state of the section: 2016 general internal medicine · state of the section: 2016 general internal...

State of the Section: 2016General Internal Medicine

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

Boston University School of MedicineBoston Medical Center

OverviewSection of General Internal Medicine

People

Programs

Events

Accomplishments

People

AdministrationDebra Paarz – AdministratorKathleen Blackett – Grants ManagerSarah Brunt – Faculty Support CoordinatorDeana Barakat – NEW Admin AssistantVeronica Forde – Program ManagerApril Leon – Grants ManagerLisa Morin – Executive AssistantJenay Nasif – Admin AssistantLinda Neville – GIM Fellowship Coordinator

New Faculty 2015‐2016

2 PC Clin Educators

2 Hospitalists

2 Investigators

3 PC Nurse Practitioners

New Faculty 2015‐2016PC Clin Educators

Kristen Lee, MD ◦ Medical School: University of California, San Diego, 2012◦ Residency, Primary Care Track: Emory University, School of Medicine, Atlanta, GA, 2012‐2014

◦ Residency, Categorical Track: Tufts Medical Center, 2015

Asher Tulsky, MD ◦ Medical School: Chicago Medical School, 1985◦ Residency: Michael Reese Hospital and Medical Center, Chicago, IL, 1988

◦ Fellowship: IM, University of Rochester (NY), 1996◦ Faculty: University of Pittsburgh, 1998‐2015

New Faculty 2015‐2016Hospitalists

Henry Trier, MD◦ Medical School: Case Western Reserve University School of Medicine, Cleveland, OH, 2011

◦ Residency: University of Pittsburgh, 2014◦ Clinician Educator Hospitalist track

Evan Sacolick, MD◦ Medical School: St. Louis University, School of Medicine, St. Louis, MO, 2012

◦ Residency: BUSM, 2015◦ Direct Care Hospitalist track

New Faculty 2015‐2016Hospitalist

Satya Kurada, MD◦ Medical School: Armed Forces Medical College, Pune, India, 2006

◦ Residency: Rochester General Hospital, Rochester, NY, 2012◦ Direct Care Hospitalist track ‐ Nocturnist

New Faculty 2015‐2016Investigators

Sarah Bagley, MD, MSc◦ Medical School: Georgetown University School of Medicine, Washington, DC, 2008

◦ Residency: (Med/Peds) Warren Alpert School of Medicine, Providence, RI, 2012

◦ Fellowship: BUSM, 2015

Christine Gunn, PhD◦ Graduate School: BUSPH, 2015◦ Discipline: Health Services Research

New Faculty 2015‐2016PC Nurse Practitioners

Michele McMurray, FNP (start date: 1/1/2016)◦ School: Walden University School of Nursing, 2014

Shivani Patel, FNP (start date: 3/15/2016)◦ School: Simmons College, 2014

Nadja Chery, NP (start date: 5/1/2016)◦ School: Regis College, 2009

Faculty Recruits 2016‐2017

5 PC Clin Educators

4 Hospitalists

4 PC Nurse Practitioners

1 Hospitalist Nurse Practitioner

Faculty Recruits 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


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


Zoe Weinstein, MD, MSc ◦ Medical School: University of California San Francisco School of Medicine, 2011

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

Faculty Recruits 2016‐2017Hospitalists

Junhong Gui, MD, M.Med, PhD◦ Medical School: Tongji Medical School, HuazhongUniversity of Science and Technology, Wuhan, China, 2002

◦ M.Med Doctorate: Tongji Medical School, HuazhongUniversity 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◦ Clinician Educator Hospitalist track

Faculty Recruits 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

New Faculty 2016‐2017Hospitalist

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

Faculty Recruits 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

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

Faculty Recruits 2016‐2017Hospitalist Nurse Practitioner

Madeleine Maguire, NP ◦ School: University of Massachusetts Medical School, Worcester, MA, 2014

Departing Faculty

HospitalistsPC Clin Educatorso Nyra Khetarpal, MDo Alexa Diranian, PA‐C

o Jennifer Gutierrez McCarty, MDo Devin Mann, MD, MS

Nurse Practitionerso Sue Morrissey, NPo Julia Matthews, NP, MPH

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

How many of the current GIM faculty have ever attended the national SGIM meeting?

◦Answer: C ‐ 65!◦ Alford◦ Battaglia◦ Berz◦ Buitron de la Vega◦ Casas◦ Chapman, S◦ Chen◦ Cheng, D◦ Cheng, T◦ Cottrell◦ Crosson◦ Cruz◦ Davidson, H (VA)◦ Dedier◦ DiPetrillo◦ Fitzpatrick

◦ Friedman◦ Gerber (VA)◦ Gifford (VA)◦ Gunn◦ Hanchate◦ Hershman◦ Hylek◦ Jackson◦ Joshi◦ Kim, E◦ Kim, T◦ Kimball◦ Kressin◦ Larochelle◦ Lasser◦ Liebschutz

◦ Linsky (VA)◦ Long◦ Lunze◦ McDougal◦ Medow◦ Mishuris◦ Murphy◦ Nasseh◦ Noronha◦ Oleng’◦ Orlander (VA)◦ Paasche‐Orlow◦ Pace◦ Phillips, C◦ Ramachandran◦ Rich

◦ Rose◦ Saitz◦ Samet◦ Seibert◦ Sequeira◦ Shanahan◦ Siegel◦ Simon, S (VA)◦ Smith◦ Sokolove◦ Tulsky◦ Walley◦ Washington◦ Weinstein◦ Witzburg◦ Worcester◦ Wu

2015‐2016Vice‐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

2015‐2016BUSM 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

2015‐2016Section 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

2015‐2016GIM Primary Care Leadership

Jason Worcester, MD◦ Acting Primary Care Director

Joanna D’Afflitti, MD, MPH◦ Primary Care Associate Director

Christine Pace, MD, MSc◦ Primary Care Associate Director

2015‐2016GIM Primary Care Leadership

Charlotte Wu, MD◦ Primary Care Director (on leave)

Ellen Ginman◦ Primary Care Administrative Director

2015‐2016Primary Care Priority Area Leads

Patient and Care Team Experience Clinician Lead◦ Sheila Chapman, MD

Population Health Management Clinician Lead◦ Shwetha Sequeira, MD, MSc

Integrated Behavioral Health Clinician Lead◦ Christine Pace, MD, MSc

Complex Patient/High Risk Care Management Clinician Lead◦ Julia Matthews, NP, MS, MPH

Nurse Practitioners (NPs)Shapiro 5

◦ Nadja Chery, NP

◦ Gertha Dabady, NP

◦ Cleo Ferrao, NP

◦ Eunice MacAllister, NP

◦ Julia Matthews, NP

◦ Shivani Patel, NP

Shapiro 6

◦ Melissa Jacobs, NP

◦ Michele McMurray, NP

◦ Moree Meehan, NP

◦ Sue Morrissey, NP

◦ Xiuhuan Yan, NP

HMU Leadership

Henri Lee, MD◦ Hospital Medicine Unit Director

Sandhya Rao, MD◦ Palliative Care Service Director

New HMU Leadership Roles

James Hudspeth, MD◦ Medical Director of the General Medicine Teaching Service

Tom Ostrander, MD◦ Director of the Observation and Inpatient Units

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

Of the 493 current DOM faculty, how many of those are GIM‐based?

◦Answer: C – 255 BUSM faculty members in GIM

◦Approximately 52% of the Department of Medicine is made up of General Internal Medicine faculty!

Programs

GIM Primary Care

Shapiro, Adult Primary Care

Shapiro, Women’s Health Group, Primary Care

Neighborhood Health Centers (NHC)

BMC Outpatient and Inpatient Clinical Productivity (wRVUs)

198,411 200,627 189,691

173,875 175,848196,513 204,531

0

50,000

100,000

150,000

200,000

250,000

FY10 FY11 FY12 FY13 FY14 FY15 FY16

GIM Outpatient Visits – BMC

Total


63,510 97,742 105,712 89,338 101,131 103,544 108,755

GIM Green List* *July 2016 (n = 44) ◦ Alford◦ Bagley◦ Battaglia◦ Casas◦ Chen◦ Cheng◦ Cottrell◦ Crowley◦ Cruz◦ Cushman◦ Dabady

◦ D’Afflitti◦ DiPetrillo◦ Fitzpatrick◦ Hershman◦ Jacobs◦ Johnson◦ Joshi◦ Kerensky◦ Kimball◦ Kreger◦ Larochelle

◦ Lasser◦ Lee, K◦ Liebschutz◦Mann◦Matthews◦Medow◦Mishuris◦Murabito◦ Noronha◦ Oleng’◦ Pace

◦ Quan◦ Ramachandran◦ Samet◦ Siegel◦ Skowronek◦ Trowbridge◦ Tulsky◦Walley◦Weinstein◦Witzburg◦Worcester

Faculty Who Worked > 15 sessions (Over Target)

Chava Chapman ‐ 21Daniel Cottrell – 18 Joanna D’Afflitti – 21Julien Dedier – 32Cleo Ferrao – 33

Number of Sessions (Over Target)

Amy Fitzpatrick – 36Eunice MacAllister – 42Sue Morrissey – 18Nicolette Oleng’ – 20Shivani Patel – 42

GIM Providers in Primary Care§

FY12 FY14 FY16 FY17MDs (n) 48 49 62 63NPs (n) 7 9 11 14Total (n) 55 58 73 77

MD cFTE devoted to PC 22.4 23.1 26.7 27.5NP cFTE devoted to PC 6.7 7.4 7.8 8.2Total 29.1 30.5 34.5 35.7

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

§ does not include Faculty Fellows or Joint Hires

Innovative Clinical Programs Embedded in Primary Care 2015‐2016

INTEGRATED BEHAVIORAL HEALTHLead: Christine Pace, MD, MSc

POPULATION HEALTH MANAGEMENTLead: Shwetha Sequeira, MD, MSc

PATIENT AND CARE TEAM EXPERIENCELead: Sheila Chapman, MD


MANAGING SPECIFIC POPULATIONS:Program 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 Dr. Jason Worcester

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


CHRONIC DISEASE/HIGH RISK CARE MANAGEMENTProgram Team

Diabetes High Risk Care Management Julia Matthews, NP, Priority Area Lead

Outpatient Based Addiction Treatment (OBAT)

Colleen LaBelle, RN, Karen Hannon, RN, Lexie Pierson, MPH, LCSW, and team

NP Anchor (Co‐Management) Dr. Joanna D’Afflitti, Priority Area Lead

CATALYST Clinic Dr. Sarah Bagley, Medical Director, Britt Carney, Kristen O'Connor, RN, Ellen Kreida, LICSW, Eric Lozada

Med Student Urgent Care Clinic Dr. Pooja Raval

Inpatient Consult Services

◦ General Medicine Consult Service◦ Director: Patrick Fleming, MD

◦ Palliative Care Consult Service◦ Director: Sandhya Rao, MD

◦ Addiction Medicine Consult Service◦ Founding Director: Alexander Walley, MD, MSc◦ FY17 Director: Zoe Weinstein, MD

General MedicineConsult Service

◦ Director: Patrick Fleming, MD◦ Established at Boston City Hospital in 1981◦ Medicine Consult Team for FY16:

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

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

BMC Palliative Care Consult Service

◦ Director: Sandhya Rao, MD◦ Established in 2007◦ In FY16: ◦ 539 patients consults◦ 280 family meetings

◦ Consult Service Team:◦ Sandhya Rao◦ Henri Lee◦ Suzanne Mitchell

◦ Eric Hardt◦ Jessica Borges, NP‐C◦ Alex Dobie, LCSW◦ Kathy Seim, admin

Addiction MedicineConsult Service

◦ Director: Alexander Walley, MD, MSc◦ Transitioning to new Director: Zoe Weinstein, MD, MSc◦ Established in July 2015◦ FY16: Average of 5 new patients seen/week (M‐F)◦ Addiction Medicine Team:

◦ Alford◦ Bagley◦ Fitzpatrick◦ Gaeta◦ Gordon◦ Kim

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

◦ Walley◦ Weinstein◦ Worcester◦ Danny Reagan, RN

GIM Presence at Other BUMC Clinical SitesID Clinic –Walley & CrosbyAnticoagulation & Thrombosis Service – HylekMcInnis Group/Woods Mullen Shelter – KimBelkin Breast Health Center (Moakley) – Battaglia

C. ChapmanFitzpatrickMatthewsNasseh Ramachandran

GIM Presence at BUSPH

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

2015‐2016 GIM Presence at CSAC*Methadone Treatment Program

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

Christine Pace, MD, MSco CSAC Bradston Street

Zoe Weinstein, MD, MSco CSAC Bradston and Jamaica Plain

Todd Kerensky, MD, Addiction Medicine Fellowo CSAC Bradston and Chelsea

*CSAC = Community Substance Abuse Centers

GIM Faculty Precepting BUSM Studentsin Primary Care Sessions

Academic Year # Clinic Sessions % Change (prior year)

2004 – 2005 640 -142005 – 2006 482 -252006 – 2007 399 -172007 – 2008 502 +252008 – 2009 410 -182009 – 2010 589 +432010 – 2011 844 +432011 – 2012 663 -222012 – 2013 690 +42013 – 2014 785 +142014 – 2015 702 -112015 – 2016 542 -23

Most Active Student Preceptors

Craig Noronha – 58 sessions

Chava Chapman – 46 sessions

Julien Dedier – 45 sessions

Mitch Medow – 39 sessions

ICM1* Teaching2015‐2016 (n = 32 GIM Faculty)

Tracy Battaglia, MD, MPH

Jonathan Berz, MD, MSc

Richard Brodie, MD (CMU)

Daniel Cottrell, MD

Julie Crosson, MD (CMU)

Robert Dye, MD (CMU)

Ali Emami, MD (CMU)

Robert Flaherty, MD (CMU)

Sandra Gordon, MD

Elizabeth Hutton, MD

Terrell Johnson, MD

Nyra Khetarpal, MD

Eunice MacAllister, NP

Patricia Moree Meehan, NP

Rebecca Mishuris, MD

Michelle Morreale‐Karl, MD (VA)

Elizabeth Norian, MD (VA)

Lynn Paikowsky, MD

Ambili Ramachandran, MD, MSc

Richard Ress, MD (CMU)

Catherine Rich, MD

Jonathan Rothberg, MD (CMU)

Jenny Siegel, MD

Kunwar Singh, MD (CMU)

Lisa Skowronek, MD

Lauren Stern, MD

Dhiren Sutaria, MD (CMU)

Katherine Taylor, MD (CMU)

Henry Trier, MD

Gabriel Wishik, MD (CMU)

Jason Worcester, MD

Xiuhuan Yan, NP

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

ICM2* Teaching 2015‐2016(n = 42 GIM Faculty)Tracy Battaglia, MD

Jonathan Berz, MD

Pablo Buitron de la Vega, MD (Fel)

Rachel Casas, MD (Fel)

Pamela Cattel, MD (CMU)

Daniel Chen, MD, MSc

Daniel Cottrell, MD

Phoebe Cushman, MD (Fel)

Julien Dedier, MD

Melissa DiPetrillo, MD

Cleopatra Ferrao, NP

Amy Fitzpatrick, MD

Sandra Gordon, MD

Laura Hallett, MD (Fel)

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

*Introduction to Clinical Medicine

James Hudspeth, MD

Ian Huntington, MD, MPH (CMU)


Terrell Johnson, MD

Nyra Khetarpal, MD

Vasken Kroshian, MD (CMU)

Satya Kurada, MD

Jane Liebschutz, MD

Amy Linsky, MD (VA)

Eunice MacAllister, NP

Julia Matthews, NP

Patricia Moree Meehan, NP

James Meisel, MD

Rebecca Mishuris, MD

Azadeh Nasseh, MD

Thomas Ostrander, MD

Christine Phillips, MD


Jonathan Rothberg, MD (CMU)

Jennifer Siegel, MD

Lisa Skowronek, MD

Lorraine Stanfield, MD (CMU)

Lauren Stern, MD

Henry Trier, MD

Alexander Walley, MD

Gabriel Wishik‐Miller, MD (CMU)

Jason Worcester, MD

Xiuhuan Yan, NP

Of the 255 GIM Faculty members in the DOM, how many of those are BMC‐based?

◦Answer: D ‐ 126

◦126 BMC‐based◦129 VA or Community‐based practice

DOM Morning Report Attendings 2015‐2016

Cheng

Hudspeth

Murphy

Noronha

Ostrander

Rich

Siegel

Tulsky

Witzburg

Department of MedicineInternal Medicine Residency Associate Program Directors from GIM

o Craig Noronha, MD

o Catherine Rich, MD, Primary Care Training Program

o Jenny Siegel, MD

Primary Care Training Program Residents2016‐2017

PGY 1:◦ Davis Bradford

◦ Leah Harvey

◦ Sarah Quigley

◦ Samantha Rawlins‐ Pilgrim

◦Muna Sheikh

◦Minhee Sung

◦ Lily Yan


PGY 2:◦ Gina Chen

◦ Shiyun Chua

◦ Jenny Jia

◦ Krupa Patel

◦Michael Schwartz

◦ Benjamin Vaughn

◦ Katherine Zeitler


PGY 3:◦ Tomoko Okada

◦Meaghan Roche

Primary Care Chief Resident:◦ Payel Roy

GIM Faculty Mentoring PC ResidentsPGY 2:

o Teresa Cheng, MD, MSc – Tomoko Okada, MD

o Karen Lasser, MD, MPH – Meaghan Roche, MD

PGY 3:

o Jeffrey Samet, MD, MA, MPH – Payel Roy, MD

o Christopher Shanahan, MD, MPH – Vassiliki Pravodelov, MD

o Bob Witzburg, MD – Juhee McDougal, MD

o Sarah Kimball, MD – Mara Horowitz, MD

o Elaine Hylek, MD, MPH – Gabrielle Gryczynski, MD

o Joanna D’Afflitti, MD, MPH – Jordan Yoder, MD

o Craig Noronha, MD – Bailey Chang, MD

o James Hudspeth, MD – Paul Long, MD

GIM Faculty Resident Interviewers (past 3 years)Battaglia – 14

Berz – 52

Casas – 6

Chapman, S – 5

Cheng, T – 32

Crosson – 21

Cruz – 5

Fleming – 7

Gordon – 13

Hudspeth – 48

Johnson – 4

Kim, T – 6

Liebschutz – 10

Mishuris – 9

Nasseh – 12

Noronha – 153

Oleng’ – 1

Ostrander – 12

Ramachandran – 35

Rich – 144

Samet – 3

Sarfaty – 3

Siegel – 53

Tulsky – 18

Worcester – 20

Yuh – 10

GIM BUSM Medical Student Admission Committee Members 2015‐2016


James Meisel, MD

Jay Orlander, MD

Thomas Ostrander, MD


Robert A. Witzburg, MD, Chair


Julien Dedier, MD, MPH


Warren Hershman, MD, mPH

GIM ConferencesCourse Directors 2015‐2016

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


Challenging Patient Rounds‡

Robert Sokolove, PhD

Clinical Case Conference‡

Dan Cottrell, MD



Research in Progress (RiP)†

Amy Linsky, MD, MSc & Lisa Quintiliani, PhD

CARE Unit Journal Club‡

Rich Saitz, MD, MPH

CARE Addiction Case Conference‡

Alex Walley, MD, MSc


Ambulatory M & Ms2015‐2016

9.16.15 – "PrimumMinus Nocere": 'First, Do Less Harm' – Navigating Between Patient‐Centered Care and Good Medicinepresented by Joanna D'Afflitti, MD, MPH, Xi Pan, Donna Beers, RN‐BC, & Julie Crosson, MD

10.21.15 – “You Shouldn’t Have Sent Me That Letter”: Addressing the Challenge of How to Communicate Results with Our Non‐English Speaking PatientsDan Newman, MD, Clark Dumontier, MD, Melida Ayala, Sheryl Katzanek, Mario Woods, RN MPH, Ed Christiansen, JD & JulieCrosson, MD

11.18.15 – "Was I just fired?"Jason Worcester, MD, Dan Cottrell, MD, Isidore Berenbaum, MD, Geoff Modest, MD, Lisa Caruso, MD & Julie Crosson, MD


12.16.15 – I Am Tired of Herpresented by Roberta Gately, RN, Thomas Barber, MD, Robert Sokolove, PhD, & Julie Crosson, MD

1.20.16 – CT Follow‐up Order Waits for the Visit With PCP – Would This Happen in 2016?Rebecca Mishuris, MD, MPH, Katrina Steiling, MD, Michael Ieong, MD & Julie Crosson, MD

3.16.16 – "I Care About You, Not About the Numbers": Diabetes Care Management of a 66 yo Haitian MaleDonald Woodbury, RN, CDE, Julia Matthews, NP, MPH, Sara Alexanian, MD, Michael Paasche‐Orlow, MD, MA, MPH & Julie Crosson, MD


4.20.16 – "I disagree….“: Exploring the Cause and Impact of Disagreement Between Clinicianspresented by Julien Dedier, MD, MPH, Isidore Berenbaum, MD & Julie Crosson, MD

5.18.16 – “Was I Too Blasé About That Blood Pressure?”: Management of Very High Blood Pressure in ClinicLorraine Stanfield, MD, Sheilah Bernard, MD, Ron Medzon, MD & Julie Crosson, MD

6.15.16 – Hypertension and Medication Adherence: What's Race Got To DoWith It?Sheila Chapman, MD, Nancy Kressin, PhD & Julie Crosson, MD

ABIM* Maintenance of Certification (MOC) 2016

July – 2016 Update in Hospital Medicinepresented by Jonathan Berz, MD, MSc

Henri Lee, MD Felicia Patch, MD Henry Trier, MDMarc Larochelle, MD, MPHShwetha Sequeira, MD, MSc

*American Board of Internal Medicine

Boston University School of Medicine Department of MedicineMedical Grand Rounds by GIM Faculty 2015‐2016

Tracy Battaglia, MD, MPH Breast Cancer Disparities: The Role of Care Delivery

(Nov 6th, 2015)

Robert Witzburg, MD (discussant)Teaching Problem Solving with Clinical Images

(Sept 18, 2015)

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

Which map represents where GIM Fellowship graduates are now Med School Faculty?

◦Answer: B (18 states*)◦ Alabama◦ California◦ Connecticut◦ Georgia◦ Kansas◦Maine◦Massachusetts◦Michigan◦ Nevada

◦ New Jersey◦ New York◦ Ohio◦ Pennsylvania◦ Rhode Island◦ Tennessee◦ Texas◦ Virginia◦Washington DC*

GIM Fellowship Program 2016 GraduatesPablo Buitron de la Vega, MD◦ Residency: IM, Henry Ford Hospital, Detroit, MI◦ Fellowship Track: Preventive Medicine◦ Current Position: Faculty at BUSM

Rachel Casas, MD◦ Residency: IM, GIM Primary Care, Women’s Health Track, Brown University, Providence, RI

◦ Fellowship Track: Medical Education & Women’s Health◦ Current Position: Faculty at BUSM

Kendrick Gwynn, MD◦ Residency: IM, Primary Care Track, Emory University, Atlanta, GA◦ Fellowship Track: Preventive Medicine◦ Current Position: Faculty at Johns Hopkins University

GIM Fellowship Program 2016 GraduatesLaura Hallett, MD◦ Residency: IM, University of Pittsburgh Medical Center, Pittsburgh, PA◦ Fellowship Track: Medical Education & VA Women’s Health◦ Current Position: Faculty at UMass Medical Center, Worcester, MA

Paul Trowbridge, MD◦ Residency: IM, Brown University, Providence, RI, 2011◦ Residency: ID, Tufts Medical Center, 2015 ◦ Fellowship Track: Addiction Medicine◦ Current Position: Faculty at Central Michigan University◦ College of Medicine, Mt. Pleasant, MI

Zoe Weinstein, MD◦ Residency: IM, Primary Care Track, Boston Medical Center, BUSM◦ Fellowship Track: Addiction Medicine◦ Current Position: Faculty at BUSM

GIM Fellowship & Preventive Medicine Residency Programs: 1st Year, 2016‐2017

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

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

GIM Fellowship & Preventive Medicine Residency Programs: 2nd Year, 2016‐2017Todd Kerensky, MD◦ Residency: IM, University of Florida College of Medicine, 2013

Allison Lemkin, MD◦ Residency: Peds, Brown University, Providence, RI, 2015

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

GIM Fellowship & Preventive Medicine Residency Programs: 2nd Year, 2016‐2017

Ryan Seibert, MD◦ Residency: IM, Stanford University, 2015

David Washington, MD◦ Residency: IM/Peds, Brown University, Providence, RI, 2015

GIM Fellowship & Preventive Medicine Residency Programs: 3rd Year, 2016‐2017

Phoebe Cushman, MD◦ Residency: IM, Oregon Health & Science University, Portland, OR◦ Fellowship: Med/Ed, Mt. Auburn Hospital

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

GIM Unit Directors

Women’s Health Unit (WHU)

Health/Care Disparities Research Unit (HCDRU)

Clinical Addiction Research & Education (CARE) Unit

Hospital Medicine Unit (HMU)

Community Medicine Unit (CMU)

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

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

2015 Strategic Planning

Vision: To improve lifelong health and wellness for all women by transforming health care delivery. Mission: To lead the nation in the delivery of equitable, comprehensive, coordinated and compassionate women’s health care by:• serving the greater Boston community through our comprehensive primary‐care based women’s clinical services;

• conducting patient‐centered research to advance best practices in women’s health care;

• training the next generation of leaders in women’s health care; and

• partnering with community to ensure transformations are relevant to women from diverse backgrounds.

ClinicalNew Clinical Initiatives: • Developed Women’s Health

Curriculum• Introduced New Contraceptive

Services in Clinic• New Care CoordinatorsRenewed Clinical Care Programs:• MA DPH WHN Care

Coordination Program• Avon Breast Health Navigation

Program ResearchNew Faculty: • Christine Gunn, PhD, Research

Assistant Prof• Naomi Ko, MD, promoted to

Assistant Professor

Ongoing Studies/ Initiatives: • Project SUPPORT RCT funded by

ACS/PCORI• Patient Advisory Board• Community Advisory BoardRenewed Training Programs:• Komen Graduate Training Grant• Avon Global Scholars ProgramRenewed Community Engagement:• CTSI Community Engagement CoreNew Studies/Initiatives:• Eugene Washington PCORI• Lynne Stevens Award: to

investigate ways to improve care for breast cancer patients with a history of interpersonal abuse

Healthcare Disparities Research Unit Director: Nancy Kressin, PhD

Topics:

• Effects of MA Health Reform on Cardiovascular Outcomes (Nancy Kressin, PhD, Karen Lasser, MD, MPH, Amresh Hanchate, PhD, Danny McCormick, MD, MPH)

• National Estimates for Inpatient Care, Outcomes & Hospital Effect among Hispanics (Amresh Hanchate, PhD, Nancy Kressin, PhD, Michael Paasche‐Orlow, MD, MA, MPH, Lenny Lopez, MD, MPH, MDiv )

• External Determinants of Non‐Elderly Veterans’ Demand of VA Health Care (Amresh Hanchate, PhD, Nancy Kressin, PhD)

• Racial and Ethnic Health Disparities Due to Ambulance Diversion (Amresh Hanchate, PhD, James Feldman, MD (Emergency Medicine))

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

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.

• Refining Conceptual Models for the Role of Health Literacy in Health Outcomes (Michael Paasche‐Orlow, MD, MA, MPH, Amresh Hanchate, PhD)

• HPV vaccination practices (Amresh Hanchate, PhD, Rebecca Perkins, MD, OB/GYN)

• Effects of Breast Density Notification and Insurance Coverage Legislation on Physician Practice, Use of Care and Cancer Outcomes (Nancy Kressin, PhD, Tracy Battaglia, MD, MPH, Christine Gunn, PhD)

• Adoption of Non‐Invasive Prenatal Testing in Diverse Populations: A Multilevel Approach (Amresh Hanchate, PhD, Catharine Wang, PhD, SPH, and others)

• Unintended Consequences: Medicare Performance Programs and Health Disparities (Amresh Hanchate, PhD, Michael Paasche‐Orlow, MD, MA, MPH)

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)

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

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 (coming)

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

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

Medical Information Systems Unit Chief: Robert Friedman, MDRetired Aug 2016

Performs research and provides education and training in medical informatics (computer applications in medicine and public health)◦ Automated programs in primary prevention by reducing behavioral risk factors for diseases (smoking, alcohol, diet, physical activity)

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

http://www.misu.bmc.org

Incentive Plans 2016‐2017

Clinical: RVU,FTE, and teaching‐based

Research: indirect costs‐based

Priorities for the Section 2015‐2016

B+

B

B+Strengthen the academic dimension of the HMU and PC Clinician Educator faculty

Make tangible progress improving the work lives of PC and hospitalist faculty

Make measureable improvements in the quality of patient care delivery in the GIM Primary Care practice

Active retention of GIM faculty A


B+

A

ARecruitment of 3‐5 additional PC‐based GIM Clinician Educator faculty

Recruitment of 1‐2 Clinician Investigator faculty

Acquisition of external grant support for GIM research


A

A

A

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

Continue to host the foremost GIM Grand Rounds in the country

Continue scholarly publications productivity (publish > 120 peer reviewed papers)

Priorities for the Section 2016‐2017Continue 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

Priorities for the Section 2016‐2017Seek 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 all GIM faculty

Priorities for the Section 2016‐2017Continue 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

Priorities for the Section 2016‐2017Continue 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

Events

Kathleen Bennett Memorial Lecture in Community MedicineWednesday, October 14th, 2015

Daniel Simpson, MDInstructor of Medicine, BUSM

Section of General Internal Medicine, BMCPhysician, South End Community Health Center

Panelists:

SGIM Grand RoundsIntegrated Behavioral Health ‐ Locally Sourced, Fresh, and Good for You!

Christine Pace, MD, MScAssistant Professor of Medicine, BUSMSection of General Internal Medicine, BMCIan Huntington, MD, MPHClinicianCodman Square Community Health Center

Pedro Fernandez, MDAttending Physician, BMC

Melissa Dagher, MSW, LCSWIntegrated Mental Health TherapistCodman Square Community Health Center

Laurie Goldman, BSN, PsyDDirector, Behavioral Health TrainingSouth End Community Health Center

Mark Moskowitz Memorial Visiting ProfessorFriday, March 4th, 2016

James A. Tulsky, MDChair, Department of Psychosocial Oncology and Palliative Care

Dana Farber Cancer InstituteChief, Division of Palliative MedicineBrigham and Women’s Hospital

Professor of MedicineHarvard Medical School

SGIM Grand Rounds“They Just Don’t Get It!” Talking about Prognosis

Medical Grand RoundsCommunication in Serious Illness: An Evidence‐Based Approach

In what year did Jenay Nasif join the Section of General Internal Medicine?

◦Answer: B ‐ 1995◦ Jenay joined the Section in Sept 1995 and has been processing your reimbursements ever since!

GIM Winter Festival January 2016

Endicott Estate, Dedham

GIM Winter Festival January 2016

Society of General Internal Medicine (SGIM) National Meeting 2016

Hollywood, FL

Society of General Internal Medicine (SGIM) National Meeting 2016

SGIM National Meeting BUSM GIM Attendees (n=54)

Faculty:Tracy BattagliaSheila ChapmanTeresa ChengRicardo CruzJulien DedierAmy FitzpatrickMegan Gerber (VA)Allen Gifford (VA)Christine GunnAmresh HanchatePriya Joshi

Theresa KimSarah KimballNancy KressinMarc LarochelleKaren LasserJane LiebschutzAmy Linsky (VA)Rebecca MishurisAzadeh NassehNicolette Oleng’

Michael Paasche‐OrlowAmbili RamachandranCatherine RichJeffrey SametShwetha SequeiraChristopher ShanahanJenny SiegelSteven Simon (VA)Asher Tulsky

Fellows:

John Noble Scholars & Residents:

Pablo Buitron de la VegaRachel CasasPhoebe Cushman

Kendrick GwynnLaura HallettEun Ji Kim

Debora AfezolliMyfanwy CallahanMara Horwitz (scholar)Raagini Jawa (scholar)

Paul Long (scholar)Juhee McDougalTomoko OkadaSumeet Pawar

Jessica MurphyRyan SeibertDavid WashingtonZoe Weinstein

Vassiliki Pravodelov (scholar)Meaghan Roche (scholar)Payel Roy (scholar)Samuel Schueler (scholar)

SGIM LEAD and TEACH Recipients

SGIM LEAD Recipients:◦ Henri Lee, MD◦ Rebecca Mishuris, MD, MPH◦ Award for 1 year of leadership skill training for junior/mid‐career faculty

SGIM TEACH Recipient:◦ Ambili Ramachandran ◦ Award for 1 year of med student and resident teaching training

SGIM National Meeting SupportThe Section of General Internal Medicine is committed to supporting faculty to attend the Society of General Internal Medicine’s national meeting.◦ Discretionary accounts for AY 2016 and 2017 increased for faculty engaging in the SGIM National Meeting ◦ $1,000 will be added to individual discretionary accounts for GIM faculty members’ travel specifically to the SGIM National Meeting

◦ An additional $500 will be added if the faculty is presenting or an author of an abstract at the meeting

◦ Meeting dates to consider:◦ SGIM 2017: April 19‐22 Washington, DC, Washington Hilton

SGIM Hill Day

Payel Roy, MD – PC Chief Resident◦ Authored an article on her SGIM‐sponsored Hill Day in SGIM Forum

Proud to Be GIM EventOct 28th, 2015Organized and championed by:◦ Catherine Rich, MD◦ Shwetha Sequeira, MD, MSc

GIM Mentors:◦ Geoff Modest, MD◦ James Hudspeth, MD◦ Ambili Ramachandran, MD, MSc◦ Jenny Siegel, MD◦ Alex Walley, MD, MSc◦ Rachel Casas, MD

◦ Joanna D’Afflitti, MD, MPH◦ Ricardo Cruz, MD, MPH ◦ Jordan Yoder, MD (Senior Resident)◦ Catherine Rich, MD◦ Shwetha Sequeira, MD, MSc

Proud to Be GIM EventOct 28th, 2015

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

2009 – Julie Crosson, MD

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

Past recipients:

GIM BBQSun, Sept 18th 2016: 2‐6pm

Accomplishments

$13,435,556 $13,182,475$14,711,352

$10,826,587 $10,396,832

$12,430,870

$16,557,187

02,000,0004,000,0006,000,0008,000,00010,000,00012,000,00014,000,00016,000,00018,000,000


Current Annual Direct Research and Training Grant Awards*†

*FY12‐16 includes BU, BMC & VA funding†FY16 Indirect and Direct: $19,428,160

Fiscal Year Number of Awards Total Support

FY10 35 $12,150,594

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

New GIM Research Awards

Total GIM Research & Training Grant Awards*

$70,427,284

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

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

$67,982,744

$57,202,444

010,000,00020,000,00030,000,00040,000,00050,000,00060,000,00070,000,00080,000,000


*Includes Direct and Indirect Costs

*FY12‐16 include VA funding

Total Fellowship Training Grant Awards*

$9,849,566

$7,291,806

$10,750,791

$8,704,455

$7,016,135$7,538,194

$10,268,831

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000


*Includes Direct and Indirect Costs

New GrantsGIM PIs (FY16)

Alford:◦ The Boston University Evidence‐based SBIRT Student Training (BESST) Program; SAMHSA; $945,000; 9/30/15‐9/29/18

Bagley:◦ Adolescent Grant – CATALYST; DPH; $325,350; 1/1/16‐6/30/19

Battaglia:◦ The Avon Breast Health Initiative at Boston Medical Center; Avon Foundation; $125,000; 7/1/15 – 6/30/16

◦ Boston University Mentoring and Training in Cancer Health Disparities (MATCH); Susan G. Komen Foundation; $405,000; 8/1/15‐7/31/18

Berz:◦ Preventive Medicine Residency with Integrative Health Care Training Program; HRSA; $1,126,052; 9/1/15‐8/31/18


Gunn:◦ Perceptions of Breast Density Notifications Among a Low‐Literacy Population‐An Opportunity for Patient Centered Communication; Academy Health; $10,000; 1/1/16‐12/31/16

Hanchate:◦ Racial and Ethnic Health Disparities; NIH NHLBI; $1,978,662; 1/15/16‐12/31/19◦ Unintended Consequences: Medicare Performance Programs and Health Disparities; NIH NIMHHD; $1,608,349; 4/1/16‐11/30/18

Labelle:◦ Moms Do Care; DPH; $41,250; 9/1/15‐8/31/16

Lasser:◦ Subcontract – Implementation of a Hepatitis C Treatment Program in Primary Care in an Urban Safety‐net Hospital: A Budget Impact Analysis; NIH‐Cornell; $19,919; 12/1/15‐4/30/16


Lunze:◦ Stigma, Risk Behaviors and Health Care Among HIV‐infected Russian People Who Inject Drugs; NIH NIDA; $345,805; 6/1/16‐5/31/18

◦ Double Stigma as Barrier to Integrated HIV Treatment among HIV‐infected PWID in Ukraine; NIH‐CFAR; $40,000; 6/1/16‐5/31/17

Paasche‐Orlow:◦ Conversational Agents to Improve Quality of Life in Palliative Care; NIH NINR; $3,156,130; 4/22/16‐2/28/21

◦ Promoting the Intersection of Research on Health Literacy and Patient Centered Care; PCORI; $124,911; 6/1/15‐5/31/17

◦ Subcontract – Testing a Medication Risk Communication and Surveillance Strategy: The EMC2 Trial; NIH‐Northwestern; $214,751; 8/15/15‐5/31/16

◦ Subcontract – Mechanisms of Health Literacy and Information Accessiblity in the Deaf; NIH‐U. Michigan; $46,297; 9/17/15‐8/31/16


Quintiliani:◦ Subcontract – A Process Evaluation of the Effectiveness & Feasibility of an Innovative Approach to Promote Motivational Interviewing Among Nurses in a Cluster‐Randomized Falls Prevention Trial; NIH NIA‐Brandeis; $26,909; 6/1/16‐5/31/17

Samet:◦ NIDA INVEST Modified Fellowship – Bulat Idrisov; NIH NIDA; $52,000; 2/1/16‐1/31/17

◦ NIDA International Forum 2016 Symposium Travel Award; NIH NIDA; $10,000; 8/26/15‐8/25/16

Walley:◦ Subcontract – Pharmacy Naloxone Distribution: Assessing a New Tool to Reduce Overdose Mortality; NIH‐PIRE; $508,007; 5/1/16‐1/31/21

2015 GIM Publications

4658

72

92103 109

118107 110

162148

020406080100120140160180

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

GIM Faculty and Fellow Authors in 2015 (n=38)AlfordBagleyBattagliaBerlowitzBerzBorzeckiChapman, SCheng, TCheng, DCrossonGiffordGunnHanchate

HermosHudspethHylekKimKoKressinLarochelleLasserLiebschutzLinskyLunzeMannMishuris

MurabitoNaimiOrlanderPaasche‐OrlowQuintilianiRamachandranReddyRoseSaitzSametShanahanWalley

GIM Journal Editors

Journal of Addiction Medicine – Rich Saitz

Journal of Health Literacy – Michael Paasche‐Orlow

Addiction Science & Clinical Practice – Jeffrey Samet

◦Answer: B◦GIM had the 2nd most funding in the DOM in FY16◦ #1 – Pulmonary: $22.4M ◦ #2 – GIM: $14.6 M ◦ #3 – Computational Biology: $11.6 M◦ #4 – Clinical Epi Research & Training: $10.6 M

The DOM was awarded $103.4 M in grant funding for FY16. Among all the Sections that comprise the DOM, GIM was:

Appointments & PromotionsProfessor:◦ Michael Paasche‐Orlow, MD, MA, MPH

Associate Professor:◦ Alex Walley, MD, MSc

Assistant Professor:◦ Sarah Kimball, MD

Clinical Assistant Professor:◦ Priya Joshi, MD◦ Nicolette Oleng’, MD

AwardsSheila Chapman, MD◦ 2015 Department of Medicine’s Outstanding Citizenship Award

Tom Barber, MD◦ 2015 Department of Medicine’s Clinical Excellence Award

Janice Quan, MD◦ 2016 DOM’s Excellence in Teaching (Hospital Based Faculty) Award

AwardsJennifer Gutierrez McCarty, MD◦ 2015 Witzburg Award for Outstanding Ambulatory Medical Education

Suru Lin, MD (SBCHC)◦ 2016 Community‐based Educator of the Year Award

James O’Connell, MD◦ 2015‐2016 W. Lester Henry Award for Diversity and Access to Care

AwardsChristine Gunn, PhD◦ 2016 Academy Health New Investigator

Dan Alford, MD, MPH◦ 2016 American Society of Addiction Medicine Inaugural Educator of the Year Award

Colleen LaBelle, CARN◦ Inaugural Lillian Carter Exemplary Acts in Nursing Award, Lillian Carter Center for Global Health & Social Responsibility at Emory University School of Nursing, Atlanta

◦ STATE OBOT‐ B received Honorable Mention – 2016 Gage Award

AwardsJason Worcester, MD◦ 2016 BMC Annual Public Safety Award ‐ Citizen commendation

Karsten Lunze, MD, DrPH, MPH, FACPM, FAAP◦ Arnold P. Gold Foundation Humanism in Medicine Award

Catherine Rich, MD◦ President Elect, New England Regional SGIM

DOM Faculty Development Awards

James Hudspeth, MD◦ Harvard Macy Program for Educators in Health Professions

Joanna D’Afflitti, MD, MPH◦ IHI’s Population Management Executive Development Program

Bob Witzburg, MD◦ Project Management Professional Training Program and Certification


Daniel Simpson, MD◦ Narrative Medicine Workshop

Jason Worcester, MD◦ IHI Summit on Improving Patient Care in the Office Practice & the Community

Lisa Quintiliani, PhD◦ Society of Behavioral Medicine Leadership Institute


Teresa Cheng, MD, MSc◦ McMaster Evidence Based Clinical Practice Workshops

Jim Meisel, MD◦ Center for Medical Simulation Comprehensive Instructor Workshop

Melissa DiPetrillo, MD◦ AAMC Early Career Women Faculty Professional Development Seminar


Priya Joshi, MD◦ Academy of Integrative Health and Medicine 2016 Annual Conference

Terrell Johnson, MD◦ National Procedures Institute course “Joint Exam and Injections with an Introduction to Ultrasound Guidance”

DOM Education Pilot Grant Awards

Asher Tulsky, MD◦ Application of a Coaching Program for Professional Development in Internal Medicine Residents

Daniel Chen, MD, MSc & James Meisel, MD◦ Assessing the Efficacy of an Educationally Novel Approach to Teaching Bedside Cardiac Assessment Skills

Priya Joshi, MD◦ Teaching trainees’ how to effectively manage adult obesity in General Internal Medicine Primary Care Clinic

Ambili Ramachandran, MD, MSc & Rachel Casas, MD◦ Explaining breast density recommendations: A training module for primary care faculty and trainees

Academy for Faculty Advancement Recipients2016‐2017

Joanna D’Afflitti, MD, MPH

Patrick Fleming, MD


Rebecca Mishuris, MD, MPH


Minority Faculty Leadership & Career Development Program 2015‐2016

Ricardo Cruz, MD, MPH

Terrell Johnson, MD

Pablo Buitron De la Vega, MD

2016‐2017 DOM Women’s Leadership Program

Tracy Battaglia, MD, MPH

Joanna D’Afflitti, MD, MPH

Joanne Murabito, MD, ScM

Lisa Quintiliani, PhD

Catherine Rich, MD

Jenny Siegel, MD

GIM Academic Coaches

Elaine Hylek, MD, MPHo HMU faculty

Karen Lasser, MD, MPHo PC leadership

Lisa Quinitiliani, PhDo Clinician Educators

GIM Evans Educators2015‐2016




James Meisel, MD



James Hudspeth, MD – Global Health Pathway

Jenny Siegel, MD – Urban Health Pathway

Teresa Cheng, MD, MSc – Academic Half Day Coordinator


Rachel Casas, MD

Teresa Cheng, MD, MSc


New RolesJane Liebschutz, MD, MPH◦ 2016 Mid‐Career Faculty Leadership Program, DOM

Dan Cottrell, MD◦ Medical School Student Promotion/Academic Probation Committee

Sheila Chapman, MD & Asher Tulsky, MD◦ BMC’s Patient Experience Physician Leadership Group

New Roles

Sheila Chapman, MD◦ DOM Associate Chair for Under‐Represented Minority Post‐Graduate Career Development

Melissa DiPetrillo, MD◦Medical Director for the Physician Assistant Program

General Recognitions

Tom Barber, MDJeffrey Samet, MD

Best of Boston, Top GIM Docs for 2015

Charles Tifft, MDBob Witzburg, MD

Welcomed AdditionsKaku So‐Armah and Cynthia – Miinshe Alma

Rachel Casas and David – Daniel

Darae Ko and Jonathan – Gregory Paul

Elizabeth Hutton and Rob – Nathan Peabody

Section of General Internal MedicineMost Valuable Player Award

And in 2016, 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

MVPAlex Walley, MD, MSc

Section of General Internal MedicineMost Valuable Player Award

New York Times quote, July 31, 2016

MVPTBD

Teaching medical students overdose prevention with Naloxone

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

contributed in the preparation of this State of the Section

state of the section: 2016 general internal medicine · state of the section: 2016 general internal...

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