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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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Future Directions and Challenges With a great match year and a current resident group second to none in congeniality and teamwork, we are excited about the potential for continued growth and excellence in medical education at all levels. The Rural Program has become more integrated into predoctoral education at Ohio State, including involvement with the Family Medicine Leadership Development group. With the assistance of several Rural Health Scholars, we are still hoping to fold the Rural Health Scholars program into an Ohio student chapter of the National Rural Health Association.

In the face of decreasing governmental and academic institutional support for rural medical education, there are ongoing financial challenges. Fortunately, the Mary Rutan Hospital administration and board remain strongly supportive.

Urban Residency Program The Ohio State Urban Track at OSU East, under development since 2001, got off to a great start on July 1, 2003. This track was developed as part of a federal training grant project to develop the FourTrack University-Anchored, Community-Oriented Family Practice Residency to educate residents committed to providing health services and leadership in multicultural, lower-socioeconomic communities and populations. The major focus of this track is to practice primary care medicine in empowerment zone communities and primary care health professional shortage areas of urban Columbus. Our first two graduates in June 2005, Omar Awale, MD, Somali immigrant, and Antonio Phillips, MD, are both providing substantial care to lower socioeconomic communities in the Columbus area.

Department of Family Medicine Annual Report 2004-2005 The Urban Residency Program provides prenatal care and actively participates in the Pregnancy Care Connection program (PCC) by providing prenatal, delivery, and post delivery service for two new under/uninsured pregnant patients per week.

Residents

–  –  –

Faculty Allison Macerollo, MD joined the faculty in August 2003. She is fluent in Spanish.

Leon McDougle, MD, MPH, who is also the Assistant Dean for Diversity and Cultural Affairs, serves as the Urban Family Medicine Program Director.

Chris Nyirati, FNP, serves as the Obstetrical Coordinator for the Urban and Main Family Medicine Residency Programs.

Mark Tzagournis, MD, joined the faculty in 2004. He serves in the U.S. Army Reserve Corps and speaks fluent Spanish. He also teaches colposcopy.

Vernon Williams, MD, MDiv, Assistant Urban Family Medicine Program Director, joined our faculty in December

2002. He is actively involved with a community initiative aimed at reducing neighborhood violence among teenagers, and he was recently completed the Michigan State University Faculty Development Program.

–  –  –

Medical Student Education The Division of Sports Medicine is dedicated to the education of medical students through a 4th year elective rotation. Medical students work one-on-one with a faculty member of the Division in the clinical setting. They are exposed to many areas integral to Sports Medicine during their rotation including team event coverage at Ohio State. The students regularly participate in sports medicine conferences, Grand Rounds, and dedicated medical student didactic sessions. The elective rotation has been expanded from one to six sessions for the upcoming academic year. Three students completed the rotation in 2004-2005, and 16 students are scheduled for the elective in 2005-06.

Resident Education The Division of Sports Medicine supports the mission of resident education within the Department of Family Medicine. All residents in the Department complete the required third-year rotation in Sports Medicine at the OSU Sports Medicine Center.

A second-year elective is also offered for second-year residents with an interest in Sports Medicine. The residents are actively involved with conferences and Grand Rounds during their rotation. Faculty members of the Division also provide resident education via workshops and lectures through the residency program.

Fellowship The Division of Sports Medicine is dedicated to advanced education in Sports Medicine by offering a one-year fellowship in Sports Medicine lending to eligibility to complete the Certificate of Added Qualifications in Sports Medicine. The program currently accepts two fellows per year. The fellowship is accredited by the ACGME.

Clinical Programs OSU Sports Medicine Center – This multidisciplinary center offers family medicine, orthopedics, physical therapy, and psychological and nutritional counseling services by individuals who understand and are experienced in dealing with competitive athletes. This expertise is applied to patients who are physically active or wish to embark on a healthier lifestyle.

The Department of Family Medicine is a partner with the Department of Orthopedic Surgery and OSU Medical Center in the OSU Sports Medicine Center.

Athletic Team Coverage The Division of Sports Medicine provides care for all 36 varsity sports at The Ohio State University. The faculty members of the Division provide comprehensive care for the athletes at Ohio State along with event coverage for the Athletic Department.

High school coverage is also a priority of the Division of Sports Medicine.

Faculty and fellows of the Division provide care for many local high schools and for state tournaments for the Ohio High School Athletic Association.





Multiple community events are also covered by the faculty and fellows of the Division.

Faculty James R. Borchers, MD, CAQSM Assistant Professor of Clinical Family Medicine, Division of Sports Medicine Team Physician, OSU Athletic Department Jason J. Diehl, MD, CAQSM, Assistant Professor of Clinical Family Medicine, Division of Sports Medicine Team Physician, OSU Athletic Department Donald C. LeMay, DO, CAQSM, Assistant Professor of Clinical Family Medicine, Division of Sports Medicine Team Physician, OSU Athletic Department John A. Lombardo, MD, Clinical Professor of Family Medicine and Director, Sports Medicine Fellowship Fellows Jason Dapore, MD Russ Adams, DO Todd Francis, MD Department of Family Medicine Annual Report 2004-2005 Center for Integrative Medicine The Ohio State University Center for Integrative Medicine opened February 28, 2005. Located at 2000 Kenny Road, the Center combines traditional family medicine practice with high-quality, evidence-based complementary therapies, ranging from acupuncture and chiropractic to massage and yoga. The Center is part of OSU Medical Center’s Primary Care Network. Glen Aukerman, MD serves as Medical Director. He is also the Director of the Division of Integrative Medicine in the Department of Family Medicine.

The Center allows students pursuing degrees in medicine and related healthcare professions the opportunity to study integrative medicine’s role in their specialty. It is also expected that this Center will foster research collaboration. To date, six residents in Family Medicine and one Psychiatry resident have completed electives at the Center. Six medical students have completed predoctoral rotations at the Center.

In addition, the Center has hosted physician faculty from various specialties within and outside of the Ohio State system, including physicians from Dermatology, Neurology, and Psychiatry.

The Center also encourages volunteerism and holds regular volunteer orientations. Currently, the Center has three senior citizen volunteers and 12 student volunteers.

The Center received excellent coverage as it opened its doors, with print pieces in the Columbus Dispatch, Columbus CEO, The Lantern, OSU Discovery, OSU Medical Staff News, Simply News, plus television coverage on Channel 6 News.

From February to June 2005, the Center has seen 4,739 patients and generated $301,875 in total revenue. Patients seen include individuals from Columbus and central Ohio plus a number who regularly travel from other states including Illinois, Tennessee, California, West Virginia, and Georgia.

This spring, the Aukerman family established the Glen Aukerman, MD fund to support initiatives in Integrative Medicine at The Ohio State University Center for Integrative Medicine.

In June the Center hired Laura Kunze, as Center Coordinator to be responsible for scheduling classes and speaking engagements, provider relations, marketing, and overseeing the daily operations of the Center. Ms. Kunze is an expressive arts therapist, a chemical dependency counselor, and Reiki 2 practitioner. She offers art therapy group and individual sessions in addition to her duties as Center Coordinator.

The Center hosts regular workshops on a variety of topics including yoga, meditation, integrative medicine, acupuncture, chiropractic, Feng Shui, massage, Reiki, and Ayurveda. Twice a month, the Center hosts a session entitled “Healers on Call” in which a patient presents to a group of Integrative Medicine practitioners and outside guests which have included a Peruvian Shaman, a Seneca Indian Medicine Man, and numerous local CAM providers. The patient learns from these practitioners the methods they would employ to address the patient’s issues. In addition to helping patients learn about CAM modalities, it provides an opportunity for CAM providers to network and learn from each other.

Practitioners, as of June 30, 2005, at the Ohio State Center for Integrative Medicine include:

–  –  –

The 2004-2005 academic year was arguably the most productive year the Ohio State University Department of Family Medicine has ever experienced in terms of research and scholarship. A large increase in the number of research grants submitted and awarded to the Department offset a slight dip in the number of publications; the latter should soon rebound as the grants produce fruitful research findings.

A monthly Research Forum, co-directed by Drs. Larry Gabel and W. Fred Miser, was instituted this year, which provided an avenue for the researchers within the Department to share ideas and encourage each other in their activities. After receiving his MPH degree, Dr. Randy Wexler successfully focused his efforts into the research arena. Ms. Jennifer Lehman joined the Department as a Clinical Studies Coordinator, spending time with the Primary Care Research Institute to establish the OSU Primary Care Practice-Based Research Network (see below) and with the Family Medicine residents as they pursue their scholarly activities. She also was able to recruit OSU undergraduate students to assist the Department in research activities.

Two clinical pharmacists, Drs. Cari Brackett and Jim Coyle, not only assisted in the clinical care of patients at the Rardin FPC, but also added their expertise to the research efforts of the Department. Both are interested in the pharmacist’s role in collaborating with family physicians in managing chronic diseases, such as cardiovascular disease, chronic kidney disease, and diabetes. Perhaps the premier highlight of the year was that for the first time ever, the Department received an NIH grant, thanks to the hard efforts of Dr. Doug Post. Information on his grant, along with other significant events of the past year, is highlighted below.

Ohio State Primary Care Research Institute

The success of the Department’s research efforts has been due in large part to the collaboration fostered by The Ohio State Primary Care Research Institute (PCRI). Under the direction of Drs. Larry Gabel and Mary Jo Welker, with Mr. Todd Bernstein as administrative assistant, the mission of PCRI is to foster, facilitate, and report collaborative, interdisciplinary research directed toward optimizing peoples’ health.

Described in detail in last year’s Annual Report, PCRI is organized around four major areas of research. Three of these research teams have a family physician actively involved as an integral primary care researcher: cancer (Dr. Doug Post), cardiovascular (Drs. Pat Fahey and Randy Wexler), and diabetes mellitus (Dr. W. Fred Miser). More information about PCRI can be found at this website: www.pcri.osu.edu.

Table 1 below summarizes the key measures related to research across the last three years’ existence of PCRI, which has a family physician as principal or co-investigator.

–  –  –

Ohio State University Primary Care Practice-Based Research Network A major objective of PCRI is to organize and maintain The Ohio State University Primary Care Practice-Based Research Network (OSU-PCPBRN). In general, a PBRN is a collaborative of primary care clinical practices dedicated to studying issues of importance to clinical practice. Such research networks are vital to primary care because of where the research is actually performed – in the community versus in the academic medical center – and because of the types of questions that are being answered – those that can improve the practice of primary care and improve the quality of care delivered.

During this past academic year, Drs. Larry Gabel and W. Fred Miser from the Department of Family Medicine, Dr. Kelly Kelleher from the Department of Pediatrics, and Dr. Geetu Melwani from the Permedion Corporation, worked diligently to establish the infrastructure for the OSU-PCPBRN. Joining them in this effort was Ms. Jennifer Lehman, the Clinical Studies Coordinator for the OSU-PCPBRN. They have established an operational network consisting of the 19 clinical practice sites of Department of Family Medicine Annual Report 2004-2005 The Ohio State University Primary Care Network, the 8 Close-to-Home Health Centers of the Columbus Children’s Hospital, and the 5 practices of the Columbus Neighborhood Health Center, Inc. These 32 practices with over 125 primary care physicians represent a diverse patient population that provides care to over a half-million patients a year. Obviously, the OSUPCPBRN, has immense potential to perform high quality research that will make a difference for our patients. Dr. Doug Post leads the first of these research efforts in the NIH-funded R01 grant project, Efficacy of Web-Based Training in Skin Cancer Triage (see below).

Pediatric Clinical Trials International, Inc. (PCTI)

As a means to encourage research projects within the OSU-PCPBRN and to enhance the research infrastructure of the Department, Drs. Larry Gabel, W. Fred Miser, and Mary Jo Welker developed an agreement with Dr. Milo Hilty and Mr.



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