Wednesday, August 31, 2016 Volume 3. Issue 1.

The CHFM Pulse

“Without continual growth and progress, such words as improvement, achievement, and success have no meaning.” -Benjamin Franklin

CHAIR'S MESSAGE

Fellow CHFM Member,

Welcome to the first edition of The Pulse for this academic year. I hope you enjoy reading about the wonderful activities and accomplishments of faculty, nurses, and staff in our department. If you are aware of an activity or accomplishment by a department member (including yourself), please let us know so we can include it in the next edition. With The Pulse, we want to keep everyone up-to-date with our department, so let us know if you have any suggestions for improvement.

Best regards,

Peter J. Carek, MD, MS
Professor and Chair

ACHIEVEMENTS

The talented CHFM faculty and staff have received many acknowledgements for their recent accomplishments. Congratulations and thank-yous are in order for their hard work and dedication. Below is a listing of some of their most noteworthy achievements:

Charlie Michaudet, MD
Residency Faculty Teacher of the Year Award
Faculty Golden Apple

Keiran Shute, MD
Resident Golden Apple
STFM Resident Teacher of the Year
Resident of the Year

Jason Konopack, MD
Behavioral Resident of the Year
Professionalism Award

John Malaty, MD
Promotion: Associate Professor
Appointment: Director of the Resident as Teacher Program, College of Medicine
Appointment: Medical Director of UF Health Family Medicine - Main

THREE MISSIONS:

PATIENT CARE, EDUCATION, & SCHOLARSHIP

PATIENT CARE

SPORTS MEDICINE AT MAIN:

Charlie Michaudet, MD, is operating a Sports Medicine/Musculoskeletal (MSK) clinic on Monday afternoons and Thursday afternoons at UF Health Family Medicine – Main. In addition to providing specialty care to patients, he contributes to the training of medical students, residents, and sports fellows in the area of musculoskeletal pathologies.

At Main, a wide range of services are provided, such as: full x-rays, evaluation and management of musculoskeletal injuries including sprains, dislocations, fractures, acute tendonitis, chronic tendinosis, overuse injuries/osteoarthritis, exercise induced bronchospasm/asthma, and vocal cord dysfunction. Evaluation and management of stress fractures and female athlete triad are other services provided at Main.

Several procedures are performed, including the following:

• Joint injection/aspiration

• Soft tissue/trigger point injection

• Ganglion cyst drainage

• Trigger finger/carpal tunnel injection

• Dry needling tenotomy (chronic tendinosis)

• Casting/splinting

• Sports physical ECGs with athlete-specific interpretation

• Ultrasound guidance: hip joint, glenohumeral joint, knee joint with poor anatomical landmarks or elevated BMI, bicipital tendon sheath

EDUCATION

RESIDENCY PROGRAM:

Resident orientation is complete and the new residents are "out in the world" on their first rotations. The next recruiting season will begin as ERAS (Electronic Residency Application Service) opens in mid-September.

Several residents and faculty attended the National Conference of Family Medicine Residents and Medical Students sponsored by the American Academy of Family Physicians in Kansas City, Missouri. At the conference they hosted a "meet and greet" booth, touching base with students interested in Family Medicine. The conference is an annual affair bringing together hundreds of students from across the country. Faculty and residents hope to see some of them on the interview trail that starts in November.

2016-2017 New Incoming Family Medicine Residents – PGY 1

SPORTS MEDICINE FELLOWSHIP:

On July 1, Dr. Thomas “Tom” Starnes and Dr. Katherine “Katie” Langley joined the Sports Medicine Fellowship Program. Dr. Starnes transferred from University of Florida Internal Medicine Residency Program and Dr. Langley transferred from West Virginia University Emergency Medicine Residency Program. Both are eager to gain new knowledge for their future Sports Medicine careers.

In late July, several Sports Medicine faculty and past Sports Medicine fellows were invited to present at the AAFP conference in Clearwater, Florida. Dr. Guy Nicolette presented on “Bursitis and Tendonitis”, “Case Studies”, “Role of the Team Physician”, and “Joint Injection”. Dr. Katie Edenfield presented on “Female Athlete Triad”, “Nutritional and Dietary Supplements”, “Exercise Prescription and New Trends in Training”, and “Casting and Splinting” with Dr. Charlie Michaudet. Dr. Jay Clugston presented on “Concussion and Return to Play Guidelines”, “Elbow – Upper Body Evaluations”, “Examinations and Injury Management”, and “Physical Therapy Prescriptions”.

As anticipated, August has been a busy for month for the Sports Medicine fellows. UF football camp practices began in early August. Regular UF football practices are usually 3-4 days a week and will continue through early December. Fellows rotate daily coverage for these practices. They have been assigned a local high school which requires them to cover home football games and host a weekly training room for their players. Another requirement is to rotate bi-weekly at the Santa Fe College training room. These activities are in addition to their daily clinic schedule, which may be split between two different locations.

The Sports Medicine Fellowship Program has begun searching for the 2017-2018 fellows. Currently, there are over 70 applicants for two positions with a deadline of September 1. One position will be filled with a Family Medicine, Internal Medicine, PM&R, or Pediatric resident and the other is designated for an Emergency Medicine resident. Generally 15-20 applicants are invited to participate in interviews. Interviews will be held during September and October.

2016-2017 Sports Medicine Fellows

FACULTY DEVELOPMENT:

The Faculty Development series is ongoing and lectures will resume in the spring. Faculty and residents will be asked for input on the success of last year’s Faculty Development curriculum and what topics they think will need to be addressed in the series this year. Please look out for an upcoming survey. Additionally, if you would like to lead/instruct a faculty development session, please email Tanya Anim, MD, at anim@ufl.edu.

BIOETHICS, LAW AND MEDICAL PROFESSIONALISM:

The program faculty engage medical students as part of the Ethics thread during the first and second-year medical curriculum. This fall semester, BLMP faculty are offering lectures, collaborative learning groups (CLGs), and team-based learning (TBL) activities on Ethics topics including:

• Brain Death

• Confidentiality

• Decisional Capacity

• End-of-Life Issues

• Ethical Case Analysis

• Genetics

• Geriatrics

• Informed Consent

• Patient/Physician Boundary Issues

• Pediatrics

The Advance Directives Training Project, led by BLMP faculty, featured sessions in June, July, and August aiming to educate all faculty and staff department-wide. The final training session is scheduled for Wednesday, September 15 at 12:15 pm in the Haile Plantation clinic. If you have not attended a training session, please contact Bernie Amaro (bamaro@ufl.edu) to make arrangements for attending the final session.

SCHOLARSHIP

RESEARCH:

OTIC BAROTRAUMA STUDY
Dr. Millan and her research team at the UF Health Wound Care and Hyperbaric Center at Magnolia Parke have begun their project to evaluate the causes of barotrauma during hyperbaric oxygen therapy (HBOT) and what treatments can be used to prevent otic barotrauma (OB). They have begun by analyzing historical data from 2/1/2014 through 12/31/2015 and specifically otic barotrauma adverse events that have occurred at the UF Health Wound Care and Hyperbaric Center. They plan to analyze diagnoses, depth of treatments, chamber operators, number of treatments received, gender, day of week, and TEED otic barotrauma scores. The aim of this project is to determine whether there are significant factors that affect otic barotrauma while patients are undergoing hyperbaric oxygen therapy. The results of this study will help aid clinicians to not only assist in decreasing the number of OB adverse events in HBOT, but it may also inform scuba divers with comorbidities of otic barotrauma. Available literature does not address comorbidities on the incidence of otic barotrauma in HBOT or of pre-hyperbaric oxygen therapy evaluation and treatment by Otolaryngology.

HEARTMATH STUDY
Dr. Orlando and Dr. Lupi, along with the research team, have launched the HeartMath study in both the Haile Plantation and Hampton Oaks clinics this month, with a total of 18 healthcare providers (physicians, nurse practitioners, physician assistants, and nurses) being monitored throughout the duration of the 12-week study. HeartMath uses biofeedback to teach the recipient emotional self-regulation techniques that can benefit them both immediately and over a sustained period of time. emWave Pro is a HeartMath product that helps one achieve coherence through various standardized, interactive mindfulness techniques, such as guided meditations focusing on positive emotions, breathing, and imagery. The HeartMath emWave Pro uses an ear sensor that measures the user's pulse. The sensor uses a minute amount of infrared light to measure the speed of blood flow in the ear. The sensor sends this signal to the emWave Pro USB module, where the inter-beat interval is calculated in milliseconds and then heart rate variability is plotted. This study will help determine whether using the HeartMath’s biofeedback system with emWave Pro daily mindfulness practice is a practical way to (1) improve job satisfaction and performance of physicians, advance practice clinicians, and nurses; (2) improve patient satisfaction; and (3) positively impact resting blood pressure and heart rate when comparing baseline to follow-up measures.

BRAINSCOPE STUDY
Dr. Clugston and his research team in the UF Sports Concussion Center, in partnership with Dr. Michael Jaffee of the UF Department of Neurology, are collaborating with industry sponsor BrainScope on a new study to explore whether there are any changes present in an Electroencephalogram (EEG) for mild TBI in sports concussion. The study will follow approximately 30 athletes over 1 season of play that will be tested with BrainScope’s new generation of portable, simple-to-use, non-invasive instruments to detect traumatic brain injury (TBI) at their initial point of care. The purpose of this study is to determine if there is utility in utilizing rapid non-invasive EEG to aid in the detection of acute concussion, to aid in the resolution of post-concussive symptoms, and to demonstrate the feasibility and enhanced safety for club sports when an organized concussion program is established. The results of this study will help clinicians to better understand the relationship between brain activity measured by a handheld device, brain function measured by other commonly computerized tests, balance assessment using a small wireless device, and the time it takes to recover from both the short-term and longer-term effects of a mild TBI in sports concussion.

KERECIS STUDY
Once pressure ulcers have developed, 50 percent of stage II ulcers do not heal in eight weeks and 95 percent of stage III/IV ulcers do not heal in eight weeks. Dr. Millan and her research team at the UF Health Wound Care and Hyperbaric Center at Magnolia Parke are collaborating with an industry sponsor, Kerecis, on a new study to explore a novel piscine sourced acellular dermal graft for the treatment of pressure ulcers. The graft provides a scaffold for cellular in-growth and includes natural lipids of the skin, including Omega-3, that have previously shown to decrease inflammation and decrease evaporation from the wound. The graft has shown in one RCT to heal wounds significantly faster than other biologic wound products, and retrospective studies have shown reduced risk of infection and other complications. In this study, the team is looking to compare the use of the piscine acellular dermal graft to standard of care in wounds that have not shown signs of healing for four weeks. The treatment is meant to start the healing in pressure ulcers where the obvious reason for the ulcer has been corrected, but the ulcer will not heal. Based on previous research with the piscine graft and other advance wound care products, the team expects the primary outcome to be faster wound healing in the treatment group and a secondary end point of more wounds healed by 12 weeks and a reduced risk of infections. The results of this study will aid clinicians with exploring treatment options to speed up the healing process of pressure ulcers and to improve the rate of healing for hard-to-heal ulcers. Given the cost of current treatments, the team expects the treatment to be cost effective for most wounds where healing has not progressed with standard of care.

POPULATION HEALTH STUDY
Dr. Chacko, a new faculty member, is hitting the ground running with a project looking to identify barriers and best practices for implementing population health curriculums within primary care residency programs. She and the research team will conduct in-depth interviews with family medicine residency program directors in Florida. The interviews will explore program directors’ perceptions of ACGME milestones, utility of EMRs, role of leadership, need for faculty development, and resident buy-in. The data collected from program director responses will be coded and analyzed to identify recurrent themes across interviews. The specific aim of the project is to identify barriers to incorporating population health curriculums into residency training as means to identify opportunities for supporting curriculum development and sharing of best practices. The results of this study will help clinicians reveal barriers to curriculum development and implementation, as well as opportunities to support program directors in ongoing curriculum design. Next steps might include submission to the Council of Academic Family Medicine Educational Research Alliance (CERA) Survey, or the development of a population health learning network for primary care residencies to foster sharing of best practices regionally.

QUALITY:

Department Quality Improvement Initiatives
There are numerous quality improvement projects occurring that are addressing issues such as reducing readmission rates to the hospital, reducing non-emergent emergency department utilization by CHFM patients, and the rate of specialist referrals from within the department. These projects are meant to improve the care provided to patients, utilize resources in an efficient manner, as well as meet the complex and changing needs of CHFM patients and their communities.

As an example, the current status of the readmission rate project is noted in the graph below. While the weekly readmission rate has overall trended downwards over the past year, CHFM continually seeks interventions that will lower this rate even further. One of these interventions is the addition of a case manager at Eastside. Since her arrival, the readmission rate for Eastside patients has not only shown a decrease, but also a reduction in ED utilization.

Family Medicine Readmission Weekly Trends

(Percentage of Patients that were Discharged that Week that Returned Within 30 Days)

• Readmission= A patient discharged from Family Medicine service and admitted as urgent or emergent to any other service in Shands UF Health system within 30 days of the discharge (excludes observation patients on both discharges and readmits)

• Readmission rate= Readmissions/ Discharges

• Current Weekly Average = Average readmission rate for 10-week period (9/21/2015-11/29/2015), 1 year from pre-intervention period. Average weekly rate for pre-intervention period (9/22/2014- 11/30/2014) was 23%

• 1st Lower Limit= Current Weekly Average – 1 standard deviations; 1st Upper Limit= Current Weekly Average + 1 standard deviations

• 2nd Lower Limit= Current Weekly Average – 2 standard deviations; 2nd Upper Limit= Current Weekly Average + 2 standard deviations

• 3rd Upper Limit= Current Weekly Average + 3 standard deviations

Another initiative being implemented to reduce ED utilization and readmission rates is a Weekly Quality Round Discussion with the resident teams to analyze why patients were readmitted. In conjunction with this, a research study, COMPARE2, focuses on interviewing patients to see from the patient’s perspective why they feel they were readmitted.

Clinic Quality Improvement Initiatives
As part of the department goal to improve patient care and continually improve our processes, all clinic sites are working within their own practice to implement process and/or workflow changes to meet goals of various quality measures. Medical directors are taking the lead and engaging staff in quality improvement efforts tailored to their unique patient populations. Clinic sites also review monthly reports to monitor changes. Below are the items that clinics are focusing on:

• Physician Quality Reporting System (PQRS): Measuring department success in health outcomes for chronic conditions, preventative care, and health screenings.
> Diabetes Mellitus
> Hypertension
> Influenza Immunizations
> Pneumococcal Vaccinations
> Colorectal Cancer Screening

• Advance Directives

Resident-Led Quality Improvement Project
During the 2015-2016 academic year, the resident QI projects included:

• Chronic Kidney Disease template for EPIC

• Preventative Smart Set for EPIC

• Improved osteoporosis screening in women

For this academic year, the residents will work in teams to improve the rates of influenza vaccination, pneumococcal vaccination, tobacco screening and cessation, and colorectal cancer screening.

POSTERS:

Agana DF, Hatch R, Porter M, Rubin D, Carek P. UF Primary Care physicians’ satisfaction. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Asken B, Clugston J, Bauer R. Differences between varsity athletes and non-athletes in acute post-concussion presentation. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Asken B, Clugston J, Bauer R. Baseline test performance and days to return-to-contact: Implications for the lack of effectiveness of “Sandbagging”. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Bonnet J, Eisenschenk S, Clugston J. Seeing double. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Bonnet J, Okken L, Nicolette G. A ‘New Dimension’ of obesity care. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Carek PJ, Dietrich E, Feller D,Malaty J, Lombardi J, Blanc P, Samraj G. Addressing hospital readmissions: Impact of weekly review. Poster presented at: University of Florida Health Quality and Patient Safety Week; 2016 March 17; Gainesville, FL.

Crew E, Asken B, Sullan M, Clugston J, Bauer R. Acute sleep changes following sport-related concussion are associated with increased intra-individual variability on ImPACT®. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Dieuvil M, Carek P, Judge E, Listhaus A, Samraj G. Does insurance status influence HPV vaccination rates at university based primary care clinics? Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Dieuvil M, Malaty J. An uncommon cause of acute encephalopathy in liver cirrhosis. Poster presented at: University of Florida College of Medicine Celebration of Research; 2016 February 22; Gainesville, FL.

Dieuvil M, Malaty J. An uncommon cause of acute encephalopathy in liver cirrhosis. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Dorsey N, Michaudet C, Storey T, Clugston J. Football athlete with low back pain. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Gaynor L, Asken B, Clugston J, Bauer R. Base rates of concussion-like symptoms in healthy collegiate athletes: A predictive tool for post-concussive recovery time. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

George J, Malaty J. Type 2 diabetes quality improvement project: Utilizing EMR to improve quality of care. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

George J, Malaty J.Type 2 diabetes quality improvement project: Utilizing EMR to improve quality of care. Poster presented at: The 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Greif S, Snyder A, Asken B, Clugston J, Bauer R. Confirmatory factor analysis on the immediate post-concussion assessment and cognitive testing (ImPACT®) at baseline. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Houck Z, Asken B, Bauer R, Clugston J. Epidemiology of sport-related concussion in a NCAA Division I football bowl subdivision sample. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Houck Z, Asken B, Bauer R, Perlstein W, Boone J, Dubose D, Clugston J. Improved performance on the king-devick test when re-tested after collegiate sport exposure. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Hwang A, Smith S, Dave C. Trends in antihypertensive medication use among U.S. patients with resistant hypertension, 2008-2014. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Hwang A, Carris N, Smith S, Taylor J, Sando K, Powell J, Gums J, Dietrich E, Anderson KV. Anticoagulation-related quality of life associated with extended-interval monitoring: A pre-specified analysis of the FADE-OUT Study. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Judge E, Carek P, Dieuvil M, Listhaus A, Samaraj G. Racial differences in HPV vaccination rates at an academic family medicine clinic. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Kramer D, Michaudet C, Eisenschenk S, Shah K, Clugston J. Headache in a collegiate golfer after dental procedures. Poster presented at:Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Malaty J, Dickmann S, Dieuvil M, Kramer D, Blanc P, Carek P. Mildly elevated transaminases and evaluation for hepatitis B and C in a family medicine center. Poster presented at: The 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Millan S. Porcine tri-layer wound matrix for the treatment of stage IV pressure ulcers. Poster presented at: Medical Student Poster Presentation, Florida Medical Association, July 2015; Orlando, FL.

Millar J, Psychas P, Valle D. Identifying malaria risk factors in a hyper-endemic setting using bayesian model selection. Poster presented at: University of Florida Emerging Pathogens Institute Research Day; 2016 February 18; Gainesville, FL.

Nguyen P, Solberg L. Medical school applicants’ attitudes about social media use. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Pond B, Psychas P. Malaria indicator surveys demonstrate a markedly lower prevalence of malaria in large cities of Sub-Saharan Africa. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Quillen D. Admissions to medical school: The new MCAT and the holistic review. Poster presented at: Florida Academy of Family Physicians Spring Forum; 2016 April 21-23; Orlando, FL.

Smith M, Schmidt S, Weitzel K, Hatton R, Elsey A, Cavallari L, Johnson J. Feasibility of implementing a personalized approach to chronic pain management using CYP2D6 genotype in a primary care clinic. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Sullan M, Breton Asken, Snyder A, Crew E, Clugston J, Bauer R. The relationship between post-concussive sleep symptoms and recovery time in Division I collegiate athletes. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Wilt J, Padilla C. Otorrhea induced by fall from skateboard. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Wilt J, Okken L, Nicolette G. Simple interventions to help improve blood pressure screening. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Zapf A, Zaremski J. Chronic back pain in a football player. Poster presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

PRESENTATIONS:

Agana DF. Characteristics of emergency department utilizers of UF Family Medicine in 2015. Presented at: University of Florida Public Health and Health Professions Research Day; 2016 April 13; Gainesville, FL.

Allen W. Regulating genetic selection in humans: What is a compelling state interest? Presented at: Bioethics Summer Retreat; 2016 June 22 - 26; Lake Geneva, WI.

Allen W. From secrecy to disclosure: The history of informed consent. Taking informed consent seriously. Presented at: 2nd Annual Issues in Clinical Ethics Conference; 2016 April 29; Orlando, FL.

Bonnet J. Seeing double. Presented at: American College of Sports Medicine Annual Meeting; 2016 May 31 - June 4; Boston, MA.

Carek P. Job satisfaction among academic family physicians. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Carek P. Family Medicine clerkship directors: views and actions in medical students impressions of family medicine: A CERA Study. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Carek P. Referral rate in a family medicine residency clinic: how does it compare? Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Carek P. Does insurance status influence HPV vaccination rates at university based primary care clinics? Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Carek P. Racial differences in HPV vaccination rates at an academic family medicine clinic. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Carek PJ, Malaty J, Dietrich E, Lombardi J, Porter M, Blanc P, Samraj G. Impact of weekly multidisciplinary readmissions rounds on readmission rate. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Clugston JR. Concussion diagnosis and management. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course. American Academy of Family Practice; 2016 July 20; Clearwater, FL. Clugston JR. Concussion sideline evaluation - SMART Workshop. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course. American Academy of Family Practice; 2016 July 21; Clearwater, FL.

Clugston JR. Concussion sideline evaluation - SMART Workshop. Presented at: 2016 American Medical Society for Sports Medicine Annual Meeting; 2016 April 19; Dallas, TX.

Clugston JR. Elbow evaluation and examination. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course. American Academy of Family Practice; 2016 July 21; Clearwater, FL.

Clugston JR. Physical therapy prescriptions. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course. American Academy of Family Practice; 2016 July 21; Clearwater, FL.

Clugston JR, Asken B, McCrea M, Snyder A, Houck Z, Bauer R. Playing through it: Delayed reporting and removal from athletic activity after concussions predicts prolonged recovery. Presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Cobbs-Tarantola L, Perrin A, Vidaurreta B. Perspectives on peer-assisted learning: Challenges and innovations. Presented at: Association of American Medical Colleges, GSA-CiM-OSR Professional Development Conference; 2016 June 23-26; St. Louis, MO.

Costain J, Olson D, Listhaus A, Gilbert L, Schmidt S, Samraj G. Assessment of first 100 patients at a family medicine residency chronic pain management program. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Dickmann S, Blanc P, Carek P, Dieuvil M, Kramer D, Malaty J. Mildly elevated transaminases and evaluation for hepatitis B and C in a family medicine center. Presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Dickmann S, Blanc P, Dieuvil M, Kramer D, Malaty J. Mildly elevated transaminases and evaluation for hepatitis B and C in a family medicine center. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Dietrich E. Contemporary considerations and models for transitions of care services. Presented at: American Society of Health Systems Pharmacists Summer Meeting, Ambulatory Care; 2016 June 11-15; Baltimore, MD.

Dietrich E. Antibiotic pharmacokinetics. Presented at: 2016 Inpatient Family Medicine Morning Didactics, Medicine Service; July 2015 - June 2016; Gainesville, FL.

Dietrich E. Anticoagulation reversal. Presented at: 2016 Inpatient Family Medicine Morning Didactics, Medicine Service; July 2015 - June 2016; Gainesville, FL.

Dieuvil M, Carek P, Judge E, Listhaus A, Samraj G. Does insurance status influence HPV vaccination rates at university based primary care clinics? Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Dorsey NJ(r), Michaudet C, Silvestri P, Clugston J. Football athlete with sickle cell trait and low back pain. Presented at: American Medical Society for Sports Medicine Annual Meeting; Dallas, TX April 17, 2016.

Edenfield K. Female athlete triad. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Edenfield K. Nutritional and dietary supplements. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Edenfield K. Exercise prescription and new trends in training. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Edenfield K. Casting and splinting. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Feller DB, Ware MR, Hall KL, Listhaus A, Feller J. Evaluating a collaborative care behavioral health model. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

George J, Malaty J. Type 2 diabetes quality improvement project: utilizing EMR to improve quality of care. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Gums J. Antimicrobial resistance: Implications for the primary care provider. Presented at: Student Health Care Center Grand Rounds, University of Florida; June 2016; Gainesville, FL.

Hatch R, Agana DF, Carek P, Porter M, Rubin D. Job satisfaction among academic family physicians. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Judge E, Carek P, Dieuvil M, Listhaus A, Samraj G. Racial differences in HPV vaccination rates at an academic family medicine clinic. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Kramer D, Michaudet C, Eisenschenk S, Shah K, Clugston JR. Headache in a collegiate golfer after dental procedures. American Medical Society for Sports Medicine Annual Meeting; April 2016; Dallas, TX.

Mainous A. Prevalence of prediabetes and abdominal obesity among health weight adults: An 18-year trend. Presented at: Community Health and Family Medicine Research Night, 2016 June 23; Gainesville, FL.

Malaty J, Taylor D, George J, Kramer D. Team-based chronic kidney disease quality improvement project. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Malaty J, Taylor D, George J, Kramer D. Team-based chronic kidney disease quality improvement project. Presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Michaudet C. Musculoskeletal imaging modalities with radiologic review of common fractures. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Michaudet C. Skin conditions in athletics. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Michaudet C. Ankle and foot – evaluations and management. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Michaudet C. Casting and splinting. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Millan S. Adventures in research. Presented at: Healogics Specialty Physicians; May 2016; Gainesville, FL.

Millan S. Venous leg ulcers. Presented at: UF CHFM Residency; April 2016; Gainesville, FL.

Moseley R. Honoring patient’s end of life decisions. Presented at: 25th Annual Alpha 1 National Education Conference; June 2016; Miami, FL.

Moseley R. Advance directives training project. Presented at UF Health Family Clinics; June 2016; Gainesville, FL.

Moseley R. Protecting research participants. Presented at: Florida Department of Health; May 2016; Tallahassee, FL.

Moseley R. Strategies for taking informed consent seriously. Presented at: 2nd Annual Clinical Ethics Conference, Taking Informed Consent Seriously, Florida Bioethics Network; April 2016; Orlando, FL.

Moseley R. Proper feeding and watering of the American ethics committee. Presented at: Florida Bioethics: Debates, Decisions, Solutions; April 2016; Miami, FL.

Nicolette GW. Bursitis and tendonitis. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Nicolette GW. Case studies. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Nicolette GW. Role of the team physician. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Nicolette GW. Joint injection. Presented at: 2016 Practical Advances in MusculoSkeletal and Sports Medicine National Live Course, American Academy of Family Practice; 2016 July 19-22; Clearwater, FL.

Olson D, Costain J, Gilbert L, Listhaus A, Schmidt S, Samraj G. Establishing multidisciplinary chronic pain management curriculum in inner-city family medicine residency education. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Porter M, Agana DF, Carek P, Hatch RL, Rubin D. Family medicine clerkship directors’ views and actions on medical students’ impressions of Family Medicine: A CERA study. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Porter M, Carek P, Blanc P, Listhaus A. B120 referral rate in a family medicine residency clinic: How does it compare? Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Porter M, Malaty J, Michaudet C, Shuster J, Blanc P, Carek P. Referral rate in a family medicine residency clinic: How does it compare? Presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Porter M, Blanc B, Listhaus A, Shuster J, Carek P. Referral rate in a family medicine residency clinic: How does it compare?Roundtable discussion at: STFM Conference; May 2016; Minneapolis, MN.

Potts S, Carek P, Danoff R, Lausen H, Munzing T. Requirements, milestones, NAS, and other accreditation issues: A workshop with the ACGME review committee for family medicine. Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

Psychas P. What drives malaria risk in Northern Ghana? Geospatial & biostatistical analysis of the Bunkpurugu-Yunyoo dataset overview of efforts to date. Presented at:Noguchi Memorial Institute for Medical Research, University of Ghana; May 2016; Accra, Ghana.

Psychas P. Malaria 101: Understanding an ancient scourge and the new medications used to fight it. Presented at: UF Oak Hammock Nobel Prize Lecture Series; April 2016; Gainesville, FL.

Rathe R. Building problem-oriented notes: The evolution of a documentation tool. Presented at: Epic Physicians Advisory Council; April 2016; Verona, WI.

Samraj G. Medicine lecture series and workshop on women’s health. Noon Conference on Anticoagulation, OB/Gyn EM and Endocrinology, University of Florida Family Practice Residency Program; July 2015 - June 2016; Gainesville, FL.

Schmidt S, Chang KL, Gilbert L, Hagan H, Samraj G. Does chronic disease management applied in a chronic pain management program improve patient reported outcomes, reduce emergency room visits, and decrease hospitalizations? Presented at: 49th Society of Teachers of Family Medicine Annual Spring Conference; 2016 April 30 - May 4; Minnesota, MN.

Smith S, Carris N, Dietrich E, Gums J, Uribe L, Coffey C, Gums T, Carter B. Pharmacist-physician collaboration for uncontrolled treatment-resistant hypertension. Presented at: Community Health and Family Medicine Research Night; 2016 June 23; Gainesville, FL.

Solberg L. Giving consent for future procedures: Advance directives. Presented at: Florida Bioethics Network Conference: Taking Informed Consent Seriously; April 2016; Orlando, FL.

Solberg L. Introduction to research ethics. Presented at: UF Patient Centered Outcomes Research Institute Citizen Scientist Program; June 2016; Gainesville, FL.

Solberg L. Assisting teams with ethical issues in patient care: the UF Health Ethics Consult Service. Presented at: University of Florida Department of Obstetrics and Gynecology Grand Rounds; May 2016; Gainesville, FL.

Solberg L. A boot camp approach to interprofessional geriatrics education: Replication and validity. Presented at: American Geriatrics Society Annual Meeting; May 2016; Long Beach, CA.

White L, Hwang A, Samraj G. Impact of comprehensive anticoagulation program in improving multidisciplinary training and patient outcome. Presented at: Presented at: 49th Annual Spring Conference for the Society of Teachers of Family Medicine; 2016 April 30 - May 4; Minneapolis, MN.

PUBLICATIONS:

Asken B, McCrea M, Clugston J, Snyder A, Houck Z, Bauer R. “Playing through it:” Delayed reporting and removal from athletic activity following concussion predicts prolonged recovery. Journal of Athletic Training. 2016;51(4): 329-335.

Anim TE, Keehbauch J. (2015). Vaginal Bleeding, Abnormal (algorithm). In Domino FJ (Ed.), The 5-Minute Clinical Consult. 2016, Philadelphia: Wolters Kluwer Health.

Baker R, Honeyford K, Levene LS, Mainous AG 3rd, Jones DR, Bankart MJ, Stokes T. Population characteristics, mechanisms of primary care and premature mortality in England: A cross-sectional study. BMJ Open. 2016;6(2): e009981.

Beers PJ, Adgerson CN, Millan SB. Porcine tri-layer wound matrix for the treatment of stage IV pressure ulcers. JAAD Case Reports. 2016;2(2): 122-124. doi:10.1016/j.jdcr.2016.01.001.

Bonnet JP, Clugston JR. Seeing double – football. Medicine & Science in Sports and Exercise. 2016;48(5S):348.

Carek PJ. Educating nurse practitioners and physician assistants in the family medicine practice: We need a thoughtful and focused team-based approach. Fam Med. 2016;48(5): 343-4.

Carek PJ, Malaty J, Dietrich E, et al. Addressing hospital readmissions: impact of weekly review. Family Medicine. 2016 (in press).

Carney PA, Conry CM, Mitchell KB, Ericson A. Dickinson WP, Martin JC, Carek PJ, Douglass AB, Eiff MP. The importance of and the complexities associated with measuring continuity of care during resident training: Possible solutions do exist. Fam Med. 2016;48(4): 286-93.

Carris NW, Ghuschyan V, Libby AM, Smith SM. Health-related quality of life in persons with apparent treatment-resistant hypertension on at least four antihypertensives. J Hum Hypertens. 2016;30: 191-6.

Carris N, Smith S, Gums JG. Osteoarthritis. In: Chisholm-Burns MA, Schwinghammer TL, Wells BG, Malone PM, Kolesar JM, DiPiro JT, eds. Pharmacotherapy Principles & Practice. 4th ed. New York: McGraw-Hill, (Chapter 58) 2016: 889-899. (ISBN-978-0-07-183502-2).

Chang SW, Gong Y, McDonough CW, Langaee TY, Kenari NN, Beitelshees AL, Gums JG, Chapman AB, Turner ST, Johnson JA, Cooper-DeHoff RM. Melatonin pathway and atenolol – Related glucose dysregulation – Is there a correlation? Clin Transl Sci. 2016;9:114-122.

Davis K, Dietrich E. Ivabradine (Corlanor) for heart failure. Am Fam Physician. 2016 April;15:682-84.

Desai A (editor-in-chief), Desai BK. Primary Care for the Emergency Physician. New York: Springer, 2017.

Desai A. Constipation. In Desai A, Desai BK. Primary Care for the Emergency Physician. New York: Springer, 2017 (book chapter)

Desai BK, Desai A. Obstetric & Gynecologic Emergencies. In Desai BK, Allen BR. Nailing the Emergency Medicine Boards. New York:Springer, 2016

Dieuvil, M, Malaty J. An uncommon cause of acute encephalopathy in liver cirrhosis. BMJ Case Reports. 2016 April 20; doi:10.1136/bcr-2016-214948.

Dubose DF, Herman DC, Jones DL, Tllman SM, Clugston JR, Pass A, Hernandez JA, Vasilopoulos T, Horodyski MB, Chmielewski TL. Lower extremity stiffness changes following concussion in collegiate football players. Medicine & Science in Sports and Exercise. Published online ahead of print 2016 Aug 6.

Gharaibeh KA, Turner ST, Hamadah AM, Chapman AB, Cooper-Dehoff RM, Johnson JA, Gums JG, Bailey KR, Schwartz GL. Comparison of blood pressure control rates among recommended drug selection strategies for initial therapy of hypertension. Amer. Soc. Hyper. 2016 June; doi: 10.1093/ajh/hpw067.

Gong Y, Wang Z, Beitelshees AL, McDonough CW, Langaee TY, Hall K, Schmidt SO, Curry RW, Gums JG, Bailey KR, Boerwinkle E, Chapman AB, Turner ST, Cooper-DeHoff RM, Johnson JA. Pharmacogenomic genome-wide meta-analysis of blood pressure response to β-Blockers in hypertensive African Americans. Hypertension. 2016 Mar;67(3):556-63. doi: 10.1161/HYPERTENSIONAHA.115.06345. Epub 2016 Jan 4. PMID 26729753.

Gruber L, Singer T, Dewar M. Implementing asthma-related quality improvement – establishing a baseline. Alliance Almanac (Alliance for Continuing Education in the Health Professions). 2016;38(6): 6-10.

Gums JG, Hwang A, Smith S. Hypothalmic, Pituitary, and Adrenal Disorders (Chapter 32) in Drug-Induced Diseases: Prevention, Detection, and Management, 3rd ed. Tisdale, ed. Bethesda, Maryland 2016 (in press).

Harle CA, Listhaus A, Covarrubias C, Schmidt SOF, Mackey S, Carek PJ, Fillingim RB, Hurley RW. Overcoming barriers to implementing patient-reported outcomes in an electronic health record: A case report. JAMIA. 2016;23(1): 74-79.

Houck Z, Asken B, Bauer R, Pothast J, Michaudet C, Clugston J. Epidemiology of sport-related concussion in an NCAA division I football bowl subdivision sample. Am J Sports Med. 2016 May 3. doi:10.1177/0363546516645070

Mainous AG 3rd, Tanner RJ, Baker R. Prediabetes diagnosis and treatment in primary care. J Am Board Fam Med. 2016; 29(2): 283-5. doi: 10.3122/jabfm.2016.02.150252.

Mainous AG 3rd, Tanner RJ, Anton SD, Jo A. Low grip strength and prediabetes in normal-weight adults. J Am Board Fam Med. 2016;29(2): 280-2.

Malaty J. Medical management of chronic rhinosinusitis in adults. Sinusitis. 2016May 28.

Marlow NH, Malaty J, Jo A, Tanner RJ, Beau de Rochars VM, Carek PJ, Mainous AG. Hearing impairment and undiagnosed disease: The potential role of clinical recommendations. Submitted to Journal of Speech, Language, and Hearing Research. 2016 March 24.

Mims LD, Everard KM, Hall K, Hatch R, Malaty J, Rubin D, Agana DF, Carek PJ. Family medicine clerkship directors’ influence on the residency program selection process: A CERA study. Fam Med. 2016;48(2):108-13.

Nguyen K, Jacobs K. Urethral prolapse. Consultant for Pediatricians. 2016 Mar;15(3): 138-140.

Porter M, Mims L, Garven C, Gavin J, Carek P, Diaz V. International health experiences in family medicine residency training. Fam Med. 2016;48(2): 114-2-.

Sacino AN, Shuster JJ, Nowicki KW, Carek PJ, Wegman MP, Listhaus A, Gibney JM, Chang LK. Novel application of a reverse triage protocol providing increased access to care in an outpatient, primary care clinic setting. Fam Med. 2016;48(2):136-9.

Sa AC, Webb Y, Gong Y, McDonough CW, Shahin MH, Langaee TY, Turner ST, Beitelshees AL, Chapmah AB, Boerwinkle E, Gums JG, Scherer S, Cooper-Dehoff RM, Sadee W, Johnson JA. Hypertension (HTN)/ blood pressure (BP) signature genes and BP response to thiazide diuretics (TD): Results from PEAR and PEAR-2 studies. Clin. Pharmacol. Therap. 2016;99:S19(PT23).

Shahin MH, Sa AC, Webb A, Gong Y, Langaee T, McDonough CW, Riva A, Beitelshees AL, Chapman AB, Gums JG, Turner ST, Boerwingle E, Scherer SE, Sadee W, Cooper-DeHoff RM, Johnson JA. Genome wide prioritization and transcriptomics reveal novel signatures associated with thiazide diuretics blood pressure response. Circulation Genetics. 2016 January submitted.

Shahin MH, Sa AC, Webb A, Gong Y, Langaee T, McDonough CW, Riva A, Beitelshees AL, Chapman AB, Gums JG, Turner ST, Frye RF, Scherer S, Sadee W, Cooper-Dehoff RM, Johnson JA. Finding a needle in the haystack for thiazide response using genomics/transcriptomics in pharmacogenomic evaluation of antihypertensive response (PEAR) study. Clin. Pharmacol. Therap. 2016;99:S19.

Smith SM, Carris NW, Dietrich E, et al. Physician-pharmacist collaboration versus usual care for treatment-resistant hypertension. J. Amer. Soc. Hypertension. 2016 April;10:307-17.

CHFM EVENTS

UPCOMING EVENTS

GRAND ROUNDS – SEPTEMBER 6
Presenter: Marvin Dewar, MD, JD
Topic: Recent Changes in Health Care

STATE OF THE DEPARTMENT – SEPTEMBER 16
The Department of Community Health and Family Medicine will deliver a State of the Department address on Friday, September 16 at 7:00 a.m. – 9:00 a.m. in the Medical Science Building Auditorium. This meeting will not be video-conferenced. Parking is available in the East or West Visitor’s Garage and parking vouchers will be provided. Breakfast will also be provided; thus, attendance confirmation would be appreciated. Please check your calendar, as invites have already been sent out.

ANNUAL ADMINISTRATIVE RETREAT "TAKE CHARGE OF CHANGE" – SEPTEMBER 30

A terrific event is being planned this year where administrative staff will learn how to take charge of change! In addition to the indoor morning activities, the afternoon activities will be held outdoors, which will allow attendees to interact with their team members, including those with whom they may not otherwise work. These activities afford the opportunity for staffers to move their bodies, team build, and just be outside! Attendees will want to wear clothing that is comfortable to move in and closed toe/sports shoes. Sunscreen and insect repellent are also recommended. Calendar invites have already been sent out to the relevant staff. Also, please RSVP to Sheila Diuguid (diuguid@ufl.edu) by September 2 to let her know if you have any dietary restrictions.

CAMPAIGN FOR CHARITIES – OCTOBER 3 - 21
The University of Florida will be kicking off Campaign for Charities on October 3 and it will last until October 21. This fundraising endeavor is specifically for UF employees and is designed to allow employees to contribute to 100 different charities through payroll deduction, cash, check, credit card, or stock donations. In addition, CHFM is planning several other avenues for community engagement and giving. Stay tuned for more! If you have any questions or ideas, contact Dana Ives (ives@ufl.edu or 352-273-5452). UF Campaigns for Charities: http://ufcc.ufl.edu/gator-good-in-gainesville/

19th ANNUAL GAINESVILLE CODING FIESTA – OCTOBER 22
The 19th annual Coding Fiesta is taking place on Saturday, October 22 at the Harrell Medical Education Building. The event invites healthcare professionals who are involved with medical billing, coding, and utilization management. Registration is currently open and available at this website: http://codingfiesta.sites.medinfo.ufl.edu/. This year, you will get an instant confirmation by registering online and paying through PayPal.

STRATEGIC PLANNING RETREAT – OCTOBER 28
A follow-up retreat has been scheduled to review the Department’s progress towards meeting its mission and vision statements and to discuss/recommend areas for improvement. The retreat will be held on Friday, October 28 at Lake Wauburg. Lunch will be served at noon and the retreat will begin at 1:00 p.m. and end at 5:00 p.m. Calendar invites including directions will be sent out shortly to the attendees.

ANNUAL HOLIDAY PARTY – DECEMBER 3
Save the date for the CHFM Annual Holiday Party, hosted by Dr. and Mrs. Carek at their home. The evening promises to be a great time for all.

MIND, BODY, AND SOLE 5K (RUN & WALK) – DECEMBER 4
The 3rd Annual Mind, Body, and Sole 5k is a fundraiser that benefits the Carey R. Barber, M.D. Scholarship Fund. Money raised in excess of the race cost will go to the endowment account that helps provide a scholarship to a medical student interested in Depression Awareness, and Suicide Prevention.

PRIMARY CARE INNOVATIONS CONFERENCE – MARCH 10, 2017
(Submissions due November 1)

This won't be your typical conference. Sessions will be interactive and centered around the sharing of ideas. This conference is for anyone and everyone working to improve primary care - medical assistants, nurses, nurse practitioners, pharmacists, administrators, students, residents, fellows, IT specialists, receptionists, physical and occupational therapists, physician assistants, and physicians.

The aim is to create a collaborative space in which the primary care community can share and learn from other's innovative practices and ideas.

With your participation we strive to:

• Share primary care innovations which improve access, quality and coordination of care.

• Think beyond our current traditional medical culture and framework to push the status quo in primary care forward.

• Bring together all members of the interdisciplinary primary care team to innovate.

• Build a community of innovators in primary care who will have the opportunity to continue to collaborate into the future.

Schedule of Conference:

9:15 am KEYNOTE: Dr. Andrew Morris-Singer, founder of Primary Care Progress.
10:30 am BREAK-OUT SESSION: Attendees will present innovations in progress.
12:00 pm PROBLEM-SOLVING LUNCH: Collaborate with others during lunch and brainstorm solutions to common problems encountered in primary care.
1:30 pm BREAK-OUT SESSION: Attendees will present innovations in progress.
3:30 pm WORKSHOPS: Attendees will walk participants through an innovation in their practice with the goal of sharing lessons learned.
5:00 pm ADJOURN

Interested in submitting your innovative project for this conference? Submissions due November 1. Visit the website for registration and submission details: PrlmaryCarelnnovatlons.cme.ufl.edu.

PAST EVENTS HIGHLIGHTS

PICNIC – JUNE 4
CHFM celebrated its 2nd annual summer picnic on Saturday, June 4, and it was a great success! The event took place at beautiful Poe Springs, located in the nearby city of High Springs. The weather was hot, but the shade provided by the spacious pavilion made enjoying conversation and David’s Barbeque very comfortable. Employees and their families enjoyed the natural spring while tossing a football and swimming in the crystal clear, cool water. The playground was enjoyed by many little visitors, as well as playing corn hole and volleyball on the large open field. Gratefully, the purpose of the event was achieved by bringing employees together to socialize with the co-workers they knew and those whom they may not have known before, as well as to share their families with everyone. Dr. Carek was very pleased to have so many employees and their families available to come out and enjoy food, fun, and fellowship. He looks forward to enjoying quality time with CHFM employees and their families at next year’s summer picnic, already scheduled for June 3, 2017.

RESEARCH NIGHT – JUNE 23
CHFM held its Inaugural Department Research Night on Thursday, June 23, with a great turnout of presenters and attendees. The event entailed an opening reception, poster session, and podium presentations held at the Champions Club at Ben Hill Griffin Stadium. CHFM faculty, residents, and fellows delivered 25 presentations in varying topics of “Physician Wellbeing” to “Trends in Antihypertensive Medication.” Also among those presentations were various case studies that members of the CHFM team witnessed in their clinical experiences over the course of the past year. Following the poster session, there were six presentations given by CHFM faculty and residents, as well as lead investigators from other collaborating departments, such as the Department of Health Services Research, Management, & Policy. These presentations covered topics including concussion recovery and referral rate comparisons. All of these posters and presentations have been uploaded for viewing on the CHFM website under the “Research & QI” tab. A huge thank you to Lavina Gramig and Misty Gray, for helping organize the event from the program to the venue. Dr. Carek was very pleased to have so many faculty, residents, and fellows attend and share their scholarly work over the past year. Dr. Carek and the Research & Quality Improvement Committee are looking forward to planning next year’s Department Research Night, a date to be determined in the coming weeks.

WELCOME RECEPTION – JULY 13
A Welcome Reception was held at UF Health Family Medicine – Main in the residency lounge for incoming residents on July 13. They were met by many CHFM faculty, residents, fellows, and staff. Welcome to Family Medicine!

FACULTY & STAFF SPOTLIGHT

HELEN HAGAN, MD

Dr. Helen Hagan practices full spectrum family medicine with a focus on preventive care at the UF Health Family Medicine – Hampton Oaks.

Dr. Hagan's interests include women’s health care, palliative care, teaching medical students, and providing care to underserved populations with the Equal Access Clinic. She completed medical school at the Uniformed Services University in Bethesda, Maryland and practiced as a flight surgeon for sailors and marines prior to joining the University of Florida Department of Community Health and Family Medicine.

REATHEA FELDER, RN, MHA

Ms. Felder serves as the RN Health Coach for UF Health Family Medicine – Eastside. She began working for Family Medicine in 2012 as a LPN and has transitioned into the RN role as of June 2016. As a new nurse in this position, Ms. Felder has worked to improve healthcare on the Eastside of Gainesville by reducing emergency room visits and increasing access to healthcare. Ms. Felder also serves as the lead nurse at Eastside and works alongside other members of the healthcare team to produce quality and efficient healthcare services. Ms. Felder moved to Gainesville from St. Petersburg, Florida in 2007 to attend the University of Florida. In 2011, she graduated from the University of Florida with her Bachelor’s degree in Health Education and her LPN certification from Santa Fe College. She worked in pediatrics, geriatrics, home care, and family medicine as a nurse. In 2016, she graduated from Santa Fe College once again with her ASN in Nursing and also obtained her Master’s degree in Healthcare Administration from Grand Canyon University.

LINK TO 2014-2015 ANNUAL REPORT

The 2014-2015 Annual Report has been published and added to the CHFM webpage. Here is the link to the report: 2014-15 Annual Report

GRAND ROUNDS PRESENTATIONS

In case you missed any of the latest sessions:

June 7, 2016
Thomas A. Pearson, MD, MPH, PhD
The Social Determinants of Health: Are They Manageable?
June 2016 Grand Rounds Presentation - Mediasite

August 2, 2016
Teresa d’Angelo, RN, BSN, CCRC
UF CTSI: Enhancing Research Opportunities
August 2016 Grand Rounds Presentation - Mediasite

PCP LIVE PRESENTATIONS

In case you missed any of the latest sessions:

June 15, 2016
Dennis F. Saver, MD, FAAFP
“What’s Team Got to Do With It?”: Team Care in the Family Medicine Office
June 2016 PCP Live Presentation - Mediasite

July 20, 2016
Michael R. Ware, MD
Measurement-Based Care: What, Why and How
July 2016 PCP Live Presentation - Mediasite

August 17, 2016
James P. Wymer, MD, PhD, CPI, FAAN
Diabetic Neuropathy: It’s More Than Just Pain
August 2016 PCP Live Presentation - Mediasite

If you missed any of the latest issues of The Pulse, here's where you can find them!

(Clicking on the picture will take you to the website)

Would you like to add something to this newsletter or have any suggestions? Any questions, comment, or concerns? Please email Sherri Swilley at sherim@ufl.edu with subject “CHFM Newsletter”.