U-M Family Medicine Spring 2012 Newsletter

Celebrating at the University of Michigan Spring 2012

www.med.umich.edu/fammed

Reunion of Early Department Leaders Each year, special efforts are made to connect with friends of the Department who live in Florida. This year was especially significant as we were able to meet with several individuals who have a unique and historic relationship with the Department. Terence C. Davies, M.D., the founding chair, was present as were George A. Dean, M.D., and Dale L. Williams, M.D., who served on the committee that established the Department in 1978. R. Dale Lefever, Ph.D., emeritus professor, and Amy C. St. Amour, the Department’s development officer, represented the Department. The special events included a spectacular reception at the home of Dr. Dean and his wife, Vivian, that began with a tour of their renowned artwork and chess set collection and was followed by dinner at their clubhouse. The evening was filled with many stories of how the Department began, the challenges it faced in those early days and how so many people, including those from Michigan State University and Wayne State University, served as strong advocates for the creation of

the Department, r e c o g n i z i n g from the start its importance to the State of Michigan and the specialty of family medicine. One additional highlight was the opportunity for Dr. Davies, Ms. St. Amour and

Dr. Lefever to have lunch with Michael Papo, M.D. (M.D. 1957) and his wife, Judy, at their Florida home. Dr. Papo and James H. Botsford, M.D. (M.D. 1957) sold their Chelsea family medicine practice to U-M in 1978 when the Department was founded. The Chelsea medical complex was the first home for the Department’s residency. It continues to serve as a clinical site for faculty and residents and as a primary teaching site for medical students. Drs. Davies and Papo had not seen each other for 34 years and had a special time sharing many fond memories. And, as Dr. Davies mentioned to Dr. Papo, “You have lead such a rich and productive life Michael, and I am so very grateful for the assistance you gave us in helping us launch the Department at U-M. It certainly would not have got off the ground without the access you provided us to the Chelsea Medical Campus.” While our desire is to be greater than our memories, the memories shared during these gatherings were quite special and a wonderful confirmation that what was begun in 1978 has been brought to fruition in 2012. ■

In This Issue

From the Chair2

Development3

Education Mission11

Clinical Mission14

Research Mission16

Faculty Activity20

Dr. Davies greets Dr.

Papo and the two share

stories of the early days

of the Department.

Terence C. Davies, M.D., George A. Dean, M.D.,

Dale L. Williams, M.D., and R. Dale Lefever, Ph.D.

www.med.umich.edu/fammed Spring 2012

Just reading through the articles in this newsletter highlights the depth and breadth of our activities. People talk about the three core missions of the Department, namely our clinical, educational and research missions. You will find here reports on our work in each of these missions. In the clinical arena, you can read about our work and leadership in UMHS’ new electronic medical record system and our outstanding support following a local tragedy. Our pursuit of an innovative arrangement with the Michigan Academy of Family Physicians to put on CME courses is one of several stories you will find that give insight into the breadth of our educational mission. In the research arena, we are also very active as evidenced by the updates provided, ranging from pregnancy to exercise to integrative medicine, as well as the multiple articles and presentations our faculty have done. It is all quite impressive. However, I believe we also have a fourth mission, one which is often not explicitly mentioned, though it should be. That is our outreach to the community, both locally or globally. Indeed, the very essence of being a physician is to help our fellow mankind. Reaching out to those who are disadvantaged, such as people who can not afford medical care, as well as providing our expertise to other countries so that their physicians can provide better care for their citizens, seems to me to be actions that we should support. We have ongoing multiple outreach

Philip Zazove, M.D.Professor and Interim

Chair of Family Medicine

Isaac Newton, when lauded for his incredible success in explaining physics principles, said, “If I have been successful, it’s because I stood on the shoulders of giants.” As Interim Chair, I have to agree. When people tell me the Department is thriving, as evidenced by all the amazing things we are doing, I tell them the reason for our success is because of two things. First, our two legendary chairs: Terence C. Davies, M.D. and Thomas L. Schwenk, M.D. They laid a foundation that enables our superb faculty, residents and staff to be so productive. And second, teamwork. We are truly an example of where the whole is greater than the sum of the parts. It is the ongoing contributions of each person in our Department, when put together, that has enabled us to accomplish the things that we do.

efforts. In this newsletter, we share information about our involvement in the Quito Project. I hope you enjoy the stories in this newsletter as much as I did. It makes me proud to be part of the Department, and part of a team of such committed, caring individuals. I hope it makes you proud, too. ■

2

Reflections Chairfromthe

Development

Spring 2012www.med.umich.edu/fammed 3

2012 Student Scholarships & Award

T

Continued on page 6

The Department of Family Medicine held its ninth annual Award and Scholarships Ceremony on May 9, 2012. The award and nine scholarships were presented by Philip Zazove, M.D., professor and Interim Chair and R. Dale Lefever, Ph.D., emeritus professor, emceed the event. There was also a special tribute to Donald Fitch, M.D., (M.D. 1959) a friend and supporter of the department, who lost his valiant battle with leukemia last August, as the inaugural Paddy and Donald N. Fitch, M.D. Family Medicine Scholarship was presented.

Terence C. Davies, M.D. Award recipient: Justin Conway

Justin graduated from Princeton University with a B.A. in sociology where he was captain of the varsity basketball team. He worked in a family physician’s office and wrote his senior thesis on access to primary care in the medically underserved community of Trenton, NJ. His passions continued in medical school where Justin was

Philip Zazove, M.D., presents Justin Conway

with the Terence C. Davies, M.D. Award at

the ceremony held in front of faculty, staff,

family and friends.

an Executive Board Member for Health in Action in the Dominican Republic, the SLATE (service learning and transdisciplinary education) site director for disadvantaged youths and a volunteer at the Delonis Center Clinic. He also worked with Kent Sheets, Ph.D., professor, to create a guide highlighting residency options for medical students interested in primary care for medically underserved and low-income populations. “I cannot tell you how honored I am to be the recipient of this award. I consider myself incredibly fortunate to have met, learned from, and worked with all of you [family physicians]. To me, this award is a manifestation of the wonderful mentorship you have provided, and yet another reminder of how amazing it is to be part of the U-M Family Medicine family,” noted Justin who will begin his residency at Beth Israel Residency in Urban Family Practice in New York.

Family Medicine Scholarship recipient: Andrea (Andi) Kussman

Andi studied the history of medicine at University of Oxford, UK where she wrote and orally defended 22 papers, which resulted in one publication. She continued her education at Washington University in St. Louis with a B.A. in history and Duke University as the Global Health Fellow in Geneva, Switzerland. A skilled athlete, Andi has played varsity soccer, ran varsity cross-country and track and was the captain of the U-M Women’s sabre team. During medical school, she served on the admissions committee, Pediatric

Student Education Advisory Committee and Galen’s Medical Society. “I entered medical school as a blank slate, but one of my mentors assured me a specialty would call to me. Throughout my third year I grew increasingly nervous because I felt that all the specialties were calling to me. However, no matter what rotation I was on, there was a whisper in the back of my mind that kept drawing me back to family medicine. The more I thought about my personal priorities, the louder this whisper became. In short, the family practitioner is what I always imagined a doctor to be,” explained Andi. Kenneth & Judy Betz Family Medicine Scholarship recipient: Alexa R. Lindley

A graduate of Denison University with a B.S. in biology, Alexa was drawn to medicine by witnessing the interaction between her father, a general internist, and his patients. She

Andrea Kussman, winner of the Family

Medicine Scholarship, will begin her

residency at University of California,

Los Angeles – Santa Monica.

Development


Professorship Installation Ceremony Mack T. Ruff in IV, M.D. , M.P.H., professor, was formally installed as the Dr. Max and Buena Lichter Research Professor of Family Medicine last November surrounded by his family, friends and colleagues. The inauguration was moderated by James O. Woolliscroft, M.D., dean of the medical school and special guest, Thomas L. Schwenk, M.D., emeritus faculty and Dean of the University of Nevada School of Medicine and Vice President of the Division of Health Sciences at the University of Nevada, Reno, shared a few words about the meaning and importance of the professorship to the Department. The evening ended in an intimate dinner for both the Lichter and Ruffin families and their close friends. Dr. Ruffin noted, “I was overwhelmed with emotions the evening of the award and I was honored to accept it. I am challenged to do great things to honor the memory of Max and Buena Lichter. It was a joyous event surrounded by colleagues, friends and family from around the country.” The Professorship was established in 2007 through a gift from Dr. Allen and Evie Lichter and Dr. Paul and Carolyn Lichter. It honors the memory of their father, Dr. Max Lichter, a family physician who practiced in Melvindale, Mich., for five decades and their mother, Buena Lichter, and is intended to encourage and support research in family medicine. ■

Mack T. Ruffin IV, M.D., M.P.H., the Dr. Max and Buena Lichter Research Professor, (center) is

joined by his parents, Mack and Patricia Ruffin, who came from their annual beach vacation in

North Carolina to celebrate, his wife, Kathy Carter, and his sons, Noah (left) and Sean, a third

year architecture student at Illinois Institute of Technology in Chicago was able to attend at the

last minute. In his inauguration speech, Dr. Ruffin thanked his parents and noted, “their never

failing support has always been there for me when I have excelled and when I have stumbled. “

Allen Lichter, M.D., executive vice

president and chief executive officer

of the American Society of Clinical

Oncology, shared stories about his

parents and the importance of this

professorship to the University and

the Department of Family Medicine.

“To establish a professorship in

family medicine, the field which

our father was so devoted to, was

an ideal way to honor our parents.”

Development


Continued on page 11

As he spoke at the dinner

following the installation,

Paul Lichter, M.D., the former

chair of the U-M Department

of Ophthalmology and Visual

Sciences and former Director

of the W.K. Kellogg Eye

Center, shared why it was

important to the family to

establish a research-focused

professorship. “Our father

was always interested in the

research being done in both

Allen’s and my departments. He

had a W.K. Kellogg Foundation

grant to conduct his own

research in health promotion,

so supporting research in a

field like family medicine was

very important to us.”

Professor and interim chair, Philip Zazove, M.D., along with former Chair

and professor emeritus, Thomas L. Schwenk, M.D., Dean, University

of Nevada School of Medicine and Vice President, Division of Health

Sciences University of Nevada, Reno, share in the celebration of the

Department’s second professorship.

Mack T. Ruffin IV, M.D., M.P.H., the Dr. Max and Buena Lichter Research

Professor, (center) is joined by donors Dr. Allen and Evie Lichter (left),

Dr. Paul and Carolyn Lichter (right) and Dean Woolliscroft. In memory of

his father, Max, Allen Lichter shared, “He was the old-time family doc.

This was in an era when medicine was different. If you came to him, he

would see you. Insurance forms were not as critical as they are today. If

all you had to offer as payment was a loaf of bread you’d baked or some

flowers from your garden, he’d say, ‘We’ll let it go at that.’”

Paul Lichter, M.D. is joined by his wife, Carolyn Lichter, daughter

Carol Standardi, and their two granddaughters, Marty and Rise

Goode. It was a wonderful evening for all.

Christel and Dale Williams, M.D., were

honored to present their scholarship to

deserving recipient, Julie B. Kaplan, whose

inspiration for becoming a physician is one

of her best friends who is autistic.

Development


conducted biomedical research, but was inspired and influenced to pursue primary care after volunteering at the Free People’s Clinic in Chicago. She worked with health care workers who efficiently used scarce resources to provide care to their uninsured patients. During medical school Alexa served as a student researcher, medical volunteer and a steering committee member on U-M’s Quito Project. Alexa noted, “Thank you [Betz family] for your support and for this award. I’m so happy I chose the field of family medicine. I will be going to the University of California, San Francisco where the focus on caring for urban underserved patients and working toward eliminating health disparities aligns with my passions.” “Today, even though we are not able to be here, we congratulate Alexa for being selected as this year’s recipient of our award and wish her the very best as she continues into her professional life,” shared Ken and Judy’s daughter, Anne

Kittendorf, (M.D. 2001, Res 2004), assistant professor, who represented her parents at the ceremony.

Dale L. Williams, M.D. Family Medicine Scholarship recipient: Julie B. Kaplan

A graduate of Washington University in St. Louis with a B.A. in philosophy-neuroscience-psychology, Julie worked as both an EMS crew chief and a resident advisor. It was during her family medicine clerkship that Julie realized family medicine was for her. She learned she wanted to treat disabilities, but also cultivate and build relationships with her patients. “The more I reflect on my choice to pursue family medicine, the more excited I become about engaging people in their own care through effective communication,” Julie, who will begin her residency in Chelsea, explained. “I am so grateful to Dr. Williams for the diligence and foresight he put into helping establish this department in 1978 and for his continued support of the Department and students like me.” “We have been interested in supporting student scholarships in family medicine because when I started in medicine we lived very sparingly and had little support. This has been very gratifying and we enjoy it very much,” shared Dr. Williams, a retired family physician in Muskegon, Mich., who was on the original committee who presented a proposal to the U-M Board of Regents and U-M Medical School to develop a Department of Family Medicine.

Jill and Thomas R. Berglund, M.D., Family Medicine Scholarship recipient: Marisa E. Gross

Alexa R. Lindley, winner of the Kenneth

a n d J u d y B e t z F a m i l y M e d i c i n e

Scholarship, expresses her gratitude to

Anne L. Kittendorf, M.D.

6

From captaining three sports in high school and her college varsity volleyball team, Marisa has long been a leader and teacher. With a B.S. in chemistry from Saint Mary’s College Notre Dame, Marisa worked as a Teacher’s Assistant and Kaplan Test Prep instructor. She developed a love of teaching that will carry over as a family physician. In medical school, Marisa was a Delonis Clinic volunteer, driver coordinator for the American Cancer Society and student researcher for the U-M Department of Radiation Oncology.

Scholarships

…continued from page 3

Jill Berglund and Thomas Berglund Jr.

continue to honor the memory of their

husband and father by presenting this year’s

scholarship to Marisa E. Gross.

Development


Tony graduated from UM-Flint with a B.S. in general biology. As the oldest of six children, he learned the impact of family on one’s overall wellbeing as well as the significance of a support system from an early age. A middle school football coach, Tony earned respect through giving respect and providing consistency in expectations. His family and coaching experiences have provided an excellent foundation for family medicine. During medical school his passion for family medicine continued as he participated on the M3 Orientation Panel, coordinated the National Marrow Donor Program and witnessed the art and power of motivation during a shadow of his own family physician. “I would like to thank the Department of Family Medicine for selecting me as the recipient of these two scholarships. I would also like to express my gratitude

“For me, the beauty of family medicine is that you never know what you will find when you walk into a room. Each encounter with a patient provides a different challenge,” noted Marisa, whose residency is with U-M in Chelsea. “There was never any doubt in my father’s mind about what kind of medicine he wanted to practice - it was always family medicine. It was because of his love for his family practice,

as well as his love and fondness for U-M, that my father and mother were prompted to donate the Berglund scholarship. He had a huge giving heart and was proud to be able to donate this scholarship in order to share his passion for family medicine as well as offer some assistance to medical students who are going into this specialty” said Tom Berglund, Jr., as he spoke in memory of his father.

Chelsea Community Family Medicine Scholarship recipient and Robert J. Fisher, M.D. Family Medicine Scholarship recipient: Anthony S. Grech

7

to Ms. Arlene Howe and Dr. Robert Fisher, the very generous donors. Following residency, I see myself staying in the academic setting, perhaps here at U-M, where I can work with local athletic teams, as well as maintain a traditional primary care practice,” said Tony. “I could not begin to tell you the benefits of being a patient of family medicine as well as a part of getting it organized,” said Ms. Howe, who played a significant role in establishing the department’s inpatient service at Chelsea Community Hospital in 1978. “I wanted to give back to the University. I want to help the students who are going to carry on the family medicine specialty in the future,” shared Robert Fisher, M.D. (M.D. 1960) who practiced for 30 years in Ypsilanti, Mich., before retiring.

Vincent P. and Genevieve L. Burns Family Medicine Scholarship recipient: Sara A. Bowling

An accomplished varsity diver at Stanford University, Sara graduated with a B.A. in history in 2006 and was a HIV/AIDS educator in Tanzania. At U-M, she received the ENT Research Fellow and Advanced Research Training in Otolaryngology Award and did her M4 research elective in Ghana, where she studied women’s health policy. Sara has three peer reviewed publications, one poster and one oral presentation (in China) and received the 2011 W. C. Gorenflo Research Award in family medicine based on her integrative medicine research conducted with Suzanna M. Zick, N.D., M.P.H., associate professor, on the effect of diet on the prevalence and severity of chronic primary insomnia. “I am truly honored and want to

Robert Fisher, M.D., meets the recipient of

his scholarship, Anthony S. Grech, prior to

the awards ceremony.

Anthony S. Grech is congratulated on

winning the Chelsea Community Family

Medicine Scholarship by Arlene Howe

(seated), scholarship founder, and Nancy

K. Graebner, president and CEO of Chelsea

Community Hospital. Tony will begin his

residency in Chelsea this summer.

Sara A. Bowling (center) celebrates with

Elizabeth A. Burns, M.D. and Roger Zinser,

Ph.D. (right) along with Dr. Burns’ parents for

whom the scholarship is named: Genevieve

L. and Vincent P. Burns.

Development


privileged to be in family medicine and get to know so many people,” shared the last living trustee of the AEI Sorority Fund, Peg Shearer, M.D. (M.D. 1960).

Paddy and Donald N. Fitch, M.D. Family Medicine Scholarship recipient: Angeline Ti

Angeline graduated from U-M with a B.S. with high distinction in cellular and molecular biology. She received a certificate in education at the University of St. Thomas in Houston, TX and an M.P.H. at John Hopkins Bloomberg School of Public Health with a certificate in Health Disparities and Inequities. Angeline realized her passion for medicine following her time with Teach for America and participating in a summer program at Rice University. Her passion for service is evident and she has been active in a number of leadership roles including: American Medical Student Association, MedArt and the Health Policy Society. “In family medicine, I found a specialty full of people who not only are incredibly knowledgeable and compassionate, but who are also driven to care for the whole person and advocate for patients and their families,” said Angeline, who will begin

consisted of a documentary on social justice. From founding her high school’s first Gay and Straight Alliance to her time as a union organizer to the multiple programs in which she participates, activism, equality and advocacy have always been an important part of her life. She plans to practice in an underserved community and research health inequities with a vision to create a community health center in the broadest sense. Jess shared, “Though social justice drives me, patient contact sustains me. Family medicine strikes me as an energizing meld of intellectual challenges, fascinating science and human relationships. I see my role not only as a healer, but fellow advocate, community member and safe haven.

It is a particular honor to see Dr. Shearer’s name associated with this award. She is a bit of a celebrity for those of us interested in comprehensive reproductive health.” “It is always fun and inspiriting to see the young folks going into family medicine. I have always felt particularly

thank Dr. Burns, her parents, Dr. Zazove and the Department for the continued support and inspiration I have found here at U-M. I chose the field of family medicine believing it will give me the best opportunity to provide long term preventative care to my patients and to have access to helping the underserved,” commented Sara, who will begin her residency in family medicine at the University of Washington. “Congratulations to the Department, the faculty, the residents and the medical students – especially the medical students – for keeping the flame of family medicine alive. It has been a privilege to establish a scholarship in family medicine and to honor my parents who supported me through medical school,” noted Beth Burns, M.D. (M.D. 1976).

AEI Sorority Family Medicine Scholarship recipient: Jessica (Jess) Guh

A graduate of Stanford University with a B.A. in interdisciplinary studies in humanities, Jessica’s honors thesis

8

Peg Shearer, M.D. (left) and, Jessica Guh, who

was also nominated as a commencement

speaker, celebrate at the scholarship event.

Jessica will begin her residency at Swedish

Medical Center, Cherry Hill, Seattle.

Philip Zazove,

M.D., presents

Angeline Ti with

the inaugural

Paddy and Donald

N. Fitch, M.D.,

Family Medicine

Scholarship.

Continued on page 9

Development


Family Medicine Student and Resident Honored With Outstanding Awards

Last December, the William Clippert Gorenflo Research award and the Harold Kessler, M.D. Scholarship in Family Medicine were presented. The sixth annual Gorenflo award was presented to recipient Joanna T. Lee, D.O., a second-year resident. Daniel W. Gorenflo, Ph.D., a former faculty member who established the award in honor and memory of his father, along with his wife, Carole, and daughter, Anna, attended the ceremony and the luncheon immediately following. Dr. Lee has been working with Amy B. Locke, M.D., assistant professor, and Caroline R. Richardson, M.D., associate professor, on web-based diet and exercise tools to help obese patients successfully lose weight. Her contributions and commitment to the project are noteworthy. They are currently recruiting patients from two family medicine clinics for the study and plan to have the study underway shortly.

Dr. Lee happily accepted the award and said, “Mr. [William C.] Gorenflo had a fulfilling life; enjoying outdoor activities, serving his country with pride, enjoying time with his family. It is our hope that our patients can have the same for themselves. To decrease the health consequences related to obesity will allow our patients to lead a life with less chronic diseases and a more productive life.” Noted Dr. Gorenflo, “The award winners have been outstanding and this year is no different; I am so pleased to have the opportunity meet them.” The Gorenflo Award is intended to reward passion and enthusiasm for research. Hela Issaq, who recently graduated and matched in family medicine at the University of California, Los Angeles – Harbor Hospital was the eighth recipient of the Harold Kessler, M.D. Scholarship in Family Medicine. Hela, who already exhibits a notable career of service, completed her Master’s in Public Health at Dartmouth and worked as a Quality Improvement Coordinator in community-based organizations in California providing HIV care to underserved populations. Her goal after residency is to remain committed to decreasing health disparities by working in an urban area with uninsured patients. Hela added, “As a family physician, I will work with the community to help prevent the spread of chronic diseases.” Barbara Kess ler, who, wi th her two siblings, established the award in memory and honor of

their father, attended the event with her husband, Dick Soble. T h e H a r o l d K e s s l e r, M . D . Scholarship in Family Medicine is awarded annually and based on outstanding academic achievement, demons t ra ted f inanc ia l need , interest and dedication in helping the underserved populations and a demonstrated interest in family medicine. ■

Daniel W. Gorenflo, Ph.D., donor, along with

his wife, Carole, and daughter, Anna (right),

present the 2011 award to Joanna Lee, D.O.

Barbara Kessler and her husband, Dick

Soble, celebrate with Hela Issaq following

the awards ceremony.

her residency in family medicine at University of California, San Francisco. “We certainly wish Angeline a satisfying residency and many years of family practice challenges and rewards. We are proud and honored to be a part of her journey,” shared Paddy Fitch, who was unable to attend this year’s ceremony. Her husband, Don, practiced family medicine in Escanaba, Mich., for 49 years. ■

Scholarships


Development


Remembering Dr. Woodley

Last year’s annual giving initiative surpassed the Department’s previous 2009 giving record, as over $22,000 in donations from friends and faculty members was received. The two top areas in amount of support were the Terence C. Davies, M.D. Collegiate Professorship Fund in Medical Student Education and the Thomas L. Schwenk, M.D. Resident Teacher Award Endowment. Thank you to our friends, colleagues, fellow family physicians and Medical School alumni, who continue to support the Department and its missions. ■

Save the Date ~ Alumni Reunion

The Department of Family Medicine invites all family physicians returning for the U-M Medical School Alumni Reunion Weekend (all classes whose graduation year ends in either “2” or “7”) to join us for an informal cocktail reception on:

Friday, November 9th

4:30 p.m. – 6:00 p.m. at the Ann Arbor Marriott

at Eagle Crest Resort Ypsilanti, Mich.

Formal invitations to follow. ■

Dr. Bernard. J. Woodley (M.D. 1956), a family physician practicing in Trenton and known for his pioneering surgical treatment of cardiac anomalies in infants and children, died last year on August 2, 2011, at the age of 82. After graduating from medical school, Dr. Woodley, also known as “BJ” and Bern to his friends, served as a Navy Lieutenant Physician for two years in Twenty Nine Palms, California. Following his military service duty he returned to medical practice as a family physician in the downriver area of Michigan near Wyandotte General Hospital and Seaway Hospital (later known as Henry Ford Wyandotte Hospital and Oakwood Southshore Medical Center). He served for eight years as Chief of Staff (1970-78) at Seaway Hospital in Trenton, Mich. This is the longest term served by any Chief of Staff at that hospital to date.

2011 Annual Giving Results

In 1999 he was selected as “Family Physician of the Year” by the Michigan Academy of Family Physicians. Dr. Woodley retired from medical practice in June 2004, after 45 years of serving his patients, and long after having delivered 2,000 babies during his early career. His last delivery was his first grandson, Patrick. He was 75 years old when he retired. Dr. Woodley was an avid golfer, boater, hunter, scuba diver, skier, pilot, flight instructor, dog lover and world traveler. A devout Catholic, he was a daily communicant and served as a Eucharistic Minister at the Sacred Heart Parish, Grosse Ile, Mich. He is survived by his beloved wife of 34 years, Marcia and his eight children and eight grandchildren. ■

Upcoming CME Events

Sports Medicine for the Primary Care PhysicianOctober 3, 2012

Ann Arbor, Mich.

Update in Family MedicineOctober 4–5, 2012Ann Arbor, Mich.

Women’s Health UpdateDecember 7–8, 2012

Ann Arbor, Mich.

For more information, visit http://www.med.umich.edu/

fammed/edu/cme.htm.

Education Mission


“His focus was that academic medical centers are really the best equipped to fix the health care system due to our extensive expertise, but we must take the bull by the horns to do this,” says Dr. Zazove. In addition to speaking at Grand Rounds, Dr. Kirch met with department faculty members, including: Joel J. Heidelbaugh, M.D., associate professor of family medicine and urology, clerkship director; Anne L. Kittendorf, M.D., assistant professor; James F. Peggs, M.D., professor, senior associate chair, assistant dean for student programs; Kent J. Sheets,

Darrell G. Kirch, M.D., president and CEO of the Association of American Medical Colleges (AAMC) presented, “Can A n y o n e F i x

Health Care?” at the Department’s Grand Rounds in December. Invited by Philip Zazove, M.D., professor and interim chair, Dr. Kirch addressed what must be done at an institutional level, as a community, and as a nation to fix the crisis in American health care.

Partnership with the MAFP

11

In 2009 the Health System began to consider conflict of interest issues with pharmaceutical companies funding programs for continuing medical education (CME). Ultimately rules prohibiting pharmaceutical company funding were put into place, and the Department committed to continue support of all current courses.

Eric P. Skye, M.D., associate p r o f e s s o r , associate chair for educational programs, headed the committee that evaluated t h e p u r p o s e

of the courses and recommended changes, which led to a formal partnership between the Department

Ph.D., professor, director of educational development; Eric P. Skye, M.D., associate professor, associate chair of educational programs; and the Department’s Educational Steering Committee. He also met with the Dean and other leaders from the U-M Medical School. A distinguished physician, educator, and medical scientist, Dr. Kirch speaks and publishes widely on the need for transformation in the nation’s health care system and how academic medicine can lead that change across medical education, biomedical research, and patient care. ■

Dr. Kirch Speaks at Grand Rounds

and the Michigan Academy of Family Physicians (MAFP). “Our Department has never had a dependence on pharmaceutical company funding to run our courses,” says Dr. Skye. “The loss of the U-M as the provider of our CME program support led us to look for other partners, and the MAFP was a natural choice due to our close relationships and many common missions.” After spending a year collaborating, the Department and the MAFP have now jointly sponsored two of the Department’s long standing courses: The Mid-Winter Family Medicine Update, led by Mack T. Ruffin IV, M.D., M.P.H., the Dr. Max and Buena Lichter Research Professor in Family Medicine, associate chair for research programs; and the Integrative Medicine

Course, co-directed by Sara L. Warber, M.D., associate professor, co-director–University of Michigan Integrative Medicine Program, and Amy B. Locke, M.D., assistant professor. Each course was a resounding success. Commenting on the partnership, Dr. Skye says, “I am pleased to have established this joint venture and look forward to continuing to deliver high-quality educational programs to family physicians and other primary care providers around the state as well as to our faculty and residents.” Both groups have committed to this partnership through 2013, at which time the process will be assessed. The initial successes have been exciting and suggest a wonderful opportunity for continued collaboration and innovation. ■

Education Mission


Congratulations, Class of 2012

Jacob J. Bryan, M.D. University of Wisconsin

Sun Prairie ClinicSun Prairie, Wisc.

Nell Burger Kirst, M.D.Academic Fellowship

University of MichiganAnn Arbor, Mich.

Michael T. Kopec, M.D. Obstetric Fellowship

Swedish Medical CenterSeattle, Wash.

Jasmine B. Parvaz, M.D. Undecided

Tyler J. Southwell, M.D. Undecided

Kristi L. VanDerKolk, M.D.Family Health Center

Kalamazoo Center for Medical StudiesKalamazoo, Mich.

Puja G. Samudra, M.D. Undecided

Michelle L. Tortorello, M.D. University of Wisconsin

Yahara ClinicMonona, Wisc.

Elizabeth P. Nguyen, M.D. University of Chicago

Chicago Family Health CenterChicago, Ill.

Michael E. Johansen, M.D. University of Michigan

Department of Family MedicineAnn Arbor, Mich.

James M. Cooke, M.D., assistant professor, residency director, is pleased to announce Margaret Greenough, M.D., and Aaron Heindl, M.D., as co-chief residents. Dr. Cooke would like to thank Nell Burger Kirst, M.D., and Michael T. Kopec, M.D., for their extraordinary leadership this past year. ■

Co-Chief Residents Announced

2012

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Liaison Committee onMedical Education Accreditation The U-M Medial School (UMMS) has long been preparing for the March 2012 visit from the Liaison Committee on Medical Education (LCME). Sponsored by the Association of American Medical Colleges and the American Medical Association, it is the nationally recognized accrediting authority for medical education programs leading to the M.D. degree in U.S. and Canadian medical schools. While UMMS is required to be accredited, this visit was an important opportunity for self-review of current educational standards and goals, and to determine whether students are being provided the best education possible. It also offered the chance to improve evaluation of students in a way that is aligned with institutional and course objectives, and to implement a direct observation program for students in a clinical setting. During their visit, the LCME team met with U-M faculty, staff and students, including several from the Department: Eric P. Skye, M.D., associate professor, associate chair for educational programs; James M. Cooke, M.D., assistant professor, residency program director;

Continued on page 13

Education Mission


James M. Cooke, M.D., assistant professor and residency director, was recently named Executive Director of the University of Michigan Clinical Simulation Center (UMCSC), a facility that trains medical students and resident physicians in real-life scenarios. One of a select few family physicians to be in such an esteemed position, Dr. Cooke has a long history with the UMCSC as an active user as well as one of two medical directors for the Center. He brings to the Executive Director position a wealth of experience in educational innovation and an understanding of the challenges of teaching learners at multiple levels in a dynamic and fluid clinical environment. An essential part of resident physician training, all family medicine residents use the Center during their rotations, and it is specifically included in the curricula for Surgery and Family Centered Experience courses. Medical students on the family medicine clerkship often rotate through to get experience as well. The scenarios prepare learners for emergencies that may happen while on-call, as well as training for procedures that are not done commonly, such as intubations, lumbar punctures, and central line placements. Michael T. Kopec, M.D., house officer III, co-chief resident, says, “Dr. Cooke has been integral to improving our experience in the Center, and his passion for clinical simulation as a training modality is evident during his sessions with the residents. It is

good to see Dr. Cooke appointed to this new role as the executive director, as I know he will continue to work toward improving our training through simulated experiences.” Dr. Cooke notes, “Since i ts development almost eight years ago, the UMCSC has been an extraordinary resource for medical education, research and innovation, and has transformed educational delivery throughout the health system and medical school. It is a distinct honor to be selected to lead the next stages in the Center’s development as we continue to work with our residency education, medical school and hospital colleagues to improve the education, quality of care and patient safety at U-M.” ■ For more information, visit http://med.umich.edu/UMCSC/.

Dr. Cooke Named Executive Director

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2012

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Dr. Cooke demonstrates proper

procedure during an educational

session in the UMCSC.

Kathryn J. Harmes, M.D., lecturer, medical director–Dexter Family Medicine; Joel J. Heidelbaugh, M.D., associate professor of family medicine and urology, clerkship director; James F. Peggs, M.D., professor, senior associate chair, assistant dean for student programs; Kent J. Sheets, Ph.D., professor, director of educational development; and Philip Zazove, M.D., professor and interim chair. Drs. Skye, Cooke, Heidelbaugh, Sheets and Peggs were also involved in submitting written materials that were reviewed by the LCME team prior to their visit to Ann Arbor. Of the experience, Dr. Sheets says, “The Department of Family Medicine was well represented among those that were involved in the LCME site visit, and the quality of our educational programs was evident throughout the review process.” Formal notification of LCME accreditation decision will be received this fall. ■

Liason Committee


We Need Your HelpCalling 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. 734-998-7138

or [email protected]

Clinical Mission


The Health System is transforming the way clinical information is created and accessed to care for patients, conduct clinical research, and secure payment for services. This is being done with software purchased from Epic Systems Corporation, and modified to form MiChart. The planning and design has taken several years, and the first components went live on February 1, 2012, with full implementation planned for August 15, 2012. Representing the Department as the MiChart clinical physician champions are Grant M. Greenberg, M.D.,

M.H.S.A., M.S., assistant professor, medical director–Chelsea Family Medicine, and David C. Serlin, M.D., assistant professor, medical director–Briarwood Family Medicine. Dr. Greenberg also represents the Department on the MiChart Physician Advisory Council. Mack T. Ruffin IV, M.D., M.P.H., the Dr. Max and Buena Lichter Research Professor in Family Medicine, associate chair for research programs, is the MiChart research physician champion. Acting as the liaisons between the Department and the MiChart leadership, they help identify potential

14

impacts to the Department, such as the probable influence on clinical productivity, and the effect on research and education. Additionally, they are coordinating the training and implementation for the Department to minimize the disruption to clinical and research enterprises. “This is an extremely complex and difficult transition, and we hope to help our colleagues navigate the process seamlessly and benefit from the advantages that MiChart provides,” says Dr. Serlin. ■

Margaret A. Riley, M.D. (Residency 2008), assistant professor, Susan (Bettcher) Galang, M.D. (Residency 2008), and Lee A. Green, M.D., M.P.H. (M.D. 1983, Residency 1986, M.P.H. 1988), professor and associate chair for information management, recently published, “The Impact of Clinical Reminders on Prenatal Care” in Family Medicine. Their study assessed the effect of automated prenatal care reminders on adherence to standards of prenatal care at Chelsea Family Medicine and Ypsilanti Family Medicine, clinical teaching centers applying a reversal-design prospective method using medical records of prenatal

Margaret A. Riley, M.D.

patients during baseline, intervention, and post-intervention periods. Dr. Riley says, “Prenatal care guidelines call for timed screening and diagnostic testing based on a patient’s gestational age. We found that resident and faculty physicians were missing opportunities to provide recommended prenatal care services, and that point of care clinical reminders improved our compliance with prenatal care standards. Compliance decreased towards baseline levels when the clinical reminders were no longer active. Our study supports the use of clinical reminders as an effective way to aid family physicians follow prenatal care guidelines.” ■

Clinical Reminders Are Effective

MiChart: The Move To Electronic Medical Records

Clinical Mission


Supporting Our Patients Following a Disaster

The new group offers a place for people to share personal experiences with loss and validate each other’s experiences. It is also a place to share the more positive aspects of survival, how to move forward, and how this crisis may have connected them to friends, neighbors, and the greater community. “Local agencies have been working hard on relief efforts and we wanted to find a unique way to participate and serve the community we love so much,” says Kathryn M. Harmes, M.D., lecturer and medical director. “Many of our employees live in Dexter and have been affected as well as our patients. We are very fortunate to have been relatively unaffected despite being so close to the most heavily damaged neighborhood.” ■

survival mode, responding to media direction or their own intuitive sense, to take cover, to stay safe,” says Pellerito, who is part of the U-M Ambulatory Social Work Group and has been the on-site social worker at Dexter Family Medicine since 2010. “The sense of focus on survival continues as we literally pick up the pieces, help our neighbors, find our pets, look for valuables, take stock of damages, and call insurance agents. In short, take care of emergency business. Then as the dust settles, and that sense of survival urgency subsides, we begin to realize what we’ve just been through, what we’ve lost, what it means.” The support group was started after Dexter Family Medicine’s clinic staff began observing patients who were showing symptoms of stress directly related to the tornado.

Patients and community members have a safe place to share their stories of the devastation brought on by this spring’s tornado. Dexter Family Medicine has started a support group open to anyone affected by the storm. “Some lost their home and everything in it, including the things that represent the connections they have to their loved ones, such as pictures or mementos, the tangible evidence of those connections that we cherish,” says social worker Sue Pellerito, M.S.W., who has volunteered to facilitate the group. “Even those not directly affected by the tornado may have some stress reactions triggered by prior losses or worry about those they know who were affected.” As the spotlight on the twister fades, many will continue to cope with the damage left behind. “During a tornado, people are in

15

Dr. Kirst Published in The Hastings CenterIn a moving article entitled, “ O t h e r P e o p l e ’ s S t o r i e s ” featured in the S ep t embe r /October 2011 e d i t i o n o f The Hastings

Center, Nell Burger Kirst, M.D., house officer III, co-chief resident, details the phenomenon of physicians being intrinsically involved in their

patients lives, while at the same time relinquishing control of patient stories to the patients themselves. “At the end of the day, we may have been drawn deeply into our patients’ stories and changed by them in real, tangible ways. But all of those stories—even the ones we are materially part of—must belong finally to the patient, and not to us. This asymmetry is built into the law and the Hippocratic oath: patients may retell these stories at dinner parties or around the water cooler, fleshing

them out with whatever level of detail they desire, but we may not—if we do, we must strip out the details to protect the patient’s privacy….There is perhaps no other vocation in which one is connected, so constantly, and so intimately, with other people. And yet, strangely, loneliness is a real hazard of the profession.” ■

Read the complete article at http://thehastingscenter.org (free registration required).


Research MissionLooking at the Difficult Sides of Pregnancy In two recent publications, Katherine J. Gold, M.D., M.S.W., M.S., assistant professor, discussed pregnancy loss and the risk of suicide among pregnant women and new mothers. In the first publication, “Internet Message Boards for Pregnancy Loss: Who’s On-Line and Why?” published in Women’s Health Issues, Dr. Gold utilized an anonymous survey of more than 1,000 women on 18 message boards and found that only half of the women surveyed were in their first year of loss after a pregnancy. Many were still coping with the emotional impacts five, 10 and even 20 years later. A second unexpected finding was that only two percent of survey respondents were African American, despite nearly 60 percent of African Americans having internet access and despite black women having twice the risk of stillbirth as white women. “This is the largest study to look at who uses Internet message boards after a pregnancy loss and it demonstrates a significant disparity between the women who experience loss and those who responded to the survey,” says Dr. Gold. “This suggests an important gap in support for African American parents that should be explored further.” Gold and her colleagues are currently pursuing similar research with bereaved parents who attend in-person support groups and plan to compare and contrast the results. In a second article entitled “Mental Health, substance use, and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System” published in General Hospital

Psychiatry, Dr. Gold, along with co-author Vijay Singh, M.D., lecturer, reported on their analysis of five years of suicide data from the National Violent Death Reporting System. The dataset is unique for linking multiple sources of information together to provide details that include demographics, pregnancy status, mental health and substance abuse status, and precipitating circumstances. “We have a more complete picture now of who these women are and what led up to these tragic events,” says Dr. Gold. “These deaths ripple through families and communities and cause a lot of sorrow and devastation.” The findings conclude that increased screening of pregnant women and new mothers for major depression and conflicts with intimate partners may help identify women at risk for suicide. More than half of the women who killed themselves had a known mental health diagnosis and nearly half were known to have a depressed mood leading up to the suicide. Postpartum women were also more likely to have been identified as having a depressed mood in the two weeks prior to suicide than other women, the study found. Additionally, the research team found many similarities that did not vary significantly by pregnancy status: 56 percent of all victims had a known mental health diagnosis; 32 percent had previously attempted suicide; and 28 percent had a known alcohol or substance abuse issue at the time of death. The researchers acknowledge some inherent limitations of the data. Their sample of 2,083 suicides among women of plausible child-bearing age

16

(15-54), was drawn only from the 17 states where data was available. It is also was impossible to interview the victims and get a full picture of mental health conditions, unreported domestic violence and other precipitating factors. “As a society, we tend to avoid talking about suicide,” Dr. Gold says. “But it’s important to try to understand and talk about risk factors if we are going to address suicide from a public health perspective.” ■

Katherine J. Gold, M.D.


The Department’s Taking Care of You Seminar Series has been a resounding success since its kickoff in April 2011. This past year the public has had the opportunity to attend two free seminars including Healthy Aging presented by Thomas L. Schwenk, M.D., emeritus professor, and Christine T. Cigolle, M.D., assistant professor and Integrative Medicine by Sara L. Warber, M.D., associate professor and Amy B. Locke, M.D., assistant professor. If you are interested in being notified of future Taking Care of You seminars, please e-mail [email protected]. ■

On May 6, Drs. Locke and Warber spoke to a

crowd of more than 60 people on integrative

approaches to irritable bowel syndrome and

heart health.

Attending a non-denomin-ational spiritual retreat can help pa t ien ts wi th s e v e r e h e a r t trouble feel less depressed and

more hopeful about the future, Sara L. Warber, M.D., associate professor and director of U-M Integrative Medicine, found in a study entitled, “Healing the heart: A randomized pilot study of a spiritual retreat for depression in acute coronary syndrome patients.” The study, which was published in Explore: The Journal of Science and Healing, was the first randomized clinical trial to demonstrate an intervention that raises hope in patients with acute coronary syndrome.

Research in Integrative Medicine

Previous research has shown that hope and its opposite, hopelessness, have an i m p a c t o n h o w p a t i e n t s f a c e u n c e r t a i n f u t u r e s . “The study shows that a spiritual retreat like the Medicine for the Earth program can jumpstart and help to maintain a return to psycho-spiritual well-being,” says Dr. Warber. “These types of interventions may be of particular interest to patients who do not want to take antidepressants for the depression symptoms that often accompany coronary heart disease and heart attack. Our work adds an important spiritual voice to the current discussion of the importance of psychological well-being for patients facing serious medical issues, such as acute coronary artery disease.” ■

Taking Care of You

Research Mission

G i n g e r s u p p l e m e n t s reduced markers o f c o l o n inflammation in a select group o f p a t i e n t s , suggesting that

this supplement may have potential as a colon cancer prevention agent, according to a study published in Cancer Prevention Research. Suzanna M. Zick, N.D., M.P.H., associate professor, and colleagues enrolled 30 patients and randomly assigned them to two grams of ginger root supplements per day or placebo for 28 days.

After 28 days, the researchers measured standard levels of colon inflammation and found statistically significant reductions in most of these markers, and trends toward significant reductions in others. Inflammation has been implicated in prior studies as a precursor to colon cancer, but another trial would be needed to see how ginger root affects that risk, Dr. Zick said. “We need to apply the same rigor to the sorts of questions about the effect of ginger root that we apply to other clinical trial research,” she said. “Interest in this is only going to increase as people look

for ways to prevent cancer that are nontoxic, and improve their quality of life in a cost-effective way.” Zora Djuric, Ph.D., professor, and Mack T. Ruffin IV, M.D., M.P.H., the Dr. Max and Buena Lichter Research Professor were co-authors of this publication. ■


Research Mission

A study co-a u t h o r e d b y C a ro l i n e R . R i c h a r d s o n , M.D., associate professor, finds that the most c o n v i n c i n g

exercise message emphasizes immediate benefits that enhance daily quality of life. Health care, business and public health have presumed that promoting health and longevity benefits from exercise will motivate people to exercise. The new findings, however, indicate that these individuals exercised less than those who aimed to enhance the quality of their daily lives. “The study showed that what an individual espouses as important does not necessarily translate into behavior,” said Michelle Segar, co-author of the study and research investigator for the U-M Institute for Research on Women and Gender. “While people say they value health and healthy aging, those distant benefits don’t make exercise compelling enough to fit into their busy lives.”

These findings challenge the current convention of promoting exercise for better health, longevity, or as medicine. The authors maintain that it is more effective to rebrand exercise to promote immediate benefits such as stress reduction and increased vitality rather than promoting long-term health benefits. Individuals may also appreciate the subsequent benefits that make exercise more personally meaningful, such as being a patient parent, enjoying life, being creative and having focus at work. Messages about immediate rewards from exercise that make life more enjoyable, such as “move more, get energy,” may better motivate busy individuals than promotions focused on achieving distant and abstract benefits, such as “move more, get healthy.” The research team studied responses from 226 women between the ages of 40 to 60 who worked full time. They completed three surveys during a one-year period. Respondents were asked about their exercise goals and participation, how much they valued their goals, body mass index

(BMI) and social support. This study supports other research showing that the reasons why individuals initiate exercise influence their motivation and behavioral sustainability.

Four steps to rebrand exercise and to improve engagement and participation:

• Assess the specific exercise benefits your organization has been promoting.

• Evaluate the effectiveness of these motives to engage and motivate ongoing participation.

• Ask your target population what values and experiences they most care about achieving in their daily life that exercise benefits would impact, such as reduced stress and improved mood.

• Develop new messaging that addresses these valued end points.

The findings appear in the latest issue of The International Journal of Behavioral Nutrition and Physical Activity. ■

Rebranding Exercise

Seeking Research Faculty The Department is expanding our research faculty. Candidates for these new positions should have an M.D. and/or Ph.D. or equivalent, and the passion and skills to be successful in a research-intensive university. We are also interested if you have the desire, but need more intense training. The University of Michigan is one of 24 academic medical centers to-date to receive a Clinical and Translational

Science Award (CTSA). This award helped to create the Michigan Institute for Clinical and Health Research (MICHR), for which several senior Department faculty members serve in vital leadership roles. MICHR and several other resources at the University of Michigan can provide outstanding research training paired with mentoring from senior faculty members. High priority will be given to candidates

who display enthusiasm for research, with interest that closely overlaps with those of current faculty members. The successful candidate will be expected to establish a career development and mentoring plan that has a high likelihood of leading to an independent, externally-funded research program. Current faculty research interests include: • Health behavior research focused on diet and exercise to prevent and/ or manage chronic illness


Research Mission

The Department of Family Medicine has a global reach. Our faculty and staff work in areas that serve people from around the globe. One of our longstanding endeavors is the Quito Project. This project, a student led service organization, aims to measurably reduce poverty in resource-poor communities in Quito, Ecuador, by implementing evidence-based preventative health, education, and social programs in collaboration with local partners.

David C. Serlin, M.D., assistant professor and medical director –Briarwood Family Medicine, is a

faculty mentor for this ambitious project. Unlike most faculty involved in this type of work who are researched based, Dr. Serlin is a clinical-track faculty mentor. This has given him a unique perspective on the work. Dr. Serlin is a co-investigator of a faculty-mentored summer project on chronic disease evaluation and management and needs assessment. Through this project health education workshops are delivered to patients waiting to receive medical attention in government-run community health clinics to improve baseline health knowledge and to set SMART (Specific, Measurable, Achievable, Realistic and Timely) behavior change goals to discuss with their health care providers. Workshop content, structure and delivery will be tested and refined; their impact on knowledge gains and behavior change in workshop participants will be longitudinally evaluated; and local health care workers and students will be trained so as to independently create, implement and assess these workshops. Four M1 students from U-M and four medical

students from partner school, Pontifica Universidad Catolica del Ecuador, will be working alongside Dr. Serlin this summer. From 2004-2009, Dr. Serlin was the leader of a medical clinic that was reported on in a previous newsletter and provided health care to more than 8,000 patients. The clinic was rendered obsolete when Ecuador’s president instituted socialized medicine for all. Though the clinic no longer exists, Dr. Serlin now works to improve care in government-run clinics through projects such as the chronic disease evaluation. He also continues to mentor medical students and residents who work on this project or one of the many other endeavors of The Quito Project. Additionally, Kristi VanDerKolk, M.D., house officer III, worked in Quito last summer to complete research for her resident original project entitled, “Barriers to Medication Adherence in Chronic Disease Patients in Quito, Ecuador.” She presented the research to faculty this spring. ■

To learn more about The Quito Project, please visit www.thequitoproject.org.

The Quito Project

Dr. Serlin examines a child in the clinic

he helped run in Quito, Ecuador.

Four U-M medical students and Dr. Serlin

chat with a patient who gave birth at the

clinic. The baby is named David after

Dr. Serlin!

• Prevention and early detection of disease including diet, dietary supplements, chemopreventive agents, early detection biomarkers, and promotion of screening behaviors • Changing physician practice with new technologies • Women’s health research including research on epidemiology and pathogenesis of vulvodynia • Integrative and complementary medicine especially focused on botanical medicine and whole

systems of wellness research • Translation of research into practice• Patient Centered Medical Home• Patients with hearing impairments• Mental health in primary care settings• Mixed method research

For more information, please contact : Mack T. Ruffin, M.D., at [email protected].

Alisa P. Young, M.D.LecturerDr. Young earned h e r m e d i c a l d e g r e e f r o m Rush Medical College of Rush U n i v e r s i t y

Medical Center (2008), and completed her residency training at the University of Michigan Department of Family Medicine (2011). Her continuity clinic is at Briarwood Family Medicine.

Faculty ActivityMeet Our New Faculty

Michael E. Johansen, M.D.LecturerDr. Johansen e a r n e d h i s medical degree from Ohio State U n i v e r s i t y C o l l e g e o f

Medicine and Public Health (2009) and completed his residency training at the University of Michigan Department of Family Medicine (2012). His continuity clinic is at Briarwood Family Medicine.


Last year, the Canadian province of Alberta hired Lee A. Green, M.D., M.P.H., professor, associate chair for information management, as a consultant in restructuring their healthcare system. They quickly saw what we already knew: Dr. Green is a dynamic expert in his field. And they wanted him to stay. He recently accepted their offer to become the new chair of the University of Alberta Department of Family Medicine. “Family medicine occupies a different position in Canada than in the U.S. There, it is central to both medical education and health care, so serving as Chair of one of the leading departments in Canada is a wonderful opportunity to help improve patient care through scholarship. The department at the University of Alberta is very innovative educationally, as we are here, so it will feel a bit like home. They have tremendous research

potential, especially for engaged scholarship with the community and with policymakers, which is exciting to me,” said Dr. Green who will retire from the Department and retain the title of emeritus professor. Philip Zazove, M.D., professor and interim chair remarked, “It is a great honor for the Department that Lee was chosen to be chair at another academic center, and a testimony to the high caliber of our faculty. However, all of us at Michigan will miss him greatly. His knowledge, wit, IT skills and research expertise have helped so many people over the years. We wish him the best in his new endeavors and hope he visits us frequently.” Dr. Green added, “My years here at Michigan, being part of our department’s rise to its leading position nationally, have prepared me well, but I will miss both Ann Arbor and the University. I’m maize and blue through and through, so I will be

Laurie J. Legocki, Ph.D.Research InvestigatorD r. L e g o c k i earned her Ph.D. f rom Indiana U n i v e r s i t y (2007) and was

the first postdoctoral research fellow to take part in the Department’s research-mentoring program (2011). ■

Dr. Green’s Big News

staying closely in touch as emeritus faculty. Perhaps some collaborative scholarship between Michigan and Alberta will be in our future!” His appointment begins in July. Please see the next edition of our newsletter for more information about Dr. Green and his multitude of contributions to the Department. ■

Lee A. Green, M.D., M.P.H.

Faculty Activity


J e a n Wo n g , M.D., assistant r e s i d e n c y d i r e c t o r a t Ypsilanti Family M e d i c i n e , i s a m o n g a select group of

physicians honored by the American Academy of Family Physicians Foundation for her commitment to education in the field of family medicine. She was selected to receive a 2011 Pfizer Teacher Development Award “Pfizer Teacher Development Awards spotlight the best of our profession: those in active practice who give of themselves to teach, mentor, and inspire residents and students. Tomorrow’s family doctors and their patients will be better because of their efforts. My congratulations to Dr. Wong and my thanks to Pfizer for preserving the noble tradition of the clinician-teacher,” said Richard G. Roberts, M.D., J.D., AAFP Foundation President. The award was based on Dr. Wong’s scholastic achievement,

Dr. Wong Receives Prestigious Teaching Award

l e a d e r s h i p q u a l i t i e s a n d dedication to family medicine. “Family physicians are teachers by nature, whether we are teaching medical students and residents to be the next generation of medical practitioners or educating our patients about their health and illnesses. In turn, we ourselves are continually educated by the students we teach and the patients we work with,” said Dr. Wong. The Department is incredibly proud of this honor. Philip Zazove, M.D., professor and interim Chair noted, “This award is a wonderful testimony to the strength of our residency program and high commitment of our faculty and staff to providing the best education possible. We are so honored to have Jean be selected for this award as she is very deserving of it.” ■

Faculty Accolades James F. Peggs, M.D., professor, will be inducted into UMHS’s inaugural League of Clinical Excellence. The new league seeks to honor physicians who have distinguished themselves in providing the finest care to the tens of thousands of patients and their families who come to UMHS annually seeking hope and healing. Dr. Peggs and the 30 other physicians inducted into the League of Clinical Excellence were honored at a dinner on March 15. Samuel E. Romano, Ph.D., psychologist, a long-time member of the Society of Teachers of Family Medicine (STFM), has been named one of STFM’s meta mentors. This is a leadership position he will hold for two years. VA Ann Arbor Healthcare System was selected as a VA Women’s Health Practice-Based Research (PBRN) member site and Caroline R. Richardson, M.D., associate professor, was named the site lead. The Women’s Health Research Network, composed of Consortium and Practice-Based Research Network (PBRN) components, focuses on VA investigators with demonstrated interests in women’s health research and investigators interested in adding women to their research. Through the Consortium, the VA develops education and training sessions in key content and methodological areas, provides technical consultations, enhances communication networks, develops a mentoring program, and fosters effective dissemination. Through the PBRN, the VA has developed an infrastructure across partnered VA facilities to facilitate multi-site research. ■

Joel J. Heidelbaugh, M.D., associate professor, recently attended the 8th Men’s Health World Congress in Vienna, Austria, where he won the Outstanding Academic Promotion Award. The award was presented by the International Society of Men’s Health (ISMH), who sponsored the event and noted Dr. Heidelbaugh’s excellent contributions to the ISMH, his effective educational efforts in men’s heath, and his successful promotional activities for the Men’s Health World Congress. ■

Promoting Men’s Health Dr. Heidelbaugh accepts the ISMH Outstanding Academic Promotion Award surrounded by worldwide leaders in the promotion of men’s health including Dr. Ridwan Shabsigh, President of International Society of Men’s Health, Dr. April Young, Men’s Health Global, Dr. Ajay Nehra, Professor of Urology at Mayo Clinic, and Dr. Siegfried Meryn, Professor of Internal Medicine and Chairman of the Department of Medical Education, Medical University of Vienna, Austria.

Faculty Activity


Publications and Presentations PUBLICATIONS• Aikens JE, Klinkman MS. Changes in patients’beliefs about their antidepressant during the acute phase of depression treatment. Gen Hosp Psyc, Feb 9, 2012. • Brown KK, Master-Hunter TA, Cooke JM, Wimsatt LA, Green LA. Applying health information technology and team-based care to residency education. Fam Med 43(10):726-30, 2011.• Buis LR, Kotagal LV, Porcari CE, Rauch SA, Krein SL, Richardson CR. Physical activity in post-deployment Operation Iraqi Freedom/Operation Enduring Freedom veterans using Department of Veterans Affairs services. J Rehabil Res Dev 48(8):901-11, 2011.• Dorman JS, Valdez R, Liu T, Wang C, Acheson LS, Ruffin MT IV, Khoury M, Rubinstein W. Health beliefs among individuals at increased familial risk for type 2 diabetes: Implications for prevention diabetes research and clinical practice. Diabetes Res Clin Pract, Jan 16, 2012. • Djuric Z. The Mediterranean diet: Effects on proteins that mediate fatty acid metabolism in the colon. Nutr Rev 69(12):730-44, 2011.• Djuric Z, Ellsworth JS, Weldon AL, Ren J, Richardson CR, Resnicow K, Newman LA, Hayes DF, Sen A. A diet and exercise intervention during chemotherapy for breast cancer. Open Obes J 3:87-97, 2011.• Gill Jm, Chen YX, Grimes A, Diamond JJ, Lieberman MI, Klinkman MS. Electronic clinical decision support for management of depression in primary care: A prospective cohort study. Prim Care Companion 14(1), Feb 2012.• Gold KJ, Boggs ME, Mugisha E, Palladino CL. Internet message boards for pregnancy loss: Who’s on-line and why? Women’s Hlth Issues 22(1):e67-72, 2012.• Gold KJ. In the Still of the Night. JAMA 306(12):1303-4, 2011.• Gold KJ, Singh V, Marcus SM, Palladino CL. Mental health, substance use, and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System. Gen Hosp Psych 34(2):139-45, 2012.• Gargano JW, Nisenbaum R, Lee DR, Ruffin MT IV, Steinau M, Horowitz IR, Flowers LC, Tadros TS, Birdsong G, Unger ER. Age-group differences in human papillomavirus types and cofactors for cervical intraepithelial neoplasia 3 among women referred to colposcopy. Cancer Epidemiol Biomarkers Prev 21(1):111-21, 2012.• Henry S, Fetters MD. Video elicitation interviews: A qualitative research method for investigating doctor-patient interactions. Ann Fam Med 10(2):118-25, 2012.• Kim C, Draska M, Hess ML, Wilson EJ, Richardson CR. A web-based pedometer program in women with recent histories of gestational diabetes. Diabet Med 29(2):278-83, 2012.• Kim C, Herman WH, Cheung NW, Gunderson EP, Richardson CR. Comparison of hemoglobin A1c with fasting plasma glucose and 2-h post-challenge glucose for risk stratification among women with recent gestational diabetes mellitus. Diabetes Care 34(9):1949-51, 2011. • Meurer WJ, Lewis RJ, Tagle D, Fetters MD, Legocki LJ, Berry S, Connor J, Durkalski V, Elm J, Zhao W, Frederiksen S, Silbergleit R, Palesch Y, Berry DA, Barsan WG. An overview of the Adaptive Designs Accelerating Promising Trials Into Treatments (ADAPT-IT) project. Ann Emerg Med, March 2012.

• Neilson AP, Ren J, Hong YH, Sen A, Smith WL, Brenner DE, Djuric Z. Effect of fish oil on levels of R- and S-Enantiomers of 5-, 12-, and 15-Hydroxyeicosatetraenoic acids in mouse colonic mucosa. Nutr Cancer 2012;64(1):163-72, 2011.• Palladino CL, Singh V, Campbell J, Flynn H, Gold KJ. Homicide and suicide during the perinatal period: Findings from the national violent death reporting system. Obstet Gynecol 118(5):1056-63, 2011.• Piette JD, Valenstein M, Himle J, Duffy S, Torres T, Vogel M, Richardson CR. Clinical complexity and the effectiveness of an intervention for depressed diabetes patients. Chronic Illn 7(4):267-78, 2011. • Reed BD, Harlow SD, Sen A, Legocki LJ, Edwards RM, Arato N, Haefner HK. Prevalence and demographic characteristics of vulvodynia in a population-based sample. Am J Obstet Gynecol 206(2):170.e1-9, 2012. • Richardson CR. Physical education combined with pedometer use is associated with better glucose tolerance among overweight/obese with impaired glucose tolerance; No benefit for education alone. Evid Based Med, Jan 31, 2012. • Ritenbaugh C, Nichter M, Nichter MA, Kelly KL, Sims CM, Bell IR, Castaneda HM, Elder CR, Koithan MS, Sutherland EG, Verhoef MJ, Warber SL, Coons SJ. Developing a patient-centered outcome measure for complementary and alternative medicine therapies I: Defining content and format. BMC Comp Alt Med 11:135, 2011.• Rubinstein WS, Acheson LS, O’Neill SM, Ruffin MT IV, Wang C, Beaumont JL, Rothrock N. Clinical utility of family history for cancer screening and referral in primary care: A report from the Family Healthware Impact Trial. For the Family Healthware Impact Trial Group. Genet Med 13(11):956-65, 2011.• Ruffin MT IV, Nease DE Jr. Using patient monetary incentives and electronically derived patient lists to recruit patients to a clinical trial. J Am Board Fam Med 24(5):569-75, 2011.• Sadigh G, Dempsey AF, Ruffin MT IV, Resnicow K, Carlos RC. National patterns in human papillomavirus vaccination: An analysis of the National survey of family growth. Hum Vaccin Immunother 1;8(2), Feb 2012. • Yoshioka T, Yeo S, Fetters MD. Experiences with epidural anesthesia of Japanese women who had childbirth in the United States. J Anesth, Feb 2012. • Yurgelun MB, Goel A, Hornick JL, Sen A, Turgeon DK, Ruffin MT IV, Marcon NE, Baron JA, Bresalier RS, Syngal S, Brenner DE, Boland CR, Stoffel EM. Microsatellite instability and DNA mismatch repair protein deficiency in Lynch Syndrome Colorectal Polyps. Cancer Prev Res (Phila) Mar 13, 2012. • Zick SM, Turgeon DK, Vareed SK, Ruffin MT IV, Litzinger AJ, Wright BD, Alrawi S, Normolle DP, Djuric Z, Brenner DE. Phase II study of the effects of ginger root extract on eicosanoids in colon mucosa in people at normal risk for colorectal cancer. Cancer Prev Res (Phila) 4(11):1929-37, 2011.

PRESENTATIONS• Damschroder LJ, Richardson CR. The MOVE! Program: Addressing obesity in the ambulatory care setting–A team approach. Evidence Based Practice Conference. VA Ann Arbor Healthcare System. Ann Arbor, Mich., March 2012. • Fetters MD, Pluye P. Mixed methods research:

Introduction, research questions, study design and implementation planning. 39th Annual Meeting of the North American Primary Care Research Group. Banff, Alberta, Canada, November 2011.• Fetters MD, Khidir A, Padela A, Al-Rawi S, Elnashar M, Abdelrahim, H Hammoud M. Socio-cultural adaptation principals for research instruments in multilingual and multicultural settings. 39th Annual Meeting of the North American Primary Care Research Group. Banff, Alberta, Canada, November 2011.• Fetters MD. 家庭医養成のための家庭医療センターと地域病院の連携 Collaboration between the family medicine center and community hospital in family physician training. Kikugawa General Hospital. Kikugawa, Shizuoka, Japan, January 2012.• Fetters MD. ハッピーな３歳児を育てるために：家庭医からのアドバイス Raising a happy three-year-old child: Advice from a family physician. Morimachi Community Center. Morimachi, Shizuoka, Japan, January 2012. • Fetters MD. 家庭医療研修医オリジナル学術プロジェクト入門 Introduction to family medicine resident original scholarly projects. Kikugawa Family Medicine Center. Kikugawa, Shizuoka, Japan, January 2012. • Fetters MD. プロジェクトクエスチョンの組み立て方. Asking research questions. Shizuoka Family Medicine Grand Rounds. Shizuoka, Japan, January 2012. • Fetters MD. オリジナルプロジェクト：リサーチプロトコールの作成 Developing a protocol for original projects. Shizuoka Family Medicine Grand Rounds. Shizuoka, Japan, January 2012.• Gold KJ . Medical complications associated with stillbirth. American Public Health Association Annual Meeting. Washington, DC, October 2011. • Campbell-Scherer D, Green LA. Patterns of multi-morbidity in a family medicine population. Alberta College of Family Physicians 57th Annual Scientific Assembly. Banff, Alberta, Canada, February 2012. • Jimbo M, Nease DE, Sen A, et al. Are patients with colorectal adenomas completing surveillance colonoscopy at the recommended intervals, oral presentation. 39th Annual Meeting of the North American Primary Care Research Group. Banff, Alberta, Canada, November 2011. • Jimbo M, Nease DE, Sen A, et al. Does a computerized physician reminder system improve complete diagnostic evaluation of positive fecal occult blood tests. 39th Annual Meeting of the North American Primary Care Research Group. Banff, Alberta, Canada, November 2011. • Jimbo M, Sen A, Hawley S, et al. Decision aid to technologically enhance shared decision making. 39th Annual Meeting of the North American Primary Care Research Group. Banff, Alberta, Canada, November 2011. • Reed BD. Pathophysiology of Vulvodynia. ISSVD XXI World Congress. Paris, France, September 2011. • Reed BD. Vulvodynia and other chronic pain comorbidities. ISSVD XXI International Postgraduate Course. Paris, France, September 2011. • Richardson CR. Use of the internet to improve physical activity. American College of Cardiology 61st Annual Scientific Session. Chicago, Ill., March 2012. • Richardson CR. Large-scale implementation of a pedometer-based walking program. Robert Wood Johnson Foundation Physician Faculty Scholars Program Annual Meeting. San Diego, Calif., November 2011.

Faculty Activity


Department FacultyThe Regents of the UniversityJulia 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

Editor-in-ChiefPhilip Zazove, M.D.

Editorial ConsultantsBlythe A. Bieber

Diana S. Dascola

Katie M. Grode

Amy C. St. Amour

Managing EditorKristen A. Ochomogo

If you would prefer to receive an electronic copy of the newsletter in the future, please e-mail [email protected].

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Professor and Interim Chair Philip Zazove, M.D.

ProfessorBarbara 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 ProfessorJames 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 ProfessorDavid 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.

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.

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

Lecturer/InvestigatorKeri L. Denay, M.D.Margaret L. Dobson, M.D.Kathryn M. Harmes, M.D.Heather L. Holmstrom, M.D.Stefani A. Hudson, M.D.Michael E. Johansen, M.D.Scott A. Kelley, M.D.Laurie J. Legocki, Ph.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.Alisa P. Young, M.D.

PsychologistSamuel E. Romano, Ph.D.

Emeritus FacultyR. Dale Lefever, Ph.D.Thomas L. Schwenk, M.D.

1018 Fuller StreetAnn Arbor, MI 48104-1213

The search committee for a new Chair-person of the Department o f F a m i l y M e d i c i n e s o l i c i t e d i n t e r e s t e d and qualified candidates to become the Department’s next leader from across the country. During the months of October and November the committee conducted first-round interviews, each of ninety minutes

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Research in Integrative Medicine

Faculty Accolades

Chair Search Updateduration, with nine individuals whose candidacies were strongly promising. “After careful deliberation, the committee decided upon a list of three final-round candidates, which was shared with James O. Woolliscroft, the dean of U-M Medical School, for his consideration,” said James F. Peggs, M.D., professor and member of the search committee. Each of these final-round candidates completed a two-day visit to the Department where they participated in more in-depth interviews with the medical school leadership, led a scholarly presentation or “chalk

talk” to assembled faculty and staff members representing the many faces of the Department , and attended focused discussions with department leadership from each of the Department’s core mission areas. Dean Woolliscroft is hopeful that the search process can be successfully completed by the end of the summer and the new chairperson will be in place by this fall. ■

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James F. Peggs, M.D.

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U-M Family Medicine Spring 2012 Newsletter

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