GRADUATE MEDICAL EDUCATION Review

Graduation/Summer 2015

ResidencyADVANCING KNOWLEDGE. TRANSFORMING LIVES.

1115 W. Call St. | Tallahassee, FL 32306

Procedural Dermatology fellow graduation

Dean John Fogarty, M.D., Senior Associate Dean Alma Littles, M.D., Fellow Jeremy Sunseri, M.D., Associate Dean Joan Meek, M.D., and As-sistant Dean Chris Mulrooney, Ph.D., enjoyed attending this quaint graduation recognition.

Dr. Sunseri (a bull rider from Utah) received a sombrero from office staff with the insignia Dermatology Associates all over it.

AT DERMATOLOGY ASSOCIATES OF TALLAHASSEE

Fellowship Program Director Dr. Armand Cognetta presented Dr. Sunseri with his graduation certificate as Dr. McKinney looked on.

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Congratulations to our Pediatric Resident Graduates: back row - Drs. Nesrin Y. Engin, Mary Lopez, Sarah Varghese and Fatima Neemuchwala; front row - Drs. Stephanie Gorman, Talal Seddik, Snehal Vala and Tricia Pinto.

Our 2015 pediatric resident graduates

Obstetrics & Gynecology graduation day

Program Director Dr. Julie Z. DeCesare presented graduation certificates to Drs. Cecily Collins, Jessica Jackson and Natasha Spencer. Congratulations to our OB-GYN resident graduates.

FSU’s first Family Medicine residency graduate

Dr. Kristin Miller received her residency diploma from Dr. Gary Goforth, program director, during our inaugural Family Medi-cine Graduation Ceremony held at the Fort Myers Country Club Edison Restaurant.

AT SACRED HEART HEALTH SYSTEM, PENSACOLA

AT SACRED HEART HEALTH SYSTEM, PENSACOLA

AT LEE MEMORIAL HEALTH SYSTEM

I enjoyed the experience of attending this conference; New Innovations Inc. is a medical education management suite that specializes in integrated software solutions for medical education programs at schools, hospitals and private practices across the world. The staff was professional and friendly, and the knowledge gained at the conference will assist in my future coordinator responsibilities. I would recommend coordinators take time to attend the next session, as I feel I’ve been given the right amount of training to assist the directors and future residents / fellows. - Faith Stoutamire

Page 3Coordinator’s Corner

Congratulations to Dr. Joan Meek on winning the 2015 Clerkship Director of the Year award from the students at the Orlando campus. The award was presented by stu-dents during their graduation dinner held in May. This was a well-deserved recognition for Dr. Meek’s outstanding teaching and mentoring of medical students. We are also extremely pleased to have her as part of GME.

COLLEGE OF MEDICINE ORLANDO REGIONAL CAMPUS EVENT

Faith Stoutamire, Dermatology; Julie Floyd, Obstetrics & Gynecology; Danika Talbert,

Pediatrics; and Lilly Lewis, General Surgery

Several of our coordinators attended the New Innovations Conference held in Cleveland, Ohio, this spring.

Internal medicine graduation AT TALLAHASSEE MEMORIAL HEALTHCARE

Program Director Dr. Greg Todd presented each Internal Medi-cine Residency Graduate with their certificate of completion. 1. Dr. Prena Satyanarayana; 2. Dr. Jeremy Latimer; 3. Dr. Shahid

Ahamid; 4. Dr. Kenneth Winnard; 5. Dr. Neelima Ravi; 6. Dr. Vinay Wayal; and 7. Dr. Chris Rosadzinski.

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Page 4A Message from the DIO

Dr. Joan Younger Meek

Dr. Wilhelmine Wiese-Rometsch

This issue of Residency Review recognizes the accomplishments of the College of Medicine GME

sponsored residency programs and the newest graduates of those programs. Congratulations to each of these new Seminole alumni on the successful completion of their residency or fel-lowship training with the College of Medicine. We wish them the best as they begin the next phase of their ca-reers. Connie Donohoe, our GME pro-gram manager, redesigned our residen-cy certificates and covers for this year’s graduates. The senior leadership of the College of Medicine and our GME of-fice participated in the meaningful cel-ebrations held by the clinical partner institutions to honor the new gradu-ates and to recognize faculty who have shown distinguished service. Sarasota Memorial Hospital has partnered with the Florida State University College of Medicine to de-velop a residency program in internal medicine. The affiliation agreement was signed this past March, and Dr. Wilhelmine Wiese-Rometsch was re-cruited as the inaugural program direc-tor. Dr. Wiese-Rometsch completed

internal medicine residency at East Carolina Univer-sity. She was lat-er named as the program director at Wayne State University from 2001-2008. She is currently an associate profes-

sor of internal medicine at the Wayne State University School of Medicine. She also serves as the corporate vice president of academic affairs and Des-ignated Institutional Official at Detroit

Medical Center. Dr. Wiese-Rometsch will join the College of Medicine on Sept. 21. The general surgery program at Tallahassee Memorial HealthCare received notification of initial accredi-tation in June. Dr. Wade Douglas, program director, and Lilly Lewis, pro-gram coordinator, worked diligently to achieve this outcome. The program will begin recruitment for their first group of residents this academic year. The dermatology residency at Derma-tology Associates of Tallahassee had their initial accreditation site visit in June, and we await notice regarding the status of the program. Dr. George Co-hen, program director, and Faith Stou-tamire, program coordinator, are also to be commended for their efforts in developing the program and preparing for the site visit. The procedural der-matology program also received notifi-cation of approval from the Dermatol-ogy Review Committee of the ACGME to increase the complement of fellows from one to two per year. Dr. Armand Cognetta, procedural dermatology pro-gram director, was this year’s recipient of the Outstanding Physician Award presented by the Capital Medical So-ciety. This award honors physicians who have demonstrated distinguished leadership in organized medicine, com-munity volunteerism, political and gov-ernmental activities, clinical excellence, and educational activities, particularly with medical students. In Pensacola, the pediatric program received notification that all previous program citations have been removed. Julie Floyd, obstetrics and gynecology program coordina-tor, achieved certification through the National Board for Certification of Training Administrators of Graduate Medical Education and is entitled to recognize this achievement by using “C-TAGME” after her name. The cer-tification process involves both knowl-edge of the coordinator role and their particular specialty, as well as applica-tion of that information and perfor-mance in the role. Julie has made an in-vestment in her career by achieving this

certification, and she continues to show tremendous dedication to her program. Three individuals in the GME family were selected for induction into the Alpha Omega Alpha Honor Medi-cal Society: Dr. Snehal Vala, resident in the pediatric program; Dr. Jeremy Sun-seri, fellow in procedural dermatology; and Dr. Julie Z. DeCesare, program director in obstetrics and gynecology. Congratulations to these individuals on this well-deserved recognition of schol-arship, leadership, service and excel-lence.

Annual Health FairThe FSU Pediatric Residency Program and Sacred Heart Children's Hospital participated in the Annual Health Fair for Families on April 23, at  McMil-lian pre-K school  in Escambia Coun-ty.   This year had  almost 200 partici-pants (almost four times  the number from last year).   Multiple booths pro-vided information about vaccinations, healthy eating, water safety, as well as pediatric services such as speech and physical therapy. Dr. Peter Jennings, residency director, along with his son Tommy had  teddy bears for adoption, assuring that each bear found a loving home!  Dr. Jennings' wife, Shawn (Pre-K nurse), ensured that each teddy had its appropriate vaccination prior to go-ing home.  Dr. Jennings and his son are pictured below.

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OB-GYN District -Project Award Recipients

PEDS Posters Selected

The American College of Obstetricians and Gynecologists (ACOG) awarded District XII with the national ACOG Council of District Chairs Service Recog-nition Award for the district project advocating for increased HPV vaccination awareness.  Dr. Julie DeCesare chairs the committee, Healthcare for Underserved Women, that developed the project to increase statewide awareness among ACOG fellows on the low rates of vaccination in the state of Florida.   FSU OB-GYN residents Dr. Jessica Jackson, PGY-4 and Dr. Lindsay McAlpin, PGY-2, and FSU medical students Blakele Bakker,  Geami Britt, and Ryan Brosch assisted in this project.  The group developed and distributed tools, including slide presentations, posters, and pamphlets, to educate the fellows about the need for HPV immuniza-tion, since Florida ranks 49th out of 50 states in immunization coverage.

nDuray A, Burns J “Attitudes, behav-iors and environmental predictors for mothers ever having breast fed their infants: a questionnaire study in a Med-icaid clinic population.”nFonseca A, Burns J. “Does bullying correlate to depression in children/ado-lescents?”nNeemuchwala F, Vala S, Chidekel A, Burns J, Elidemir, O. “Decreased lung function in patients with cystic fibrosis related diabetes.”nPinto T, Amin R, Burns J, Kummer M. “Impact of implementation of a multidisciplinary diabetes program on reducing poorly controlled diabetes.”nVala S, Neemuchwala F, DellaVol-pe A, Burns J, Elidemir O. “Effect of knowledge on compliance in patients with cystic fibrosis.”

The pediatric residents and faculty pre-sented five abstracts at the Pediatric Academic Societies annual meeting in San Diego. Another 11 abstracts were presented at the Southern Regional Conference, with four of those being platform presentations.  Congratula-tions to all of the residents, their fac-ulty mentors, and especially to Dr. Jim Burns and Dr. Raid Amin for support-ing the residents in these projects.

Congraluations to Dr. Kristin Miller on the birth of Ce-cily on Feb. 28, at 8:10 p.m. Cecily weighed 6 pounds, 11 ounces.

Family Med Member

Dr. Vishal Dahya, PGY-2 resident, presented new  data on the use of a quantitative CT measure of severe muscle wast-ing as a predictor of length of stay in elderly patients under-going transcatheter aortic valve replacement at the Society for Cardiac Angiography and Interventions meeting in San Diego recently.  This work involved collaboration between

Internal Medicine Resident Presents New Data

FSU departments  (undergraduate and postgraduate  medicine, biostatis-tics,  and  biomedical science departments)   and clinician investigators at Tallahassee Memorial HealthCare. Dr. Wayne Batchelor, FSCAI, FACC, has mentored Dr. Dayha in this work.

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2015 Research Night held at Sacred Heart HospitalPediatric Resident Dr. Fatima Neemuchwala won best overall resident research project: “Phenotype Correlation of Differ-ent Genotypes in Patients with Cystic Fibrosis”; Dr. Lakeema Bruce won for the best OB-GYN resident research project: “The Accuracy of Frozen Section Pathology in the Staging of Endometrial Cancer: A Retrospective Study.” Special thanks to the following who served as judges: John P. Fogarty, M.D., Dean, College of Medicine; Mary Geary, RN, Ph.D., Vice President, Quality & Safety, SHHS; Anthony Okafor, Ph.D., Assistant Professor of Statistics, U. of W FL; and Douglas Ross, M.D., Senior Vice President, Clinical Integration, SHHS.

(left) Program Director Dr. Jennings and Dr. Fatima Neemuchwala, PGY-4, who won best pediatric research proj-ect, and best overall.

(below left) Dr. Lakeema Bruce received the award for best OB-GYN project.

(below right) Dr. Bruce explains her research work to Dr. James Burns, pediatric faculty

OBSTETRIC & GYNECOLOGY AND PEDIATRIC RESIDENCIES AT SACRED HEART HEALT SYSTEM (SHHS), PENSACOLA, MAY 2015

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OB-GYN presents at CREOG-APGO

Dr. Joe Peterson, Associate Program Dir., Dr. Julie DeCesare, Program Dir., Dr. Jessica Jackson, PGY-4, Dr. Lindsey McAlpin, PGY-3, Mrs. Julie Floyd, Coor-dinator, Dr. Cecily Collins, PGY-4, Dr. Suzanne Bush, faculty, and Dr. Brett Tidwell, PGY-3.

Congratulations to both faculty and staff in the OB-GYN Program on the scholarly activity that follows, with special kudos to Julie Floyd, our program coordinator, for giving an oral presentation.  We appreciate all of these folks representing the FSU College of Medicine so well.  FSU medical students participated in some of the scholarly work presented at the Council on Resident Education in Obstetrics and Gynecology - As-sociation of Professors of Gynecology and Obstetrics (CREOG-APGO) 2015 Meeting in March in San Antonio. nCollins C, Buchanan A, Amin R, DeCesare, J. “Re-energizing Conti-nuity: Impact of Centering Pregnancy on Continuity of Care in a Resi-dent Clinic.” Poster presentation.nDeCesare J and Davis, J. “Power up your PEC (Program Evaluation Committee) Suggestions for best practice and implementation.” Oral presentation.nMcAlpin L, Hannah D, Mook-Sing L and DeCesare J. “IPass Care to You; Milestone-Based Evaluation of Resident Performance of IPass Stan-dardized Handoffs.” Poster presentation.   nJackson J, Williams B, DeCesare J. “Instituting a Quantitative Blood Loss System in an OB-GYN Residency Program.” Poster presentation.           nBush S, Peterson J, and DeCesare J. “Tinker Team-Based Challenge for Residency Interviews.” Oral presentation.nFloyd J, Forster V, Mitchell A, Weisenbach R. “Milestones: What We Learned and What We Still Need to Learn.” Oral presentation.

Dr. Gary Goforth (front left), fam-ily medicine program director, at-tended the press conference held at the State Capitol on March 17, to address the Florida Physician Work-force Analysis, co-sponsored by the Teaching Hospital Council of Flori-da and the Safety Net Hospital Alli-ance of Florida, in cooperation with IHS Global.  Dr. Goforth discussed physician shortages in Florida and the need for more GME programs to address the workforce needs, with Southwest Florida having critical needs.  He was quoted in the  Fort Myers News-Press and the Talla-hassee Democrat.  FSU College of Medicine graduate Dr. Katie Alon-so, now a chief resident in internal medicine at Orlando Health, spoke at the press conference.  The Talla-hassee Democrat quoted Dr. Dean Watson, CMO at TMH, comment-ing on the increasing difficulty in re-cruiting physicians in some special-ties.  Dr. Alma Littles attended the event and captured this image.

State Capitol Press Conference

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I was in my cozy apart-ment one night in De-troit after a long day at work. I decid-ed to call my good friend Sherry Farag, who is a sec-

A shrieking, r e p e t i t i v e , h igh-pitched beeping startles me from my u n c o n s c i o u s state. I roll over and look at the clock. “5:00 a.m.” it says. I

ond-year resident at the Family Medi-cine Residency program in Fort Myers. “Oh, how I wish I was a part of your program,” I said. Little did I know, but my wish was soon to come true! I was raised in Clearwater and spent all my life there before moving away for medi-cal school. Medical school took me away from the Sunshine State, and I had little hope of returning until after all my training was over. It was a great learn-ing experience for me to be away. My first winter coat, my first snow boots, my first white Christmas, my first bliz-zard (which is apparently not just an ice cream concoction at Dairy Queen), etc. Those were brand-new experiences that this Floridian wouldn’t have been through had I not moved away. Though I was happy in my old program, I was ecstatic when Sherry told me there was an open position I could apply for. Within days of apply-ing, I was talking to the program direc-tor, Dr. Gary Goforth, about coming down to Fort Myers for a visit. It all happened very quickly and I made the transfer by the beginning of February. In no time, the entire city of Fort Myers has turned into what I now call home. During my first month, I moved into my new beautiful apartment near the beach, attended many orientations at the Lee Memorial Health System, and made so many great friends. Fort My-ers reminds me of what Clearwater was

quickly get up, make a cup of coffee, eat breakfast, shower, and head out the door. Around 6:20 a.m. I arrive at the hospital to find out what new has hap-pened overnight. I gather the informa-tion, morning laboratory studies, and the plans for each patient that day. I then head off to the wards to see my patients. As a family medicine resident on the in-patient hospital service, this is the most meaningful time of my day. The morn-ing is when I get the most interaction with my patients, get to know them, find out what is affecting their health, and determine how I can improve their quality of life. In family medicine, our goal is to not only learn to apply the science of medicine but also focus on establishing long-term relationships with our patients, hence my enjoy-ment from the time I spend at my pa-tients’ bedsides as well as in the clinic. I am a first-year resident in the

Family Medicine residents write for Lee County Medical Society Bulletin

-Spring 2015

like when I was growing up. I love the outdoors and the feel of this city and can see myself settling here for the long run. As for the FSU program, I couldn't have chosen a better place to train. Everyone who's a part of the resi-dency is a great example of what a car-ing family physician should be. They're all kind-hearted people who care so much about the well-being of our com-munity. I love how they prioritize edu-cation and create a great learning envi-ronment for our young doctors to grow. I am confident that I will become the best physician I can be and fulfill my potential after my training here. I'm very excited to be here and want to per-sonally thank Lee County for the warm welcome home. Your people are just as warm as the forecast!

Dr. Olevia Metry

Dr. Lee Coghill

FSU / Lee Memorial Hospital (LMH) Family Medicine Residency. Other than in the community of physicians, a “residency” is not something other health care workers, patients, and the general population are familiar with. I did not even realize what residency was until I started applying to medi-cal school. Residency is ultimately a physician’s next step, after graduating from medical school, in a lifelong path of learning their medical specialty. My unique path in medicine started here in Fort Myers as a volunteer at LMH in high school. After graduating from Fort Myers Senior High, I proceeded through four years of undergraduate, and four years of medical school before coming to this point, my first year in residency, where I am now training in my specialty of choice: family medicine. Because I am from Fort Myers, another great joy is being back in the town where I was raised and now being able to contribute to the community that I love and where I plan to settle after I complete my specialty train-ing. Since I have been away from my hometown, much has changed, and our community has grown. A residency program is also a brand new concept to the community. In fact, the FSU / LMH Family Residency is in its second year, with new faces. One of the biggest goals for the new residents and faculty at the program, is to establish an out-standing and renowned program that will better the local community and provide healthcare to those in need. As a family medicine resident, month to month I rotate through dif-ferent specialties, from pediatrics to geriatrics, from OB to sports medicine, and on the general hospital service, as mentioned earlier. I treat all spec-tra of medical ailments while striving to gain additional experience so that I can continue to improve the qual-ity of life here in Southwest Florida.

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Mission Trip to Honduras

Recently, Dr. Gary Goforth (third from left, front row), Founding Program Director of the FSU College of Medicine Family Medicine Residency Pro-gram at Lee Memorial Health System in Fort Myers, led a team of 24 to Olanchito, Honduras. For more than a week, the team conducted primary care clinics in 12 villages near Olanchito and saw 1,872 patients, fitted 223 patients for glasses using a new eyeglass program for non-ophthalmologist team members, injected 111 knees and shoulders of patients with severe arthritis, and worked closely with the Village Health Worker program insti-tuted seven years ago. The team included three P.A. students and one medi-cal student. These students reported to Dr. Goforth that they found this to be a life-changing experience and hope to return in the future.

Dr. Armand Cognetta is the recipi-ent of the 2015 Outstanding Physi-cian Award presented by the Capital Medical Society (CMS).  This award honors   physicians who have dem-onstrated distinguished leadership in organized medicine, community volunteerism, political and govern-mental activities, clinical excellence, and educational activities, particu-larly with medical students.  Recent recipients of this award were Dr. Alma Littles in 2014 and Dr. Dean Watson in 2013.  Dr. Cognetta’s many contributions to the greater Tallahassee medical community and dedication to patient care, clinical teaching, and mentoring of trainees were highlighted at the CMS Cel-ebration Awards Dinner on March 26.  Dr. Cognetta (right) is shown above receiving the award from Dr. Joshua Somerset, CMS president (left), after being recognized by Dr. Charles Williams (middle).  Con-gratulations to Dr. Cognetta!  We are proud to have you as part of our GME community.

Outstanding Physician Award for 2015

Mother-Daughter Wellness DayThe OB-GYN residents and faculty, along with the Sacred Heart associates, educated over 100 mothers and daughters on HPV awareness and impor-tant topics regarding preventative care and Sexual Health Information for Tweens and Teens! (Dr. McAlpin is the presenter pictured.) 

Residents involved in this outreach:

Dr. McAlpinDr. Williams

Dr. Jackson Dr. Phillips

Dr. DeCesare Dr. Manek

Dr. Tidwell

The APGO LEAP Virtual School is designed to give community-based OB-GYN educators on-demand faculty development to enhance their teaching effec-tiveness and engage them in the community of medi-cal educators.  The LEAP curriculum is also suitable for medical educators in traditional academic settings. The first three modules are available: · Teaching in the Ambulatory Setting · Teaching in the Operating Room (authored by Dr. DeCesare) · Providing Educational Feedback (authored by Dr. Bush)

Virtual School Launched

Suggestions? Contact the *Editor

Joan Meek, M.D. | Associate Dean / Designated Institutional Official | joan.meek@med.fsu.edu | 407.835.4103

GME Office Staff

Meek Mulrooney Donohoe Graham

Chris Mulrooney, Ph.D. | Assistant Dean | chris.mulrooney@med.fsu.edu | 850.645.9646

Connie Donohoe, MPH | Program Mgr. (*Residency Review editor) | connie.donohoe@med.fsu.edu | 850.645.6867

Jessee Graham | Program Associate | jessee.graham@med.fsu.edu | 850.645.9977

Dr. Olevia Metry did an excellent job representing our residency pro-gram and serving as an advocate for family medicine (and GME fund-ing) on Capitol Hill in Washington, D.C., recently. Dr. Metry joined a great delegation from the Florida Academy of Family Physicians.

A Visit to Capitol Hill

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PEDS Patient QuotesnGreat guy, wonderful doctor!nYou can see the love he has for the children on his face.nWTG Dr. Jennings! (pictured below)

nThe residents that cared for my daughter LISTENED to me. They actually took in everything I was suggesting and they planned her care around that. I was so HAPPY to be here. Dr. Whittingham is my absolute favorite physician I have come in contact with. She is so intelligent and so passionate with these children.

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