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News
Former Medical Student HonoredBingham Scholar Student wins poster contest
Faculty PresentationsMembers of the Family Medicine Residency Program faculty give many regional and national presentations at STFM (Society of Teachers of Family Medicine) meetings. This is a snapshot of the presentations for the 2007-2008 academic year.October, 2007 AAFP Annual Scientific Assembly ~ Chicago, IL #1 - 100 Shades of Gray: The Art and Science of Clinical Decision Making – Presented by Donald R. Woolever MD Abstract: Decision making in the clinical setting is a very complex and dynamic process that requires the application of a wide spectrum of skills. Some will approach the clinical question like an equation, while others will view it as a free-flowing exchange, and still others will apply research concepts. These varied approaches point back to the perennial conflict between the art and the science of medicine. The process is further complicated by the role of the patient. The patient’s educational level, adherence, skills and home support all impact on the practical application of the clinical decision. Emotional issues elicited by the patient encounter will also often influence a provider’s approach to the clinical question. Whether utilizing algorithms, applying the scientific process or consulting colleagues, clinical decision making can be facilitated by considering probabilities, establishing a treatment/intervention threshold and being consistent. As advocated by the “Future of Family Medicine” project, a formalization of clinical decision making processes has the potential to improve the quality and safety of patient care. Northeast STFM Annual Meeting ~ Pittsburgh, PA # 1 The Wide World of Contraception: A Workshop to Assess Evidence, Expand Knowledge, and Develop Skills. Presented by: Bethany Picker MD, Donald R. Woolever MD, Denise Cogle DO, Carlos Martinez MD and Terry Ann Scriven MD Abstract: With nearly 15 million couples using some form of contraception, family physicians are often sought out to counsel on pregnancy planning. Emerging technologies and an increased focus on women’s health have brought the risks, benefits and controversies of contraception to the forefront. The number of methods available has increased dramatically, and the family physician must be knowledgeable about all options in order to effectively advise patients. The family physician is ideally suited to work with couples to develop contraception plans that best suit their lifestyle, beliefs and goals for having children. This workshop will review available methods in a skill station model of learning. #2 – What is Health? Presented by: Donald R. Woolever, MD Abstract: What is health? In the rush to implement evidence-based practices and measure outcomes, have we lost sight of what health really is? A normal blood pressure and up to date screening tests do not ensure well-being. Health is much more than medications and procedures. The foundation of the health hierarchy is made up of the most basic of elements: food, air, water, shelter, sleep, love, spirituality. Our current model of care often fails to consider the importance of these building blocks. Implementing healthcare in context and utilizing alternative performance measures, such as self-rated health, may help to refocus our efforts. Working with our patients to find common ground and develop personal health mission statements may lead to the realization of a desired level of “health”. #3 – The Perfect Match: Strengthening the Power of Your Residency Application Presented by: Deborah Taylor, PhD (and Sara Karp, MD from Tufts FMR) Who says “You can’t always get what you want...”? Medical students (I through IV) are welcomed to attend this workshop and: - learn about the Residency Match process (AOA or NRMP), - learn more about the diversity in Family Medicine Residency education, - take inventory of the strengths of your educational and life experiences; - prepare for the residency application process; - add strategies to help increase the power of your application; and - increase your appeal before/during/after the interview day. You will complete a Residency Application Strengths Inventory, receive direct instruction about preparing for the match in MS Years I, II and III, be given tips on producing an effective personal statement, and develop an effective strategy for the interview season including the actual interview day. November, 2007 The Conference on Practice Improvement: Health Information and Patient Education (co-sponsored by the American Academy of Family Physicians and the Society of Teachers of Family Medicine) ~ Newport Beach, CA #1 Contextual Care: A New Model to Improve Adherence, Outcomes and Satisfaction. Presented by: Raj Woolever MD and Reggie Albert Abstract: Contextual Care is the process of incorporating context within the ongoing patient-physician relationship to maximize patient-centered care, facilitate shared decision-making and optimize health outcomes and well being. Contextual Care draws from many well-established care models, but it also incorporates logistical concerns, financial constraints and community resources. Despite its theoretical basis, Contextual Care is pragmatic, intuitive, and highly personal in its application. It was observed in the forward to the Future of Family Medicine project that “patients value an individual relationship with a physician who knows them as a person and who understands the social context of their lives.” Family physicians adjust their approach and recommendations to patients according to many elements which comprise a “health context”. This skill, while often modeled, is rarely taught explicitly. #2 A Comprehensive Approach to Caring for Refugee Populations. Presented by: Raj Woolever MD and Reggie Albert Abstract: With over 20 million refugees in the world and 170,000 new refugees and asylum seekers arriving in the US in 2006 alone, this is a growing population with a unique context and health history. While many refugees primary re-settlement site may be a large US city, increasingly, secondary re-settlement sites are in middle-sized and small cities and towns. Refugees are required to have a full medical exam within one year of their arrival and often arrive with complex medical histories further complicated by language and cultural barriers. Tropical infectious diseases and significant physical and psychological trauma are common. The implementation of strategies and services to facilitate a positive introduction into the health system can result in rewarding relationships and improved health for these families. #3 What is Health? – Presented by Raj Woolever,MD Abstract: (see NESTFM description in prior section) February, 2008 Conference on Families and Health ~ New Orleans, LA #1 – From P4 to C3: The Development of a “Contextual Care” Family Medicine Residency Competency-based Curriculum. Presenter: Deborah Taylor PhD Abstract: While Family Medicine is founded on and the FFM is steeped in language about the care of patients in "context", this session will focus on a community FMRP's attempt to name "context" and to develop a curriculum (including EHR resources) for teaching and assuring competency by residents and medical students in this vital area. Our P4 application, while not accepted, motivated us to persevere with C3 (Contextual Care Curriculum) and I2 (Intentional Interaction). A CD with relevant materials will be handed out to all participants. April 2008 Annual STFM Conference ~ Baltimore, MD #1 - Resuscitating "Seasoned" Behavioral Scientists: A Sharing of Ideas to Rehydrate Our Work and Our Passion. Presenters: Deborah Taylor PhD, Tim Spruill EdD (from Florida Hospital Orlando) and Robert Zylstra EdD (U. Tennessee Chattanooga) Astract: The intention of this gathering is for the current three co-chairs of the Group on Behavioral Science to bring together seasoned (defined as >10 years of experience) Behavioral Scientists for a discussion of current FMRP or FM Department behavioral science curricula, creative teaching methods and competency based evaluation strategies. If you are feeling in need of some new ideas (re-hydration) or need your passion reignited (resuscitation), we hope you will join us.
Wilderness Medicine ConferenceScheduled for April 22The Central Maine Medical Center Family Medicine Residency Program willpresent the 3rd Annual Wilderness Medicine Conference on April 22. Sponsored by the residency’s Wilderness and International Medicine Program, the event will feature presentations by experts on a variety of topics. The conference is being offered free of charge and is open to anyone with an interest in wilderness medicine. The day’s agenda will feature the following: “Medical Decision-Making in Medicine, Mountaineering and Daily Life” with Paul Hoehner, M.D., an anesthesiologist who practices with Central Maine Heart Associates in Lewiston. Hoehner is also a theology doctorate candidate. “The North East Ridge of Everest” with Bill Yeo of Durham. Yeo, a professional guide and mountaineer, will discuss his May 2006 Everest expedition. “Frostbite” with Bina Maharjan, M.D., and Michael Gravatt, M.D., physicians with the CMMC Family Medicine Residency, and trauma surgeon David Sooriash, M.D., “Snake Bites in Central America” with Kirk Silver, M.D., 2007 graduate of CMMC Family Medicine Residency Program “Environmental Stewardship: Bells of Everest Project” with Jeff Clapp, founder of Bells of Everest. “Wilderness Medicine Aspects of Mt. Katahdin Summit Attempt March 2008” with the University of New England College of Osteopathic Medicine Wilderness Medicine Club. A wilderness medicine mock code scenario will also be explored as part of the day’s events. A light lunch will provided. The event will begin at 11:45 a.m. and will be presented in the Chairmen’s Rooms, 12 High Street Medical Office Building, lower level. For more information or to register, email fredaji@cmhc.org or call 795-2803.
Wilderness & International MedicineSpring 2008 Conference
National Physicians AllianceBethany Picker is an active member of the National Physicians Alliance. Through her work with the NPA she has become very involved with healthcare reform and developing support for a Public Health Option. Working with Healthcare for America Now, Bethany created a television ad that has been airing in Maine http://www.youtube.com/watch?v=00V6A8MCLxg. This ad has caught the attention of the media including the New York Times http://www.nytimes.com/2009/05/28/health/policy/28health.html?_r=2
Christina Vietor, Bingham ScholarSpending Summer at Residency Program
Dinner Celebration of Recent Graduates
Graduation Ceremony
Skills Workshop during Week 4 of Orientation
Range Pond Retreat
Recent Events Related to the CMMC FMRDr. Woolever presented at the AAFP Global Health Workshop in Denver, CO. The topic of the presentation was on linking his community-based, rurally focused family residency to a similar program in India.CMMC hosted the OMM Update - all presentations were done by our faculty and osteopathic residents - attendance and evaluation of the event was high. Ten faculty and residents from our FMR worked the medical tent on 10/4 at the 1st Annual Dempsey Challenge - a biking and running event fundraiser for CMMC's Dempsey Center for Cancer Hope and Healing - the event raised $1,000,000! A group of four faculty and four residents attended the NESTFM Conference in Rye, NY presented a medical student/resident experiential workshop about Integrative Medicine as well as a workshop on finding the perfect residency match. Drs. Lovett and Ganta will have their article "Advising Patients about Herbs and Nutraceuticals: Tips for Primary Care Providers" published soon in the Journal Primary Care: Clinics in Office Practice Two senior residents have now launched the new Sports Medicine Selective - with rave reviews!
Upcoming EventsDr. Picker will be presenting on Health Care Reform at the upcoming Practice Management Noontime Conference.Dr. Kenney will be kicking off the first of two half-day conferences on Wilderness and International Medicine (WIMP) with one in October focused on International Health. A group of four faculty and four residents will be heading to the NESTFM Conference in Rye, NY to present a medical student/resident experiential workshop about Integrative Medicine as well as a workshop on finding the perfect residency match. Drs. Lovett and Ganta will have their article "Advising Patients about Herbs and Nutraceuticals: Tips for Primary Care Providers" published soon in the Journal Primary Care: Clinics in Office Practice
July Residency NewsThe National Committee for Quality Assurance (NCQA) recognizes top quality practices and provides recognition when standards are met. Kathy Morin has been working hard on our application for recognition as a Patient Centered Medical Home. We just found out we were awarded a Level 3 designation! This is the highest recognition they give.Here is their definition: The Patient Centered Medical Home is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family. Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner. Dr. Bethany Picker has been selected to be a 2010-2011 Hanley Health Leadership Development Fellow. The fellowship is very competitive and is co-sponsored by the Hanley Center for Health Leadership and the Institute for Civic Leadership. Dr. Bethany Picker has joined the Hands and Voices of Maine board (a group committed to supporting families affected by hearing loss regardless of communication style and mode). Dr. Bethany Picker has joined the Maine Newborn Hearing Screen Program board.
Faculty Roast Faculty
November Residency NewsPer the expected timelines, Dr. Woolever transitioned to the role of Program Director in early November. Dr. Claxton, the former program director, assumed a faculty role with primary responsibility for the Care of the Elder curriculum and helping bring the Patient Centered Medical Home philosophy to the outpatient primary care practices.Faculty completed Day 1 of an annual two days of long range planning retreat time. The retreat was attended by all faculty, the chief residents and our administrative leadership including the practice manager and our nursing supervisor. Day 2 is scheduled for 12/10/2009. RHEDI clinic is launched within our Family Medicine Center. Drs. Taylor and Woolever have submissions to the 2010 Annual Society of Teachers of Family Medicine in Vancouver accepted for presentation. Dr. Ned Claxton will be working as an advisor/consultant with 4 practices in our system in the redesign of how care is delivered. Each of the groups is enrolled in a Maine project to study how practices can grow into Family and Patient Centered Medical Homes of excellence. The FMR staff, residents and faculty - led by Kim Theriault from the nursing staff - donated enough food and $$ to create two Thanksgiving baskets including turkeys for two needy families in our practice.
December Residency News
A pot luck lunch to celebrate the holidays was held on 12/15 - Secret Santas were revealed and team games were enjoyed. The Central Maine Medical Group (a division that encompasses all outpatient practices) also enjoyed a great 2 hour holiday lunch at the Kora Shrine Temple across the street from CMMC on 12/11. Several of our FMR employees won door prizes. Dr. Patrick Pine graduated from the residency this month. We wish him well in his family medicine career. Dr. Hatzenbuehler and his wife, Stephanie, celebrated the birth of their son Miles on Christmas day. He tells that his wife, "the trooper", was discharged 14 hours after delivery and they were home by Christmas night to open presents! Dr. Geoffrey Carden has become a reviewer of the American Family Practice journal - congratulations Geoffrey! Drs. Taylor and Wooelver have had submissions accepted to the 2010 Annual STFM Conference in Vancouver, BC in April. Faculty Drs. Lovett, Picker, Woolever were joined by residents, Adams, Koteles, Long and Nguyen for a invited trip to Boston University to present an Integrative Medicine workshop to medical students. This event was co-sponsored by the BU FMIG and the BU Integrative Medicine Club. Over thirty students attended and the evening was enjoyed by all. The FMR's community service project for January is being spearheaded by Betty Ostrander, our CPC/Biller in the FMR. Donations are being accepted for our local Androscoggin Humane Society and will be delivered at the end of January - this is a time of year when donations often are low due to expenses people have over the holidays. There is a lot of enthusiasm for this project in our work family. Thanks Betty!
January Residency News
Drs. Rivard and Taylor found themselves in Jacksonville, Florida over the same weekend in January - Gary was attending the STFM Predoctoral Education Conference and Deborah was attending the winter STFM Board of Directors' mtg. They both enjoyed their meetings and a short break from winter. The Resident Research and Scholarly Activity Committee, chaired by Dr. Geoffrey Carden, has developed a timeline for all first year residents to follow in order to successfully complete their scholarly activity project. The scholarly activity can be research, a QI initiative or a Community Orientated Primary Care (COPD) project. <a href="pdf/scholarly_project_timeline.pdf">Download the document timeline</a>.
February Residency News
Med-Psyc Clinic returns to the FMC (to the delight of patients and providers alike) - Dr. Christine Gray will be returning to our Family Medicine Center starting 3/8 for a Monday weekly Med-Psyc clinic. Residents and students will benefit from Dr. Gray's expertise with diagnosing and treating psychiatric conditions, and patients will receive this psychiatric evaluation and intervention as part of the Patient Centered Medical Home and integrated model of healthcare. Dr. Don McCrann will start precepting two days a month - he is an OB-Gyn who will be precepting patients who present for women's health visits. He will also be completing some chart audits and educating all providers about optimal healthcare for women. New Group Medical Visit (GMV) set to begin soon - Patient with CHF will be asked to attend GMVs as a way of increasing their education about this chronic disease as well as how to best manage the condition and symptoms. Our Diabetes GMV has been so well received that we are branching out! We had a "perfect" Osteopathic Match result - 3 for 3! Drs. Adam Duquette and Christopher "Todd" Kitchens (from UNECOM) along with Dr. Shayna Lemke (from PCOM) will be joining our first year class on 6/28/2010. We await our NRMP Match Results - due to us in mid March. Dr. Geoffrey Carden is now officially an ALSO instructor - congrats Geoffrey. UNECOM clerkship class for 2010-2011 has been announced. We are so excited to welcome Robert Caron, Adriana Chavez, Jamie Gellock, Kate Harmoney, Viki Johnson, Rob Parker, Tom Sheelsey and Aaron Slaiby to CMMC for their third year Core Clerkship year. We hope that the 10-11 class is as fabulous as our 09-10 class has been!
March Residency News
Aden Ahmed joined the Family Medicine Residency on March 22, 2010. He speaks three languages: English, Somali and Swahili and is available to interpret for patients both in the Residency as well as other CMMG practices! New Community Preceptors The CMMC Family Medicine Center is pleased to welcome two new preceptors as supervisors and educators of our residents. Dr. Christine Gray is returning one day a week to precept a MedPsyc clinic - providers can refer into this clinic for psychiatric diagnostic clarity or help with medication management - residents and medical students will rotate through the clinic to enhance psychopharmacologic knowlege base. Dr. Don McCrann is a board certified OB-GYN and will be precepting women's health cases and teaching procedures. Kathy Morin, RN, Nurse Supervisor has recently been appointed to the board of the FMRNA (Family Medicine Residency Nurse Association) and will be attending a fall session with the board which is being held in Dallas Texas. Congratulations Kathy.
Welcome Incoming Intern Class - 2010
The CMMC Family Medicine Residency is pleased to announce a very successful 2010 recruiting season. Congratulations to all involved for their outstanding efforts. All seven who matched with our Program were among the top ten on our rank list!
April-May Residency News1. Dr. Carden has been accepted into the Faculty Development Fellowship at University of North Carolina - he will spend 6 weeks in Chapel Hill over the course of the 2010-2011 academic year - Congrats Geoffrey!2. Drs. Woolever and Taylor attended and presented at the 2010 Annual STFM Conference in Vancouver, BC in late April. Both came back to the residency jazzed up with lots of innovative ideas and much energy and enthusiasm for their work as faculty and administrators in the residency. 3. CMMC was a co-sponsor of a recent ALSO (Advanced Life Support in Obstetrics) Course in Portland. Drs. Carden and Woolever were on the teaching faculty; Drs. Gummadi (1st year resident) and Picker (faculty) took the course. Dr. Picker plans to take the instructor course in the fall of 2010 which would give us three certified ALSO instructors! 4. Dr. Rivard just received news that he passed his boards - hoorah for you Gary! 5. The residency has new chief residents. Drs. Jennifer Dressel (rural track), Bina Maharjan and Laurel Schwingel (2009-2010 chiefs) passed the torch to Drs. Lisa McAllisetr (rural track), Alicia Koteles and Stephanie Youd. Alicia, Lisa and Stephanie attended the AAFP Chief Resident Leadership Course in KC, MO in mid May. Like Raj and Deborah, they returned with lots of innovative ideas and energy for their leadership roles within the residency. 6. Several CMMC FMR faculty and residents along with medical students from our clerkship class from UNECOM recently attended the Maine Academy of Family Physicians Annual Mtg in Freeport. Drs. McElrath, Focht, Rothe and Picker were presenters. Dr. Lisa McAllister, the rural track chief resident, was elected to the MAFP board of directors as a resident alternate. 7. Dr. Lisa McAllister who is a resident in the rural track in Rumford was honored at the MAFP for her work with the AAFP Tar Wars program - Three of the four top rated posters, including the top rated one for the state, came from a class that Dr. McAllister taught to about the benefits of not smoking and the hazards of doing so. Congratulations Lisa!
Updated 6/21/2010New Salaries for Residents - Make sure to check out our newly upgraded salaries on our Benefits page!
June Residency NewsBingham Scholars arrive in Lewiston and RumfordLiz Ferro, a new MSII from Jefferson Medical College in Philadelphia, will be spending her 5-6 weeks at Swift River Family Health Center and the Dixfield Elsmore Family Health Center, both associated with Rumford Hospital (site of our Rural Track residency). In addition to shadowing the rural track faculty and residents, she will be helping the Swift River site launch a group medical visits program for people with diabetes in their practice. Sara Huang, a new MSII from Chicago College of Osteopathic Medicine, will be spending her time with the CMMC FMR in Lewiston. In addition to shadowing family physicians at work, she will be completing a research project studying the use of supplements in our pregnant patients at the FMC. 30th Graduation Ceremony at CMMC It's official - Drs. Steve Adams, Jen Dressel, Neelima Ganta, Michael Gravatt, Bina Maharjan, Laurel Schwingel and Terry Ann Scriven received their diplomas on Fri, 6/25 at the formal graduation ceremony held at the CMMC Conference Center. The 2010 graduating class gave 4 awards: Special Recognition Award to Andrew Thornton, MD, a nephrologist who has been an especially good eduator; Preceptor of the Year award to Trisha Gushue, DO; Nurse of the Year Award to Ashley Breton, MA; and the most prestigious award (Bruce Johnson Teacher of the Year) to Bethany Picker, MD, a faculty member and Medical Director of our FMC. Two days before the "official" graduation, we held our "family" graduation dinner at Spring Meadows Country Club in Gray. This is a time for us to reminisce about our time with the graduating class and bestow gifts to them. It is also the time when the faculty gets to drag out their acting skills for a graduating class skit that is one spoof after another. A good time was had by all! Where did our 2010 graduates "land"? Dr. Adams - Surface Creek FP, Delta Colorado Dr. Dressel - Lunenburg FP, Lunenburg, Massachusetts Dr. Ganta - Plans to practice near Austin, Texas Dr. Gravatt - Plans to practice in NorthEastern Washington State Dr. Mahajarn - Good Samaritan Hospital, Watertown, New York Dr. Schwingel - OMM Fellowship @ UNECOM, Biddeford, Maine Dr. Scriven - Plans to practice in Portland, Maine
More July Residency News
Welcome lunch - all employed by the residency gathered to celebrate the arrival of the new intern class. Lunch was provided and the current PGY 2's presented the interns with a "survival bag". Skills Workshop - 6 stations were set up with each intern rotating through the stations to test their skills. Breast Exam, X-Ray Interpretation, Pelvic Exam, Suturing, OMT and EKG Interpretation. United Way Agency Fair - The United Way Agencies of Androscoggin County set up display booths, in our conference room, giving new interns and all residents, staff and faculty an opportunity to learn more about the agencies that many of our patients utilize.
August Residency NewsBethany Picker, MD ~ Faculty and Rhianna Meadows, DO ~ PGY 3 attended the Family Centered Maternity Care Conference in Los Angeles. Offered every two years, this conference gathers providers committed to improving and expanding the care that family physicians offer to pregnant patients and their families. In addition, Dr. Picker successfully completed the Advanced Life Support in Obstetrics Instructor course and plans to teach ALSO in the spring with her colleagues.With the assistance of Geoffrey Carden, MD, Faculty ~ CMMC hosted an all day CME program entitled "Introduction to Information Mastery" by Dr. Allen Shaughnessy. The program involved teaching the basics of how to quickly identify medical literature to answer clinical questions as well as sources for evidence based medicine. Lewiston-Auburn Annual Balloon Festival took place in August with several balloons taking off twice a day over a period of 3 days. It was one of the better turn outs in recent past with good weather and lots events for the entire family. The residency welcomed the newest group of UNECOM core students to complete their 3rd year core rotations within the CMMF system. Robin Caron, Ria Chavez, Jamie Gellock, Katie Harmoney, Viki Johnson, Rob Parker, Tom Sheesley and Aaron Slaiby. We have another great group of students and look forward to working along side them for the next 12 months. The residency also welcomes Tom Hattan, MD to the faculty roster. Tom will be responsible for the Geriatrics curriculum and will serve as Medical Director for the Marshwood Nursing Home and Rehabilitation Center, which is where our residents obtain their geriatrics education. Recruiting Season Update: The ERAS postoffice officially opened on 9/1 and we currently have 380 allopathic applicants and 7 osteopathic applicants; of those we have invited 17 allopathic US grads, 5 allopathic offshore grads and all 7 osteopathic grads. Allopathic applicant Patrick McGlynn, Royal College of Surgeons Ireland, was here for an FM Sub-I rotation and was able to do an "early bird" interview with us.
September Residency NewsThree Chief Residents from CMMC (Alicia Koteles and Stephanie Youd from Lewiston Main Track; Lisa McAllister from Rumford Rural Track) attended Part II of the Chief Resident Leadership Development Institute held at the AAFP Scientific Assembly in Denver, CO in September. The residents rave each year about this leadership training - this year was no exception.Dr. Woolever was recently selected as a Fellow of the American Academy of Family Physicians which represents accomplishment in teaching, practicing and supporting family medicine, congratulations Raj. Kathy Morin, RN – Office Manager, recently attended the Family Medicine Residency Nurses Association Conference in Denver, CO. She was appointed to the board and was asked to present at the PreCon Conference regarding the Patient Center Medical Home. The Central Maine Medical Family hosted its first annual recruiting dinner to actively recruit our residents into open clinical positions in our system.
October Residency News
The 2nd Annual Dempsey Challenge took place on October 2nd and 3rd with another amazing $1.1 million raised for the Dempsey Center for Cancer Hope & Healing. Feel free to visit the website for more details. http://www.dempseychallenge.org/ Ultrasound Conference took place October 26th. Janet Michaud, an ultrasound expert from MFM MMC came and taught medical students and residents ultrasound pearls and techniques for 2nd and 3rd trimester patients. Erica Lovett, MD taught basic skills for preforming first trimester ultrasounds. It was a great success for residents and patients. 2010 Maine-NH Faculty and Chief Resident Development Day was held this year at CMMC's Conference Center. More than 60+ faculty along with chief residents from the 4 Maine FM and 1 NH FM residencies were in attendance along with colleagues from the University of New England College of Osteopathic Medicine. The day included program updates and PCMH progress reports about each residency's Family Medicine Center. The afternoon included break out sessions designed to highlight opportunities for programs to collaborate around research and scholarly activity, community and public health curricula, the resident in difficulty and faculty development opportunities. A special training session was conducted by Larry Mauksch from U. of Washington around Patient Centered Care and a standardized pt-centered observation form that can be used with residents and medical students. Former FMR Program Director, Ned Claxton, and current Program Director, Raj Woolever, were elected as the Chief and Vice Chief, respectively, of the Central Maine Medical Center Medical Staff. The Medical Staff recently underwent a major re-structuring to emphasize the organizational focus on quality and safety. Key features of the new Medical Staff structure will include a robust Peer Review process and centralized Clinical Excellence/Quality and Safety Commiittee. Dr's Claxton and Woolever will be the first elected clinical leaders of this new system. FMEC 2010 Mtg in Hershey, PA CMMC was well represented at the Family Medicine Education Consortium Mtg and FM Residency Fair in Hershey, PA over Halloween weekend. The Team (Drs. Aung, Claxton, Kenney, Manasseh, Pond, Picker, Taylor and Woolever) were involved in presenting a Wilderness Medicine Skills Workshop to residents and medical students, the presentation of other workshops and seminar and paper presentations to faculty/residents/students and meeting many wonderful MSI-IV students at the CMMC FMR booth. Dr. Picker was one of the "This We Believe" award winners and she read her essay aloud to the 700+ conference attendees on Sunday AM. Liz Feero, MS II from Jefferson Medical College (Bingham Scholar at Swift River Family Health Center - Summer 2010) presented a poster on her required scholarly project about implementing a diabetes group medical visit in a rural health center. FMEC Board of Directors Dr. Raj Woolever, CMMC FMR Residency Director, was elected to a 3 year term as Member at Large on the FMEC Board of Directors. The prime function of the FMEC (Family Medicine Education Consortium, that includes members from Maine south to DC west to Ohio, is to encourage and support collaboration among our Family Medicine Residency Programs and Departments of Family Medicine. They also seek to create linkages with organizations interested in the growth of family medicine such as health centers, state academies, foundations, state agencies, and corporations with a special interest in strengthening primary care. The FMEC sponsors the FMEC Northeast Region mtg each year - the 2011 mtg will be in Boston area (Danvers) the weekend of 10/20-10/22/2011. Cardiac Conference: Erica Lovett, MD gave a conference titled Seasonal Affective Disorder and Vitamin D at the bimonthly cardiac health conference at CMMC on October 25th. This is a conference for patients of CMHVI, their friends and family with the goal of improving overall health and thus also improve cardiac health.
November Residency NewsDr. Erica Lovett has begun the Teachers of Tomorrow program which will finish next year. Here is a decription of this programThe Clinical Faculty Development Center of UMass conducts Teaching of Tomorrow (TOT) workshops for clinical teachers, designed to develop the teaching skills of clinical primary care faculty necessary to incorporate trainees into busy practices and maximize the learning potential of the experience. This longitudinal program consists of four 2 day workshops spread over the course of a year. Workshops are presented to a multidisciplinary group of preceptors, nurse practitioners, and physicians assistants from the Northeast. Experience is designed to enhance the teaching skills of office-based clinical primary care faculty. Learners engage in short interactive lectures followed by demonstration and practice of skills in small groups. Videos, modeling and role-play are used to promote excellent teaching.
December Residency News
Dr. Kenney, the WIMP faculty coordinator, led a group of residents and medical students on a weekend hike and camping trip to the White Mountains in New Hampshire. The vistas were amazing according to all the participants - Brad Long PGY III, Mike Johns PGY I, Shayna Lemke I, Lucas Thornblade and Nick Weida (MSIIIs from BU). Ned Claxton, Jennifer Fish and Bethany Picker went to San Antonio for the STFM/AAFP Practice Improvement conference. Dr. Claxton and Dr. Picker presented a poster on our use of Dartmouth's Clinical Microsystems as the model for practice improvement in the residency. There was a lot of interest and lively discussion from people all over the country on this model. Dr. Picker and Jennifer Fish presented our model of integrated behavioral health in the residency: Medpsych clinic. It was also well-received with people taking and comparing notes on other models around the nation. For the holidays the residency held an annual pot luck and party. This event included the yearly activity of "Secret Santa". For the pot luck, people we asked to bring in a dish that had some significant meaning in their life, whether it be a tradition at the holidays or at another occasion. Then we went around the room and explained the significance of the dish. Games were played and all FMR personnel's names went into a drawing for 1 of 10 Wal-Mart gift cards. Fun was had by all.
January Residency NewsOn January 30th the International Medicine program attended a one-person play by the playright called "Checkered Floors", a first person account of her experiences in Lewiston, Maine with the in-migration of the Somali population during the last 10 years.Dr. Tom Hattan,Faculty - has passed his Palliative Care Boards -congrats to Tom. Website now online for Integrative Medicine at CMMC - Designed by Dr. Erica Lovett and Tessa Harland. Integrative Medicine is an active part of the care at our family medicine residency and at Central Maine Medical Center. The goal of the website is to help patients and providers identify resources that may enhance the health and wellbeing of our patients, friends, and coworkers. http://www.cmmc.org/integrative.html
February Residency News
-The residency recently hosted their 4th Annual Wellness Week from February 21nd through February 25th, 2011. The goal of wellness week is to promote health, camaraderie, and a solution to winter office doldrums. The week’s events started off with Kitsie Claxton leading a session of honoring those we’ve lost. We wrapped up the week with Tai Chi with Ned Claxton, MD, faculty. Special thanks goes to everyone volunteering their time to make this a success for our program including Marcy Covey (Thai Massage and Yoga), Kim Theriault, MA (Reiki provider), Rob Parker, MSIII (Humor in Medicine), and Ned Claxton (Tai Chi), Our regularly scheduled medical noontime lectures focused specifically on health and wellness topics. Our normal Tuesday afternoon was transformed into a healthy competition of bowling. Throughout the week we encouraged all to be active by a friendly, team based, pedometer contest. Our whole clinic was stepping our way to health and cool prizes! <b>Faculty Bruce Kenney, DO completes Medical Mission to El Triunfo, Honduras</b> -For a week in February,Dr Kenney joined a Maine team to provide medical care to rural communities. About 750 patients were seen, including cases of leshminiasis, kwashiorkor, hypertensive urgency, and machete lacerations. Our CMMC FMR Wilderness and International Medicine Program track helps residents prepare for such international medicine service. <b>Resident serves in the Dominican Republic</b> -Dr. Stephanie Youd, third year resident, just spent four weeks working at the Good Samaritan Hospital in La Romana, Dominican Republic. This is a hospital that volunteers have built brick by brick for the last 20 years. It is now functioning with 2 floors, and the 3rd and 4th floors are in the process of being built. She worked doing pre-operative assessments for visiting ophthalmological teams, and worked in the capacity of a provider in the Bateys (communities of largely Haitian patients living in communities built by the sugar cane companies). She saw a myriad of problems including traumas, developmental disorders, the common cold, and tropical diseases. <b>Resident Retreat</b> -February 17 and 18, the residents headed west to North Conway, NH to rest, relax, learn, and retreat. They packed in on Thursday evening, and had a hot meal of chili and appetizers. Played some games and had a night filled with good food and laughter. In the morning, they took time to really focus on the importance of teamwork, including surviving a plane crash in the desert, and working on communicating through difficult situations. Then they used those skills to convince everyone to take a ride on a mountain coaster. The day ended with some shopping, tubing, and dining. A good time was had by all, and if the residents got their way, they would have one every month!!!
March Residency News<b>We are pleased to announce our incoming 2011 intern class</b>Catherine Krouse - Philadelphia COM John Lowery - UNECOM Jaime Nemeth - Philadelphia COM Joanie Peter - Ross Univ. Preethi Rajanna - M.S. Ramaiah Medical College Marc Seeley - Western Univ.COM Sandhya Tagaram - Osmania Medical College Bruce Kenney, DO and Gary Rivard, DO recently attended the American College of Osteopathic Family Practice (ACOFP) biannual conference in San Antonio, which included the Osteopathic DME conference also. The conference was highlighted by plenary presentations on Preventive Medicine and the role of Genomics in clinical practice.
May Residency NewsMay 26-7 Drs Woolever and Picker taught at the Advanced Life Support in Obstetrics course at Maine Medical Center. This course is co-sponsored by CMMC, MMC and Maine- Dartmouth. We had participants from as far away as Georgia and Tennessee as well as lots of Mainers. Teaching a diverse group of learners-- FM residents, nurses, nurse midwives, FM attendings and OB attendings-- was fun and the shared learning was outstanding.May 18th-- Dr. Picker spoke at the Central Maine Medical Group Forum on Risk Management. After her lecture was observed by a Risk Management Administrator, she was asked to share pieces of it with all the practicing physicians employed by the hospital. May 23rd-- Dr. Picker is a contributing author to a Archives of Internal Medicine article publishe online on May 23rd: "The Top 5 lists in primary care: Meeting the responsibility of Professionalism". This will be published in print in August, but in the meantime it has been quoted in Time, Reuters and the NY TImes among others. Please check it out at http://archinte.ama-assn.org/cgi/content/short/archinternmed.2011.231 . Drs Woolever and Picker are both leading Strategic Initiatives for the Central Maine Medical Family. Across the system, there are 15 initiatives that are being promoted to improve the care we give and the ways in which we provide it. Dr. Woolver is the team leader for Physician Engagement and Dr. Picker is leading Patient Satisfaction.
June Residency News
Graduation Ceremony was held on June 24th at the Chairmen's Conference Center at CMMC. -Graduation Awards Presented: Preceptor of the Year Award Liz Rothe, MD; Teacher of the Year Award Geoffrey Carden, MD; Nurse of the Year Award Karen Becker, RN; Special Staff Award “Where the Heck are We Supposed to Be?” Kim Elliott, Scheduler -Geoffrey Carden, MD, Faculty was the program speaker and spoke on "Remebering" Erica Lovett, MD, Faculty - completed Teachers of Tomorrow training – Congratulations! Geoffrey Carden, MD, Faculty completed his Fellowship – Congratulations! Raj Woolever, MD, Program Director - presented the Family Medicine Residency Annual Update to the Board of Trustees.
July Residency News
Residency Retreat at Range Pond - New interns, residents, faculty and staff had a great time at our annual Family Medicine Residency retreat. It was most likely the hottest retreat day so far, so being at Range Pond was definetely a plus! A tasty BBQ lunch was followed by a great puzzler event created by Dr. Picker that had everyone working together collaboratively to find the answer - what fun! And the finale of ice cream treats was a big hit on such a hot day!!! We all look forward to another great retreat next year! Raj Woolever (Program Director), Stephanie Aung (R-3), Todd Kitchens (R-2), Shayna Lemke (R-2), Gonzalo Ruiz (R-2) and Jamie Gellock (University of New England MS-IV) all travelled to Kansas City, MO for the Annual AAFP National Conference for Residents and Students at the end of July. In addition to entertaining a large number of prospective candidates during the residency fair, the group put on a Wilderness Medicine workshop. More than 150 participants attended the 2 sessions which included hands-on stations on "decrumpling," orthopedic injuries and splinting, bandaging and evacuation and carries.
August Residency NewsThe residency welcomed a new class of 3rd year core students from UNECOM. We are excited to have them with us for the next year as they complete their core rotations with us.Geoffrey Carden, MD - faculty has received the honor of becoming a Fellow for the American Academy of Family Physicians - congratulations Geoffrey. Once a quarter there are 5 Tuesdays in a month and that happened in August. The residents are provided with the "5th Tuesday" afternoon to spend time away from residency duties and do something fun as a resident group. This month they went to fellow resident Shayna Lemke, PGY 2's home and had a cookout. WIMP's at it again - the Wilderness and International Medicine Program residents had a canoe outing (same weekend as the hurricane). The outing was shortened due to weather, however it was a great trip and all enjoyed their time.
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