Category Archives: Family Medicine

Discussing Family Health this Fathers Day – Mega Doctor News

Speaking of family history, Dr. Hanicak said parents need to make sure theyre talking to their children about genetic concerns, too. Image for illustration purposes

Mega Doctor News

see people that come into my office and I ask them, Hey, why are you here, Joe? and theyll saymy familys been bugging me about coming in. So, bug them to come in, it works, said John Hanicak, MD, family medicine physician for Cleveland Clinic. And we see the downstream effects of that. So, they do show up and you get things taken care of, catch things early.

Dr. Hanicak said there are all kinds of reasons someone may delay seeing the doctor, like maybe theyve just been really busy, or they didnt think the pain or discomfort theyre experiencing was a big deal.

But, the sooner a person comes in, the better.Then their doctor can help treat the issue before it turns into something serious.

Its also important not to delay screenings or tests.

For example, prostate cancer exams are typically recommended around 50.

They may be needed sooner if theres family history.

Speaking of family history, Dr. Hanicak said parents need to make sure theyre talking to their children about genetic concerns, too.

If you havent seen your doctor for a long time, dont be afraid to check in with us, he added. Were not going to yell at you because your cholesterol is high. Our job is to help you to be the best person that you can be. But, the first step is coming in for that appointment to catch up and see how things are going.

Dr. Hanicak said talking to men about their mental health is just as important.

He knows it can be a sensitive topic for some, but its worth addressing.

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Discussing Family Health this Fathers Day - Mega Doctor News

Three Rivers Family Medicine joins Kadlec Medical Group on June 1 | Fox 11 Tri Cities Fox 41 Yakima – FOX 11 and FOX 41

RICHLAND, Wash. Long-standing Tri-Cities primary care provider Three Rivers Family Medicine will join the Kadlec Medical Group on June 1, according to a press release.

Three Rivers Family Medicine will now be known as Kadlec Clinic Three Rivers Primary Care.

We are thrilled to welcome the patients and staff of Three Rivers Family Medicine to the Kadlec family, said Kadlec Medical Group Chief Operating Officer Rob Watilo. This acquisition represents our dedication to providing comprehensive and patient-centered care to the Tri-Cities and surrounding region.

Three Rivers Family Medicine patients will not see a change in their treatment plans or services and all existing appointments and records will be transferred to Kadlec.

Three Rivers Family Medicine and Kadlec Regional Medical Center have worked together informally for decades to provide quality care for the Tri-Cities and surrounding area, said Dr. Michael Pattillo from Three Rivers Family Medicine. We are excited to make that partnership official as we continually strive to improve patient outcomes.

More information can be found on the Kadlec website.

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Three Rivers Family Medicine joins Kadlec Medical Group on June 1 | Fox 11 Tri Cities Fox 41 Yakima - FOX 11 and FOX 41

Perspectives of Family Medicine Providers on Nutrition of Maternal-Infant by Group Care Visits: A Cross-Sectional Study – Cureus

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Perspectives of Family Medicine Providers on Nutrition of Maternal-Infant by Group Care Visits: A Cross-Sectional Study - Cureus

Annals of Family Medicine: New Articles Highlight Team-Based Innovations That May Reduce Burnout and Improve … – PR Newswire

PROVIDENCE, R.I., May 29, 2024 /PRNewswire/ -- Annals of Family Medicine is excited to announce the publication of three innovative articles in the latest May/June 2024 issue that introduce team-based approaches to improve primary care efficiency and address physician burnout, a critical issue impacting health care quality and delivery. These articles present novel strategies in primary care and academic settings that aim to improve workflow and efficiency while potentially mitigating burnout.

Team-Based Management of High-Priority Messages Shown to Reduce Physician Burnout

In this article, a clinical team from the University of Michigan's Department of Family Medicine describes a system to manage high-priority in-basket messages collaboratively. Physicians shared inbox access and rotated the workload, reportedly reducing feelings of burnout. This approach aims to ensure urgent patient concerns are promptly addressed without overwhelming individual physicians.

Utilizing Medical Assistants to Manage Patient Portal Messages Shown to Support Practice and Physician Efficiency

Dr. Jennifer N. Lee, MD, and her team at Penn Family Care, part of the Department of Family Medicine and Community Health at Penn Medicine, introduced a model where certified medical assistants triage and distribute incoming patient messages. This initiative reduced the number of messages sent directly to primary care physicians by 40%, improving practice and clinician efficiency. Medical assistants maintained high response rates, potentially alleviating the burden on physicians and supporting a team-based care model.

Harmonizing Academic Missions in Family Medicine: One Department's Experience

This theory article presents a case example from the University of Minnesota Medical School, where the Department of Family Medicine and Community Health created a shared vision of harmonized missions. Historically, faculty had experienced care, education, and research missions as separate and isolated from each other, with ongoing tension as they were pulled in different directions by competing tasks and interests. The article highlights the department's specific strategies for harmonizing missions, such as creating a harmonization group and applying simple rules for mission alignment. This approach improved faculty well-being and increased scholarly output, providing a model for a learning and adaptive health system.

Why It Matters

Physician burnout is a critical issue affecting health care delivery, patient outcomes, and clinician well-being. These articles emphasize the importance of team-based care, workflow innovations, and systematic changes. Innovations that optimize team-based care may achieve both improved clinical effectiveness and reduce physician burnout.

Articles Cited:

Team-Based Management of High-Priority In-Basket MessagesGregoryShumer, MD, MHSA, Anup Bhandiwad, MD, MS, John Holkeboer, Lauren Marshall, MPH, MPP

Utilizing Medical Assistants to Manage Patient Portal MessagesJenniferN. Lee, MD, Laura Kurash, MD, Max Yang, Joseph Teel, MD, FAAFP

Harmonizing the Tripartite Mission in Academic Family Medicine: A Longitudinal Case Example C. J. Peek, PhD, Michele Allen, Katie A. Loth, Peter G. Harper, Casey Martin, James T. Pacala, Angela Buffington, Jerica M. Berge, PhD, MPH, LMFT, CFLE

Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. Launched in May 2003, Annals of Family Medicine is sponsored by seven family medical organizations, including the American Academy of Family Physicians, the American Board of Family Medicine, the Society of Teachers of Family Medicine, the Association of Departments of Family Medicine, the Association of Family Medicine Residency Directors, the North American Primary Care Research Group, and the College of Family Physicians of Canada. Annals of Family Medicine is published online six times each year and contains original research from the clinical, biomedical, social, and health services areas, as well as contributions on methodology and theory, selected reviews, essays, and editorials. Complete editorial content and interactive discussion groups for each published article can be accessed for free on the journal's website,www.AnnFamMed.org.

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Annals of Family Medicine: New Articles Highlight Team-Based Innovations That May Reduce Burnout and Improve ... - PR Newswire

Ohio U., Cleveland Clinic graduate 1st class of accelerated program – Cleveland Clinic Newsroom

ATHENS, Ohio: The first seven students to complete the Transformative Care Continuum, a unique educational collaboration between Ohio Universitys Heritage College of Osteopathic Medicine and Cleveland Clinic, will graduate from their residencies at the end of June.

The innovative program offers an accelerated curriculum designed to align physician training with the evolving demands of modern health care delivery.

Signing onto the TCC was a leap of faith. Students in our first cohort took this leap because they believe in team-based patient-centered care, they value a population care approach, and they have a deep affinity for the shared goals of Cleveland Clinic and Heritage College: to meet Ohios growing need for primary care physicians, said Ken Johnson, D.O., executive dean of the Heritage College and OHIOs chief medical affairs officer. The trailblazing spirit that landed them in the program has also allowed these students to shine in residency. The level of care they are bringing to their patients as they enter practice is of the highest quality, and I am proud to call them my colleagues.

In 2018, the first cohort entered the Transformative Care Continuum (TCC), an innovative program with an accelerated curriculum where select students at the Heritage College Cleveland campus are granted early admittance to family medicine residency programs at Cleveland Clinic Akron General or Cleveland Clinic Lakewood Family Health Center. They then spend three years in medical school, instead of the traditional four, before entering their residencies. While in medical school, the students work with health care teams in Cleveland.

By offering real-world clinical encounters and immersing students in health care teams, this unique program transforms medical training, said Sandra Synder, D.O., Cleveland Clinic program director of the Family Medicine Residency Program at Cleveland Clinic Lakewood Family Health Center. It equips this next generation of physicians with invaluable hands-on experience, ensuring they are prepared to tackle 21st-century health care challenges.

Heritage College faculty and Cleveland Clinic residency directors jointly developed the curriculum, forming a collaboration between medical education and health care to align physician training with what medicine needs.

We need to figure out what doctor we want at the end and give them those skills while in medical school. Teach them the knowledge, the attitudes, the behaviors, and then have them practice them at an advanced level while in residency. Thats what TCC has been able to accomplish, said Leanne Chrisman-Khawam, M.D., Transformative Care Continuum director.

Jacob Wolfe, D.O., a member of TCCs first cohort, has signed on to work with Cleveland Clinic post-residency. He believes the changes the TCC is bringing to medical education helped him to enter residency with more confidence.

Becoming a resident in the same clinic that I spent three years in, just made the transition so seamless and so smooth, and allowed me to focus on taking care of patients and not worrying about how to use the electronic medical record or the names of the staff members in the office, because I already knew them, said Dr. Wolfe.

A key component of the TCC is working in the community. In the third year of the TCC, students complete research, quality improvement or programmatic projects they design in partnership with community organizations and aimed at addressing local health challenges.

The one thing that TCC has also done is go out into the community and make partnerships in community organizations to help bridge those differences that happen in communities. We have to change education, while we change the model, while we change the health system, while we move into the community, said Dr. Chrisman-Khawam.

By working in the Cleveland community, TCC students can gain a wider understanding of all of the factors that can impact a patients health.

The TCC, especially, really understands that everything we do in health care is only 20 percent of an outcome, said Isaac Kirstein, D.O., dean of the Heritage College, Cleveland. So, its an education where they look at the other 80 percent. They look at the zip code, transportation, poverty, education and everything as a way of improving a system to get better health outcomes for a zip code.

First cohort member Olga Grech, D.O., has signed on to work with Cleveland Clinic post-residency. She hopes to work closely with people experiencing homelessness in Cleveland, something she began while in the TCC.

I would say some of the most important lessons Ive learned through TCC training is just to have so much empathy with our patients and just really look at them as a whole person and get to know them more than just their medical diagnosis, said Dr. Grech.

The TCC has helped to position the Heritage College and Cleveland Clinic at the forefront of adapting medical education to meet the needs of the 21st century. Heritage College was one of 37 medical schools nationwide in the American Medical Associations Accelerating Change in Medical Education Consortium, a collaboration that allowed for the sharing of innovative ideas and programs within medical education that ran from 2013-2022. The findings from the Consortium, including information from the Heritage College are now being used by the American Medical Association to continue the work of furthering medical education.

MEDIA CONTACTS:

Cleveland Clinic: Alicia Reale, 216.408.7444, realeca@ccf.org Ohio University: Lisa Forster, 740.517.3282, forsterl@ohio.edu

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Ohio U., Cleveland Clinic graduate 1st class of accelerated program - Cleveland Clinic Newsroom

Dalrymple receives rural family medicine award – Lexington Clipper Herald

Anna Dalrymple, MD, FAAFP, is making a significant impact on family practice medicine and rural health in Nebraska through her passion and leadership.

In March, Dalrymple was honored with the prestigious Theodore H. Koefoot, Jr., MD 2024 Outstanding Preceptor in Rural Family Medicine award.

Additionally, she assumed the office of president for the Nebraska Academy of Family Physicians.

In May, she completed the yearlong Rural Physician Leadership Academy through the University of Nebraska College of Business Administration. Her active engagement with these organizations and programs inspires and equips others to serve in rural settings effectively.

The Koefoot award is granted to a rural Nebraska family physician who provides outstanding teaching and mentoring of medical students during their family medicine rural preceptorship and serves as an outstanding community physician.

Established in 2005 in memory of Dr. Theodore Koefoot, this award highlights Dalrymples contributions as a rural family physician for nine years, particularly her dedication to mentoring students over the past several years.

According to Dalrymple, receiving the Outstanding Preceptor award, which is a student-nominated award, was very meaningful to her.

Reflecting on her own experience, she said, When I was a third-year medical student, I saved my family medicine rotation until last because it interested me the least. I worked with Dr. Matt Byrd in Ogallala, and it changed everything for me. Dr. Byrd was the recipient of the Outstanding Preceptor award that year. I couldnt believe the honor of receiving the very same award for my work with students.

Dalrymple works with third-year University of Nebraska Medical Center students during their eight-week clerkship rotation in family medicine.

The students actively participate in patient care, mirroring Dalrymples activities.

The goal is to have the student see the patient first, formulate and present a plan to me, and then follow up with the patient together, she said. I love teaching. Having students is a privilege, and they teach me many things in the process.

Completing the Leadership Academy has also profoundly impacted Dalrymple. Her interest in the program stemmed from its focus on rural physicians.

When you work in a rural setting, you are called upon to do other roles and be on various committees. I am grateful for the opportunity to hone my leadership skills, which will be helpful in my new role as the president of NAFP, Dalrymple said.

The Heartland Health Alliance works in partnership with the UNL College of Business Administration to provide the nine-month RPLA program to equip rural physicians with essential leadership skills to address the unique challenges of practicing healthmcare in rural settings.

The NAFP aims to promote, support and serve the family physician members as they strive to improve health for all Nebraskans, according to their website. With more than 1,300 members, the NAFP represents Nebraskas family physicians and promotes ongoing, personal patient-physician relationship focused integrated care.

To learn more about Dalrymple, visit gothenburghealth.org or to schedule an appointment with Dalrymple, call 308-537-3661.

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Dalrymple receives rural family medicine award - Lexington Clipper Herald

Penn Medicine named LGBTQ+ Health Care Leader by HRC – Penn Medicine

PHILADELPHIA Six hospitals in the University of Pennsylvania Health System (UPHS) earned perfect scores as part of Penn Medicine once again being named a 2024 LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign (HRC) Foundation. The 16th annual Healthcare Equality Index (HEI) surveyed 1,065 participating institutions, with scoring based on how many LGBTQ+ inclusive policies and practices they have in place in four different criteria areas: the foundational elements of LGBTQ+ patient-centered care, patient services and support, employee benefits and policies, and patient and community engagement.

Based on these criteria, the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Chester County Hospital, Lancaster General Health, Princeton Health and Pennsylvania Hospital received the top score of 100 points

We are proud of our continued recognition, as it represents our ongoing commitment to providing high quality care for LGBTQ+ patients across the system, said Kevin Kline, MD, an assistant professor of Family Medicine and Community Health in the Perelman School of Medicine at the University of Pennsylvania and the inaugural medical director for LGBTQ+ Health.

The Healthcare Equality Index is a project of the Health & Aging Program at the Human Rights Campaign Foundation. The Health & Aging Program researches, develops, and advocates for LGBTQ+ health and aging initiatives at the federal, state, and local levels, and provides support to institutions seeking to enhance LGBTQ+ well-being via education, policy, research, and technical assistance.

Penn Medicineis one of the worlds leading academic medical centers, dedicated to the related missions of medical education, biomedical research, excellence in patient care, and community service. The organization consists of theUniversity of Pennsylvania Health System and PennsRaymond and Ruth Perelman School of Medicine, founded in 1765 as the nations first medical school.

The Perelman School of Medicine is consistently among the nation's top recipients of funding from the National Institutes of Health, with $550 million awarded in the 2022 fiscal year. Home to a proud history of firsts in medicine, Penn Medicine teams have pioneered discoveries and innovations that have shaped modern medicine, including recent breakthroughs such as CAR T cell therapy for cancer and the mRNA technology used in COVID-19 vaccines.

The University of Pennsylvania Health Systems patient care facilities stretch from the Susquehanna River in Pennsylvania to the New Jersey shore. These include the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Chester County Hospital, Lancaster General Health, Penn Medicine Princeton Health, and Pennsylvania Hospitalthe nations first hospital, founded in 1751. Additional facilities and enterprises include Good Shepherd Penn Partners, Penn Medicine at Home, Lancaster Behavioral Health Hospital, and Princeton House Behavioral Health, among others.

Penn Medicine is an $11.1 billion enterprise powered by more than 49,000 talented faculty and staff.

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Penn Medicine named LGBTQ+ Health Care Leader by HRC - Penn Medicine

Medical experts say summer camping and festivals could lead to summer illness – News Channel 5 Nashville

NASHVILLE, Tenn. (WTVF) Memorial Day weekend is over and for many of you that can mean fun summer plans like baseball games, music festivals, camping and even a family trip.

Health and science experts say there are some ways you can stay healthy so that things can go as planned.

Family Medicine Physician Dr. Barbara Bawer says just because we're past the winter months, we're not in the clear from potential illness.

"Those are the typical months when we think of people having flu and cold and COVID and all these other viruses, because, you know, it's colder and because we're indoors, it doesn't mean that these things cannot happen the rest of the year," Bawer said.

She says as you partake in those summer activities, be on the lookout for enterovirus, which more often during this time of the year. They can lead to summer flus or mild infections like hand, foot and mouth disease. Children are more likely to become since from this than adults and most of the time the cases are mild, but most of the time this comes from summer travel and music festivals which can expose us to more germs.

"You've had alcohol, potentially, maybe some caffeine to kind of keep you up longer listening to the music. Your immune system is also lower, and so you have a much higher risk of getting these diseases. If you're screaming and your throat is dry, those are all risk factors," said Dr. Bawer.

Summer activities like camping or outdoor barbeques also bring risks of foodborne illnesses. They are commonly caused by norovirus or bacteria like salmonella. 1 in 6 Americans get some sort of foodborne illness each year.

The USDA says bacteria that causes these illnesses grow the quickest between temperature ranges of 40 and 140 degrees. Never leave food out of refrigeration for two hours.

"90 degrees and above, after an hour of sitting out in those temperatures, that's when your food will begin to spoil. Even if it looks okay," said Kenneth King, USDA Food Safety Public Affairs Specialist.

These are just precautions to keep you aware for you and your family so those summer plans play out safely. Don't let those illnesses stop you from enjoying those summer activities by planning ahead with hand washing and other safe practices.

Wonder Woman; school celebrates beloved teacher living with brain cancer

I think we can all remember our favorite teachers. In so many ways they leave an imprint on our lives. Get your tissue ready for Forrest Sanders' story on Ms. McMurray. She has poured so much into her students, and they are returning the love when it's needed most.

-Carrie Sharp

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Medical experts say summer camping and festivals could lead to summer illness - News Channel 5 Nashville

Resident Doctors to Host Second Annual Wilderness Medicine Conference in the High Country – wataugaonline.com

Last Updated on May 21, 2024 12:44 pm

From mountains to lakes, ski slopes to waterfalls, and everything in between, the High Country has always drawn us to explore, experience, and to be immersed in the beauty of nature. Our rolling mountains welcome people from far and wide and provide endless opportunities for adventure. Unfortunately, more opportunities for adventure can translate to higher incidences of injuries, illnesses, and traumas.

Recognizing the need in our community, our resident doctors are set to host the second annual Wilderness Medicine Conference June 29th-30th at the Valle Crucis Conference Center. The conference is open to all including physicians, residents, PAs, NPs, nurses, students, and more.

As physicians and local leaders, we have chosen to serve our community through improving access to medical care for everyone, not just in the office, but as far reaching as in the wild, says Dr. David Brendle, Associate Program Director of the Boone Rural Family Medicine Residency Program. We hope this conference can bring new ideas and innovation to the High Country, as well as opportunities to network and learn about practicing medicine in resource-sparse environments.

What is Wilderness Medicine?

Wilderness Medicine is the development of knowledge and skills used to render medical aid in rugged, remote, and resource-limited environments, says third year resident, Dr. Connor Brunson. This makes training in wilderness medicine relevant for anyone who spends time outsidewhether its kayaking, skiing, hiking, hunting, fishing, swimming, trail running, mountain biking, or rock climbing, if your access to medical support is limited, you need to know how to manage injuries, treat pre-existing medical conditions, and prepare for the unexpected.

Wild things can and do happen in the High Country. Even just a short hike on the Blue Ridge Parkway can be surprisingly hard to access for medical personnel, and it can certainly take a long time to get help especially if you dont have cell service, says Brunson. With the diverse range of outdoor activities local to our area, I think its extremely important for anyone and everyone to have knowledge of how to help if someone theyre with is injured in a remote area.

Docs gone wild

At the heart of the Wilderness Medicine Conference is David Brendle, DO. Brendle is a family medicine physician at AppFamily Medicine and the Associate Program Director of the MAHEC Boone Rural Family Medicine Residency Program. Enjoying the outdoors through trail running, mountain biking, hiking and skiing has always fed my soul, says Brendle, pictured at the Everest Base Camp in Nepal. After becoming a physician, I felt a responsibility in gaining knowledge specific to medical care in austere environments. Over the years, I have actively sought out training specific to wilderness medicine through the Wilderness Medicine Society.

Brendle, along with 15 resident family medicine physicians, created the High Country Wilderness Medicine conference to support and equip individuals in our community with resources, tools, and training for medical care in austere environments. Given the Boone Rural Family Medicine Residency programs location in our wonderful town of Boone we felt it was important to offer Wilderness Medicine specific education to our resident physicians and our community. In addition, community outreach is an important aspect of the residency program. The High Country Wilderness Medicine conference is the culmination of both of these efforts, says Brendle.

Whether you are simply interested in the outdoors, or wish to make wilderness medicine the focus of your career, this conference can benefit you. The skills Ive developed in Wilderness Medicine has made me more confident when Im spending time outdoors, and Im glad to know I can help if something goes wrong, says Brunson.

For registration and a list of speakers/workshops, visit https://hcwmc.com/.

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Resident Doctors to Host Second Annual Wilderness Medicine Conference in the High Country - wataugaonline.com

4 Fail-proof Ways to Keep Kids Safe at the Pool – Hackensack Meridian Health

During the hot summer months, pools are a great way to have fun and relax with your family. However, drowning is one of the leading causes of accidental deaths among children, so its critical that parents take the proper steps to keep everyone safe.

Rosa M. Mendoza, M.D., family medicine doctor at JFK University Medical Center, offers four ways parents can keep their kids safe at the pool this year.

When your children are splashing in or by the pool, designate yourself or another parent to take the role of active supervisor. While actively supervising, avoid distractions such as cell phones. Supervisors should avoid alcoholic beverages. It is also important to stay within arms reach of your children so that if something were to happen, you are not too far to take action, Dr. Mendoza says. If you need to step away, designate another active supervisor first.

Another way to implement safety by the pool is to teach your children about water safety and how to swim at a young age. Each childs emotional maturity level and physical development is different, so there is not a standard age for every child to start swimming lessons.

The American Academy of Pediatrics suggests that swimming lessons can begin for many children starting at age one. Studies suggest that swim lessons and water skills training reduce the risk of drowning for children. I would also recommend that parents learn CPR in case of an emergency, Dr. Mendoza says.

Always keep the necessary safety equipment close to the pool area. This includes life jackets, reaching poles and a first aid kit. It is also important to ensure that you and your children know how to use these tools in case of an emergency.

It is critical to enforce pool safety regulations for your children. Suggestions include:

By taking these proactive safety measures, you can significantly reduce the risk of accidents and ensure your child's well-being at the pool, Dr. Mendoza says.

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.

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4 Fail-proof Ways to Keep Kids Safe at the Pool - Hackensack Meridian Health