Medicine Most Valuable Player Award

And in 2013, the Most Valuable Player Award goes to……

2003 – Peter Davidson, MD 2004 – Jason Worcester, MD 2005 – Eleanor Paglia, MD

2006 – Dan Alford, MD, MPH

2007 – David Halle, MD

2008 – Christine Phillips, MD 2009 – Melissa DiPetrillo, MD 2010 – Craig Noronha, MD

2011 – Nancy Kressin, PhD

2012 – Jane Liebschutz, MD, MPH

Most Valuable Player Award


Section of General Internal Medicine Most Valuable Player Award

Genuine appreciation for all the terrific work, past and future

Many achievements and successes

Committed, generous, inspiring and hardworking faculty and staff

A Truly Exceptional Section of General Internal Medicine

Thanks for the creativity of

Sarah Brunt and the nearly impeccable data

from Debra Paarz in the preparation of this

State of the Section

state of the section – 2011 general internal medicine · state of the section – 2013 general...

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