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«Annual Report 2004-2005 Mary Jo Welker, MD, Chair Department of Family Medicine 2231 North High Street Columbus, Ohio 43201 Letter from the Chair The ...»

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Columbus Free Clinic The Columbus Free Clinic moved to the Rardin Family Practice Center in October 1998. This is a free clinic run by medical students of The Ohio State University and supervised by volunteer physicians from the community. It had been in existence for many years, but the move to the Rardin Family Practice Center has been a great opportunity for everyone.

Latino Free Clinic This clinic was started in December 2000 and is a jointly sponsored program among the following entities: The Ohio State University Medical Center, the Latino Health Alliance, and Saint Vincent’s Family Services. The Rardin Family Practice Center houses this initiative, which provides care two-half days per month for Spanish-speaking patients, primarily an indigent population. It functions as a free clinic with Dr. Susan Daab-Krzykowski serving as the medical director.

Parkside Dr. Edna Marie Jones began to provide services five-half days per week at Parkside, a drug and alcohol rehabilitation program. She accepted the role of Medical Director for the program and continues to expand her role in addiction medicine.

Westminster – Thurber The relationship between the Department of Family Medicine and Westminster-Thurber continues to flourish. Dr. Jeff Milks supervises family practice residents and provides care for the geriatrics patients three afternoons per week.

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Department of Family Medicine Annual Report 2004-2005 Predoctoral PCM (Patient Centered Medicine) Family Medicine faculty continue to play an integral role in the two-year pre-clinical Patient Centered Medicine (PCM) course.

Dr. Doug Post is the Program Director and several Family Medicine faculty serve as PCM Module Directors: Dr. Linda Stone for Professionalism, Professional Well-Being, and Spirituality; Dr. Leon McDougle for Cultural Diversity; Dr. Edna Marie Jones for Addiction; Dr. Glen Aukerman as Co-Director of Complementary/Alternative Medicine; and Dr. Chad Braun as Co-Director of Sexuality. In addition, several departmental faculty played a key role in the course as PCM small group facilitators for the entire academic year: Drs. Milisa Rizer, Glen Aukerman, John McConaghy, Bushra Siddiqi, Janet Mason, Fred Miser, Chad Braun, Randy Wexler, Holly Cronau, Kendra McCamey, James Borchers, Mark Tzagournis, Anna Petrova, Steve Brezny, and Jennifer Seibert. In 2004, the Institute of Medicine published a report titled “Improving medical education: Enhancing the behavioral and social science content of medical school curricula.” In the report, IOM described the Ohio State College of Medicine and Public Health in general and PCM in particular as one of four national “exemplars” in social and behavioral science education of medical students. The course continues to be highly rated by the students and we believe our faculty are primarily responsible for its success.

Physician Development Dr. Doug Knutson continues to direct the two-year pre-clinical Physician Development Course. This involves teaching doctor/patient relationship skills, history and physical examination, and the process of developing differential diagnoses.

Physician Development tutorials, small groups where students practice and learn physical examination skills, were led by Drs.

Chad Braun, John Jonesco, Doug Knutson, Stan McCloy, Mrunal Shah, Bushra Siddiqi, and Randall Wexler. All are faculty members in our Department. Sixty-eight members of our Department hosted students for their Med II preceptorship to enhance students’ learning of physical examination skills. The Doctor/Patient Relationship portion of Physician Development was facilitated with several faculty teaching sessions on Advanced Clinical Interviewing: Drs. Doug Knutson, Chad Braun, Thomas McGloshen, Neil Richard, Jennifer Seibert, and Ms. Jeri O’Donnell.

Med I Preceptors Fifty-nine members of our faculty hosted Med I students for their preceptorship. Interviewing skills were emphasized.

Summer Externship Our Summer Externship experience for students entering their Med II year expanded to include 11 students doing clinical experiences and 6 students involved in clinical research. Our clinical sites included inner-city and rural opportunities. The preceptors hosting students included: Drs. Michael Johnson, Bucyrus; Brian Bachelder, Mt. Gilead; Michael Woolery, Coshocton; David Scoggin, Lancaster; John O’Handley, Mount Carmel Columbus; Leon McDougle, OSU East; Suellywn Stewart, OSU at South High; Brian Beesley and Ken Saul, OSU at Victorian Village; and Drs. Cronau, Rizer, Davenport, and Dull at the Rardin Family Practice Center. Dr. Fred Miser supervised the students in clinically-based research, while Dr. Holly Cronau supervised a student in a medical education research project. The students presented at a Capstone Conference on their experiences and research findings. Student evaluations of the program remain very strong. Many thanks to the OAFP Foundation and AHEC for funding the majority of clinical and research students.

Med III/IV Two hundred ten third-year medical students completed the required Family Medicine rotation of the 12-week Ambulatory Clerkship. Didactics were held on Monday mornings with three additional lab experiences also offered. Lectures were presented by regular and auxiliary faculty including Drs. Cronau, Fahey, Post, Knutson, Vanderhoff, Skully, Gingrich, Hudak, Fitch, Benedict and Weigand, along with Mt. Carmel and Grant Family Practice residents. This rotation is highlighted by its clinical component which uses preceptors representing a wide diversity of practices including: residency practices (for example Rardin Family Practice Center), rural, urban, suburban, and inner city. Family Medicine represents 4 weeks of the 12-week clerkship, with many students opting for a second month in Family Medicine during their selective month of this clerkship. Dr.

Cronau serves as Clerkship Director for this 12-week, 5-department course.

Seventy-one students took advantage of our fourth-year Family Medicine offerings. Again, a wealth of diversity is available in our sub-internships and electives. Nine students completed Honors projects this year, presenting their completed work at a year-end reception. The depth and breadth of these projects was outstanding. Students in other electives had the opportunity to experience practices ranging from Rural Obstetrics to research in locations as close as the OSU campus as well as sites across the U.S. and abroad. A large number of students were able to travel abroad to five continents including: South Department of Family Medicine Annual Report 2004-2005 America, Australia, Africa, North America (Mexico and Dominican Republic), and Asia. These students experienced many situations and patients that have forever enriched their lives.

Family Practice Interest Group (FPIG) and the Family Medicine Leadership Development Program (FMLDP) For the fifth consecutive year, the Family Practice Interest Group (and its associated programs) won the American Academy of Family Physicians Program of Excellence (PoE) Award that is given to the top ten FMIGs in the country. This award recognizes the enthusiasm of our students in creating and implementing outstanding student interest programming for the Department of Family Medicine and the College of Medicine and Public Health at Ohio State. Of the four special awards given by the AAFP in their PoE Awards, three have been captured by our students including awards for Family Medicine Advocacy, FMIG Infrastructure, and for our Family Medicine Leadership Development Program.

Our Family Medicine programming is driven by our Predoctoral Education mission, “To create the family of family physicians in the medical school environment”. We have been continuously blessed with wonderful students matching in Family Medicine with the vast majority of those students participating in our FPIG and FMLDP programming. Our students have been matching in top programs from coast to coast with this year finding our students in California, Rhode Island, Virginia, Florida, Ohio and many points in between. We are always on the lookout for those special students who have the “heart of a family physician” and fortunately we continue to find those students in the Ohio State College of Medicine and Public Health.

We count on our multiple communications vehicles to keep the students informed. The quarterly FPIG newsletter continues to offer advice to students, insight into Family Medicine as a career option, celebrations among our family of family physicians, and coverage of our very active FPIG and FMLDP. The website and the listserve help to keep students and faculty informed and the Meiling Hall bulletin board continues to keep the ‘pink pig’ banner in front of all students. The Central Ohio Academy of Family Physicians recently signed for another year of sponsoring our newsletter and added a financial bonus to support special events. Laura Hebenstreit recently left us as our desktop publisher but trained Todd Bernstein to replace her in this vital function. We thank them both for their efforts. The Newsletter Editorial Board did a great job supervising all of the communication activities and our 2004-2005 officers are listed at the end of this report. But our best communicators are the students in our Leadership Team that make sure their classmates know about the opportunities in Family Medicine.

Our Family Medicine Mentorship Program continues to draw participants and continues to flourish because of the willingness of family physicians to be mentors to our students. Our program has received national recognition and is now the basis for an American Academy of Family Physicians pilot program in multiple states. Our program offers students the chance to pursue a special interest in Family Medicine by signing up for a mentor in rural health, urban health, academic health, or sports medicine. Students may also ask to be a part of our Leadership Team and can be quickly connected to the Student Affairs Committee of the Ohio Academy of Family Physicians. We continue to “cascade” our mentoring by offering physician-medical student, medical student-medical student, and medical student-premedical student mentorship opportunities. Mentorship programming has led to student/faculty initiatives such as the Sports Medicine Interest Group and the Premedical Initiative.

Both of these programs enjoy continued success and enthusiastic participation.

Our traditional FPIG meetings and workshops continue for the MED I and MED II students with a great group of MED II FPIG officers, in collaboration with the rest of the Leadership Team, finding new and innovative ways to introduce Family Medicine to medical students. Following our Family Medicine Orientation meeting in the fall, the workshops and meetings begin. This year we had great attendance when faculty presented on everything from Academic Medicine to an update on vaccinations.

The workshops give hands-on experience in casting, phlebotomy, and much more. Our Orientation picnic drew a crowd for the second year and we plan on expanding this to include a reunion of FMLDP graduates. Our student leaders take their leadership beyond campus by their presence on committees and commissions of the OAFP, the COAFP, and the OAFP Foundation.

Community service has always been a cornerstone of activity for the FPIG and the FMLDP. The Mt. Carmel Outreach Van, Tar Wars, Physicians Free Clinic, and many other venues drew the interest and support of our students. The response to our renewed Tar Wars program was overwhelming and promises to be a very active part of our community programming in the coming year. The FMLDP continues to do a community project in connection with its monthly meetings collecting everything from food for the local food pantry to supplying school supplies and toys for children.

The Leadership Mini-Module continues to be offered as part of the Patient-Centered Medicine Curriculum with a focus on the need for family physicians in leadership roles in the communities we serve. This focus has helped us bring new students into Family Medicine as they view the leadership opportunities inherent in being a family physician. Family physicians from the community serve as guest speakers and bring a wealth of information about their leadership roles locally, nationally and internationally. The students have a chance to assess their own leadership skills and then learn from the guest speakers. The counterpart to the mini-module is our Brown Bag Series that explores the world of the patient-physician relationship through the eyes of Family Medicine.

Our very active Finance Committee keeps the funds flowing through fund-raising activities that include book sales and Baja Fresh nights. The Department of Family Medicine continues its support of student activities through its endowment fund. We Department of Family Medicine Annual Report 2004-2005 are immensely grateful that next year we have special events sponsorship from the Residency Programs at Grant Medical Center, Mt. Carmel Health System, Riverside Hospital, and the OSU Department of Family Medicine. Our relationship with the local residency programs continues to grow through our Residency Connection initiative and through the FMLDP graduates who match locally and continue to support the FMLDP.

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