U-M Family Medicine Newsletter Fall 2011

Celebrating

at the University of Michigan

Fall 2011

Dr. Mack Ruffin Appointed as Dr. Max and Buena Lichter Research Professor

In This Issue From the Chair 2 Development 3 Alumni News 7 Education Mission 8 Clinical Mission 12 Research Mission 14 Faculty Activity 17

Mack T. Ruffin IV, M.D., M.P.H., was recently appointed by the Regents as the Dr. Max and Buena Lichter Research Professor of Family Medicine, effective November 1, 2011.

The Dr. Max and Buena Lichter Research Professorship in Family Medicine was established in 2007 through a generous gift from Dr. Allen and Evie Lichter and Dr. Paul and Carolyn Lichter.

This professorship honors the memory of their father, Dr. Max Lichter, a family physician who practiced in Melvindale, a Detroit suburb, for five decades and their mother, Buena Lichter, and is intended to encourage and support research in family medicine.

“Family medicine is a field that historically has not had a lot of endowed professorships established,” said Allen S. Lichter, M.D., (M.D. 1972) former dean of the U-M Medical School and now the chief executive officer of the American Society of Clinical Oncology.

Often patients who endow chairs do so after a major medical event, such as a life-saving surgical procedure, and tend to honor the work of surgeons and other specialists rather than their family doctor.

“That we had an opportunity to establish a professorship in family medicine, which our father was so devoted to, made this an ideal situation,” he added.

According to Paul R. Lichter, M.D., (M.D. 1964) former Chair of the U-M Department of Ophthalmology and Visual Sciences and former Director of the W.K.

Kellogg Eye Center, it was important to both sons to establish a research-focused professorship specifically. Both parents appreciated the importance of solid research programs.

Dr. Ruffin, professor, completed his M.D. in 1984 from the Medical College of Virginia. He completed his residency at Wake Forest School of Medicine in Winston-Salem, N.C. in 1987, and his Masters in Public Health in epidemiology at the University of Minnesota in 1989, before joining the University of Michigan Department of Family Medicine in 1990.

Dr. Ruffin’s research involves cancer prevention via primary and secondary strategies, chemoprevention and cancer screening. He is unique in the fact that he is an academic family medicine physician who has held two consecutive five-year K24 mentor awards from NIH. Dr. Ruffin Continued on page 17

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Reflections from the Chair

There is a lot going on in the world these days and the Department of Family Medicine is no exception. This issue of our newsletter clearly highlights the vast number of activities in which we are involved on an ongoing basis. This is just what you would expect from U-M. It is inspiring and rewarding to see the skills and innovation of our faculty and the amazing contributions they make in advancing health care throughout the country. The expanding philanthropic support we have received is a testimonial that our far-reaching work is noticed and appreciated. In the end, the contributions of faculty and supporters help us all take better care of patients.

Yet, we still face challenges.

With the ever-increasing mandates and expectations in every one of our missions, it is getting harder to find the time to get things done. We have a lot on our plate right now – including moving to a new electronic medical record (EMR), expanding our patient-centered medical home (PCMH), ensuring that our education programs meet new mandates (such

as documenting positive outcomes), finding non-NIH grant support to replace any decrease in NIH funding, and continuing to provide outreach to underserved populations – all the while dealing with reduced resources due to the current nationwide depressed economic situation. People are feeling stressed, trying to get their work done while also preserving time for their families. At times, it is easy to forget those inner altruistic reasons why we went into family medicine in the first place.

This year, in preparation for our faculty retreat, we tried something new.

We conducted two surveys to gather the thoughts and ideas of the faculty and identified some major themes. This assessment was expanded through the development of a blog to encourage further discussion. As a result, several areas that were of highest importance to the faculty were identified and became the focus of our September retreat. These areas included, not only discussions of the steps that should be taken in pursuit of expanding our PCMH into the development of an Accountable Care Organization (ACO), but also ways in which we can put more “wow” in our day-to-day lives. It is my hope that as we implement these “wow” ideas, we will make our work even more fulfilling.

In other words, the goal is to make sure family medicine remains fun. That, in turn, will lead to a renewed focus on our patient care and modeling the practice of high quality medicine for our students, residents and fellows.

I would love to hear from those of you who have struggled with any of these issues, and how you have addressed them. Feel free to contact me directly at pzaz@umich.edu. In the meantime, enjoy the fall! ■

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T Philip Zazove, M.D. Interim Chair and Professor

Philip Zazove, M.D., professor, was named Interim Chair of the Department of Family Medicine.

Dr. Zazove has a rich history of clinical care and leadership. Since joining U-M in 1989, he has served as Assistant Chair of Clinical Programs for the Department, Associate Medical Director for Ambulatory Care and Associate Medical Director of MCare.

He earned his medical degree from Washington University in St. Louis, Mo. (1978), completed residency training at the University of Utah in Salt Lake City, Utah (1981), conducted a Federal Research Fellowship in Epilepsy at the University of Minnesota in Minneapolis, Minn. (1972), and earned both a Masters in Science (1974) and a Masters in Business (1994) from Northwestern University in Evanston, Ill. In addition to authoring a number of journal articles, and serving as consultant for a wide variety of institutions, he has held positions with several editorial, boards and peer-reviewed services and written two books, “When the Phone Rings, My Bed Shakes,” an autobiography, and “Four Days in Michigan,” a novel.

Dr. Zazove advocates for health services for deaf and hard of hearing people and continues to conduct research on this topic, along with quality improvement and genetics in primary care. He is on the Board of Directors for the American Medical Professionals with Hearing Loss, has served as chair of the Medical Benefits Advisory Committee for Premier Health Care, and is a member of the American Academy of Family Physicians, the Michigan State Medical Society and the American Medical Association. ■

Fall 2011

Development Medical School Alumni Family Physicians Return to U-M The Department of Family Medicine hosted a reception for returning Medical School Alumni family physicians during Reunion Weekend on September 9th. With over 25 guests in attendance from as far as California, it was a nice opportunity to reconnect with classmates and fellow family physicians, as well as receive updates on the Department’s recent accomplishments. ■

Philip Zazove, M.D., interim chair and professor, and John M. O’Brien, M.D. (M.D. 1979, Residency 1982), associate professor, meet Judy Holt Sutton, M.D. (M.D. 1976). Dr. Sutton (center) was a student on the original committee to establish the Department of Family Medicine 33 years ago.

James F. Peggs, M.D., professor, meets

Phillip E. Rodgers, M.D., assistant professor,

Marilyn and Lewis Coppel, M.D. (M.D. 1946)

discusses family medicine scholarships

who drove from Ohio to visit with classmates

and the history of the Department with John

and cheer on the Wolverines.

London, M.D. (M.D. 1956).

Helen and Joseph Caruso, M.D. (M.D. 1955), supporters of the Department’s women’s health fellowship, made the journey from East Jordan, Mich. to enjoy the reunion in Ann Arbor.

Kent J. Sheets, Ph.D., professor and clerkship

Philip Zazove, M.D., interim chair and

co-director, and Carole (Tsou) Nistler, M.D.

professor, catches up with a former

(M.D. 1981, Residency 1984) share stories

colleague and friend, Clint Collins, M.D.

about medical school.

(M.D. 1981) and his friend, Yoko Ueda.

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Fall 2011

Development New Scholarship Honors U-M Alumnus

Donald N. Fitch, M.D., held a lifelong interest in medicine. Perhaps this was due to the multiple surgeries he required as a youngster coupled with the great personalities of his doctors.

Don’s interest was heightened by spending parts of his summers serving first as an orderly and then an extern at Sparrow Hospital in Lansing, Mich.

As he progressed through medical school, he developed a fascination with family medicine. He was particularly impressed with the training he received at the University of Michigan; his only regret was the lack of a Department of Family Medicine at that time.

However, having closely followed the development and progress of the Department, Don was enthusiastic about its efforts and potential for the future of medicine. “The need for welltrained family physicians is a certainty.

Consequently, when the opportunity to fund a scholarship became evident, this seemed the ideal way for us to help,”

he noted.

Don attended U-M for his undergraduate and medical education, graduating after seven years in 1959. His friend Tom Berglund, M.D. (M.D. 1959), also went on to practice family medicine. It was Dr. Berglund who inspired Don to establish the Paddy and Donald N. Fitch, M.D. Family Medicine Scholarship, after Don read about the meaningful way Dr. Berglund was supporting family physicians through a medical student scholarship.

Following the completion of his internship in Minneapolis and two years with the Indian Health Service in Montana and South Dakota, Don settled in Escanaba, Mich. He and a partner started a small clinic, which eventually became Doctors Park Family Physicians.

Don practiced family medicine for 49 years until health problems forced him to retire. During this time the continual gratitude of his patients proved to be his best reward and, upon his retirement, this was even more evident.

Paddy, Don’s wife, worked tirelessly to bring a YMCA to Escanaba and raised funds to build the area’s first indoor swimming pool, where she taught water aerobics and swim classes.

Don, winner of the 2011 Family Physician of the Year Award from

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the Michigan Academy of Family Physicians (MAFP), was active in the local medical society serving as president twice and delegate to Michigan State Medical Society (MSMS) for many years. He was a member of MSMS, MAFP, American Academy of Family Physicians (AAFP), the American Medical Association, and was board-certified by the American Board of Family Medicine for the past 40 years. He also enjoyed participating in the AAFP Scientific Sessions as well as the annual 5K Fun Run in which he took first place in his age bracket five times.

“After a very fulfilling career and a wonderful life it is with great humility that we feel privileged to provide this scholarship to further the endeavor that has been our lifelong pursuit,” Don said.

Unfortunately, shortly after seeking to establish this scholarship, Don lost his valiant battle against leukemia on August 8, 2011. Paddy and the entire Fitch family are proud to have this scholarship created in his memory and to honor the profession in which he was cited as the perfect role model.

The inaugural Fitch Scholarship will be awarded May 9, 2012 to a medical student who matches into family medicine and who has an interest in rural medicine. ■ If you are interested in making a gift to the Paddy and Donald N. Fitch, M.D. Scholarship Fund, please contact Amy St. Amour at 734.998.7122 or astamour@umich.edu.

Fall 2011

Development Award Established to Honor Former Chair

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ranked in the top five family medicine departments across the country by U.S. News & World Report.

Dr. Schwenk retired from U-M on July 1, 2011, to become Dean of the University of Nevada School of Medicine and vice president of the University of Nevada, Reno, Division of Health Sciences. ■ If you are interested in making a gift:

• Visit www.umich.edu/fammed/giving • Click “Give Online” • Click “I’d like to choose my areas of support” • Choose the Thomas L. Schwenk, M.D. Resident Teacher Award.

Or contact Amy St. Amour at 734.998.7122 or astamour@umich.edu.

Join us for a Seminar on Healthy Aging The Department is pleased to announce that the second installment of the Department of Family Medicine Health Seminars will focus on a topic important to all: Healthy Aging.

Presenters:

Thomas L. Schwenk, M.D., emeritus faculty Exercise: The Elixir of Youth

Christine T. Cigolle, M.D., assistant professor Growing Old 101: A Guide for the Care of Yourself or a Loved One The Healthy Aging seminar is open to the public and free of charge.

November 21 • 1 p.m. – 3 p.m.

Weber’s Inn For more information or to register, please visit www.med.umich.edu/fammed/seminar.html.

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Fall 2011

Health Seminar

The Department of Family Medicine has established an award to honor Thomas L. Schwenk, M.D., emeritus professor, and his many years of leadership within family medicine. The Thomas L. Schwenk, M.D. Resident Teacher Award will be awarded annually to a senior resident who shows both a passion for mentoring and exemplary teaching skills. The Schwenk Award honors Dr. Schwenk’s passion and contributions in the area of teaching and mentoring throughout his long career with the Department of Family Medicine.

“I could not be more honored by the creation of this award. Of all of the many directions that my professional life has taken, my role as a teacher is still the most important. To be a teacher is a great privilege, but to have a teaching award created in my name is an honor beyond measure,” noted Dr. Schwenk.

Dr. Schwenk is a true Michigan man ­­— attending U-M for both undergraduate studies and medical school (M.D. 1975). He completed his residency through the University of Utah Affiliated Hospitals in Salt Lake City, and remained in Utah for several years where he practiced rural family medicine and served on the faculty of the University of Utah Department of Family and Community Medicine.

He came back to Ann Arbor in 1984 as an assistant professor in the Department and was named Interim Chair in 1986 and Department Chair in 1988. In June 2007 he was installed as the first George A. Dean, M.D. Chair of Family Medicine, the Department’s first endowed professorship. In addition to being a member of the Institute of Medicine, Dr. Schwenk is a fellow of the American College of Sports Medicine.

The Department has benefited from Dr. Schwenk’s wise leadership for 25 years as he built a national reputation in clinical care, research and education.

The Department now boasts a strong clinical and translational research enterprise and is ranked in the top 10 departments of family medicine in the country in terms of NIH research funding. For the past several years, the Department has routinely been

Development Students Complete M1/M2 Preceptorship Program “Two thumbs up” was the feedback the students had for the preceptorship program, now in its second year. With support from the Kenneth and Judy Betz Preceptorship Program Fund, as well as gifts from department faculty and friends, four medical students completed a preceptorship rotation with a community-based family physician(s) this summer.

The family physicians – all U-M alumni – were located in Holland, Marquette and Jackson, Mich. The students joined the physicians for a two, three or four-week stint. This year the students had more clinical involvement, which they noted added great value to their experience. Once again, they learned about – and were struck by – the variety and scope of the clinical challenges a family physician encounters and also gained a good feel for the professional and personal lives of a family physician.

Three students participated in home visits, which they found fascinating and insightful. They found that observing the physicians’ relationships with their patients was “a testament to the dedication and expertise of the family physician” and is why “family medicine has been aptly described as a relational specialty.”

“Family physicians treat patients with such a wide spectrum of needs with so many different factors going into the clinical decision making process, it is a wonder they see more than five patients a week,” observed a

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student who spent time in Holland.

“During the family medicine preceptorship I was continually impacted by the physicians’ ability Students, Carson Phillips, David Macari (back row), Emily to empathize with Smergel and Camille Riddering, met with Kent J. Sheets, Ph.D., their patients.

Each physician I professor and clerkship co-director (center), to discuss their observed was able precepting experiences this fall. to understand what the individual patient was seeking in the current visit. medicine.”

Another student wanted to see The dozens of patients seen by each “what a family practice in a rural doctor in any given week are treated with more than intelligent medical environment was like” and spent three management; they are cared for with weeks in Marquette which gave her “a good glimpse into practicing in human dignity and respect.”

A second student who also did a small community.” A particularly her preceptorship in Holland shared, noteworthy experience for her was on “My most powerful and poignant one of the home visits with Dr. Dehlin. experiences from this summer have “Seeing patients in their home gave me been the memories, conversations, a very clear picture of the challenges interactions and shared emotions some patients face. Some things are with patients. Family physicians must conveyed much more clearly outside know their patients on deep, personal the office setting.” levels that require a profound sense Additional emotional memories of patient trust. These longitudinal included: spoon-feeding a hospitalized relationships between physicians and elderly woman oatmeal just days before their patients have always been the she died, laughing with children during primary factor that has attracted me well-child visits, home visits to a to family medicine, and this summer I paralyzed patient, looking past globs of was able to observe these relationships, earwax to find a tympanic membrane, and even participate in them, firsthand. prenatal visits and finding a baby’s All of these interactions with patients heartbeat with the fetal monitor, seeing inspired me, confirmed why I want patients with depression, teenagers to go into medicine, and increased with strep throat, and those with chronic my interest in the field of family Continued on page 7

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Fall 2011

Alumni News Preceptorship …continued from page 6

illnesses. As one student observed, “all in a day’s work of a family physician.”

A special thank you to Jon M. Lake, M.D. (Residency 1999), William M. Short, M.D. (M.D. 1982), Lisa M. Long, M.D. (MD 1999), Kurt A. Lindberg (M.D. 1996) and Jennifer M. Dehlin, M.D. (M.D. 2005) for hosting a student and sharing a glimpse of what it means to be a family physician. ■ If you would like further information on how to become involved in the M1/M2 Preceptorship Program or wish to host a student, please contact Amy St. Amour at 734.998.7122 or astamour@umich.edu.

Where Are They Now? Tracy T. Bozung, M.D.

Major Tracy T. Bozung, M.D., a 2004 U-M Medical School graduate and the first co-recipient of the Family Medicine Senior Scholarship in 2004, is currently serving on a Provincial Reconstruction Team in Zabul Province, Afghanistan. After graduating from U-M Medical School, Dr. Bozung reunited with her husband, a pilot in the Air Force, and returned to the Air Force as a captain to complete her family medicine residency at Malcolm Grow Medical Center at Andrews Air Force Base in Bethesda, Md. “I always like to see that flash of maize and blue in my mail box when I get the U-M Family Medicine newsletter. I have many fond memories so it is like a note from home in a way; my first ‘family medicine’ home,” shared Maj. Bozung via email.

“While attending U-M Medical School, I was drawn into family medicine because, not only did I love the field, but I loved the faculty and staff. Their enthusiasm and optimism were infectious. Their guidance was always professional and sincere. Given my future would be in the Air Force, I sought out Dr. Eric Skye [associate professor] as my mentor, as he was prior

Student, David Macari, precepted with Kurt Lindberg, M.D., at Lakewood Family Practice in Holland, Mich.

Maj. Bozung (left) lectures local female providers, one OB/GYN, midwives and nurses.

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Maj. Tracy Bozung (right) treats a 4-year-old Afghan patient, injured by a bomb, while awaiting helicopter evacuation.

Air Force. He offered advice and helped me shape the career that I have grown to love. It is more than a career for me; it is my way of life as the Air Force and family medicine guide where I am and what I do daily.”

When asked what she does today, Maj. Bozung noted, “Currently, [in Afghanistan] I do patient care mainly for our airmen and soldiers, although sometimes I assist local providers during mass casualty situations. However, I do more mentoring of local leaders – teaching local female medical providers first world medicine and creating/ managing programs to improve health and educational services provided by the government – than I do patient care. I am thankful U-M gave me such a broad base to work from – everything from prevention to problem solving to connecting with individuals. It has made my job here easier. I am honored to be a small, albeit distant, part of the U-M Department of Family Medicine family.” ■

Fall 2011

Education Mission Meet Our New Fellows Academic Family Medicine Elizabeth A. Jones, M.D. , earned her medical degree from Wayne State University (2008) and completed her residency at the University of Michigan (2011). She sees patients at Ypsilanti Family Medicine.

Hospice and Palliative Medicine Thomas A. O’Neil, M.D., earned his medical degree from Wayne State University (2008) and completed his residency at the University of Michigan (2011), where he also served as co-chief resident. He sees patients at an Internal Medicine clinic in Ann Arbor.

Integrative Medicine Alicia J. Cohen, M.D., earned her medical degree from Mount Sinai School of Medicine (2007) and completed her residency at Santa Rosa Family Medicine (2011). She sees patients at Briarwood Family Medicine.

Upcoming CME Events Midwinter Family Practice Update January 30 - February 3, 2012 Harbor Springs, Mich.

For more information or to register, visit www.mafp.com/education-events. www.med.umich.edu/fammed

Sports Medicine (Family Medicine Track) Jason Crookham, D.O., earned his medical degree from Touro University-California (2007), and completed his residency in family medicine at Wahiawa General Hospital (2010) in Honolulu, Hawaii. He also served as a staff physician at the Detroit Medical Center, and as an emergency physician at Scheurer Hospital in Pigeon, Mich., and Harbor Beach Community Hospital in Harbor Beach, Mich. He sees patients at Briarwood Family Medicine.

the annual U-M Department of Family Medicine Senior Scholarship Award (2008). She sees patients at Domino’s Farms Family Medicine.

Sports Medicine (Multi-Specialty Track) Andrea Aagesen, D.O., earned her medical degree from Chicago College of Osteopathic Medicine at Midwestern University (2008), and completed her residency in Physical Medicine and Rehabilitation (PM&R) at University of Michigan (2011), where she also served as chief resident and worked in the Spine Rotation Clinic. She sees patients at a PM&R clinic in Ann Arbor.

Women’s Health Matthew R. Meunier, M.D., earned his medical degree from the University of Michigan (2008) and completed his residency training at Lancaster General Health in Lancaster, Pa. (2011). He is a past recipient of the Terence C. Davies, M.D. Award (2008), and has extensive work experience as an EMT during medical school and participation in volunteer activities such as MedShovelers. He sees patients at Chelsea Family Medicine. ■

Women’s Health Marisyl De La Cruz, M.D., earned her medical degree from the Drexel University College of Medicine (2008) in Philadelphia, Pa., and completed her residency at the University of Michigan (2011) where she also served as co-chief resident.

She sees patients at Ypsilanti Family Medicine.

Women’s Health Elizabeth R. Shih, M.D. earned her medical degree from the University of Michigan (2008) and completed her residency at the University of North Carolina-Chapel Hill (2011). She is also the recipient of

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Fall 2011

Education Mission Welcome Class of 2014!

Yasir Afzal, M.D.

Eastern Virginia Medical School, Chelsea Family Medicine

Annelie Ott, M.D.

University of Michigan Medical School, Chelsea Family Medicine

John Breck, D.O.

Michigan State University College of Osteopathic Medicine, Chelsea Family Medicine

Ravishankar Rao, M.D. Pennsylvania State University College of Medicine, Ypsilanti Family Medicine

Joanna Duquette, M.D.

Wright State University Boonshoft School of Medicine, Ypsilanti Family Medicine

Weyinshet Gossa, M.D. University of Maryland School of Medicine, Ypsilanti Family Medicine

Kathryn Shaffer, M.D.

Deepti Reddy, M.D.

Medical College of Wisconsin, Chelsea Family Medicine

Wayne State University School of Medicine, Ypsilanti Family Medicine

Christina W. Li, M.D. University of Michigan Medical School, Ypsilanti Family Medicine

Allison Ursu, M.D. University of Michigan Medical School, Chelsea Family Medicine

Bryan Vos, M.D.

Wayne State University School of Medicine, Chelsea Family Medicine

Welcoming a New ARD To Ypsilanti The Department is pleased to announce Jean H. Wong, M.D., lecturer, as the new assistant residency director at Ypsilanti Family Medicine.

Dr. Wong completed her residency training with the Department (2007), where she also served as co-chief resident. She completed an academic fellowship with the Department (2008), and has been in private practice at Packard Health in Ann Arbor, Mich., for the past three years.

James M. Cooke, M.D., assistant professor and residency director, comments, “Dr. Wong brings a wealth of experience and enthusiasm to the position, and we are very pleased to have her join us as a faculty member, educator and residency leader.”

She replaces Kristy K. Brown, D.O., who moved to New England at the end of July.

“Dr. Brown leaves big shoes to fill, but I am very excited about returning to Ypsilanti and to the Department of Family Medicine. My time away has taught me invaluable lessons, in particular about underserved medicine and mental health care, and I have loved my work at Packard Health.

Despite this, I could not pass up the opportunity to come back to this worldclass educational institution. I hope to bring back what I have learned while I was away. I look forward to working directly with residents and students and being a part of the residency leadership team, as we work to maintain our position as one of the best residency programs in the country,” said Dr. Wong.

The Department would like to offer many thanks to Dr. Brown for her contributions to the residency program, and a heartfelt welcome to Dr. Wong! ■

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Jean H. Wong, M.D., lecturer, is a graduate of the residency program and started as assistant residency director at Ypsilanti Family Medicine in July.

Fall 2011

Education Mission Taking Care of Our Own The residency program is pleased to offer a new elective at University Health Service (UHS) with an emphasis on sports medicine, women’s health and primary care. Among the residents who have received training at UHS are Elizabeth A. Jones, M.D., (Residency 2011), currently pursuing an Academic Fellowship with the Department, and Christopher M. Love, M.D., house officer II. They join faculty member Ebony C. Parker-Featherstone, M.D. (M.D. 2006), lecturer, who has been working at the UHS gynecology clinic for over a year.

“I really enjoy working at UHS and am excited about the new elective and the opportunity to work with residents in the setting that keeps our community

healthy. UHS can be an important part of resident training as it allows them to work with a fairly unique patient population. Particularly they gain experience in the area of college health, with exposure to sexual health counseling, sports medicine in young athletes, and women’s health, amongst others. It also allows them to work with a broader network of family physicians and provides exposure to yet another career path within the specialty of family medicine,” says Dr. ParkerFeatherstone.

UHS is located on U-M’s central campus, has approximately 70,000 visits per year, and is available to U-M students, faculty and staff. ■

A Partnership of Hope The Department has long been affiliated with the Hope Clinic in Ypsilanti, Mich., a health center that provides free medical services to lowincome children and adults without medical insurance. The Department recently received approval to supervise clinical sessions during several weeks each year in order to enhance resident training in community outreach.

Joy C. Williams, M.D., assistant professor, who directs the residency community health curriculum, and Stefani A. Hudson, M.D. , lecturer, medical director at Ypsilanti Family Medicine, and Hope Clinic advocate, will be leading the effort to coordinate

residents and faculty participation.

“Hope Clinic offers a wonderful opportunity for residents to care for individuals with limited access to healthcare and offers all of us in the Department one more way to give back and to promote healthy lifestyles in our communities,” says James M. Cooke, M.D., assistant professor and residency director. ■

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Clerkship Receives Top Ratings ... Again The M3 clerkship is again the highest rated of the medical school’s seven required clerkships, making it the highest rated clerkship for 14 of the 15 years since it began in 1996.

“We have many reasons to be proud of the Department’s clinical, research and educational programs. The continued success of our M3 and M4 clerkships is a great example of how our clinical, research and educational excellence overlap in such positive contributions to the education of all U-M medical students,” says Kent J. Sheets, Ph.D., professor and clerkship co-director. ■

We Need Your Help Calling all medical school and resident alumni!

Preceptors needed for M3 clerkship.

If you are interested in helping us maintain our ranking as the #1 rated M3 required clerkship by serving as a preceptor for third-year medical students, please contact:

Kent J. Sheets, Ph.D. at 734.998.7138 or ksheets@umich.edu.

Fall 2011

Education Mission Residents Around the World The U-M Office of Graduate Medical Education recently approved five “away” rotations that allow resident physicians to have a more personal and customized experience in caring for people who are underserved.

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Dr. Tortorello visits the Holy Family Convent and examines one of the Sisters of Banyatereza, who help run Virika Hospital in Uganda.

Drs. Bryan and Tortorello (right) give a lecture on World Health Organization guidelines for Neonatal Resuscitation to a group of midwives and physicians at Virika Hospital.

Kristi L. VanDerKolk, M.D., house officer III, traveled to Quito, Ecuador to participate in clinical care and research with the well-established U-M Quito Project. She enjoyed the opportunity to develop her skills as a physician and researcher within a global context.

She increased her knowledge and use of the Spanish language, gained understanding of a healthcare system far different from the U.S., and further worked toward her goal of underserved care, immigrant and refugee health, and global health. ■

Fall 2011

Education News

Jacob J. Bryan, M.D., house officer III, and Michelle L. Tortorello, M.D., house officer III, went to Fort Portal, Uganda, Africa, as part of the Neonatal Resuscitation Program at Virika Hospital. The hospital has approximately 2,500 deliveries per year. There is no established protocol for routine neonatal resuscitation after delivery, resulting in high newborn fatality rate. The main goal of this away rotation was to develop and implement a sustainable protocol for neonatal resuscitation in this limited resource setting. These efforts are part of a larger ongoing initiative through the William Davidson Institute. Drs. Bryan and Tortorello gained the skills necessary for educating and supervising

other health professionals, including physicians, nurses, and midwives and refined their own skills for obstetrical care and neonatal resuscitation.

Michael T. Kopec, M.D., house officer III, will travel to Chinle, Ariz., to work for the Indian Health Service.

The medical staff provides care to over 37,000 patients in adult intensive care (four bed unit), general surgery (including laparoscopic surgery), routine and operative obstetrics (700 deliveries per year), and 24-hour emergency room services (25,000 patients per year). It includes family physicians, internists, pediatricians, general surgeons, obstetricians, anesthesiologists, and a psychiatrist.

Strong Navajo cultural traditions in that community will provide Dr. Kopec the opportunity to practice medicine in a different culture and learn about traditional Navajo medicine.

Tyler J. Southwell, M.D., house officer III, will care for a unique, medically underserved population in rural southern Colorado that includes pediatric, geriatric, occupational, women’s health including obstetrics and deliveries, outpatient and inpatient care, urgent care, and preventive care.

He will focus on clinical practice management, quality improvement, and advocacy and policy issues related to a rural Federally Qualified Health Center (FQHC) and its community of patients. He will also spend some time with the Colorado Community Health Network’s quality improvement and policy and advocacy divisions in Denver.

Clinical Mission On Pins and Needles In a quiet treatment room at the Chelsea Health Center, a physician administers one of the oldest world healing traditions still in use today: medical acupuncture. Many conditions respond to the treatment, including acute and chronic musculoskeletal pain, headaches, low back pain, fatigue, depression, anxiety, neuropathies and nerve-related injuries, and irritable bowel syndrome.

Additionally, acupuncture may offer relief of cancer-related symptoms and side effects including fatigue, nausea, pain and nerve problems that cause tingling and numbness.

“Acupuncture is very safe for people with cancer,” says Andrew H. Heyman, M.D., (M.D. 2004, Residency 2007), adjunct lecturer. “It can be very beneficial if it is used in

combination with more conventional medical therapies.”

During the initial acupuncture consultation, p a t i e n t s Medical acupuncture can be effective for treating headaches, low back meet with a pain, easing side-effects from cancer-related symptoms and many other physician to ailments. discuss their symptoms and expectations for the Because of the needles’ construction therapy. Treatment sessions last about — they are thinner than those used 30 minutes, and 10 to 20 needles of for injections — patients typically do varying lengths are inserted in different not feel more than a slight pressure or parts of the body, depending on the pinch when they are inserted. After a specified period of time, the needles symptoms that need to be addressed.

The needles are sterile, FDA- are removed.

Continued on page 13 approved, and made of stainless steel.

Depression in Primary Care Update The Department’s previous newsletter reported on depression in primary care research conducted by Michael S. Klinkman, M.D., M.S., professor.

Recently, UMHS has expanded an innovative depression support program based on this work to all five family practice clinic sites and seven additional UMHS primary care sites.

The Michigan Depression Outreach and Collaborative Care Program (M-DOCC) complements care provided by the patient’s primary care physician.

Between office visits, patients participate in regular follow-up calls with an

experienced mental health social worker known as a care manager.

“The goal is to improve and sustain mental health results by providing small amounts of flexible, targeted follow-up care,” said Dr. Klinkman. “The key is to help the patient stay engaged in treatment over time and be actively involved in their own care — rather than just sending them to a website for more information.”

M-DOCC is designed to provide longterm assessment and monitoring, so participants are encouraged to continue in the program even after they achieve recovery or remission to help prevent relapse of depression.

M-DOCC’s unique care model

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has attracted the attention of other health systems seeking to replicate the effectiveness of a program based on “health coach” or “health navigator” support to primary care doctors — not just for depression management, but for other chronic conditions as well.

M-DOCC is guiding Allegiance Health in Jackson, Mich., in establishing a similarly structured depression outreach program. This is the first community outreach from a UMHS disease management program to be integrated into the clinical operations of an external health care system. ■ For more information, please visit www.depressioncenter.org/mdocc.

Fall 2011

Clinical Mission Dexter Welcomes New Medical Director

Pins and Needles …continued from page 12

D r. H e y m a n i s p a r t o f t h e Department’s University Integrative Medicine (UMIM) team based at Briarwood Family Medicine, where medical acupuncture is also offered.

The UMIM team also offers an oncology consultation service at the U-M Cancer Center, led by Ricardo R. Bartelme, M.D., assistant professor.

The service incorporates alternative medicine into caring for patients with cancer including prevention, during- and post-treatment, and end-of-life care. The service also addresses elements of lifestyle as well as choosing alternative therapies, selecting food supplements wisely, and adjusting to the various stages of the patients’ journey. ■ For more information about medical acupuncture, contact the Chelsea Health Center, 734.475.1321 or visit http://www.uofmhealth.org/ourlocations/chelseahc-acupuncture or Briarwood Family Medicine, 734.998.7390 or http://www.uofmhealth.org/ourlocations/bfm-integrative.

The Department is pleased to announce that Kathryn M. Harmes, M.D., lecturer, is the new medical director at Dexter Family Medicine. She earned her medical degree from the University of Michigan (2001) and completed her residency training with the Department (2004), where she also served as cochief resident. After graduating from the residency program, Dr. Harmes joined a private practice in Stanwood, Mich., and was involved in clinical operations and became interested in clinical administration. She joined the U-M faculty in 2009 and practiced at Briarwood Family Medicine.

Since returning to U-M, Dr. Harmes focused her career on leadership and administration, hoping her work would lead to a medical director position.

“I am very excited about my new role, and I am looking forward to working with the faculty and staff at the Dexter Health Center,” said Dr. Harmes.

She replaces Joyce E. Kaferle, M.D., assistant professor, who has been the medical director since 2002. Following the transition, Dr. Kaferle will continue her clinical practice in Dexter.

“It was my honor and pleasure to serve as medical director at Dexter Family Medicine for almost ten years. I am happy that I will still be able to focus on seeing patients in Dexter,” Dr. Kaferle said.

The search committee was led by Jean M. Malouin, M.D., M.P.H., assistant professor and associate chair for clinical operations, who said, “The Department would like to offer its many thanks to Dr. Kaferle for serving as the medical director for the past nine years, during which time the health center and the Department have benefitted from her outstanding leadership in countless ways. Please join me in congratulating Dr. Harmes on her new position as medical director, and thanking Dr. Kaferle for her excellent work!” ■

Quality Management Leadership Grant M. Greenberg, M.D., M.H.S.A., M.A., assistant professor, medical director at Chelsea Family Medicine, has been named assistant director of the U-M Faculty Group Practice’s

Quality Management Program. He will work with leaders from UMHS, and regional and national organizations to provide clinical leadership for quality improvement and implement costeffective ways to deliver primary care services.

“This is a great chance for the Department of Family Medicine to

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take a visible, active leadership role in development of the University of Michigan’s strategy and function in population management, Accountable Care Organization development, and patient-centered medical home,” said Dr. Greenberg. ■

Fall 2011

Research Mission Prestigious Grant Awarded

Colorectal cancer has a major impact on Americans, yet not enough individuals follow through on screening.

Masahito Jimbo, M.D., Ph.D., M.P.H., associate professor, was awarded a 4-year, $2.4 million R01 grant from the National Cancer Institute, the largest funding agency within the National Institutes of Health, to study the use of an interactive decision aid to improve patient-physician communication and increase rates of colorectal cancer screening.

Dr. Jimbo, who is the Department’s first clinical-track faculty member to receive this prestigious grant, is enthusiastic about the ground-breaking nature of his research. “We utilize a uniquely interactive decision aid that helps patients choose among colorectal cancer screening options. Our study will be among the first to examine the effect of a real-time preference assessment exercise on colorectal cancer screening and mediators, and, in doing so, will shed light on the patient-physician communication and shared decision making ‘black box’ that currently exist between the delivery of decision aids

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to patients and the subsequent patient behavior,” he said.

The randomized controlled study, which is utilizing the Great Lakes Research Into Practice Network (GRIN), will compare the use of Colorectal Web, an interactive decision aid, to facilitate Shared Decision Making for averageand high-risk adults needing colorectal cancer screening, to a non-interactive web-based colorectal cancer screening program.

Past research has shown that decision aids improve knowledge and clarify preferences of the patient. However, there is no solid empirical evidence that these aids lead to better shared decisionmaking. Dr. Jimbo’s research will shed light on this important factor.

“The results will not only have important implications for improving shared decision making for colorectal cancer screening but can also be applied to other preference-sensitive care situations where underlying risk factors contribute to screening and/or treatment decisions,” said Dr. Jimbo.

Dr. Jimbo, under the mentorship of Mack T. Ruffin IV, M.D., M.P.H., professor and associate chair of research, and Donald Nease, M.D., has been working on the theme of decision aids and shared decision making for 5 years.

Co-investigators include: Dr. Ruffin; Ananda Sen, Ph.D., research associate professor; Victor J. Strecher, Ph.D., professor of public health and the founder of U-M’s Center for Health Communication Research; and Sarah T. Hawley, Ph.D., M.P.H., associate professor of internal medicine, along with consultant, Glyn Elwyn, M.B., B.Ch., Ph.D. ■

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GRIN Update

The Great Lake Research into Practice Network (GRIN) continues to be actively involved in a number of large studies totaling over $8 million in grant funds. A few examples of these studies include: • Screening, Evaluating and Assessing Rate Changes of diagnosing respiratory conditions in Primary Care. This study is examining how respiratory illnesses are diagnosed, and will test the impact of two different screening tools on diagnosis.

• Implementation of Clinical Reminder System by Cognitive Engineering of Organizational Routines. This project demonstrates the use of cognitive engineering tools to guide successful imp lementations of health IT in several Federally-Qualified Health Centers, and show improved process measures of quality of care.

• Implementing Sustainable Diabetes Prevention and Self Management in Primary Care.

This project will implement Chronic Care Model-based diabetes prevention and self care and measure the effect of this implementation on the care process, health care costs, and patient’s clinical, health behavior and care satisfaction outcomes.

Continued on page 16

Fall 2011

Research Mission Lifestyle Discussions With Parents and Children According to research, annual physical exams present opportunity for discussion between parents, children and family physicians. Parents and family physicians should collaborate to teach children healthy lifestyle practices. This is the main focus of an article published in American Family Physician by Margaret A. Riley, M.D., assistant professor, Amy B. Locke, M.D., assistant professor, and Eric P. Skye, M.D., associate professor. The authors urge family physicians and pediatricians to use annual well-child visits as a time for conversation.

“For children between 5 and 12 years old, the counseling aspect of the annual physical is important because children in this age group are establishing

patterns of behavior that may last a lifetime,” said Dr. Riley. “It’s important for children to be counseled on leading a healthy lifestyle by their parent or guardian as well as their regular physician. These types of discussions also help children develop a positive and trusting relationship with their doctor.”

Along with the routine physical exam, the report suggests that physicians should talk about healthy lifestyle practices and accident prevention. This includes discussing the importance of eating a proper diet and getting regular exercise, limiting screen time, getting adequate sleep, and the dangers of high risk behaviors. Discussion of each topic varies according to children’s age, and should be tailored to the

Margaret A. Riley, M.D.

individual child’s needs.

The suggestions published in the report are based on studies completed by the American Academy of Family Physicians, the American Academy of Pediatrics, the U.S. Preventative Services Task Force, and the Department of Health and Human Services. ■

More Insight Into Vulvodynia For more than 100,000 Michigan women, chronic vulvar pain is so severe it makes intercourse, and sometimes sitting for long periods of time, painful, if not impossible. A study by Barbara D. Reed, M.D., M.S.P.H., professor, which surveyed 2,269 women in the metro Detroit area, found that more than 25 percent of women have experienced ongoing vulvar pain at some point in their lives. However, only two percent of women sought treatment for their pain.

Additionally, the study, published in the American Journal of Obstetrics and

Gynecology, found that 9.2 percent of women reported that they were currently experiencing pain consistent with vulvodynia, characterized by a burning, irritation, or sharp pain near the opening of the vagina that can vary greatly in women, and an additional 17.9 percent experienced symptoms in the past.

“What this means for area women is that vulvar pain is common, it has a name, and it can be addressed with their physicians,” said Dr. Reed.

What researchers found most concerning is that of the two percent of women who sought treatment, only five percent received a diagnosis of vulvodynia. Many women were

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misdiagnosed with either yeast infections or estrogen deficiency and the subsequent treatment plans did little to alleviate their pain.

Researchers were also able to determine the ethnicities and ages of those women with vulvar discomfort, as well as the intensity of the pain they experienced. “With this knowledge, we better understand how common this disorder is, and who is likely to be affected. Knowing this should make it easier for medical providers to expect to see women with this problem, and will therefore make the diagnosis earlier so that treatment can proceed,” Dr. Reed said. ■

Fall 2011

Research Mission Michigan Research Day XXXIV University of Michigan and Wayne State University. It is designed to encourage and assist new researchers and scholars in family medicine, nursing and the behavioral sciences in a collegial atmosphere that encourages an exchange of ideas that may improve patterns of practice and the health of patients.

Resident winners include: Marisyl D. de la Cruz, M.D., Resident award winners Alisa P. Young, M.D., earning Best Oral Presentation by a Thomas A. O’Neil, M.D., and Marisyl D. de la Resident/Fellow (Clinical) for her Cruz, M.D. show off their certificates. presentation, “Use of HPV testing for cervical cancer screening in The Department of Family Medicine low risk women ages 30-65”; Thomas once again had a strong showing A. O’Neil, M.D., earning Best Oral at the annual Family Medicine Presentation by a Resident (Quality Research Day, in both oral and poster Improvement/Quality Assessment/ presentations. This event, sponsored Curriculum Development) for his by the Michigan Academy of Family presentation, “Virtual paychecks as a Physicians, features representatives model to improve resident billing and from the family medicine departments coding”; and Alisa P. Young, M.D., of Michigan State University, Best Poster by a Resident (Clinical)

GRIN

for her poster, “Comparison of HPV testing for cervical cancer screening in low risk women ages 30-65 among specialties.”

Katherine J. Gold, M.D., M.S.W., M.S., assistant professor, who coordinated resident participation, said, “I was thrilled by the quality of the posters and the presentations. I know the residents put in hours and hours of work to develop and carry out their projects, and the level of scholarship and thoughtfulness in the presentations was remarkable.

I am also so appreciative of those individuals in our department who helped to mentor the residents and who have supported them in this work.”

Next year’s event, which will be hosted by the Department, will take place on May 24, 2012. ■

… continued from page 12

• A Comparison of Provider Versus Health Plan Delivered Care Management in Michigan.

This project will complete a comparative effectiveness study of provider-delivered care management versus health-plan delivered care management for BCBSM member and patients with specific chronic conditions and determine patient-specific implementation and cost outcomes.

Additionally, GRIN has hired a new Network Research Specialist covering the southeastern Michigan region. Trudy R. Adler has more than 10 years experience in healthcare, including hospice, chronic disease management and inpatient settings.

Trudy is a fully licensed clinical social worker by training, but also has experience with policy evaluation, publication development, research and networking with a variety of

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healthcare professionals. She received her BSW and Graduate Certificate in Dementia Care from Eastern Michigan University. In addition she received her MSW and Aging Certificate from the University of Michigan, where she was a Geriatric Fellow. ■

Fall 2011

Faculty Activity Ruffin

…continued from page 1

has numerous other projects funded through the CDC and NCI. Dr. Ruffin is a leader of a health disparity center in collaboration with investigators at The Ohio State University focused on Appalachian women’s health.

His commitment to community is evidenced through the type of research he conducts, which aligns him well with Dr. Max Lichter’s values as a family physician.

“This professorship is an honor for the Department and our research unit. We are all humbled by the very generous gift of the Lichter family in honor of their parents. I will do my best to honor this gift with my efforts to promote research in health promotion and disease prevention,” said Dr. Ruffin.

Dr. Ruffin is active in organizational and volunteer activities, institutionally, nationally and internationally. He is a member of the Michigan Cancer Consortium, and serves on several study section and journal editorial boards. He has published more than 100 articles and has been an invited speaker at over 40 venues.

Dr. Ruffin is a productive, wellrespected member of the Department of Family Medicine, who is invested in the research of changing patient and physician practices relative to cancer prevention.

The Dr. Max and Buena Lichter Research Professorship installation ceremony, reception and dinner will be held on November 21st. ■

www.med.umich.edu/fammed

Meet Our New Faculty Keri L. Denay, M.D. Lecturer Dr. Denay graduated from the University of Michigan Medical School (2007), where she also completed her residency training (2010). Additionally, she completed a fellowship in sports medicine (2011) with the Department. She sees patients at Briarwood Family Medicine.

Margaret L. Dobson, M.D. Lecturer D r. D o b s o n graduated from the Michigan State University College of Human Medicine (2007) and completed her residency training at Brown University Alpert School of Medicine (2010). Prior to joining U-M, she served on the faculty at Brown University. Her continuity clinic is at Chelsea Family Medicine and she will also see patients on the Department’s inpatient services at Chelsea Community Hospital and the U-M Health System.

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Abigail L. Lowther, M.D. Lecturer D r. L o w t h e r graduated from Case Wes tern R e s e r v e University School of Medicine (2007) and completed her residency training at University Hospitals at Case Medical Center (2010). She recently completed a fellowship in Women’s Health (2011) with the Department and sees patients at Domino’s Farms Family Medicine.

Jean H. Wong, M.D. Lecturer, Assistant Residency Director Dr. Wong graduated from the University of Michigan Medical School (2004), where she also completed her residency training (2007) and served as co-chief resident. Previously, she worked in private practice at Packard Health in Ann Arbor, Mich. Dr. Wong sees patients at Ypsilanti Family Medicine.

To read more about Dr. Wong and her role as assistant residency director, see page 9. ■

Fall 2011

Faculty Activity Publications and Presentations PUBLICATIONS

• Al-Rawi S, Fetters MD, Killawi A, Hammad A, Padela A. Traditional healing practices among American Muslims: Perceptions of community leaders in Southeast Michigan. J Immigr Minor Health, Jul 8, 2011.

• Creswell JW, Klassen AC, Plano Clark VL, Smith KC, Fetters MD. Best practices for mixed methods research in the health sciences.

National Institutes of Health working group, Aug 2011.

• Fetters MD. Dinner is served: A full course of multiple research approaches for your health sciences methodological appetite. IJMRA (special edition), 2011.

• Fetters MD. Point of View: Health policy shortage, not a doctor shortage. Special to the Asahi Shimbun, Jul 2010.

• Fetters MD, Ban N. Education for health professionals in Japan: Time to change. The Lancet, doi:10.1016/S0140-6736(11)61189-6, Sept 2011.

• Goodrich DE, Buis LR, Janney AW, Ditty MD, Krause CW, Zheng K, Sen A, Strecher VJ, Hess ML, Piette JD, Richardson CR. Integrating an internet-mediated walking program into family medicine clinical practice: A pilot feasibility study. BMC Med Inform Decis Mak 24(11):47, 2011.

• Hanna GL, Himle JA, Hanna BS, Gold KJ, Gillespie BW. Major depressive disorder in a family study of obsessive-compulsive disorder with pediatric probands. Depress Anxiety 28(6):501-8, Jun 2011.

• Hawkins MS, Sevick MA, Richardson CR, Fried LF, Arena VC, Kriska AM. Association between physical activity and kidney function: National health and nutrition examination survey. Med Sci Sports Exerc 43(8):1457-64, 2011.

• Heymach JV, Shackleford TJ, Tran HT, Yoo SY, Do KA, Wergin M, Saintigny P, Vollmer RT, Polascik TJ, Snyder DC, Ruffin MT IV, Yan S, Dewhirst MW, Kunnamakkara AB, Aggarwal BB, Demark-Wahnefried W. Effect of low-fat diet on plasma levels of NF-{kappa}B-regulated inflammatory cytokines and angiogenic factors in men with prostate cancer. Cancer Prev Res (Phila), Jul 15, 2011.

• Kim C, Sen A, Osborne E, Lee JM, Richardson CR. Associations between glucose tolerance and sex hormone binding globulin among women with recent gestational diabetes mellitus. Diabetes Res Clin Pract, Jun 27, 2011.

• Lin Z, Simeone DM, Anderson MA, Brand RE, Xie X, Shedden KA, Ruffin MT IV, Lubman

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DM. Mass spectrometric assay for analysis of haptoglobin fucosylation in pancreatic cancer.

J Proteome Res 10(5):2602-11, 2011.

• Mozurkewich E, Chilimigras J, Klemens C, Keeton K, Allbaugh L, Hamilton S, Berman D, Vazquez D, Marcus S, Djuric Z, Vahratian A. The mothers, omega-3 and mental health study.

BMC Pregnancy and Childbirth 11:46, 2011.

•N ease DE Jr, Aikens JE, Klinkman MS, Kroenke K, Sen A. Toward a more comprehensive assessment of depression remission: The Remission Evaluation and Mood Inventory Tool (REMIT). Gen Hosp Psyc 33(3):279-86, May-Jun 2011.

• Owens KM, Marvin ML, Gelehrter TD, Ruffin MT IV, Uhlmann WR. Clinical use of the Surgeon General’s “My Family Health Portrait” tool: Opinions of future health care providers. J Genet Couns 20(5):510-25, 2011.

• Riley MA, Galang S, Green LA. The impact of clinical reminders on prenatal care. Fam Med 43(8): 560-65, 2011.

• Segar ML, Eccles JS, Richardson CR. Rebranding exercise: Closing the gap between values and behavior. Int J Behav Nutr Phys Act 8(1):94, 2011.

• Warber SL, Ingerman S, Moura VL, Wunder J, Northrop A, Gillespie BW, Durda K, Smith K, Rhodes KS, Rubenfire M. Healing the heart: A randomized pilot study of a spiritual retreat for depression in acute coronary syndrome patients. Explore (NY) 7(4):222-33, 2011.

• Zulman DM, Sussman JB, Chen X, Cigolle CT, Blaum CS, Hayward RA. Examining the evidence: A systematic review of the inclusion and analysis of older adults in randomized controlled trials. J Gen Intern Med 26(7):78390, Jul 2011.

PRESENTATIONS

• Djuric Z, Neilson AP, Ren J, Hong YH, Smith WL, Brenner DE. Effect of fish oil and cyclooxygenases (COX-1 and 2) on formation of prostaglandins and leukotrienes in normal colonic mucosa. NCI Translational Science Meeting: From Molecular Information to Cancer Medicine. Bethesda, Md., July 2011.

• Elliott HA,­Fetters MD, Hammoud M, Al-Rawi S, Padela A, Killawi A, Elnashar M, Abdelrahim H, Khidir A. How social relations contribute to patient assessments of health care quality in an extremely high-density multicultural setting in the Arabian Gulf Region: Preliminary findings from a mixed methods project in Qatar. 7th Mixed Methods International Conference. Leeds, West

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Yorkshire, England, June 2011.

• Fetters MD. Mixed methods in health sciences research: Combining qualitative and quantitative data for understanding perplexing problems.

Aalborg Psychiatric Hospital, Aarhus University Hospital, Aalborg, Denmark, September 2011.

• Fetters MD, Frels JG, Richards F, Thurston M. A mixed methods approach for examining preventive services provided in doctor-patient encounters through the use of animated body maps. 7th Mixed Methods International Conference. Leeds, West Yorkshire, England, June 2011.

• Fetters MD, Hammoud M, Al-Rawi S, Padela A, Killawi A, Elnashar M, Abdelrahim H, Khidir A. The use of mixed methods to develop a culturally and linguistically valid health care quality assessment instrument in an extremely highdensity multicultural setting in the Gulf Region.

7th Mixed Methods International Conference.

Leeds, West Yorkshire, England, June 2011.

• Fetters MD, Jorgensen R. Mixed methods research design. Aalborg Psychiatric Hospital, Aarhus University Hospital, Aalborg, Denmark, August-September 2011.

• Jimbo M. What does it mean to be a clinician (in Japanese). Okayama University, Okayama, Japan, April 2011.

• Jimbo M. Getting that stupendous letter (in Japanese). Okayama University, Okayama, Japan, April 2011.

• Reed BD. Vulvodynia and comorbid chronic pain conditions: A population-based study. The 6th Scientific Meeting of the TMJ Association. Bethesda, Md., June 2011.

• Richardson CR, Zulman D, Smith R, Damschroder L, Resnick PJ, Goodrich D. Largescale implementation issues in automated internet-mediated walking interventions.

2nd Biennial Conference of the Society for Ambulatory Assessment, Assessing RealWorld Impact of Clinical Interventions and Outcomes: The Science of Ambulatory Assessment. Ann Arbor, Mich., June 2011.

• Summers Holtrop J, Green LA. Using mixed methods to study care management in primary care practice. AHRQ Annual Conference. Bethesda, Md., September 2011.

• Zick SM, Turgeon DK, Vareed S, Ruffin MT IV, Djuric Z, Litzinger AJ, Wright B, Normolle DP, Brenner DE. Effect of ginger root extract on markers of inflammation in colon mucosa in people at high risk for colorectal cancer.

American Society for Clinical Oncology.

Chicago, Ill., June 2011.

Fall 2011

Faculty Activity Department Faculty Professor and Interim Chair Philip Zazove, M.D.

Professor

Barbara S. Apgar, M.D. Zora Djuric, Ph.D. Lee A. Green, M.D., M.P.H. Michael S. Klinkman, M.D., M.S. James F. Peggs, M.D. Barbara D. Reed, M.D., M.S.P.H. Mack T. Ruffin IV, M.D., M.P.H. Kent J. Sheets, Ph.D.

Associate Professor

James E. Aikens, Ph.D. William E. Chavey II, M.D., M.S. Michael D. Fetters, M.D., M.P.H., M.A. Joel J. Heidelbaugh, M.D. Masahito Jimbo, M.D., Ph.D., M.P.H. Robert B. Kiningham, M.D., M.A. John M. O’Brien, M.D. Caroline R. Richardson, M.D. Ananda Sen, Ph.D. Eric P. Skye, M.D. Sara L. Warber, M.D. Suzanna M. Zick, N.D., M.P.H.

Assistant Professor

David J. Alvarez, D.O. Ricardo R. Bartelme, M.D. Catherine M. Bettcher, M.D. Christine T. Cigolle, M.D. James M. Cooke, M.D. Jill N. Fenske, M.D. Randall T. Forsch, M.D., M.P.H. Kristina M. Gallagher, M.D. Uche D. George-Nwogu, M.D. Katherine J. Gold, M.D., M.S.W., M.S. Grant M. Greenberg, M.D., M.H.S.A., M.A. Joyce E. Kaferle, M.D. Amanda J. Kaufman, M.D. Anne L. Kittendorf, M.D. Amy B. Locke, M.D. Jean M. Malouin, M.D., M.P.H. Tarannum A. Master-Hunter, M.D.

www.med.umich.edu/fammed

Amy C. Miller, M.D. Karen L. Musolf, M.D. Karl T. Rew, M.D. Margaret A. Riley, M.D. Pamela G. Rockwell, D.O. Phillip E. Rodgers, M.D. David C. Serlin, M.D. Cheryl E. Strzoda, M.D. Lourdes Velez, M.D. Stephen M. Wampler, M.D. Joy C. Williams, M.D.

Instructor

Christine W. Krause, M.D. Theresa R. Peters, M.D. Michelle L. Rabideau, M.D.

The Regents of the University Julia Donovan Darlow Laurence B. Deitch Denise Ilitch Olivia P. Maynard Andrea Fischer Newman Andrew C. Richner S. Martin Taylor Katherine E. White Mary Sue Coleman, ex officio

Lecturer

Keri L. Denay, M.D. Margaret L. Dobson, M.D. Kathryn M. Harmes, M.D. Heather L. Holmstrom, M.D. Stefani A. Hudson, M.D. Scott A. Kelley, M.D. Sahoko H. Little, M.D., Ph.D. Abigail Lowther, M.D. Ebony C. Parker-Featherstone, M.D. Elisa B. Picken, M.D. Vijay Singh, M.D. Jean H. Wong, M.D. Gary Yen, M.D.

Psychologist

Editor-in-Chief Philip Zazove, M.D.

Editorial Consultants Blythe A. Bieber Diana S. Dascola Katie M. Grode Amy C. St. Amour

Samuel E. Romano, Ph.D.

Kent J. Sheets, Ph.D.

Emeritus Faculty

Managing Editor

R. Dale Lefever, Ph.D. Thomas L. Schwenk, M.D.

Kristen A. Ochomogo If you would prefer to receive an electronic copy of the newsletter in the future, please e-mail sgenske@umich.edu.

Printed on pcw Forest Stewardship Council Certified stock, manufactured using wind generated electricity.

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Fall 2011

Presorted First-Class Mail U.S. Postage

Highlights Dr. Ruffin Installed as Lichter Professor

PAID

Ann Arbor, MI Permit #144 1018 Fuller Street Ann Arbor, MI 48104-1213

Thomas L. Schwenk, M.D. Award Established

Residents Rotations Around the World New Depression Program Implemented

Clinical Researcher Receives R01 Grant

Family Medicine Chair Search Update The search committee for the Department’s chair position, led by James E. Carpenter, M.D., associate professor in orthopaedic surgery, has commenced the process of finding a new Department leader. The committee is comprised of eight additional faculty members from throughout UMHS including James F. Peggs, M.D., professor. In addition to posting an announcement in several nationally distributed journals, emails

and letters have been sent to targeted individuals within the family medicine discipline who may be interested or are familiar with others with the talent and experience to make them attractive candidates for the chair’s position. The committee is also seeking input from many former residents, fellows and faculty.

A number of applications have been accumulated and the committee hopes to invite several individuals to Ann Arbor for a first round of interviews in late Fall. Any of our readers who may have a suggestion

of a possible candidate with excellent clinical, research, teaching and administrative skills is encouraged to direct the individual to Dr. Carpenter at jcarp@med.umich.edu. ■

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