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State of the Section: 2017 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

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Page 1: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

State of the Section: 2017General Internal Medicine

JEFFREY H. SAMET, MD, MA, MPH, CHIEF SECTION OF GENERAL INTERNAL MEDICINE DEPARTMENT OF MEDICINE

Boston University School of MedicineBoston Medical Center

Page 2: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

OverviewSection of General Internal Medicine

People

Programs

Events

Accomplishments

Page 3: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

People

Page 4: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support
Page 5: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Core Administrative Staff

Debra Paarz – Administrator

Kathleen Blackett – Data Analyst

Sarah Brunt – Faculty Support Coordinator

Deana Barakat – Admin Coordinator

Veronica Forde – Program Manager

April Leon – Grants Manager

Lisa Morin – Executive Assistant

Jenay Nasif – Admin Assistant

Linda Neville – GIM Fellowship Coordinator

Page 6: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017

6 PC Clin Educators

6 Hospitalists

4 PC Nurse Practitioners

1 Hospitalist Nurse Practitioner

Page 7: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017PC Clin Educators

Pablo Buitron de la Vega, MD, MSc ◦ Medical School: Pontificia Universidad Católica de

Ecuador, 2009◦ Residency: Henry Ford Hospital, Detroit, MI, 2014◦ Fellowship: Preventive Medicine, BUSM, 2016

Rachel Casas, MD, EdM ◦ Medical School: University of Pittsburgh School of

Medicine, Pittsburgh, PA, 2011◦ Residency: Brown University/Rhode Island Hospital,

Providence, RI, 2014◦ Fellowship: Medical Education and Women’s Health

tracks, BUSM, 2016

Page 8: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017PC Clin Educators

Juhee McDougal, MD ◦ Medical School: University of Texas Southwestern

Medical School, Dallas, TX, 2013◦ Residency: BUSM, 2016

Jessica Taylor, MD ◦ Medical School: Icahn School of Medicine at Mount Sinai

(formerly Mount Sinai School of Medicine), New York, NY 2012

◦ Residency: BIDMC, 2015◦ Chief Resident: BIDMC, 2016

Page 9: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017PC Clin Educators

Zoe Weinstein, MD, MSc ◦ Medical School: University of California San Francisco School

of Medicine, 2011◦ Residency: BUSM, 2014◦ Fellowship: Addiction Medicine, BUSM, 2016

Darryl Woods, MD ◦ Medical School: Howard University, Washington DC, 1984

◦ Residency: IM & Peds, Cook County Hospital, Chicago, IL, 1988◦ Fellowship: Adolescent Medicine, Cook County Hospital, 1990◦ Faculty: Assistant Professor, Rosalind Franklin University &

Rush Medical School, Chicago, IL

Page 10: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017Hospitalists

Junhong Gui, MD, M.Med, PhD◦ Medical School: Tongji Medical School, Huazhong

University of Science and Technology, Wuhan, China, 2002◦ M.Med Doctorate: Tongji Medical School, Huazhong

University of Science and Technology, Wuhan, China, 2005

◦ PhD Doctorate: University of Manchester, UK, 2009◦ Residency: Florida Hospital, Orlando, FL, 2016◦ Direct Care Hospitalist track

Paul Long, MD ◦ Medical School: University of Utah School of Medicine,

Salt Lake City, UT, 2013◦ Residency: BUSM, 2016◦ Direct Care Hospitalist track

Page 11: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017Hospitalists

Becky X Lou, MD ◦ Medical School: New York Medical College, Valhalla, NY, 2013

◦ Residency: Mount Sinai Beth Israel, New York, NY, 2016◦ Direct Care Hospitalist track

Yian Xiao, MD, MBA ◦ Medical School: Harvard Medical School, 2013◦ Residency: Brigham and Women’s Hospital, 2016◦ BMC Administrative Fellow

Page 12: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017Hospitalists

Hrjove Melinscak, MD ◦ Medical School: Universita Palackeho, Czech Republic, 2005

◦ Residency: Bridgeport Hospital Yale New Haven Health, Bridgeport, CT, 2010

◦ Fellowship: St Luke’s Roosevelt Hospital, New York, NY, Hem/Onc, 2014

◦ Direct Care Hospitalist track - Nocturnist

Abhinav Vemula, MD◦ Medical School: BUSM, 2013◦ Residency: BUSM, 2016◦ Direct Care Hospitalist track - Nocturnist

Page 13: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017PC Nurse Practitioners

Antonieta Camara, NP ◦ School: MGH Institute of Health Professions, 1998

Aisling Flanagan-Hickey, NP ◦ School: MGH Institute of Health Professions, 2003

Page 14: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017PC Nurse Practitioners

Aissatou (Aysha) Gueye, NP ◦ School: Boston College, 2014

Annie Lee, NP ◦ School: Johns Hopkins University Schools of Nursing and

Public Health, 2009

Page 15: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New Faculty 2016-2017Hospitalist Nurse Practitioner

Madeleine Maguire, NP ◦ School: University of Massachusetts Medical School,

Worcester, MA, 2014

Page 16: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018

2 PC Clin Educators

7 Hospitalists

3 PC Nurse Practitioners

4 Hospitalist Nurse Practitioners

Page 17: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018PC Clin Educators

Brielle Spataro, MD◦ Medical School: Drexel University College of Medicine,

Philadelphia, PA, 2011◦ Residency: University of Pittsburgh Medical Center,

Women’s Health, 2014◦ Fellowship: Med Ed/Women’s Health, VA Pittsburgh

Medical Center, 2016

Luis Ticona, MD◦ Medical School: Harvard Medical School, 2012◦ Residency: Brigham and Women’s Hospital, 2015◦ Fellowship: Massachusetts General Hospital, MGPO

Fellowship in Health Policy and Management, 2017

Page 18: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalists

Radha Govindraj, MD◦ Medical School: Rutgers New Jersey Medical School, 2014

◦ Residency: BUSM, 2017◦ Clinician Educator Hospitalist track

Andre Kydd, MD, PhD◦ Medical School: Johns Hopkins University School of

Medicine, 2014◦ Doctoral School: Johns Hopkins University School of

Medicine, 2014◦ Residency: Florida Atlantic University, Boca Raton, FL, 2017◦ Direct Care Hospitalist track

Page 19: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalists

Perry Pratt, MD◦ Medical School: University of Connecticut School of

Medicine, Farmington, CT, 2014

◦ Residency: BUSM, 2017◦ Direct Care Hospitalist track

Priya Puram, MD◦ Medical School: Saint Louis University School of

Medicine, St. Louis, MO, 2014◦ Residency: BUSM, 2017◦ Direct Care Hospitalist track

Page 20: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalists

Jalpan Ringwala, MD◦ Medical School: Saint Louis University School o Medicine, St.

Louis, MO, 2014

◦ Residency: BUSM, 2017◦ Direct Care Hospitalist track

Adil Yunis, MD◦ Medical School: BUSM, 2014◦ Residency: BUSM, 2017◦ Direct Care Hospitalist track

Page 21: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalists

Zahra (Parastoo) Sadrai, MD (start 10/1)◦ Medical School: Tehran University of Medical Sciences,

Tehran, Iran, 2003

◦ Residency: Saint Vincent Hospital, Worcester, MA, 2017◦ Direct Care Hospitalist track

Page 22: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018PC Nurse Practitioners

Jacqueline Burgoyne, NP ◦ School: MGH Institute of Health Professions, 2014

Teri Linardos, NP◦ School: MGH Institute of Health Professions, 2015

Kristen Wason, NP◦ School: Salem State University, Salem, MA, 2016

Page 23: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalist Nurse Practitioners

Susan Ludwig, DNP◦ School: University of Massachusetts, Lowell, MA, 2017

Patricia Dominique, NP◦ School: Regis College, Weston, MA, 2016

Page 24: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Faculty Recruits 2017-2018Hospitalist Nurse Practitioners

Danielle Brandt, MSN◦ School: Regis College, Weston, MA, 2017

Maura Hossack, MSN◦ School: MGH Institute of Health Professions, 2010

Page 25: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Departing Faculty

PC Clin Educators

o Rachel Casas, MD, EdMo Teresa Cheng, MD, MSc (Aug 2017)o Dan Cottrell, MDo Kathy Crowley, MDo Jane Liebschutz, MD, MPH (Aug 2017)o Ambili Ramachandran, MD, MSc

Page 26: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 27: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many of our faculty took advantage of the GIM incentive to attend the National SGIM meeting in either 2016 or 2017?

A. 24

B. 27

C. 31

D. 36

Page 28: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many of our faculty took advantage of the GIM incentive to attend the National SGIM meeting in either 2016 or 2017?

◦Answer: D (36)

Page 29: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016-2017Vice-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

Page 30: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016-2017BUSM 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

Page 31: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016-2017Section of GIM Leadership

Jane Liebschutz, MD, MPH

◦ Associate Chief for Faculty Affairs

Michael Paasche-Orlow, MD, MA, MPH

◦ Associate Chief for Research

Jeffrey Samet, MD, MA, MPH

◦ Chief

Page 32: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016-2017GIM Primary Care Leadership

Jason Worcester, MD

◦ Primary Care Director

Joanna D’Afflitti, MD, MPH

◦ Primary Care Associate Director

Christine Pace, MD, MSc

◦ Primary Care Associate Director

Maureen Fitzgerald

◦ Primary Care Administrative Director

Page 33: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Inpatient Leadership

Henri Lee, MD

◦ Hospital Medicine Unit Director

Patrick Fleming, MD

◦ Med Consult Service Director

Zoe Weinstein, MD, MSc

◦ Addiction Consult Service Director

Page 34: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Inpatient LeadershipJames Hudspeth, MD

◦ Medical Director of the General Medicine Teaching Service

Tom Ostrander, MD

◦ Director of the Observation and Inpatient Units

Sandhya Rao, MD

◦ Palliative Care Service Director

Page 35: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

VA-based GIM Faculty

◦ Ann Borzecki, MD

◦ Allen Gifford, MD

◦ Megan Gerber, MD

◦ Steve Gaehde, MD

◦ John Hermos, MD

◦ Brian Hoffman, MD

◦ Antonio Lazzari, MD

◦ Amy Linsky, MD, MSc

◦ Jay Orlander, MD, MPH

◦ Steven Simon, MD

Page 36: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 37: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty (past or present) are estimated to have ever given Faculty Revelations?

A. 51

B. 86

C. 43

D. 73

Page 38: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty (past or present) are estimated to have ever given Faculty Revelations?

◦ Answer: B (86)

Page 39: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Programs

Page 40: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Primary Care

Shapiro, Adult Primary Care

Shapiro, Women’s Health Group, Primary Care

Neighborhood Health Centers (NHC)

Page 41: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

BMC GIM Outpatient and Inpatient Clinical Productivity (wRVUs)

173,875 175,848

189,691 204,531215,071

0

50,000

100,000

150,000

200,000

250,000

FY13 FY14 FY15 FY16 FY17

*FY17 Projected

Page 42: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Outpatient Visits – BMC

Total

FY13 FY14 FY15 FY16 FY17

89,338 101,131 103,544 108,755 108,104

*FY17 Projected

Page 43: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Providers in Primary Care§

FY12 FY14 FY16 FY17

MDs (n) 48 49 56 55

NPs (n) 7 9 11 14

Total (n) 55 58 67 69

MD cFTE devoted to PC 22.4 23.1 26.7 26.9

NP cFTE devoted to PC 6.7 7.4 7.8 11.6

Total 29.1 30.5 34.5 38.5

Covered lives (estimate) 37,726 36,448 ~35,000 ~38,000

§ does not include Faculty Fellows or Joint Hires

Page 44: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM NP Anchor Teams◦ 5A◦ Camara

◦ Battaglia◦ Fitzpatrick◦ Nasseh

◦ 5B◦ Chery

◦ Bagley◦ DiPetrillo◦ Pace◦ Johnson

◦ Dabady◦ Jackson◦ Michaud◦ Murabito

◦ Gueye◦ Crosby◦ Kimball◦ Mishuris

◦ 5C◦ Patel

◦ Berz◦ Joshi◦ Worcester

◦ A. Lee◦ Alford◦ S. Phillips◦ Taylor

◦ 6A◦ McMurray

◦ S. Chapman◦ Cheng◦ Samet

◦ 6B◦ Flanagan-Hickey

◦ Barber◦ Cruz◦ McDougal

◦ Meehan◦ K. Lee◦ Siegel◦ Wung

◦ 6C◦ Jacobs

◦ D’Afflitti◦ Gordon◦ Noronha

◦ Yan◦ Buitron De la Vega◦ Medow◦ C. Phillips

Page 45: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Innovative Clinical Programs Embedded in Primary Care 2016-2017

MANAGING SPECIFIC POPULATIONSProgram Team

Refugee Health Clinic Drs. Sondra Crosby, Sarah Kimball and Nicolette Oleng’

Civil Surgeon Clinic Dr. Sondra Crosby

Hepatitis C Triage and Treatment Alexandra Heinz, LCSW, Drs. KarenLasser, Kristen Lee, Theresa Kim, Sarah Kimball and Jason Worcester

Injection Clinic Drs. Jason Worcester, Terrell Johnson

TOPCARE 2.0 Dr. Jane Liebschutz, Donna Beers, RN and Jessica Cedat, RN

Page 46: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Innovative Clinical Programs Embedded in Primary Care 2016-2017

CHRONIC DISEASE/HIGH RISK CARE MANAGEMENTProgram Team

Outpatient Based Addiction Treatment (OBAT)

Dr. Christine Pace, Medical Director, Colleen LaBelle, RN, Karen Hannon, RN, Lexie Pierson, MPH, LCSW, and team

NP Anchor (Co-Management) Dr. Joanna D’Afflitti

CATALYST Clinic Dr. Sarah Bagley, Medical Director, Britt Carney, Kristen O'Connor, RN and team

Med Student Urgent Care Clinic Dr. Pooja Raval

Page 47: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

BMC Clinical Consult Services

◦General Medicine Consult Service

◦Palliative Care Consult Service

◦Addiction Medicine Consult Service

Page 48: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

General MedicineConsult Service

◦ Director: Patrick Fleming, MD◦ Established at Boston City Hospital in 1981◦ July-Dec 2016 (6 months): 230 new consults and 541 follow

up consults◦ Team for FY17:

◦ Chapman, C◦ Cheng◦ Cottrell◦ Cruz◦ DiPetrillo◦ Fleming◦ Hudspeth◦ Johnson◦ McDougal

◦ Medow◦ Meisel◦ Nasseh◦ Oleng'◦ Ostrander◦ Sacolick◦ Trier◦ Witzburg◦ Worcester

Page 49: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Palliative Care Consult Service

◦ Director: Sandhya Rao, MD◦ Established in 2007◦ Consulted for:

◦ Pain/Sx management◦ Goals of care◦ Discharge plan options

◦ Metrics May ‘16 – April ’17 (12 mos):◦ 550 patient consults◦ 291 ACP/family meetings◦ % of non-English speaking patients: 28.5%

Page 50: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Addiction MedicineConsult Service

◦ Director: Zoe Weinstein, MD, MSc

◦ Established in July 2015

◦ FY17: Average of 5 patients seen/day (M-F)

◦ >600 consults from July 2016-Feb 2017 (8 months)◦ Team for FY17:

◦ Alford◦ Bagley◦ Chapman, S◦ Fitzpatrick◦ Gordon◦ Kim

◦ Kimball◦ Liebschutz◦ Pace ◦ Saitz◦ Samet◦ Shanahan

◦ Walley◦ Weinstein◦ Wishik◦ Worcester◦ Jason Fox, NP◦ Danny Reagan, RN

Page 51: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Presence at Other BUMC Clinical SitesID Clinic – Walley & Crosby

Emergency Department - FASTER PATH CLINIC – Taylor GordonWeinsteinWalleyKimLarochelleRoy

Anticoagulation & Thrombosis Service – Hylek

McInnis Group/Woods Mullen Shelter – Kim

Belkin Breast Health Center (Moakley) – Battaglia, C. ChapmanFitzpatrickNasseh

Page 52: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Presence at BUSPH

Rich Saitz, MD, MPHChair, Department of Community Health Sciences

Page 53: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016-2017 GIM Presence at CSAC*

Methadone Treatment Programs

Alex Walley, MD, MSc, Medical Directoro CSAC Bradston Street

Zoe Weinstein, MD, MSco CSAC Bradston and Jamaica Plain

Sandra Gordon, Medical Directoro CSAC Baycove

*CSAC = Community Substance Abuse Centers

Page 54: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Faculty Precepting BUSM Studentsin Primary Care Sessions

Academic Year # Clinic Sessions % Change (prior year)

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 690 +4

2013 – 2014 785 +14

2014 – 2015 702 -11

2015 – 2016 542 -23

2016 – 2017 635 +17

Page 55: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Most Active Student Preceptors

Craig Noronha – 72 sessions

Julien Dedier – 44 sessions

Mitch Medow – 43 sessions

Tom Barber – 35 sessions

Page 56: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

ICM1* Teaching 2016-2017 (n = 18 BUMC-based GIM Faculty)

Tracy Battaglia, MD, MPH

Jonathan Berz, MD, MSc

Daniel Cottrell, MD

Julie Crosson, MD (CMU)

Cleo Ferrao, NP

Sandra Gordon, MD

Terrell Johnson, MD

Jane Liebschutz, MD

Eunice MacAllister, NP

Juhee McDougal, MD

Patricia Moree Meehan, NP

Catherine Rich, MD

Jonathan Rothberg, MD (CMU)

Jenny Siegel, MD

Lisa Skowronek, MD

Henry Trier, MD

Irina Vovnoboy, MD

Jason Worcester, MD

*Introduction to Clinical MedicineCMU = Community Medicine UnitVA = VA-based GIM Faculty

Page 57: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

ICM2* Teaching 2016-2017(n = 38 BUMC-based GIM Faculty)

Tracy Battaglia, MD, MPH

Jonathan Berz, MD, MSc

Rachel Casas, MD, MSc

Daniel Chen, MD, MSc

Teresa Cheng, MD, MSc

Nicholas Cordella, MD (Fel)

Daniel Cottrell, MD

Julie Crosson, MD (CMU)

Phoebe Cushman, MD (Fel)

Melissa DiPetrillo, MD

Amy Fitzpatrick, MD

Sandra Gordon, MD

James Hudspeth, MD

CMU = Community Medicine Unit Fel = Faculty FellowVA = VA-based GIM Faculty

*Introduction to Clinical Medicine

Ian Huntington, MD, MPH (CMU)

Elizabeth Hutton, MD

Terrell Johnson, MD

Theresa Kim, MD

Vasken Kroshian, MD (CMU)

Valmeek Kudesia, MD (CMU)

Amanda Lerner, MD (Fel)

Jane Liebschutz, MD, MPH

Eunice MacAllister, NP

Juhee McDougal, MD

Patricia Moree Meehan, NP

Rebecca Mishuris, MD

Christine Phillips, MD

Ambili Ramachandran, MD, MSc

Catherine Rich, MD

Jonathan Rothberg, MD (CMU)

Jennifer Siegel, MD

Lisa Skowronek, MD

Lorraine Stanfield, MD (CMU)

Henry Trier, MD

David Washinton, MD (Fel)

Gabriel Wishik-Miller, MD (CMU)

Jason Worcester, MD

Xiuhuan Yan, NP

David Yuh, MD

Page 58: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 59: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty and core administrative staff had babies in FY17?

A. 2

B. 4

C. 6

D. 8

E. 11

Page 60: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty and core administrative staff had babies in FY17?

◦Answer: E (11)

◦So many babies this year! For more details, you have to wait until the end…

Page 61: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

DOM Morning Report Attendings 2016-2017

Berz

Cheng

Hudspeth

Murphy

Noronha

Ostrander

Rich

Siegel

Tulsky

Wishik

Witzburg

Page 62: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Department of MedicineInternal Medicine Residency Program GIM Faculty Directorship roles

o Craig Noronha, MD – Associate Program Director

o Catherine Rich, MD – Primary Care Training Program Director

o Jenny Siegel, MD – Associate Program Director

oAsher Tulsky, MD – Director of Resident Development

Page 63: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Primary Care Training Program Residents2017-2018

PGY 1:◦ Benjamin Ammon

◦ Sarah Fulco

◦ Rebecca Green

◦ Jordy Laks

◦ Joan Savage

◦ Rachael Stovall

◦ Marco Tori

Page 64: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Primary Care Training Program Residents2017-2018

PGY 2:◦ Davis Bradford

◦ Leah Harvey

◦ Sarah Roderick

◦ Samantha Rawlins- Pilgrim

◦ Muna Sheikh

◦ Minhee Sung

◦ Lily Yan

Page 65: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Primary Care Training Program Residents2017-2018

PGY 3:◦ Gina Chen

◦ Shiyun Chua

◦ Jenny Jia

◦ Krupa Patel

◦ Michael Schwartz

◦ Benjamin Vaughn

◦ Katherine Zeitler

Page 66: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Faculty Mentoring PC Residents

o Teresa Cheng, MD, MSc

o Ricardo Cruz, MD, MPH

o Joanna D’Afflitti, MD, MPH

o Denise De Las Nueces, MD

o Amy Fitzpatrick, MD

o Elaine Hylek, MD, MPH

o James Hudspeth, MD

o Sarah Kimball, MD

o Karen Lasser, MD, MPH

o Kristen Lee, MD

o Jane Liebschutz, MD, MPH

o Craig Noronha, MD

o Jeffrey Samet, MD, MA, MPH

o Shwetha Sequeira, MD

o Christopher Shanahan, MD, MPH

o Peter Smith, MD

o Gabriel Wishik, MD, MPH

o Bob Witzburg, MD

Page 67: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Faculty Resident Interviewers (Session in the past 3 years)

Battaglia – 6

Berz – 50

Buitron De la Vega - 1

Casas – 6

Chapman, S – 28

Cheng, T – 31

Crosson – 31

Cruz – 5

Gordon – 5

Hudspeth – 49

Johnson – 8

Lee, H – 1

Liebschutz – 10

McDougal – 12

Mishuris – 9

Noronha – 161

Oleng’ – 1

Ramachandran – 50

Rich – 152

Samet – 1

Sequeira – 2

Siegel – 89

Tulsky – 59

Weinstein – 14

Worcester – 28

Page 68: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM BUSM Medical Student Admission Committee Members 2016-2017

Elizabeth Hutton, MD

James Meisel, MD

Jay Orlander, MD

Thomas Ostrander, MD

Christine Phillips, MD

Robert A. Witzburg, MD, Chair

Daniel Chen, MD, MSc

Julien Dedier, MD, MPH

Melissa DiPetrillo, MD

Warren Hershman, MD, MPH

Page 69: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM ConferencesCourse Directors 2016-2017

GIM Grand Rounds*

Bernie Kreger, MD, MPH

Ambulatory Morbidity and Mortality Conference‡

Julie Crosson, MD

CMU Grand Rounds∆

Christopher Shanahan, MD, MPH

* weekly †biweekly ‡monthly ∆biannual

Page 70: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM ConferencesCourse Directors 2016-2017

Challenging Patient Rounds‡

Robert Sokolove, PhD

Clinical Case Conference‡

Dan Cottrell, MD

Juhee McDougal, MD

Research in Progress (RiP)†

Amy Linsky, MD, MSc &

Lisa Quintiliani, PhD

* weekly †biweekly ‡monthly ∆biannual

Page 71: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM ConferencesCourse Directors 2016-2017

CARE Unit Journal Club‡

Rich Saitz, MD, MPH

CARE Addiction Case Conference‡

Alex Walley, MD, MSc

MA IntNSA (Massachusetts chapter of the International Nurses Society on Addiction)‡

Colleen LaBelle, CARN

* weekly †biweekly ‡monthly ∆biannual

Page 72: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Ambulatory M & Ms2016-2017

9.28.16 – Misdiagnosis of Leg Tightness and Gait Disturbancepresented by Brian McGeeney, MD, Euince MacAllister, NP & Julie Crosson, MD

10.19.16 – Gun Violence Prevention: Screening, Interventions, and a Moral Imperative? Case of a 52 YO ManSarah Kimball, MD, Dave Wiley & Julie Crosson, MD

11.16.16 – "To Pap or Not to Pap?” A new 68 yo patient presenting to clinicAmy, Fitzpatrick, MD, John Durfee, MD, Evonne Yang, MSW, MPH & Julie Crosson, MD

Page 73: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Ambulatory M & Ms2016-2017

12.21.16 – Mystery Case of a patient with HIV and Altered Mental Statuspresented by Jessica Taylor, MD & Julie Crosson, MD

1.18.17 – "You Crossed That Line and Now I Have to": Assessing and Managing Conflict with a Psychotic PatientChristine Pace, MD, MSc, Pedro Fernandez, MD, Ricardo Cruz, MD, MPH, Sarah Kirshenbaum, LICSW & Julie Crosson, MD

4.26.17 – “Are you a parent?” The Case of 2 patients: 8 yo B and hermother. Exploring resources for providers to enhance family safety,and skills to maintain the doctor-patient relationshipGenevieve Preer, MD, Renee Boynton Jarrett, MD, Tom Barber, MD,Kimberly Schwartz, MD, Melissa Deane, MSW, Anne McDonald &Julie Crosson, MD

Page 74: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Ambulatory M & Ms2016-2017

5.17.17 – “It was the Most Effective 45 Min of my Week" Collaboration Between Hospitalist, PCP and Palliative Carepresented by Sandhya Rao, MD, Tom Ostrander, MD, Catherine Rich, MD & Julie Crosson, MD

6.21.17 – "Doc, I have blood on the toilet tissue"presented by Jessica Taylor, MD, Robert Lowe, MD, Kevan Hartshorn, MD, & Julie Crosson, MD

Page 75: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Boston University School of Medicine Department of MedicineMedical Grand Rounds by GIM Faculty 2016-2017

Jenny Siegel, MD (discussant)Perspectives on Physician Advocacy: Engaging

in a Time of Change(Jan 20, 2017)

Page 76: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

General Internal Medicine, Family Medicine, Pediatrics Fellowships, Addiction Medicine Fellowship & Preventive Medicine Residency GIM Fellowship Program Leadership

Jane Liebschutz, MD, MPH – Director

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

Jonathan Berz, MD, MSc – Director, PM Residency

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

Page 77: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Thank you, Jane

After 23 years in the Section and 20 years in leadership in the Fellowship Program, we just want to say thank you, Jane, for your leadership of the fellowship!

Page 78: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 79: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty have children enrolled as BU Students (as of this year or next academic year)?

A. 4

B. 5

C. 7

D. 9

Page 80: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many GIM faculty have children enrolled as BU Students (as of this year or next academic year)?

◦Answer: C (7)◦ Michael Paasche-Orlow

◦ Sheila Chapman

◦ Sandra Gordon

◦ Sondra Crosby

◦ Susan Phillips

◦ Amresh Hanchate

◦ Tracy Battaglia

◦ All have children enrolled at BU!

Page 81: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Fellowship Program 2017 GraduatesPhoebe Cushman, MD

◦ Residency: IM, Oregon Health & Science University, Portland, OR◦ Fellowship: Med/Ed, Mt. Auburn Hospital◦ Fellowship Track: IM with focus on Addiction Medicine◦ Current Position: Director, Addiction Service, Umass Worcester

Todd Kerensky, MD◦ Residency: IM, University of Florida College of Medicine, 2013◦ Fellowship Track: Addiction Medicine◦ Current Position: Hospitalist, South Shore Hospital, Medical Director, High Point

Hospital, Brockton, MA

Eun Ji Kim, MD◦ Residency: IM, Hofstra North Shore-Long Island Jewish School of Medicine,

Manhasset, NY◦ Fellowship Track: VA Health Services Research◦ Current Position: Clinician Investigator at Hofstra Northwell School of Medicine

Page 82: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Fellowship Program 2017 GraduatesJessica Murphy, MD

◦ Residency: IM, IM, Hospital of the University of Pennsylvania, Philadelphia, PA, 2015

◦ Fellowship Track: PMR◦ Current Position: Clinician Educator, Rhode Island Hospital, Brown University

Ryan Seibert, MD◦ Residency: IM, Stanford University, 2015◦ Fellowship Track: PMR◦ Current Position: Staff Physician & Director of Health Information, Lahey Clinic

David Washington, MD◦ Residency: IM/Peds, Brown University, Providence, RI, 2015◦ Fellowship Track: IM◦ Current Position: Internal Medicine and Pediatrics Physician, Texas Gulf Coast

Medical System, Bay Area Regional Medical Center, Webster, TX

Page 83: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Fellowship & Preventive Medicine Residency Programs: 1st Year, 2017-2018

Jessica Gray, MD◦ Residency: FM, BMC, 2016

◦ Fellowship Track: Addiction Medicine

Payel Roy, MD◦ Residency: Chief Resident, IM, BMC, 2017

◦ Fellowship Track: Addiction Medicine

Page 84: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Fellowship & Preventive Medicine Residency Programs: 1st Year, 2017-2018

Bradley Buchheit, MD◦ Residency: Chief Resident, FM, BMC, 2017

◦ Fellowship Track: Addiction Medicine-PMR

Simeon Kimmel, MD◦ Residency: IM, Brigham and Women’s Hospital, 2016

◦ Fellowship: ID, BMC, 2017

◦ Fellowship Track: Addiction Medicine-ID

Page 85: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Fellowship & Preventive Medicine Residency Programs: 2nd Year, 2017-2018

Nicholas Cordella, MD◦ Residency: IM, BUSM, 2016

◦ Fellowship Track: PMR

Amanda Lerner, MD◦ Residency: IM, Jersey Shore University Med Center, Neptune, NJ, 2015

◦ Faculty: Hospitalist, Jersey Shore University Medical Center, Neptune, NJ

◦ Fellowship Track: PMR

Page 86: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Unit Directors

Women’s Health Unit (WHU) Director: Tracy Battaglia

Health/Care Disparities Research Unit (HCDRU)Director: Nancy Kressin

Clinical Addiction Research & Education (CARE) UnitDirector: Dan Alford

Hospital Medicine Unit (HMU)Director: Henri Lee

Community Medicine Unit (CMU)Director: Christopher Shanahan

Palliative Care Medicine Unit (PCMU)Director: Sandhya Rao

Page 87: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Women’s Health UnitA National Center of Excellence in Women’s HealthDirector: Tracy Battaglia, MD, MPH

http://sites.bu.edu/coeinwomenshealth/

ClinicalNew Faculty: Brielle Spataro, MD MS

New Initiatives: • Introduced New Contraceptive Services in Clinic• New Nurse Practitioners

Renewed Clinical Care Program:• Avon Breast Health Navigation Program

Education• BMC Podcast on breast density (Fitzpatrick/Gunn)• Breast density curriculum (Casas)• Presentations at Community Health Centers

(Oleng/Fitzpatrick)• October Breast Health Event for community• Connecting Community to Research Toolkit

ResearchOngoing Studies/ Initiatives:

• Project SUPPORT RCT funded by ACS/PCORI• Patient Advisory Board• Community Advisory Board

Renewed Training Programs:• Komen Graduate Training Grant

New Initiatives:• Pending: Leading U01 $8m grant in collaboration with 3

MA CTSAs• BMC Cancer Center: Associate Program Director (Battaglia)

Community EngagementCTSI Community Engagement CoreExecutive member of Boston Breast Cancer Equity Coalition

New Initiatives:• BE CLEAR communication Trainings with researchers &

community members• Connecting Community to Research Trainings• Community Engagement consultants to Precision Medicine

Initiative and Broad/CTEP project

Page 88: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Healthcare Disparities Research Unit Director: Nancy Kressin, PhD

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

Mission: 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.

Topics:

Effects of Health Policy and Health Insurance Reform and on Healthcare Utilization and Health Outcomes Effects of Breast Density Notification and Insurance Coverage Legislation on Physician

Practice, Use of Care and Cancer Outcomes (N. Kressin, T. Battaglia, C. Gunn)

Unintended Consequences: Medicare Performance Programs and Health Disparities (A. Hanchate, M. Paasche-Orlow)

Insurance Instability and Disparities in Chronic Disease Outcomes (N. Kressin, A. Hanchate, K. Freund)

Racial and Ethnic Health Disparities Due to Ambulance Diversion (A. Hanchate, J. Feldman)

Effects of MA Health Reform on Cardiovascular Outcomes (N. Kressin, K. Lasser, A. Hanchate, D. McCormick)

National Estimates for Inpatient Care, Outcomes & Hospital Effect among Hispanics (A. Hanchate, N. Kressin, M. Paasche-Orlow, L. Lopez)

External Determinants of Non-Elderly Veterans’ Demand of VA Health Care (A. Hanchate, N. Kressin)

Improving Processes of Care

Can Screening and Referral for Social Determinants of

Health Reduce Disparities in Health Outcomes? (N.

Kressin, P. B. de la Vega, A. Garg, T. James)

HPV vaccination practices (A. Hanchate, R. Perkins)

Adoption of Non-Invasive Prenatal Testing in Diverse

Populations: A Multilevel Approach (A. Hanchate, C.

Wang, and others)

Health Literacy

Refining Conceptual Models for the Role of Health

Literacy in Health Outcomes (M. Paasche-Orlow, A.

Hanchate)

Improving Breast Cancer Screening Decisions Among

Low Literacy Women (C. Gunn, N. Kressin, T. Battaglia)

Page 89: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Clinical Addiction Research & Education Unit Director: Daniel Alford, 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

www.bumc.bu.edu/careunit

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)

Page 90: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

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: Fleming, Gui, Hudspeth, Hutton, Kurada, Lee, Long, Lou, Meisel, Patch, Ortiz, Ostrander, Rao, Sacolick, Trier, Yuh, Maguire

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

Palliative careTransitions of careUncovered service in ICUNight Float education and Evening Nocturnist ProgramResidency EducationMedical Student EducationMD/RN Liaison, Menino Pavilion

Page 91: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Community Medicine UnitDirector: Christopher Shanahan, MD, MPH, FACP

BMC Community-Based Provider NetworkOversee: BMC Credentialing & PPE of Community-based ProvidersSupport: Relationship between DOM & Community-based Providers & CBOsSupport: BU Academic Appointments of Community-based FacultyProvide: Career counseling (Medical Student, House Officers, Fellows, Attendings)Organize: Annual Community Medicine Grand RoundsOrganize: Annual Kathleen Bennett Memorial Lecture in Community MedicineOrganize: Community Medicine Unit Newsletter

Training Collaborate: Residency Program to promote Primary CareOversee: BMC/GIM Joint Hire Program Sponsor: Master Preceptor Faculty development Program with the Residency Training ProgramSponsor: Medical Student Urgent Care Clinic with BUSM

ResearchCollaborate: CTSI Community Advisory Board Collaborate: CTSI Research NetworkingCollaborate: CTSI CRITCCollaborate: TOPCARE StudyCollaborate: Health Care Disparities Research UnitCollaborate: Mass Healthcare Disparities Repository

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

Page 92: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Palliative Care Medicine UnitDirector: Sandhya Rao, MD

• Established in 2007• Interdisciplinary team: 1 MD, 1 NP, 1 LCSW, .5 admin

(also work closely with Patient Advocacy, Chaplaincy, Ethics, etc)• Consulted for:

• Symptom Management (pain, anxiety, SOB)• Psychosocial support• Helping with Prognosis• Engaging Patient in Goals of Care discussion• Coordinating family meetings• Navigating discharge needs/hospice education

• Metrics May ‘16 – April ’17 (12 mos):• 550 patient consults• 291 ACP/family meetings• % of non English speaking patients: 28.5%• Majority of consults come from MICU, HemOnc & Internal Med

• Looking ahead• Expanding the team• Launch ambulatory service• Develop Palliative Care curriculum• Continuing education

https://www.bmc.org/support-patients/palliative-care

Page 93: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Incentive Plans 2016-2017

Clinical: RVU,FTE, and teaching-based

Research: new awards, indirect costs-based

Page 94: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2016-2017

A

C

A+Continue to remain very productive in terms of scholarly publications, specifically to publish > 150 annual peer reviewed publications by GIM faculty in 2016

Execute on the new strategy established with BMC for the future of the HMU within GIM/DOM

Recruitment of 1-2 Clinician Investigator faculty

177!

Created direct care and teaching tracks

Great effort but no new faculty [yet]

Page 95: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2016-2017

B-

A-

BSeek improvements in the metrics with which to assess the quality of patient care delivery for GIM Primary Care such as patient satisfaction, cancer prevention, diabetes care and timely note completion

Recruitment of 3-5 additional PC-based GIM Clinician Educator faculty

Meet wRVU expectations for GIM faculty

A work in progress…

2 out of 5!

Greater than 90%

Page 96: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2016-2017

A

A

A-Continue to improve GIM faculty’s EPIC EMR skills to take advantage of its functional attributes to provide excellent patient care & mitigate the work of documentation

Begin transition of GIM leadership to the GIM/FM/Gen Peds fellowship program

Continued acquisition of external grant support for GIM research & clinical activities

Yea, Dan! Carry on, Mitch!

Good luck Michael and Marc!

Great work!

Page 97: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2016-2017

B+

B

A-Continue to make palpable and tangible progress to improve the work lives of PC physicians and NPs

Strengthen the academic dimension to the HMU and Primary Care faculty

Active retention of GIM Clinician Educator faculty

Continue to host the foremost GIM Grand Rounds in the county

A

Love those NP Anchors!

Step by step…

Spouses, stay in Boston, please!

So valuable…

Page 98: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2017-2018

Develop educational priorities for GIM faculty, both those with outpatient and inpatient primary interests by performing a needs assessment of clinician educators

Increase the number of GIM faculty who are authors on peer-reviewed or other scholarly publications in 2018 by 5% from 2016

Recruitment of 1-2 Clinician Investigator faculty

Page 99: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2017-2018

Continued acquisition of external grant support for GIM research, clinical and educational activities

Advance ACO transition by functionally including panel management into our primary care practice

Recruitment of additional faculty to the Palliative Care Medicine Unit

Page 100: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2017-2018

Active retention of GIM faculty

Meet RVU expectations for GIM faculty

Recruitment of 3-5 PC-based GIM Clinician Educator faculty

Build the NP (Nurse Practitioner) Anchor program into a high functioning model having major impact on reducing burnout and improving satisfaction of primary care faculty

Page 101: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2017-2018

Continue outstanding GIM Grand Rounds with innovative Ambulatory M&Ms

Develop metrics by which to assess the quality of clinical work performed in the outpatient and inpatient settings

Measure well-being/burnout of existing faculty and staff and begin to develop a strategy to find improvement by quantifiable metrics

Page 102: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Priorities for the Section 2017-2018

Achieve promotions of 6 GIM faculty

Develop a plan to support the advancement of GIM’s PhD faculty

Page 103: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Events

Page 104: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Kathleen Bennett Memorial Lecture in Community MedicineWednesday, October 5th, 2016

Sandro Galea, MD, DrPHDean, BUSPH

Robert A. Knox Professor, BUSPH

SGIM Grand RoundsTrauma as a Foundational Cause of Population Health:

Implications for Providers

Page 105: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Inaugural John Noble, M.D. General Internal Medicine ProfessorshipMonday, November 28th, 2016

We celebrated the installation of the John Noble, M.D. General Internal Medicine Professorship

Dean Karen Antman, DOM Chairman David Coleman, BMC President and CEO Kate Walsh, as well as Associate Dean and Director of Admissions Robert Witzburg and Dr. Noble himself

all gave remarks at the reception.

Inaugural Professor: Jeffrey Samet, MD, MA, MPH

Page 106: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Mark Moskowitz Memorial Visiting ProfessorFriday, May 12th, 2017

Nancy Rigotti, MDAssociate Chief, General Medicine Division

Director, Tobacco Research and Treatment CenterMassachusetts General Hospital

Professor of MedicineHarvard Medical School

SGIM Grand RoundsTreating Tobacco Use Effectively in an Evolving Health Care System

Medical Grand RoundsTreating Tobacco Use Amid Controversy and Change: E-cigarettes and other Clinical Challenges

Page 107: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 108: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many people got promoted this year in GIM?

A. 2

B. 3

C. 5

D. 6

Page 109: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

How many people got promoted this year in GIM?

◦ Answer: D (6)

◦ Dan Alford, Megan Gerber, Rachel Casas, Karsten Lunze, Zoe Weinstein & Monica Bharel were all promoted this year!

Page 110: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

The Exchange Conference Center

Page 111: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

Page 112: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

Page 113: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

Page 114: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

Page 115: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Winter Festival February 2017

Page 116: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Society of General Internal Medicine (SGIM) National Meeting 2017

Washington DC

Page 117: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Society of General Internal Medicine (SGIM) National Meeting 2017

Page 118: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

SGIM National Meeting BUSM GIM Attendees (n=54)

Faculty:Dan AlfordTracy BattagliaJonathan BerzRachel CasasTeresa ChengJulien DedierMelissa DiPetrilloMegan Gerber (VA)Allen Gifford (VA)Amresh Hanchate

Sarah KimballNancy KressinMarc LarochelleKaren LasserKristen LeeJane LiebschutzAmy Linsky (VA)Juhee McDougalRebecca Mishuris

Nicolette Oleng’Jay OrlanderMichael Paasche-OrlowCatherine RichJeffrey SametChristopher ShanahanJenny SiegelAsher TulskyJason Worcester

Fellows:

John Noble Scholars & Residents:

Nicholas CordellaPhoebe Cushman

Eun Ji KimAmanda Lerner

Debora AfezolliMarianne BauerDavis BradfordMax BrockShiyun Chua (scholar)Radha GovindrajLeah Harvey (scholar)

Jawad Husain (student)Jenny Jia (scholar)Songprod Loragunpai (scholar)Amir MeiriKrupa Patel (scholar)Alexandra Pipilas (scholar)Samantha Rawlins-Pilgrim

Jessica Murphy

Meaghan Roche Sarah RoderickPayel Roy Michael Schwartz (scholar)Muna SheikhLily YanKatherine Zeitler (scholar)

Page 119: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

SGIM LEAD and TEACH RecipientsSGIM LEAD Recipients:

2015-2016◦ Henri Lee, MD

◦ Rebecca Mishuris, MD, MPH

2016-2017◦ None

2017-2018◦ You?

SGIM TEACH Recipient:

2015-2016◦ Ambili Ramachandran, MD, MSc

2016-2017◦ None

2017-2018◦ You?

Page 120: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Proud to Be GIM EventOct 13th, 2016

Organized and championed by:◦ Catherine Rich, MD

◦ Shwetha Sequeira, MD, MSc

◦ Ricardo Cruz, MD, MPH

GIM Mentors:◦ Asher Tulsky, MD

◦ Henri Lee, MD

◦ Ambili Ramachandran, MD, MSc

◦ Jenny Siegel, MD

◦ Juhee McDougal, MD

◦ Pete Smith, MD

◦ Dan Simpson, MD

◦ Ricardo Cruz, MD, MPH

◦ Payel Roy, MD (Chief Resident)

◦ Catherine Rich, MD

◦ Shwetha Sequeira, MD, MSc

Page 121: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Proud to Be GIM EventOct 13th, 2016

Page 122: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Tokens of Appreciation Bean Pot, Red Sox tickets

Page 123: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Tokens of Appreciation Bean Pot, Red Sox tickets

Page 124: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM BBQSun, June 11th 2017: 1-5pm

Page 125: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM BBQSun, June 11th 2017: 1-5pm

Page 126: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM BBQSun, June 11th 2017: 1-5pm

Page 127: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Accomplishments

Page 128: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

$16,557,187

$13,182,475

$14,711,352

$10,826,587

$10,396,832

$12,430,870$11,752,283

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

18,000,000

FY11 FY12 FY13 FY14 FY15 FY16 FY17

Current Annual Direct Research and Training Grant Awards*†

*FY12-17 includes BU, BMC & VA funding†FY17 Indirect and Direct: $14,448,229

Page 129: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Fiscal Year Number of Awards Total Support

FY11 36 $19,613,220

FY12 18 $12,596,484

FY13 12 $9,235,028

FY14 12 $10,005,165

FY15 21 $9,586,082

FY16 21 $11,136,656

FY17 22 $14,590,194

New GIM Research Awards*

*Includes Direct and Indirect Costs

Page 130: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Total GIM Research & Training Grant Awards*

$59,089,407

$76,140,520$75,515,309

$58,254,032$63,389,474

$67,982,744

$55,305,842

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

FY11 FY12 FY13 FY14 FY15 FY16 FY17

*Includes Direct and Indirect Costs

*FY12-17 include VA funding

Page 131: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Total Fellowship Training Grant Awards*

$10,268,831

$7,291,806

$10,750,791

$8,704,455

$7,016,135

$7,538,194

$10,371,447

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000

FY11 FY12 FY13 FY14 FY15 FY16 FY17

*Includes Direct and Indirect Costs

Page 132: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New GrantsGIM PIs (FY17)

Battaglia:◦ The AVON Breast Health Initiative at Boston Medical Center; Avon Foundation; $125,000;

7/1/16 – 6/30/17

Berz:◦ Physician Training Award in Cancer Prevention; American Cancer Society; $300,000;

1/1/17 – 6/30/21

LaBelle:◦ HPC Moms Do Care Replication; DPH; $18,000; 12/29/16 – 6/30/17

◦ EOHHS Settlement OBOT; DPH; $22,521; 7/1/16 – 6/30/17

◦ Expansion of Massachusetts’ State OBAT TTA Program; DPH; $668,884; 10/1/16 –9/30/18

◦ Opioid Addiction Treatment ECHO at BMC; GE Foundation; $100,000; 9/30/16 – 9/29/18

◦ Subcontract – Expanding Treatment for Substance Use Disorders Through the ECHO Model; UNM; $63,750; 9/30/16 – 9/29/18

◦ Subcontract- Integrating Addiction Research in Health Systems: The Addiction Research Network; NIH–Group Health Research Institute; $694,778; 7/1/16 – 5/31/19

Page 133: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New GrantsGIM PIs (FY17)

Larochelle:◦ Improving Urine Drug Test Utility to Mitigate Prescription Opioid Risk; NIH-NIDA;

$955,570; 3/1/17 – 2/28/22

Liebschutz:◦ HRSA Primary Care; HRSA; $1,999,998; 7/1/16 – 6/30/21

Mishuris:◦ Subcontract – Integrated Clinical Prediction Rules: Bringing Evidence to Diverse

Primary Care Settings; NIH-NYU; $279,860; 7/1/16 -3/31/19

Paasche-Orlow:◦ Advancing Research in Health Literacy; NIH-NIMHD; $49,900; 9/1/16 – 8/31/17

◦ Promoting the Intersection of Research on Health Literacy and Patient-Centered Care; PCORI; $249,964; 6/1/17 – 5/31/19

◦ Subcontract – Reducing Assessment Barriers for Patients with Low Literacy; NIH-Northwestern; $1,712,154; 3/7/17 – 1/31/22

Page 134: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New GrantsGIM PIs (FY17)

Samet:◦ Clinical Addiction Research and Education (CARE) Program; NIH-NIDA;

$1,658,752; 5/1/17 – 5/30/22

◦ URBAN ARCH (1/5) Administrative Coordinating Core (Admin Core); NIH-NIAAA; $1,340,994; 9/1/16 – 8/31/21

◦ URBAN ARCH (4/5) Russia Cohort Targeting HIV-comorbidities with Pharmacotherapy to Reduce Alcohol and Tobacco Use in HIV-infected Russians; NIH-NIAAA; $3,230,099; 9/1/16 – 8/31/21

◦ Zinc for HIV Disease among Alcohol Users -An RCT in the Russia ARCH Cohort Supplement; NIH-NIAAA; $99,989; 9/15/16 -8/31/17

◦ Improving Physician Opioid Prescribing for Chronic Pain in HIV-Infected Persons Supplement; NIH-NIDA; $228,823; 9/1/16 – 8/31/18

◦ Subcontract – Lifespan/Tufts/Brown Center for AIDS Research (CFAR): Core E Social & Behavioral Sciences; NIH-Miriam Hospital; $98,780; 7/1/16 – 6/30/17

Page 135: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

New GrantsGIM PIs (FY17)

So-Armah:◦ Novel Mechanisms Driving Excess Atherosclerotic Cardiovascular Disease Risk in

the Context of HIV: The Role of Liver Injury; NIH-NHLBI; $620,378; 8/1/16 –7/31/21

Walley:◦ Addiction Medicine Fellowship; ABAM Foundation; $72,000; 12/1/16 –

12/31/17

Hanchate:◦ Adoption of Non-Invasive Prenatal Testing in Diverse Populations: A Multilevel

Approach; NIH NHGRI; $452,479; 9/27/16 – 8/31/18

Page 136: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Pilot Grant Proposal fundedby BU-CTSI

Buitron De la Vega:◦ Improving Patient Outcomes Through Screening and Referral for SDOH (Social

Determinants of Health)

Larochelle:◦ Identifying Touchpoints to Intervene with Individuals with High Risk Opioid Use

Page 137: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

2016 GIM Publications

4658

72

92103

109118

107 110

162

148

177

0

20

40

60

80

100

120

140

160

180

200

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Page 138: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Faculty and Fellow Authors in 2016 (n=43)Alford

Bagley

Battaglia

Berlowitz

Borzecki

Buitron De la Vega

Casas

Chapman, S

Chen

Cheng, D

Cushman

Gerber

Gifford

Gunn

Gwynn

Hanchate

Hudspeth

Hylek

Idrisov

Jackson

Kim

Kressin

LaBelle

Larochelle

Lasser

Liebschutz

Linsky

Lunze

Mishuris

Murabito

Naimi

Orlander

Paasche-Orlow

Quintiliani

Rose

Saitz

Samet

Shanahan

So-Armah

Sokolove

Walley

Weinstein

Witzburg

Page 139: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Journal Editors

Journal of Addiction Medicine – Rich Saitz

Journal of Health Literacy – Michael Paasche-Orlow

Addiction Science & Clinical Practice – Jeffrey Samet

Page 140: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Is It A, B or C? Time for a GIM Quiz!

Page 141: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Which of the following is NOT a role that GIM’s Bob Witzburg has served at BUSM/BMC?

A. Residency Program Director

B. Medical Director of a health maintenance organization

C. Associate Dean

D. PC physician

E. Section Chief

F. None of the above

Page 142: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

◦Answer: F (None of the above)

◦Bob has worn many hats, played many roles and had such a huge impact!

Which of the following is NOT a role that GIM’s Bob Witzburg has served at BUSM/BMC?

Page 143: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Appointments & PromotionsProfessor:

◦ Daniel Alford, MD, MPH

Associate Professor:◦ Asher Tulsky, MD◦ Megan Gerber, MD (VA)◦ Monica Bharel, MD (CMU)

Assistant Professor:◦ Pablo Buitron De la Vega, MD, MSc◦ Rachel Casas, MD, EdM◦ Paul Long, MD◦ Karsten Lunze, MD, MPH◦ Jessica Taylor, MD◦ Zoe Weinstein, MD, MSc

Research Assistant Professor:◦ Souvik Banerjee, PhD

Instructor:◦ Juhee McDougal, MD◦ Madeleine Maguire, NP◦ Junhong Gui, MD, PhD◦ Shivani Patel, NP◦ Antonieta Camara, NP◦ Nadja Chery, NP◦ Aissatou Gueye, NP◦ Becky Lou, MD◦ Yian Xiao, MD◦ Abhinav Vemula, MD◦ Aisling Flanagan-Hickey, NP◦ Hrjove Melinscak, MD◦ Annie Lee, NP◦ Gabriel Wishik-Miller, MD (CMU)

Page 144: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Sam Putnam Award for Training to Enhance Patient-Doctor Communication

Coordinated by Julie Crosson, MD

In memorial of Dr. Sam Putnam, who’s lifetime commitment was to advocate and conduct education and research in physician-patient communication

Supports attendance at the annual National American Academy on Communication in Healthcare meeting

2010 – Matthew Russell, MD, MSc (Geriatrics)

2011 – Catherine Rich, MD

2012 – Marshall Fleurant, MD, MPH

2013 – Jenny Siegel, MD

2014 – Sandhya Rao, MD

2015 – Melissa Dipetrillo, MD

2016 – Elizabeth Hutton, MD

2017 – Pablo Buitron De la Vega, MD

Past recipients:

Page 145: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

AwardsAmy Fitzpatrick, MD

◦ 2016 Department of Medicine’s Outstanding Citizenship Award

Teresa Cheng, MD, MSc

◦ 2016 Robert Dawson Evans Special Recognition Teaching Award

◦ SGIM New England Regional Award for Excellence as a Clinician-Educator in General Internal Medicine

Tracy Battaglia, MD, MPH & Rebecca Mishuris, MD, MPH

◦ 2016 Clinical Quality Improvement Team Award

Page 146: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

AwardsDan Alford, MD, MPH

◦ 2016 ACP National Behavioral Health Award from the American College of Physicians

Adam Rose, MD, MSc

◦ Presidential Early Career Award for Scientists and Engineers

Sondra Crosby, MD

◦ 2017 Community Clinician of the Year for Suffolk District, Suffolk District Medical Society’s Community Clinician of the Year

Page 147: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

AwardsColleen LaBelle, CARN

◦ 2017 Advocate State Award for Excellence by the American Association of Nurse Practitioners (AANP)

Alex Walley, MD, MSc

◦ 2017 W. Anderson Spickard Jr. Excellence in Mentorship Award, AMERSA

Jeffrey Samet, MD, MA, MPH

◦ 2017 SGIM National Quality and Practice Innovation Award (with CARE Unit)

Page 148: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

AwardsPeter Smith, MD

◦ 2017 Witzburg Award for Outstanding Ambulatory Medical Education

Daniel Simpson, MD (SECHC)

◦ 2017 Community-based Educator of the Year Award

GIM Ambulatory Nursing Leadership Team

◦ 2017 BMC Be Exceptional Award (Team Winner)

Page 149: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

DOM Faculty Development Awards

Nicolette Oleng’, MD

◦ Harvard Macy Institute Program for Educators in Health Professions

Sarah Kimball, MD

◦ Update Course in Clinical Tropical Medicine and Travelers' Health

Page 150: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

DOM Faculty Development Awards

Christine Gunn, PhD

◦ Society for Medical Decision-Making Core Course: Introduction to Shared Decision Making and Decision Aids

Juhee McDougal, MD

◦ Treating Obesity 2017 workshop

Page 151: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Early Career/Academy for Faculty Advancement Recipients

AY17

Christine Gunn, PhD Shwetha Sequeira, MD, MSc

AY18

Aisstou (Aysha) Gueye, NP Juhee McDougal, MD

Yian Xiao, MD, MBA

Page 152: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Mid-Career Leadership Program Participants

AY17

Jane Liebschutz, MD, MPH

AY18

Julien Dedier, MD, MPH

Christopher Shanahan, MD, MPH

Page 153: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Minority Faculty Leadership & Career Development Program 2016-2017

Ricardo Cruz, MD, MPH

Terrell Johnson, MD

Pablo Buitron De la Vega, MD

Page 154: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

DOM Women’s Leadership Program

AY17

Tracy Battaglia, MD, MPH

Joanna D’Afflitti, MD, MPH

Joanne Murabito, MD, ScM

Lisa Quintiliani, PhD

Catherine Rich, MD

Jenny Siegel, MD

AY18

Sarah Bagley, MD, MSc

Page 155: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Academic Coaches

Lisa Quinitiliani, PhD

o Clinician Educators

Karen Lasser, MD, MPH

o PC leadership

Elaine Hylek, MD, MPH

o HMU faculty

Page 156: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Evans Educators2016-2017

Rachel Casas, MD

Teresa Cheng, MD, MSc

Julie Crosson, MD

Page 157: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

GIM Evans Educators2016-2017

Ricardo Cruz, MD, MPH

Julien Dedier, MD, MPH

James Hudspeth, MD

Page 158: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

General RecognitionsJudges, Moderators and Participants in the ProudToBeGIMMentoring at Regional SGIM 2017

oAdam RoseoMarc LarochelleoAmy Linskyo Sarah Kimballo Kristen LeeoChris ShanahanoNicolette Oleng’o Jonathan BerzoAsher TulskyoRicardo Cruzo Teresa Chengo Jane Liebschutzo Sheila Chapman

Page 159: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

General Recognitions

Rich Saitz, MD, MPH◦ JAMA Associate Editor

Joanne Murabito, MD, ScM◦ Co-PI of the Framingham Heart Study

Colleen LaBelle, CARN◦ Board member of the Board of Registration in Nursing

Page 160: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

General Recognitions

Amresh Hanchate, PhD◦ Joined Health Services Organization and Delivery

Study Section, Center for Scientific Review, NIH

Tim Naimi, MD, MPH◦ Appointed to serve on the NAS (formerly IOM)

Committee report on Accelerating Progress to Reduce Alcohol-Impaired Driving Fatalities

Page 161: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Welcomed AdditionsRebecca Mishuris and Gary – Jacob Leo

Christine Phillips and Mike – Lauren Hannah

Dan Chen and Tracy – Hannah

Tom Ostrander and Manlee – Arianne

Henry Trier and Katherine – Dylan

Christine Gunn and Geoff – Mason Phoenix

Sarah Brunt and Ben – Madeleine Marjorie

Ellen Ginman and Alex – Taylor

Julia Keosaian and Dave – Charlie

Ali Yurkovic and Peter – Samuel John (Sam)

Cherisse Carlo and Chris – Rory

Page 162: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

NuptialsSouvik Banerjee to Ananya

Page 163: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Section of General Internal MedicineMost Valuable Player Award

And in 2017, the Most Valuable Player Award goes to……

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

2013 – Tracy Battaglia, MD, MPH

2014 – Henri Lee, MD

2015 – Colleen LaBelle, CARN

2016 – Alex Walley, MD, MSc

Page 164: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

MVP

Janice Quan, MD

Section of General Internal MedicineMost Valuable Player Award

Page 165: State of the Section – 2011 General Internal Medicine · Core Administrative Staff Debra Paarz –Administrator Kathleen Blackett –Data Analyst Sarah Brunt –Faculty Support

Thanks to Sarah Brunt, Debra Paarz and the many others that

contributed in the preparation of this State of the Section