Community Health & Family Medicine...2. UF Health Family Medicine - Haile Plantation UF Health Family Medicine Haile Plantation provides a wide variety of services, including, but

Community Health & Family Medicine Annual Report 2014-2015

MISSION To serve our patients and community, positively shaping the future of healthcare through outstanding teaching, discovery, and innovation in Family Medicine.

VISION To be a nationally recognized model department of Family Medicine.

Community Health and Family Medicine

2014 – 2015 Annual Report

he mission of the Department of Community Health and Family Medicine at the University of Florida is “To serve our patients and

community, positively shaping the future of healthcare through outstanding teaching, discovery, and innovation in Family Medicine.” We seek to provide the highest quality of care to the diverse patient population we serve and educate learners of all types and levels. We actively study, critically review, and research our efforts in these activities to insure we are providing the highest quality medical education in an environment of the highest quality patient care. As you will note in this annual report, the strength of our department is truly our people. Our 55 faculty, nurses, and staff members provide patient care to over 150,000 outpatient visits and over 2,000 hospital admissions, teach medical students in all years, and train 29 family medicine residents, as well as, three primary care sports medicine fellows. Our department members are involved in expanding the scholarly foundation for Family Medicine through active participation in research and quality improvement activities. They are involved in a wide range of activities throughout the Gainesville community and provide leadership in many important areas for patient care and education. Our department is an extremely proud and active member of the Gator Nation. I appreciate your interest in reading our annual report and the Department of Community Health and Family Medicine at the University of Florida. Best regards, Peter J. Carek, MD, MS Professor and Chairman

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Peter J. Carek, MD, MS Professor and Chairman

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NEW FACULTY, PROVIDER AND ADMINISTRATOR

TANYA ANIM, MD | ASSISTANT PROFESSOR, MAIN ST - RESIDENCY PROGRAM

Dr. Anim completed her undergraduate and medical education at Florida State University. She then completed residency training at Halifax Health Family Medicine Residency Program in Daytona Beach, FL. While she was a medical student and resident, she held many leadership roles in the American Academy of Family Physicians. She then completed fellowship training in women’s health with an OB focus. During her residency and fellowship, Dr. Anim served a two-year term as the resident member of the ACGME Family Medicine Residency Review Committee. Dr. Anim is board-certified in Family Medicine, is a North American Menopause Society Certified Menopause Practitioner, and a National Health Service Corps Scholar. Her interests include procedures, obstetrics, women’s health, underserved populations, graduate medical education and organized medicine.

JON COFFEY | VICE-CHAIR FOR ADMINISTRATION

On Sept. 22, 2014, Jon Coffey joined the Department of Community Health and Family Medicine as the new Vice-Chair for Administration. Jon came to us with over 20 years of experience in business management, project-focused endeavors, budgeting performance to budget analysis, and working with senior management. He previously worked for Macy’s Department Stores for over nine years serving in several managerial positions throughout his tenure. He then worked for the Department of Medicine, assisting Mark Brantley, MD as the Divisional Administrator for Pulmonary, Critical Care and Sleep Medicine for three years. Having a distinguished reputation in the College of Medicine as well as having the skills necessary to assist in the reorganization of administration in the department set Jon apart as a great leader and role

model, who would also position CHFM to be a leader in primary care for our college/university/state, and to enhance our national reputation.

MARTHA GREEN, MD | ASSISTANT PROFESSOR, EASTSIDE

Dr. Green's undergraduate education includes training in dance and Spanish. She received her BA in Spanish from the University of Louisville after studying Spanish in Guadalajara, Mexico, at the Technologico de Monterrey. She attended medical school at the University of Medicine and Dentistry of New Jersey, and completed her residency training at the University of Louisville Glasgow Family Medicine Residency. She was most recently practicing medicine in Kentucky. Areas of interest include healthcare for the whole family and women’s health.

CHARLIE MICHAUDET, MD, CAQSM | ASSISTANT PROFESSOR, MAIN ST- RESIDENCY PROGRAM

Dr. Michaudet received his medical degree from the University of Caen, Lower Normandy, France. After graduating from a family medicine residency in 2008, he moved to his wife Kristina’s hometown of Gainesville, Florida. He served as Chief Resident in his second residency and went on to complete a fellowship in sports medicine, taking care of the Gator athletes. Dr. Michaudet’s professional interests include clinical sports medicine, academic administration and teaching.

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NEW FACULTY, PROVIDER AND ADMINISTRATOR

SUSAN MILLAN, MD | ASSISTANT PROFESSOR, WOUND CARE AND HYPERBARIC CENTER

Dr. Millan serves as Medical Director at the UF Health Wound Care and Hyperbaric Center. Clinical responsibilities include advanced management of acute and chronic wounds and supervision of hyperbaric oxygen therapy. The Medical Director is responsible for coordination and delivery of multidisciplinary team patient care, leadership of the clinical care team, continuous quality improvement and education of the wound care team, residents and students. Dr. Millan is a fellow of the American Academy of Family Physicians and is board-certified by the American Board of Family Medicine. She is a Physician Certified in Wound Care by the Council on Medical Education Testing.

LINDSAY NOVAK, PA-C | PHYSICIAN ASSISTANT, EASTSIDE

Ms. Novak is a Family Medicine Primary Care Provider at UF Health Family Medicine – Eastside. She received her Physician Associate training at Yale University. Prior to her medical training she worked as a public school science teacher, and now she carries her passion for education over to her patients. Her goal is to empower patients to make more informed decisions about their health.

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CLINICAL SERVICES

Family Medicine Clinic Sites

CLINICAL SERVICES University of Florida Physicians, or UFP, is responsible for managing the clinical component of the University of Florida College of Medicine, or COM, faculty practice plan. UF Health Family Medicine includes seven clinical locations throughout the Gainesville area. Each clinic has a medical director and an ACU manager who oversees the day-to-day operations of the clinic. In total, we have over 50 physicians throughout each of our seven clinics. We have a large, unique and diverse patient population that we are able to serve. This year, our providers treated over 160,000 patients.

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CLINICAL SERVICES

PATIENT CARE 1. UF Health Family Medicine - Eastside UF Health Family Medicine - Eastside is a full-service health care resource for children, adults and families. Providers at Eastside offer patients of all ages a wide range of services including physical check-ups and immunizations, health screenings, treatment for various ailments, health care advice and education, pharmacy assistance programs and linkage with community resources. The staff includes two physicians, one physician assistant, one pediatrician, one pediatric nurse practitioner, one pharmacist and one social work associate. Medical director: Elvira Mercado, MD Physicians and providers: Elvira Mercado, MD; Martha Green, MD; Lindsay Novak, PA; Kim Nguyen, MD; Jason Powell, PharMD; Paul Psychas, MD; Karen Theoktisto, ARNP. ACU manager: Tawana Brown 2. UF Health Family Medicine - Haile Plantation UF Health Family Medicine - Haile Plantation provides a wide variety of services, including, but not limited to immunizations, treatment of chronic and acute illnesses, minor surgery, gynecology, dermatology, health maintenance, cryosurgery and skin care. As Haile continues to grow to meet the needs of the community, UF Health Physicians was pleased to announce the opening of a new Haile facility. In 2014, UF Health broke ground with the new location just a mile up the road in Haile. The new location features 24 exam rooms, nearly double the number of exam rooms; 10,987 square-feet of building space; and will hire additional Family Medicine physicians to better serve patients. Medical director: Michael McTiernan, MD Physicians and providers: Michael McTiernan, MD; Carmen Bray, MD; Philippa Bright, MD; Lucia Hansen, MD; Volha Ihnatsenka, MD; Mitul Jones, MD; Daniel Rubin, MD; Samantha Holtzman, PA ACU manager: Kimberly Mann 3. UF Health Family Medicine - Hampton Oaks UF Health Family Medicine - Hampton Oaks offers comprehensive preventative healthcare and treats other conditions including diabetes mellitus, hypertension, hypercholesterolemia, coronary artery disease, osteoarthritis, osteoporosis, thyroid problems, menopausal issues, asthma, other pulmonary issues, allergies and more. The staff includes seven providers which one provides acupuncture, one clinical psychologist, one doctor of osteopathy, and one advanced registered nurse practitioner. Medical director: Siegfried Schmidt, MD, PhD Physicians and providers: Siegfried Schmidt, MD, PhD; Ku-Lang Chang, MD; R. Whit Curry, Jr., MD; Maria Elisa Lupi, MD; Frank Orlando, MD; Andrew Perrin, PA; Kristy Breuhl Smith, MD; Petra Townsend, MD ACU manager: Angelica Ford

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CLINICAL SERVICES

4. UF Health Family Medicine - Jonesville UF Health Family Medicine - Jonesville provides a wide variety of services, including but not limited to treatment of chronic and acute illnesses, minor surgery, gynecology, dermatology, health maintenance, cryosurgery and skin care. Various immunizations are also provided to patients, as well as certain approved medication samples. Physicians at Jonesville are happy to serve not only the Gainesville and Jonesville community, but also the surrounding areas such as: Newberry, Archer, Williston, Bronson, High Springs, Alachua, Fort White, Lake City, Ocala and more. There has been a steady growth as providers continue to increase the new patient population. Medical director: Alpa Desai, DO Physicians and providers: Alpa Desai, DO; Run Gan, MD; Althea Tyndall-Smith, MD ACU manager: Amanda Brown 5. UF Health Family Medicine - Main Street UF Health Family Medicine – Main Street’s residency program was instituted in 1973, and over 276 residents have graduated and attained board certification since the program’s inception. Residents are trained to deliver competent and compassionate health care services to all segments of the community, from birth to elder care, in the inpatient and outpatient settings. Medical director: Linda Hensley, MD Physicians and providers: Linda Hensley, MD; Karen Hall, MD, Residency Program Director; Tanya Anim, MD; Judah Cordovano, LCSW; Eric Dietrich, PharMD; David Feller, MD; Lesa Gilbert, ARNP; John Gums, PharMD; John Malaty, MD; Charlie Michaudet, MD; David Quillen, MD; George Samraj, MD; Michael Ware, MD ACU manager: Mindy Halbrook 6. UF Health Family Medicine - Old Town UF Health Family Medicine – Old Town is located in Old Town, Florida, which is approximately 45 miles west of Gainesville near the Suwannee River. Physicians at this site provide primary care services to a rural community by offering comprehensive adult and pediatric medical care, treatment for chronic and acute illnesses, minor surgery, cryosurgery, skin care and geriatric care. Old Town provides the high level of care that our rural patients recognize and appreciate while making them feel like family. As an added service for our patients at Old Town, cardiologists from UF Health travel to see patients with more complex cardiovascular disease on a monthly basis. Medical director: Grant Harrell, MD Physicians and providers: Grant Harrell, MD; Robert Hatch, MD; Sarah Laibstain, MD; Richard Rathe, MD; Tan D. Tran, MD; Gary Rexroat, PA; Larry Rooks, MD, Andrew Bray, PA ACU manager: Gredel Buzbee

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CLINICAL SERVICES

7. Student Health Care Center The UF Student Health Care Center has been providing care to students since the institution’s inception in 1906. The mission of SHCC is to help all students achieve maximum physical and emotional health so that they may fully participate in the numerous educational and personal growth opportunities. Some services, programs and clinics include nutritional counseling services, primary care, psychiatry services, sexual health services and sports medicine. SHCC played an integral role in implementing proof of health insurance for all incoming students starting in July 2014 and was recognized for its successful collaborative efforts with the Student Affairs Collaboration award. In addition, this year as part of the Trans Resource Network, the SHCC implemented a new endocrine protocol for transgender students at UF. Director: Guy Nicolette, MD Physicians and providers: Guy Nicolette, MD; Ronald Berry, MD; Jay Clugston, MD; Cynthia Eddleton, MD; Katie Edenfield, MD; Michele Emery, MD; Jocelyn Gravlee, MD; Ann Grooms, MD; Boyd Kellett, MD; Eileen Lauzardo, MD; Cheree Padilla, MD; Ramona Brandon, ARNP; Krin Cosner, ARNP; Jennifer Donelan, ARNP; Sheryl Heinicka, ARNP; Abigail Gabriel, ARNP; Nicole Germain, ARNP; Sue Greishaw, ARNP; Susan Nesbit, ARNP; Susan Ryals, ARNP; Susan Wilson-Stern, ARNP; Pam Taylor, ARNP; Ann Zaia, ARNP; Malcolm Hickox, PA-C; Cheri Sellers, PA-C; Melissa Turley, PA-C; Janis Mena, RD Manager: Toni Ratliff

EDUCATION Community Health and Family Medicine plays a major role in medical student teaching and maintains a key leadership role in educational policy within the University of Florida College of Medicine. We routinely have 1 to 2 medical students rotating throughout each of the clinics every semester. UF Health Family Medicine - Main Street, has medical students and 30 residents every year.

Family Medicine Practice Location Medical Students Residents

Eastside

Haile

Hampton Oaks

Jonesville

Main Street

Old Town

Student Health

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CLINICAL SERVICES

PRIMARY CARE AFTER HOURS Serving as a joint venture between the departments of Community Health and Family Medicine and Internal Medicine, UF Health Primary Care After Hours provides an opportunity for patients in our system to access primary care providers after normal business hours. Due to the popularity of having an After Hours clinic, in September 2014, physicians began seeing patients from 6pm to 9pm Monday through Friday, and 10am to 1pm on Saturdays. Primary Care After Hours had a total of 2,223 visits for the year. Clinic visits have consistently increased despite a limited marketing campaign. The clinic currently sees returning patients from internal UF primary care clinics only. Medical director: Robert Hatch, MD ACU manager: Amanda Brown Providers: The Primary Care After Hours clinic is staffed by physicians from the Department of Community Health and Family Medicine and the Department of Medicine. Physicians work on a rotating basis.

Primary Care After Hours is located in the UF Health Orthopaedics and Sports Medicine Institute

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MEDICAL STUDENT EDUCATION

Overview

1. Educational Leadership within the UF College of Medicine The department is proud to have several educational leaders. Daniel Rubin, MD took over the existing first-year preceptorship program in 2012, and expanded it to include additional preceptorships at the end of the first-year and in the middle of second-year. Larry Rooks, MD former chair of the Curriculum Committee, created both the preceptorship course for first years and the Staying Whole in Medicine program for all students. Robert Hatch, MD is chair of the Clerkship Directors Committee and former chair of the Admissions Committee. Jocelyn Gravlee, MD created the fourth-year Advanced Procedures elective, one of the most popular electives at UF. Richard Rathe, MD serves as assistant dean for Informatics. David Feller, MD was selected as the first recipient of the Scheveling Professorship of Integrative Medicine in recognition of his expertise and teaching in this area. These physicians and several others from our department have been heavily involved in the college’s efforts to renovate the medical school curriculum.

2. Teaching Awards

UF College of Medicine Exemplary Teacher Awards, 2014: Philippa Bright, MD Robert Hatch, MD David Feller, MD Linda Hensley, MD Jocelyn Gravlee, MD Sarah Laibstain, MD Karen Hall, MD John Malaty, MD Grant Harrell, MD Daniel Rubin, MD Three department faculty members have been inducted into the Society of Teaching Scholars (David Feller, MD, Robert Hatch, MD, and Larry Rooks, MD), and three have been inducted into the Alpha Omega Alpha Honor Medical Society for their teaching contributions (David Feller, MD, Robert Hatch, MD, and Daniel Rubin, MD). David Feller, MD is a past recipient of the Clinical Science Teacher of the Year Award. Robert Hatch, MD has received the Hippocratic Award on three occasions, and was selected to give the Commencement Address at the 2014 UF College of Medicine graduation ceremony; he was also selected as the 2014-2015 Clinical Science Teacher of the Year.

3. Course Directors

Daniel Rubin, MD: Preceptorship Series Robert Hatch, MD: Family Medicine and Ambulatory Care Clerkship David Feller, MD: Required Fourth-Year Medicine/Family Medicine option Jocelyn Gravlee, MD also plays an important role by creating and running the college’s only course that teaches students how to perform a range of procedures.

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MEDICAL STUDENT EDUCATION

Our faculty teach in a number of required first, second and third-year courses: 4. Required courses in which our faculty teach:

Introduction to Clinical Practice (First-Year) Introduction to Clinical Medicine (First and Second-Year) Family Medicine and Ambulatory Care Clerkship (Third-Year) Internal Medicine Clerkship Pediatrics Clerkship Psychiatry Clerkship Family Medicine Sub-internship

5. Updates on Departmental Courses a. Preceptorship Series

Daniel Rubin, MD is the course director of this popular series, which is consistently rated as one of the highlights of the first two years. The expansion from one to three preceptorships went very smoothly. Faculty members reported that first-years who completed this series seemingly performed better than third-years in their first clerkship. Formal evaluation of the impact of the series of three preceptorships is underway.

b. Required Fourth-Year Medicine Rotation Students can satisfy the fourth-year medicine requirement by spending four weeks on the family medicine inpatient service. All slots are filled early in the process. Students have responded well to the changes that were implemented to produce a more consistent and rigorous experience.

The New Harrell Medical Education Building

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RESIDENT EDUCATION PROGRAM

MISSION The Family Medicine Residency Program trains residents to be competent, compassionate, ethical and professional physicians who provide comprehensive care to their patients in a continuity of care model. Emphasis is placed on practical and direct patient care-based training in addition to didactic teaching that enhances the learning environment. Our program is also committed to supporting each resident in his or her educational endeavors, whether the resident selects a clinical path or moves on to a fellowship, academic medicine or research. New initiatives in the program include emphasis on high quality care and patient safety as well as enhanced academic and research opportunities. Our mission is to instill in our residents the love of lifelong learning by providing the framework and tools to ensure success in the long-term art and practice of medicine.

PROGRAM PROFILE The University of Florida Family Medicine Residency Program has made a significant impact on the care provided to patients in Alachua County and northern Florida since 1973. Since then, 276 graduates have entered the family physician workforce as providers of comprehensive medical care, academics, and providers of specialty care in geriatrics, emergency medicine, hospital-based medicine and sports medicine.

CURRENT ACTIVITIES AND HIGHLIGHTS FOR 2014-2015 This year the residency site at north Main achieved certification as a Patient Centered Medical Home with plans to work toward recognition at the highest level. We continued our ongoing efforts toward multi-level resident quality improvement projects this year. Our three teams were facilitated by Peter Carek, MD; Karen Hall, MD; and John Malaty, MD and included projects on immunizations, obesity and chronic kidney disease management. The program also conducted physicals for high school athletes, the Special Olympics and Pop Warner Little Scholars and provided educational support for local schools in health, tobacco avoidance and lifestyle education. We moved closer to reconfiguring the office practice in a team-based concept, with increased continuity and access to care for our patient panels that will be an ongoing effort over the coming years. Beginning next academic year, we will see greater use of registries and team management. The program’s attention to enhancing scholarly activity paid off well over the year. Our residents traveled to national sports medicine meetings and presented posters while our faculty and residents presented at the national STFM held this year in Orlando. Sally Hinman, MD won the Best Resident Presentation in the Jacksonville Sports Medicine conference. As we welcomed our new interns, we graduated the class of 2015. Six of our ten graduates will be staying in Florida. Our graduates continued the trend of 100 percent board certification that marks three consecutive years of 100 percent pass rate. Additionally, we saw our In-Training Exam scores improve and exceed national means.

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Class of 2015 Practice Location

Sapnalaxmi Amin, MD Private Practice – Mulberry, FL Leor Azoulay, MD Private Practice – Dallas, TX Justin Clark, MD Private Practice – Springfield, MO

Loumarie Colon, MD Magnolia Park – Gainesville, FL Anjalee Dave, MD Private Practice – Charlotte, NC

Timothy Kodsi, MD Private Practice – Canada Kiran Lukose, MD Hospitalist Team, Shands – Gainesville, FL

Prathibha Lumb, MD Private Practice – Williston, FL Michael Machek, MD Private Practice – Jacksonville, FL Jessica Williams, MD Private Practice – Mount Dora, FL

Graduation Awards

Sapnalaxmi Amin, MD Achievement and Appreciation Certificate Co-OB Chief Resident OB Area of Concentration Women’s Health Area of Concentration

Justin Clark, MD Award for Professionalism

Loumarie Colon, MD

Achievement and Appreciation Certificate Co-OB Chief Resident OB Area of Concentration Women’s Health Area of Concentration Excellence in Family Medicine & Counseling

Timothy Kodsi, MD

Golden Apple Resident Teacher Resident of the Year Society of Teachers of Family Medicine Teaching Award Achievement and Appreciation Certificate Co-Chief Resident

Michael Machek, MD Achievement and Appreciation Certificate Co-Chief Resident

John Malaty, MD Teacher of the Year Award

Charlie Michaudet, MD Teacher of the Year Award

Class of 2016 Class of 2017 Class of 2018

Lisa Chacko, MD Jeffrey Costain, MD Ryan Dickert, MD John George, MD Samuel Dickmann, MD Bahram Dideban, MD

Sally Head Hinman, MD Monique Dieuvil, MD George Eldayrie, MD Courtney Jones, MD Nicholas Dorsey, MD Jairo Olivas, MD

Erica Judge, MD Brittany Hoyes, MD Jessica Stephenson, MD Jason Konopack, MD David Kramer, MD Jacob Szereszekski, MD John Lombardi, MD Danielle Olson, MD Coty Tino, MD Keiran Shute, MD Isaac Truelson, MD Kelli Woody, MD Dale Taylor, MD Rica Zantua, MD

Greg Westwood, MD

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BEHAVIORAL MEDICINE The Behavioral Medicine Program faculty and staff participate in projects and activities involving all major missions of the department and the UF College of Medicine, including teaching and administrative activities, direct patient care services and consultation, and research and scholarly activities. In terms of educational programs, the Behavioral Medicine Program faculty undertakes the development and implementation of medical educational programs for family medicine residents, medical students, community practicing physicians and academic physicians. One major focus of the program is on curricula designed to educate medical trainees in various aspects of the biopsychosocial model of care, including home visits and office-based lifestyle modification (e.g., smoking cessation, healthy exercise patterns). Other areas of special emphasis include 360-degree evaluation of resident performance, including physician-patient communication skills and professionalism. The Behavioral Medicine Program is an integral part of the clinical mission of the department. The faculty and staff of the program provide psychotherapy and evaluation services to patients referred by the physician faculty of the department and by the family medicine residents. In addition, the behavioral medicine faculty often combine clinical care and resident educational activities. MEDICAL STUDENT CURRICULUM The Behavioral Medicine faculty are involved in teaching activities for medical students during their first, second, third and fourth years of training, including:

• Co-leading small groups during the Essentials of Patient Care and Interdisciplinary Family and Health sections of the medical school curriculum.

• Workshops and lectures on Behavioral Medicine topics for students during their third and fourth year clerkships.

• Ten to 12 lectures on human behavior and mental health presented as part of the Residency Program didactic sessions for third year Family Medicine and Ambulatory Care clerkship and fourth year required Medicine rotation students.

• Behavioral Medicine faculty consult and precept third and fourth year medical students regarding the social agency needs of patients, the assessment of psychological disorders or family conflict.

CURRENT EDUCATIONAL ACTIVITIES - RESIDENTS The Behavioral Medicine Program Educational Activities for our residents includes: Orientation Program, Balint and Support Groups, Faculty Advisor Roles, Resident Evaluation Processes, Third-Year Behavioral Medicine Rotation and Didactic Series. Faculty: Mike Ware, MD; Tom Ward, LCSW; Jenny Land, PhD; David Feller, MD

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QUALITY AND PATIENT SAFETY

Overview By continually evaluating current quality measures and setting new goals, Community Health and Family Medicine is making great strides towards providing the best patient care for the patients in our community. Department wide quality improvement projects, which plan to focus on various chronic conditions, will be initiated at each individual clinic site that will focus on their unique patient population and be overseen by the medical director. The dedication of the faculty and staff at each of our clinics is the driving force behind offering our patients the very best care available, as well as to push ourselves towards becoming the best university health system in the country. PATIENT CENTERED MEDICAL HOME RECOGNITION All clinics in our department received Level 2 recognition as a National Committee for Quality Assurance, or NCQA, Patient Centered Medical Home, or PCMH, certified facility. Reaching PCMH recognition on any level requires a significant undertaking, with much dedication and coordinated teamwork, in order to transform clinic processes and practices from one of the traditional doctor-centered medical practice to one that is truly patient-centered. Patient centered medical home models have been shown to improve patient health outcomes and professional satisfaction amongst physicians. HOSPITAL READMISSION REDUCTION The family medicine service has seen some reduction in their hospital readmission rates. A readmission registry was created to keep track of patients who were discharged from family medicine practices at UF Health. The information from this report was also used to perform analysis using a geographical information system. Using data from the registry, we were able to identify a group of high-risk patients. Initiatives have been molded to improve care coordination of these patients. One initiative to improve commination with the Emergency Department, or ED, uses EPIC to alert the healthcare team when a high-risk patient has arrived at the ED. Other initiatives include scheduling post hospital discharge home visits for high-risk patients. The weekly retrospective readmission root-cause analysis that highlights high-risk patients, by the inpatient team (residents, attending, case manager), began Dec. 1, 2014 as part of the Resident Safety and Quality Rounds. The purpose of this was to dig deeper in generating discussion and understanding of why patients are being readmitted, and if there were any steps that could have been taken in the previous readmission to prevent the current readmission. We also want to find out if there is something that could be done on the current admission to prevent another readmission. The identification of the high-risk patients helped to make sure that the team was aware of past/present issues and develop the best plan of care post discharge. INPATIENT INITIATIVES On the inpatient side, Community Health & Family Medicine continues to work diligently with UF Health to monitor core measures and provide the best care for the patient population. There is strong emphasis on reducing re-admissions, supporting more focused care for heart failure patients, reducing infections, and reducing adverse events. PHYSICIAN QUALITY REPORTING SYSTEM (PQRS) AND MEANINGFUL USE Centers for Medicare/Medicaid Services, or CMS, is currently undergoing various changes to the measures and reporting methods for Physician Quality Reporting System, or PQRS, and Meaningful Use. Community Health and Family Medicine successfully reported PQRS data to CMS on the diabetes management measure last year. Our organization also has successfully submitted data and received incentive dollars this past year. By utilizing reminders in EPIC, we continue to meet the meaningful use goals.

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QUALITY AND PATIENT SAFETY

QUALITY OF CARE As part of our work as a PCMH certified facility, we track our compliance for quality indicators associated with diabetes mellitus, hypertension and asthma/chronic obstructive pulmonary disease, or COPD. Based on the information below, our physicians are providing high quality of care for patients with these conditions. QUALITY MEASURES TRACKING In order to better assess how our clinics are doing from a qualitative standpoint, we created patient registries for specific chronic conditions, and aggregate the data to compile clinic summaries into a single report. The chronic conditions are asthma/COPD, diabetes and hypertension. The reports evaluate the percentage of patients that are meeting their health goals at each clinic. In addition to monitoring chronic conditions, the department will monitor emergency department utilization rates.

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GRANTS, RESEARCH AND PUBLICATIONS

GRANTS - 11 An Interactive Tool Addressing and Communicating Alphas EOL Issues Alpha-1 Foundation A study of the feasibility and effectiveness of two types of social media both as sources of information and as a way of communicating about the quality of life of persons living with Alpha-1 Antitrypsin Deficiency and who are facing end-of-life medical decisions.

• UF primary investigator: Ray Moseley, PhD • UF total grant : $185,056

Concussion Assessment, Research and Education (CARE) Consortium NCAA/Department of Defense A prospective, longitudinal, multi-center, multi-sport investigation that delineates the natural history of concussion in both men and women by incorporating a multi-dimensional assessment of standardized clinical measures of post-concussive symptomatology, performance-based testing (cognitive function, postural stability), and psychological health.

• UF primary investigator: James R. Clugston, MD • UF total grant: $436,700

Genomic Medicine Implementation: The Personalized Medicine Program (IGNITE) National Institutes of Health A study of the effects on physician prescribing decisions when provided with patients’ 1) CYP2D6 genotyping and 2) Patient Reported Outcomes Measurement Information System

• CHFM primary investigator: Siegfried Schmidt, MD • CHFM total grant: $55,932

I-PRO Pfizer Inc. Evaluating a systematic care model rollout in practices in the UF Department of Community Health and Family Medicine. Pain related patient information and care recommendations will be collected/communicated in Epic.


Integration of Serum Biomarkers, MRI, Functional Assessments, and Impact Accelerometer Data to Improve Diagnosis and Management and Predict Prolonged Recovery of Sports Concussions Experienced by UF Collegiate Athletes (AWARE) Banyan Biomarkers/Florida High Tech Corridor Council Research goal is to more objectively diagnose, manage, and predict recovery of sports concussions using 1) brain imaging using advanced forms of MRI, 2) quantitative measurements of head impacts using the Head Impact Telemetry System in helmeted athletes (football), 3) blood-based concussion biomarker testing, and 4) standard functional assessments of sports concussion currently used in most athletic and clinical settings.

• UF primary investigator: James R. Clugston, MD • UF total grant: $862,364

MEDication Focused Outpatient Care for Underutilization of Secondary Prevention (MEDFOCUS) National Institutes of Health To conduct a multi-center, cluster-randomized implementation study utilizing a web-based, centralized cardiovascular risk service, or CVRS, to determine the extent to which the CVRS model will be adopted and

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implemented in medical offices with large geographic, racial and ethnic diversity. Subjects enrolled at UF will be in the control group, receiving standard care, rather than the CVRS intervention.

• UF primary investigator: John G. Gums, PharmD • UF total grant: $75,601

OneFlorida Cancer Control Network Florida Department of Health Establish a statewide network that will quickly bring the benefits of research in labs and other clinical settings to more than nine million patients in all of Florida’s 67 counties. The network will initially create tobacco cessation programs in doctors’ offices around the state in a coordinated effort to prevent cancers and other cardiovascular diseases related to tobacco use.

• CHFM primary investigator: Peter Carek, MD, MS • CHFM total grant: $92,345

Pharmacokinetic and Pharmacodynamic (PK-PD) Studies of Cardiovascular Drugs Food and Drug Administration The goal of this project is to provide pharmacokinetic and pharmacodynamic data to help the FDA better understand which factors should be considered in bioequivalence studies of metoprolol ER products.


SONAR AbbVie A randomized, multi-country, multicenter, double blinded, parallel, placebo-controlled study of the effects of Atrasentan on renal outcomes in subjects with type 2 diabetes and nephropathy.

• UF primary investigator: Karen Hall, MD • UF total grant: $323,673

STFM Program Enhancement Award Society of Teachers of Family Medicine Develop and implement a tailored Faculty Development Series for the UF Family Medicine Department to improve the quality of teaching.

• UF primary investigator: Tanya Anim, MD • UF total grant: $2,000

Systolic Blood Pressure Intervention Trial (SPRINT) National Heart, Lung, and Blood Institute (NHLBI) and the National Institute of Diabetes and Digestive Kidney Diseases (NIDDK) The Systolic Blood Pressure Intervention Trial is a multicenter, randomized clinical trial designed to test whether a treatment program aimed at reducing systolic blood pressure to a lower goal than what is currently recommended will reduce cardiovascular disease risk.

• CHFM primary investigator: Karen Hall, MD • Total grant (UF): $668,160

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PUBLICATIONS - 68 Allen S, Caton C, Cluver J, Mainous AG III, Clyburn B. Targeting improvements in patient safety at a large academic center: An institutional handoff curriculum for graduate medical education. Academic Medicine 2014;89(10):1366-9. Anim TE, Keehbauch J. Abnormal Vaginal Bleeding. In Domino FJ (Ed.). (2014). The 5-Minute Clinical Consult 2015. Philadelphia: Lippincott Williams and Wilkins. Anim TE, Keehbauch J. Vaginal Bleeding, Abnormal (algorithm). In Domino FJ (Ed.). (2015). The 5-Minute Clinical Consult 2016. Philadelphia: Wolters Kluwer Health. Beavers CJ, Carris NW, Ruf KM. Management strategies for clopidogrel hypersensitivity. Drugs 2015; 75(9):999-1007. Boerwinkle E, Del-Aguila J, Cooper-DeHoff R, Chapman A, Gums JG, Beitelshees A, Bailey K, Turner ST, Johnson JA. Trans ethnic meta-analysis suggests variation in the heme pathway influences potassium response in patients treated with hydrochlorothiazide. Pharmacogenomics Journal 2015;15(2):153-7. Carris NW, Ghushchyan V, Libby AM, Smith SM. High-related quality of life in persons with apparent treatment-resistant hypertension on at least four antihypertensives. Journal Human Hypertension 2015; doi 10.1038/jhh.2015.61 Carris NW, Smith SM. Quality of life in treatment-resistant hypertension. Current Hypertension Reports 2015;17:61. Carris NW, Spinelli A, Pierini D, Taylor J, Vogel-Anderson K, Sando K, Powell J, Rosenberg E, Zumberg M, Smith S, Gums JG, Dietrich E. Feasibility of extended-interval follow-up for patients receiving Warfarin. Cardiovascular Therapeutics 2015;33:98-103. Carris NW, Taylor JR, Gums JG. Combining a GLP-1 receptor agonist and basal insulin: Study evidence and practical considerations. Drugs 2014;74(18):2141-52. Chang KL, Brown L. Screening for hereditary cancer syndromes. American Family Physician 2015;91(2):125-31. Chang KL, Fillingim R, Hurley RW, Schmidt S. Chronic pain management: Evaluation of chronic pain. FP Essentials 2015;432:11-20. Chang KL, Fillingim R, Hurley RW, Schmidt S. Chronic pain management: Legal and licensure issues. FP Essentials 2015;432:39-42. Chang KL, Fillingim R, Hurley RW, Schmidt S. Chronic pain management: Nonpharmacological therapies for chronic pain. FP Essentials 2015;432:21-26. Chang KL, Fillingim R, Hurley RW, Schmidt S. Chronic pain management: Pharmacotherapy for chronic pain. FP Essentials 2015;432:27-38. Chang KL, Weitzel K, Schmidt SO. Pharmacogenetics: Using genetic information to guide drug therapy. American Family Physician 2015;92(7):588-94.

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Cox PM, Rebstock J, Jenkins RC, Gruber L, Dewar MA. Grant award partnerships with your professional liability insurance carrier: An innovative approach to loss prevention and improved patient safety. Journal American Society HealthCare Risk Management 2014;33(3):34–42. Dave A, Ludlow J, Malaty J. Thyrotoxicosis: An under-recognized aetiology. British Medical Journal Case Reports May 2015; doi: 10.1136/bcr-2014-208119. Davis KA, Dietrich E. Davis and Dietrich’s response to Abramson and colleagues’ article on statins in low risk people. British Medical Journal 2014;348:g1795. Del-Aguila J, Cooper-Dehoff RM, Chapman AB, Gums JG, Beitelshees A, Bailey K, Turner ST, Johnson JA, Boerwinkle E. Trans ethnic meta-analysis suggests genetic variation in the heme pathway influences potassium response in patients treatment with hydrochlorothiazide. Pharmacogenomics Journal April 2015;15(2):153-7. Desai BK, Desai A. Obstetric & Gynecologic Emergencies. In Desai BK, Allen BR. Nailing the Emergency Medicine Boards. New York: Springer, 2015. Diaz VA, Mainous AG III, Gavin JK, Player MS, Wright RU Jr. Use of a tablet-based risk assessment program to improve health counseling and patient-provider relationships in a federally qualified health center. American Journal of Medical Quality 2015; pii 1062860615587012. Dietrich E. Updated cholesterol guidelines - Implications for the family physician. Florida Family Physician 2014;63:24-27. Dietrich E, Davis D. A statin a day to keep the doctor away? A comparison of aspirin and statins for primary prevention of cardiovascular disease. Annals of Pharmacotherapy 2014;48:1238-41. Dietrich E, Smith S, Gums JG. (2014). Adrenal Gland Disorders. In: Dipiro JT, Talbert RL, YEE GC, Matzke GR, Wells BG, Posey LM, eds. Pharmacotherapy: A Pathopysiologic Approach (pp. 1217-36). 9th ed. New York: McGraw-Hill. Dietrich E, Smith S, Gums JG. (2014). Cushings Syndrome. In: Schwinghammer TL, Koehler JM, eds. Pharmacotherapy Case Book: A Patient-Focused Approach. 9th ed. New York: McGraw-Hill. Edenfield KM, Stern AN, Dillon MC, Burkart TA, Clugston JR. A case of vasovagal syncope in a collegiate swimmer during competition. Current Sports Medicine Reports 2015;14(2):86-90. Funtana V, McDonough CW, Gong Y, El Rouby NM, Sá ACC, Taylor KD, Chen Y-DI, Gums JG, Chapman AB, Turner ST, Pepine CJ, Johnson JA, Cooper-Dehoff RM. Large-scale gene-centric analysis identifies polymorphisms for resistant hypertension. Journal American Heart Association 2014;3(6):piie001398. Gong Y, McDonough CW, Beitelshees AL, El Rouby N, Hiltunen TP, O’Connell JR, Padmanabhan S, Langee TY, Hall K, Schmidt SOF, Curry RW, Gums JG, Donner KM, Kontula KK, Bailey KR, Boerwinkle E, Takahashi A, Tanaka T, Kubo M, Chapman AS, Turner ST, Pepine CJ, Cooper-Dehoff RM, Johnson JA. PTPRD gene association with blood pressure response to atenolol and resistant hypertension. Journal of Hypertension 2015;33(11):2278-85.

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Harle CA, Listhaus A, Covarrubias C, Schmidt SOF, Mackey S, Carek PJ. Fillingim RB, Hurley RW. Overcoming barriers to implementing patient-reported outcomes in an electronic health record: A case report. Journal of the American Medical Informatics Association 2015;23(1)74-79. Hiltunen TP, Donner KM, Sarin AP, Saarela J, Ripatti S, Chapman AB, Gums JG, Gong Y, Cooper-Dehoff RM, Frau F, Glorioso V, Zaninello R, Salvi E, Glorioso N, Boerwinkle E, Turner ST, Johnson JA, Kontula KK. Pharmacogenomics of hypertension: A genome-wide placebo controlled cross-over study, using four classes of antihypertensive drugs. Journal American Heart Association 2015;4:e001521. Langaee T, Hamadeh I, Chapman A, Turner S, Gums J, Johnson J. A novel simple method for determining cyp2d6 gene copy number and identifying allelel(s) with duplication/multiplication. PLOS ONE 2015;10(1):e0113808. Lozano V, Fernandez G, Spencer PL, Taylor SL, Hatch RL. Staphylococcus epidermidis in urine is not always benign: A case report of pyelonephritis in a child. Journal of the American Board Family Medicine 2015; 28:151-153. Mainous AG III. Culture, resources, or a bit of both: Increasing scholarship in family medicine. Family Medicine 2014;46(7):501-2. Mainous AG III, Tanner RJ, Anton SD, Jo A. Grip strength as a marker of hypertension and diabetes in healthy weight adults. American Journal of Preventive Medicine 2015;pii S0749-3797(15)00267-6. Mainous AG III, Tanner RJ, Coates TD, Baker R. Prediabetes, elevated iron and all-cause mortality: A cohort study. British Medical Journal Open 2014;4:e006491. Mainous AG III, Tanner RJ, Harle CA, Baker R, Shokar NK, Hulihan MM. Attitudes toward management of sickle cell disease and its complications: A national survey of academic family physicians. Anemia 2015;2015:853835. Mainous AG III, Tanner RJ, Hulihan MM, Amaya M, Coates TD. The impact of chelation therapy on survival in transfusional iron overload: A meta-analysis of myelodysplastic syndrome. British Journal Hematology 2014;167(5):720-3. Malaty J, Malaty IA. Hypertensive urgency: An important aetiology of rebound hypertension. British Medical Journal Case Reports October 2014; doi: 10.1136/bcr-2014-206022. Marinides Z, Galetta KM, Andrews CN, Wilson JA, Robinson CD, Herman DC, Smith MS, Bentley BC, Galetta SL, Balcer LJ, and Clugston JR. Vision testing is additive to the sideline assessment of sports related concussion. Neurology - Clinical Practice 2015;5(1):25-34. Matheson EM, Cerbo T, Carek PJ, Hueston WJ, Allen C. Evaluating the effectiveness of simulation training in the MUSC family medicine residency program. Journal of the South Carolina Medical Association 2015;111(1):24-27. Mims LD, Bressler LC, Wannamaker LR, Carek PJ. The effect of dual accreditation on family medicine residency programs. Journal of Family Medicine 2015;47(4):292-7.

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Monroe A, Asamoah O, Lam Y, Koenker H, Psychas P, Lynch M, Ricotta E, Hornston S, Berman A, S Harvey. Outdoor-sleeping and other night-time activities in northern Ghana: implications for residual transmission and Malaria prevention. Malaria Journal 2015;14:35. Moore MJ, Gong Y, Hou W, Hall K, Schmidt SO, Curry RW, Beitelshees AL, Chapman AB, Turner ST, Schwartz GL, Bailey K, Boerwinkle E, Gums JG, Coop-DeHoff RM, Johnson JA. Predictors for glucose change in hypertensive participants following short-term treatment with atenolol or hydrochlorothiazide. Pharmacotherapy 2014;34(11):1132-40. Nicolette GW. Motionyms: Activity-related musculoskeletal and medical problems (or not an eponym!!). Physician and Sports Medicine 2015;20:1-3. Porter M, Diaz VA, Gavin JK, Zacarias A, Dickerson L, Hueston WJ, Carek PJ. Cost and utilization. Hospitalized patients on a family medicine service. South Medical Journal 2015;108(6):364-9. Post RE, Johnson SP, Wright RU, Mainous AG III. Comparison of traditional and nontraditional weight loss methods: An analysis of the national health and nutrition examination survey. South Medical Journal 2014;107(7):410-5. Puliyel M, Mainous AG III, Berdoukas V, Coates TD. Iron toxicity and its possible association with treatment of Cancer: Lessons from hemoglobinopathies and rare, transfusion-dependent anemias. Free Radical Biology & Medicine 2015;79:343-51. Rebstock J, Cox PM, Jenkins RC, Dewar MA, Gruber L, Le-Wendling L. Small scale grant awards programs: Professional liability insurance partnerships with providers to reduce claims and improve patient safety. Inside Medical Liability, Physician Insurers Association of America Publication 2014;Quarter 4:27-30. Rosenwasser RF, Shah NK, Smith SM, Wen X, Gong Y, Gums JG, Nicholas WW, Chapman AB, Boerwinkle E, Johnson JA, Epstein B. Baseline predictors of central aortic blood pressure: A pear substudy. Journal of the American Society of Hypertension 2014;8(3):152-158. Rossidis G, Perry A, Abbas H, Motamarry I, Lux T, Farmer K, Moser M, Clugston JR, Caban A, and Ben-David K. 2014. Laparoscopic hernia repair with adductor tenotomy for athletic pubalgia: An established procedure for an obscure entity. Surgical Endoscopy 2015;29(2):381-6. Smith MS, Friedman WA, Smith KB, Pass AN, Clugston JR. Intracranial arteriovenous malformation in a collegiate football player and return to play considerations. Clinical Journal of Sports Medicine 2014;24(6):e62-4. Smith MS, Prine BR, Smith KB. Current concepts in the management of exertional heat stroke in athletes. Current Orthopaedic Practice 2015;26(3):287-90. Smith SM, Cooper-DeHoff RM. Home blood pressure monitoring with patient-initiated antihypertensive drug titration reduces blood pressure in high-risk patients with hypertension. Evidence Based Medicine 2015;20(2):58. (Commissioned Commentary). Smith SM, Gong Y, Handberg E, Messerli FH, Bakris GL, Ahmed A, Bavry AA, Pepine CJ, Cooper-DeHoff RM. Predictors and outcomes of resistant hypertension among patients with coronary artery disease and hypertension. Journal of Hypertension 2014;32:635-43.

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Smith SM, Hasan M, Huebschmann AG, Penaloza R, Schorr-Ratzlaff W, Sieja A, Roscoe N, Trinkley KE. Physician acceptance of a physician-pharmacist collaborative treatment model for hypertension management in primary care. Journal of Clinical Hypertension 2015; doi: 10.1111/jch.12575. Smith SM, Huo T, Johnson BD, Vittner V, Kelsey SF, Thompson DV, Bairey Merz CN, Pepine CJ, Cooper-DeHoff RM. Cardiovascular and mortality risk of apparent resistant hypertension in women with suspected myocardial ischemia: A report from the NHLBI--sponsored WISE study. Journal American Heart Association 2014;3:e000660. Smith SM, Pepine CJ, Cooper-DeHoff RM. Reply to resistant hypertension revisited: Definition and true prevalence. Journal of Hypertension 2014;32:1547. Smith SM, Vogel Anderson K. Adrenal and Pituitary Disorders. In: Dong BJ, Elliott DP, eds. Ambulatory Care Self-Assessment Program, 2014 Book 1. Endocrinology/Rheumatology. Lenexa, KS: American College of Clinical Pharmacy 2014:92-120. Solberg LB. Preserving integrity in clinical research: Avoiding research misconduct. SoCRA Source 2014;82(11):29-35. Solberg LB, Freund Taylor C. Teaching bioethics at historically black colleges and universities (HBCUs). Journal of Health Care for the Poor and Underserved 2015;26(2):328-334. Solberg LB, Solberg LM, Carter CS. Geriatric care boot camp: An interprofessional education program for healthcare professionals. Journal of the American Geriatrics Society 2015;63(5):997-1001. Solberg LM, Solberg LB, Peterson EN. Measuring impact of stress in sandwich generation caring for demented parents. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry 2014;27(4):171-9. Trinkley KE, Smith SM. Applying Literature to Patient Care. In: Aparasu RR, Sherer JT, Bentley JP. Principles of Research Design and Drug Literature Evaluation. 1st ed. Boston, MA: Jones & Bartlett 2014:323-335. Vanderbilt AA, Grover AC, Pastis NJ, Feldman M, Granados DD, Murithi LK, Mainous AG III. Randomized controlled trails: A systematic review of laparoscopic surgery and simulation-based training. Global Journal of Health Science 2014;7(2):310-27. VanderWeide L, Smith SM, Trinkley KE. A systematic review of the efficacy of venlafaxine for the treatment of fibromyalgia. Journal of Clinical Pharmacy and Therapeutics 2015;40(1):1-6. Vincent HK, Montero C, Conrad BP, Seay AN, Edenfield KM, Vincent KR. Metabolic responses of running shod and barefoot in mid-forefoot runners. Journal Sports Medicine and Physical Fitness 2014;54(4):447-55. Weng L, Eoin Q, Gong Y, Beitelshees A, Shahin M, Turner ST, Chapman AB, Gums JG, Johnson JA, Frye R, Garrett T, Cooper-Dehoff R. Association of branched and aromatic amino acids levels with metabolic syndrome and impaired fasting glucose in hypertension patients. Metabolic Syndrome and Related Disorders 2015;13(5):195-202. Winchester D, Moseley R, Hendel, R. The business of accreditation. Journal of Nuclear Cardiology 2015;22(3):504-506.

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POSTERS - 12 Bryan W, Desiongco J, Luc S, Dietrich E. Connecting the Dots: Providing Pharmacy Services in a Student-Run Free Health Clinic. 49th Annual ASHP Midyear Clinical Meeting Student Poster Showcase, Anaheim, CA, December 2014. Carris N, Taylor J, Vogel-Anderson K, Sando K, Spinelli A, Elliott J, Powel J, Pierini D, Cogan P, Smith SM, Gums JG, Dietrich E. Feasibility Of Extended Duration Follow-Up For Patients Receiving Warfarin (FADE-OUT). ACCP Annual Meeting, Austin, TX, October 2014. Desiongco J, Dietrich E. Effect of Pharmacy Interventions on Prescription Costs in a Network of Student- Run Multidisciplinary Clinics. 49th Annual ASHP Midyear Clinical Meeting Student Poster Showcase, Anaheim, CA, December 2014. Dietrich E, Wollmann J, Kurien E. Pharmacy Involvement at the Equal Access Clinic Network to Reduce Prescription Costs: A Student Led Intervention Program. Poster presentation AACP Annual Meeting, Grapevine, TX, July 2014. Mercado E, Orlando F, Desai A, Listhaus A, Bell L, Chisholm T, Hurley R, Schmidt S, Harle C. Assessing the Impact of Integrating Electronic Health Records and Patient-Reported Outcomes for Chronic Pain on the Process and Quality of Care in Family Medicine. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Sá AC, Webb A, Gong Y, Langee T, Turner S, Chapman A, Gums JG, Scherer S, Cooper-Dehoff R, Sadee W, Johnson JA. Identifying Genes Differentially Expressed Associated with Extreme Blood Pressure Response to Hydrochlorothiazide Monotherapy (#732M). American Society of Human Genetics 2014 Annual Meeting, San Diego, CA, October 2014. Solberg L. Applying Instructional Pedagogy for Tailoring a Geriatric Practice Educational Program to Working Healthcare Professionals. Association for Gerontology in Higher Education Annual Meeting and Educational Leadership Conference, Nashville, TN, February 2015. Solberg L. Evaluation of an Interprofessional Geriatric Care Boot Camp: Putting Education into Practice. Association for Gerontology in Higher Education Annual Meeting and Educational Leadership Conference, Nashville, TN, February 2015. Solberg L. Geriatric Care Boot Camp: An Interprofessional, Intensive Education Program. Gerontological Society of America Annual Scientific Meeting, Washington, DC, November 2014. Solberg L. Medical School Applicants’ Attitudes about Social Media Use. University of Florida College of Medicine Research Day, Gainesville, FL, February 2015. Solberg L. Translating Research into Education to Create Distance Learning Programs: A Novel Approach to Teaching Aging and Geriatric Care to Health Care Professionals. Association for Gerontology in Higher Education Annual Meeting and Educational Leadership Conference, Nashville, TN, February 2015. Solberg L. Understanding Research Misconduct: Tips for Teachers of Family Medicine. Society of Teachers of Family Medicine (STFM) Annual Spring Conference, Orlando, FL, April 2015.

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PRESENTATIONS - 89 Abuaku B, Ahorlu C, Ricks P, Psychas P, Mumba P, Mensah D, Mensah S, Sackey W, Bhattarai A, Koram K. Longitudinal Impact of IRS on Malaria Parasitaemia in Northern Ghana. American Society of Tropical Medicine and Hygiene Annual Conference, New Orleans, LA, November 2014. Anim TE. PCOS in Young Adults. American College Health Association Conference, Orlando, FL, May 2015. Aquilante CL, Hirsch JD, LaFleur J, Libby AM, Lindenfeld J, Page RL, Smith SM. Predictors of Medication Non-Adherence Following Heart Transplantation: The Role of Medication Regimen Complexity and Patient-Perceived Treatment Burden. Poster presentation at the Skaggs Biomedical Research Symposium, Missoula, MT, August 2014. Carek PJ. Addressing Requirements, Milestones, NAS, and Other Accreditation Issues: A Workshop with the RC-FM. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Carek PJ. Association between Program Director Participation in NIPDD and Characteristics of Program Quality. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Carek PJ. The Effect of Dual Accreditation on Family Medicine Residency Programs. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Carek PJ. Establishing a Pain Management Program within a University Based Family Medicine Residency. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Carek PJ. Exercise Prescription. Practical Advances in Musculoskeletal and Sports Care (AAFP), Myrtle Beach, SC, July 2014. Carek PJ. Factors Affecting Board Pass Rates: Think Globally. AAFP Global Health Meeting, San Diego, CA, September 2014. Carek PJ. Global Health in Family Medicine Training: Current Trends, Challenges, and Benefits. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Carek PJ. National Institute for Program Director Development: Any Impact on Program Quality? PDW and RPS Residency Education Symposium, Kansas City, MO, March 2015. Carek PJ. New RC-FM requirements and the “Next Accreditation System”. 2015 Association of Departments of Family Medicine Winter Meeting, Savannah, GA, February 2015. Carek PJ. Performing Enhancing Drugs. Practical Advances in Musculoskeletal and Sports Care (AAFP), Myrtle Beach, SC, July 2014. Carek PJ. Practice Transformation into Milestones. I3 Population health Collaborative Biannual Meeting., Concord, NC, September 2014. Carek PJ. The Pre-participation Evaluation. Practical Advances in Musculoskeletal and Sports Care (AAFP), Myrtle Beach, SC, July 2014.

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Carek PJ. RC-FM Update. PDW and RPS Residency Education Symposium, Kansas City, MO, March 2015. Carek PJ. RC-FM Update. Program Directors Workshop, American College of Osteopathic Family Physicians. Las Vegas, NV, March 2015. Carek PJ. Review Committee – Family Medicine (RC-FM) Update. 2014 ACGME Annual Meeting, San Diego, CA, February 2015. Carek PJ. Revision of the Requirements and Implementation of NAS and Milestones: Not a Perfect Storm, But a Launch to Better GME and Patient Care? Residency Administrative Development (RAD) Workshop, Kansas City, MO, March 2015. Carek PJ. Runner’s Foot. Practical Advances in Musculoskeletal and Sports Care (AAFP), Myrtle Beach, SC, July 2014. Carris NW, Taylor J, Anderson KV, Sando K, Spinelli A, Elliott J, Powell J, Pierini DC, Cogan P, Smith SM, Gums JG, Dietrich E. Feasibility of Extended Duration Follow-up for Patients Receiving Warfarin. Poster presentation at the American College of Clinical Pharmacy 2014 Annual Meeting, Austin, TX, October 2014. Chang KL, Listhaus A, Shuster J, Zou B, Starling T, Swilley S. Interdisciplinary Collaborations Improve Access and Decrease Wait Time to Specialists: Real Time Referrals at Family Medicine Clinics, 2014 STFM Conference on Practice Improvement, Tampa, FL, December 2014. Dadzie S, Coleman S, Mumba, P, Seyoum A, Ricks P, Szumlas D, Psychas P, Williams J, Appawu M, Boakye D. Impact of Indoor Residual Spraying on Entomological Indices of Malaria Transmission in the Bunkpurugu-Yunyoo District in the Northern Savannah zone of Ghana. American Society of Tropical Medicine and Hygiene, Annual Conference, November 2014. Dave, A, Ludlow J, Malaty J. Thyrotoxicosis: An Under recognized Etiology. FAFP Spring Forum, Orlando, FL, April 2015. Dewar M, Rosenberg E, Samraj G, Gruber L. The CARE Program: Randomized Comparator-Controlled Evaluation of the Effectiveness of Practice-Based Health Coaches. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Edenfield KM. Principles of Conditioning and Training Techniques in Endurance Athletes. Southeastern American College of Sports Medicine Annual Meeting (SEACSM), Jacksonville, FL, February 2015. Feller DB, Ware MR, Feller JA, Listhaus A, Hall KL. Can the Collaborative Care Model Enhance Resident Education in Psychiatric Medicine During Residency Training? Research in Progress Session. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Freedy JR, Brandt M, Hernandez R, Vidaurreta BL. Developing Medical Student Professionalism: Policies, Practices, and Outcomes. 2015 AAMC NEGSA-NEOSR/SGSA-SOSR Joint Regional Meeting, New Orleans, LA, April 2015. Gravlee JR. The Female Athlete Triad Practice Advances in Musculoskeletal and Sports Care. American Academy of Family Physicians, Myrtle Beach, SC, 2014.

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Gravlee JR. Knee: Practice Advances in Musculoskeletal and Sports Care. American Academy of Family Physicians, Myrtle Beach, SC, 2014. Gravlee JR. Knee Exam: Practice Advances in Musculoskeletal and Sports Care. American Academy of Family Physicians, Myrtle Beach, SC, 2014. Gravlee JR. Osteoporosis: Practice Advances in Musculoskeletal and Sports Care. American Academy of Family Physicians, Myrtle Beach, SC, 2014. Harle C, Schmidt SOF, Shuster J, Mackey S, Listhaus A, Bell L, Covarrubias C, Chisholm T, Fillingim R, Hurley R. Toward Clinical Decision Support for Chronic Pain: Integrating Patient Reported Outcomes in an Electronic Health Record. Poster presented at the 34th Annual Scientific Meeting of the American Pain Society, Palm Springs, CA, May 2015. Hatch RL, Michelfelder A, Paulman P. Special Invited Session: Update on the NBME Family Medicine Subject Exam. 41st Annual Society of Teachers of Family Medicine Conference on Medical Student Education, Atlanta, GA, February 2015. Hirsch J, Watanabe J, LaFleur J, Smith SM, Aquilante C, Libby A. Medication Regimen Complexity Index (MRCI): The Skaggs Research Cascade. Poster presentation at the 2014 Skaggs Biomedical Research Symposium, Missoula, MT, August 2014. Hood R, Moseley R. Academy of research Excellence: An Educational Program to Build Research Collaborations and Improve Participant Protections. The Association for the Accreditation of Human Research Protections Program Annual Conference, May 2015. Huo T, Smith SM, Pepine CJ, Gong Y, Handberg E, Gulati M, Bairey Merz CN, Cooper--DeHoff RM, Chi YY. Data and Statistical Challenges in Pooled Analysis of Clustered Survival Data rrom Multiple Clinical Studies. Poster presentation at the 70th Deming Conference on Applied Statistics, Atlantic City, NJ, December 2014. Kodsi B, Samraj G, Malaty J, Carries N. Outcome of Integrated a Multidisciplinary Anticoagulation Clinic Into an Academic Based Residency Program. 48th Society of Teachers of Family Medicine Annual Spring Conference, Orlando, FL, April 2015. Machek M, Gilbert L, Schmidt SOF, George S. Comorbidities and Chronic Pain Management in Residency Clinic. Poster presented at the 48th STFM Annual Spring Conference, Orlando, FL, April 2015. Machek M, Gilbert L, Schmidt S, Samraj G. Comorbidities Associated with Patients Attending an Academic Family Medicine Pain Management Program. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Mainous R, Talbert J, Mainous III A. Electronic Cigarettes and Taxation: Implications for Decreasing New Smokers. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Malaty J, Kodsi BT, Shute K, Machek M, Carris N, Smith S, Samraj G. Impact of Integrating Family Medicine and Pharmacy in an Interdisciplinary Anticoagulation Program. Annual STFM Spring Conference, Orlando, FL, April 2015. Malaty J, Samraj G. New SOAP Model of Residency Training for Both Inpatient and Outpatient Care. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015.

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McDaniel B, Hardt N, Hatch RL. Barriers and Motivating Factors Associated with Volunteering at Student Run Free Clinics: A Survey of Faculty Physicians. 48th Annual Society of Teachers of Family Medicine Spring Conference, Orlando, FL, April 2015. Mercado E, Orlando F, Desai A, Listhaus A, Bell L, Chisholm T, Hurley R, Schmidt SOF, Harle C. Assessing the Impact of Integrating Electronic Health Records and Patient-Reported Outcomes for Chronic Pain on the Process and Quality of Care in Family Medicine. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Moseley R. Advance Medical Directives: Making a Living Will and Appointing a Healthcare Surrogate. Hendry Regional Medical Center, Clewiston, FL, May 2015. Moseley R. Can We Do Better: Potential Changes in the Current Malpractice System. The Future of Medical Practice Law in Florida Conference. The Florida State University College of Medicine and College of Law, Tallahassee, FL, February 2015. Moseley R. The Coming Demographic Bump: Why End-of-Life Medical Decisions are about to get a lot more Difficult, Strategies for Resolving the Ethical and Legal Complexities of End of Life Care. FBN Conference, Orlando, FL, January 2015. Moseley R. The Doctor and DNA: Genetic Tools, Tips, and Tricks for Personalizing Health Care. Florida Medical Association (FMA) Annual Meeting, Orlando, FL, July 2014. Moseley R. The Ebola Crisis. The 2014 Benjamin Leon Lecture, Miami Dade College, Miami, FL, November 2014. Moseley R. End of Life: How Should We Support And Encourage Individual Choices? Society of Trust and Estate Practitioners Global Congress, Miami, FL, November 2014. Moseley R. The End of the Marcus Welby, MD Generation is Upon Us and Why that Means Medicine is Changing Fast! St. Petersburg College and the Florida Bioethics Network Bioethics Update 2014, St. Petersburg, FL, December 2014. Moseley R. The Future of Hospital Ethics Committees. Florida Ethics: Debates Decisions and Solutions, 23rd Annual Conference, Florida Bioethics Network, Miami, FL, April 2015. Moseley R. Essential Elements of the Research Ethics Process: Continuing Review, Amendments, Closeouts and Adverse events. The Bioethics Society of the English Speaking Caribbean and the University of Technology Jamaica workshop on Ethical Issues in Public Health, Kingston, Jamaica, September 2014. Moseley R. Informed Consent, Vulnerable Populations, Privacy and Confidentiality, Compensating Research Participants and Conflicts of Interest: The Current State of Regulations. The Bioethics Society of the English Speaking Caribbean and the University of Technology Jamaica workshop on Ethical Issues in Public Health, Kingston, Jamaica, September 2014. Moseley R. Professional and Medical Ethics. Emerald Coast Medical Association Annual Conference, Sandestin, FL, January 2015. Moseley R. Professional Ethics. Florida Medical Association (FMA) Annual Meeting, Orlando, FL, July 2014.

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Moseley R. Research Involving Individuals Who are Vulnerable to Coercion or Undue Influence. The Florida Department of Health, Institutional Review Board, Tallahassee, FL, June 2015. Moseley R. Social Media as an Interactive Educational Medium for Quality of Life Issues for those with Alpha-1, Alpha-1. Foundation’s 2014 Investigator’s Meeting Scientific Program, Miami, FL, October 2014. Moseley R. The Use of Private Identifiable Data in Research. The Florida Department of Health, Institutional Review Board, Tallahassee, FL, April 2015. Moseley R. When Public Health Research Conflicts with Personal and Cultural Beliefs, The Bioethics Society of the English Speaking Caribbean (BSEC) 2014 Annual Forum, Kingston, Jamaica, September 2014. Nall R, Hatch RL. Impact of a 12 Week Continuity Clinic on Interest in Primary Care. 41st Annual Society of Teachers of Family Medicine Conference on Medical Student Education, Atlanta, GA, February 2015. Nall R, Hatch RL, Fehlberg M. Having Your Cake and Eating it Too: A New Clerkship Model with Standard Block Experience and Longitudinal Continuity Experience. 41st Annual Society of Teachers of Family Medicine Conference on Medical Student Education, Atlanta, GA, February 2015. Nicolette GW. Current Treatment of Tendinopathy. Annual Florida Athletic Trainers’ Association Symposium, Orlando, FL, July 2014 Nicolette GW. Current Treatment of Tendinopathy. Osteoarthrosis & Joint Injection Workshop, AAFP Practical Advances in Musculoskeletal and Sports Care 2014, Myrtle Beach, SC, July 2014. Psychas P. Ebola 101. U.S. Congressional Delegation, State of Florida, EPI Briefing, September 2014. Psychas P. Overview of Ebola Virus Disease and Perspective on Epidemic Response. Rotary Club of Gainesville, Gainesville, FL, March 2015. Psychas P. Overview of Ebola Virus Disease. Santa Fe College Annual STEMI Conference, Alachua, FL, November 2014. Psychas P. Recollections of the Ebola Epidemic in Gabon 2001-02. Emergency Ebola Anthropology Network, American Anthrop. Assoc. (USA), and Ebola Response Anthrop. Platform, Royal Anthrop. Inst. (UK), Joint UF briefing, November 2014. Psychas P, Eckman B, Abuaku B, Ahorlu C, Koram K. Determinants of Risk of Malaria Parasitemia in Bunkpurugu-Yunyoo District, Northern Ghana, Incorporating Remote Sensing and Survey Data. American Society of Tropical Medicine and Hygiene Annual Conference, November 2014. Quillen DM. SLGT2 Inhibitors, a New Oral Therapy for Management of Type 2 Diabetes. 46th Annual Scientific Meeting of the Hungarian Medical Association of America, Lido Beach, Sarasota, FL, October 2014. Rubin D, Fellburg M, Hatch RL. Early Clinical Immersion – If One is Good, Aren’t Three Better? Yes!! Society of Teachers of Family Medicine (STFM) Annual Conference on Medical Student Education, Atlanta GA, February 2015. Sacino A, Nowicki K, Gibney J, Chang K. Patient Intake Triage Versus Linear Intake at UF Equal Access Clinics. 2014 STFM Conference on Practice Improvement, Tampa, FL, December 2014.

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Saultz J, Mainous III A, Wallace L, Cayley W, Ledford C, Wendling A. Reviewing Articles for Scholarly Journals. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Schmidt SOF. Fibromyalgia, 2014 Treatment Update. UF Primary Care, Pain Medicine and Addiction Conference, Ponte Vedra Beach, FL, October 2014. Schmidt SOF. Fibromyalgia, Myth or Reality? UF Primary Care, Pain Medicine and Addiction Conference, Ponte Vedra Beach, FL, October 2014. Schmidt S, Samraj G, Feller D, Chang KL, Carek P, Gilbert L, Listhaus A, Blanc P. Establishing a Pain Management Program Within a University-Based Family Medicine Residency. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Shapiro M, Feller D, Conrad S. Talking with Patients and Families About End-of-Life Decisions (Panel Discussion). Annual Florida Bioethics Network Conference, Orlando, FL, January 2015. Shute K, Carris NW, Kodsi B, Malaty J, Samraj G, Smith SM. Establishing and Integrating a Multidisciplinary Anticoagulation Clinic Into an Academic-Based Residency Program. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015. Smith SM, Ghushchyan V, Libby AM. Direct Medical Expenditures and Healthcare Utilization Associated with Resistant Hypertension in the United States. American Heart Association 2014 Scientific Sessions, November 2014, Chicago, IL. Smith SM, Ghushchyan V, Libby AM. Health-related Quality of Life in Persons with Apparent Treatment-Resistant Hypertension Taking at Least Four Antihypertensives [Encore Presentation]. American College of Clinical Pharmacy 2014 Annual Meeting, Austin, TX, October 2014. Smith SM, Hasan M, Huebschmann A, Penaloza R, Schorr--Ratzlaff W, Sieja A, Trinkley K. Physician Engagement and Acceptance of Collaborative Treatment of Hypertension in Primary Care. American College of Clinical Pharmacy 2014 Annual Meeting, Austin, TX, October 2014. Smith SM, Huo T, Gong Y, Handberg E, Gulati M, Bairey Merz CN, Pepine CJ, Cooper--DeHoff RM. Mortality Risk Associated with Apparent Treatment-Resistant Hypertension Among Women. Heart Association 2014 Scientific Sessions, Chicago, IL, November 2014. Solberg L. Creating Online Graduate Programs in Aging and Geriatrics: Lessons Learned. Gerontological Society of America Annual Scientific Meeting, Washington, DC, November 2014. Solberg L. Interprofessional Education for Health Care Professionals: Evaluation of a Boot Camp on Core Concepts in Geriatric Care. Society of Teachers of Family Medicine (STFM) Annual Spring Conference, April 2015, Orlando, FL. Solberg L. Reducing Crime and Recidivism through Cognitive Enhancement. American Society of Criminology, Cosmetic Psychopharmacology for Prisoners, San Francisco, CA, November 2014. Solberg L. Understanding Research Misconduct: Tips for Teachers of Family Medicine. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015.

30


Solberg L. You Want to Do What?! True Stories from the IRB. Public Responsibility in Medicine & Research Advancing Ethical Research Conference (PRIM&R), Baltimore, MD, December 2014. Solberg L, Carter C, Solberg L. Interprofessional Education for Health Care Professionals: Evaluation of a Boot Camp on Core Concepts in Geriatric Care. Society of Teachers of Family Medicine Annual Spring Meeting, Orlando, FL, April 2015.

OTHER - 4 Moseley R. Designing Research to Protect Participants. Florida Department of Health, Division of Public Health, Public Health Department Investigator’s Workshop, Orlando, FL, May 2015. Moseley R. Informed Consent. Florida Department of Health, Division of Public Health, Public Health Department Investigator’s Workshop, Orlando, FL, May 2015. Moseley R. Safety Monitoring and Responsibilities to Protect Confidentiality of Data. Florida Department of Health, Division of Public Health, Public Health Department Investigator’s Workshop, Orlando, FL, June 2015. Moseley R. Strategies for Resolving the Ethical and Legal Complexities of End of Life Care. FBN Conference, Orlando, FL

31

BIOETHICS, LAW AND MEDICAL PROFESSIONALISM

EDUCATIONAL ACTIVITIES The program in Bioethics, Law and Medical Professionalism, or BLMP, faculty teaches ethics and professionalism to medical students in all four years of the undergraduate medical curriculum to residents, and to fellows in various departments. The BLMP faculty also teach the Interdisciplinary Family Health, or IFH, course. During the 2014-2015 academic year, BLMP faculty taught Ethics and Professionalism for first and second year students in both the fall and spring semesters. In addition to these coursed, BLMP faculty continued to teach ethics during third-year clerkships: Family Medicine Ethics Case Conference, Family Medicine Professionalism Workshop, Pediatrics Ethics Case Conference and Psychiatry Ethics Case Conference. Professor Allen providers research ethics training for graduate students in the College of Medicine Interdisciplinary PhD program, the Advanced Postgraduate Program in Clinical Investigation, the Genetics Institute, and other programs throughout the UF Health Science Center. Professor Solberg created and taught two new courses: one for graduate students, called Law and Ethics of Aging; and one for undergraduate students in the UF Honors Program, called Medical Ethics and Professionalism in The House of God. Faculty: William Allen, JD, M.Div.; Ray Moseley, PhD; Lauren Solberg, JD, MTS; Ly-Le Tran, MD, JD (adjunct). ETHICS COMMITTEE, LEADERSHIP AND CONSULTATION SERVICE BLMP faculty members continued to serve on the UF Health Ethics Committee during the 2014-2015 academic year. Professors Allen, Moseley, and Solberg provided the bulk of the ethics consultation services for UF Health Shands Hospital. Professor Solberg also participated in multidisciplinary rounds on the surgical intensive care unit in an effort to integrate clinical ethics consultations into routine clinical care. Professor Allen led a series of training workshops for UF Health volunteers who are now providing community outreach and education in attempt to improve the number and quality of advance directives completed prior to patients being admitted to the hospital. CTSI ACADEMY OF RESEARCH EXCELLENCE During the 2014-2015 academic year, Dr. Moseley trained another cohort of investigators and research coordinators through the Clinical and Translational Science Institute’s, or CTSI, Academy of Research Excellence, or ARE. The ARE helps develop and recognize exemplary investigators and research coordinators focusing on promoting high quality, innovative clinical research with the highest regard for research integrity, ethics, professionalism and regulatory requirements. The purpose of the ARE is to promote a culture of professional collegiality and openness, including active role modeling and the mentoring of junior faculty, research coordinators and health science students. The ARE represents the continuing commitment of the University of Florida to excellence in health science research.

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COMMUNITY HEALTH

Rural Health

ORGANIZATION AND STRUCTURE Although it is located in rural Old Town, UF Health Family Medicine – Old Town continues to see growth in its practice and proves to be a vital role in the Medical Student Education Program. There are five faculty members who participate in the program, all of whom teach and see patients throughout the year: Dr. Grant Harrell, medical director, Robert Hatch, MD, Larry Rooks, MD, Sarah Laibstain, MD, and Richard Rathe, MD. There are two physician assistants at the Old Town practice – Andrew Bray, PA and Gary Rexroat, PA, who continues to provide for a large amount of the patient population with his style and expertise and has been in practice for 43 years. Gary Rexroat, PA was also recently recognized for being one of only 224 certified physician assistants in the United States to be certified for 40 years by the National Commission on Certification of Physician Assistants, or NCCPA. Karen Sando, PharmD, continues to provide patient care through managing our Coumadin Clinic, Smoking Cessation Clinic and Diabetic Education Program. She also supervises the activities of our pharmacy resident, Cynthia Moreau. Medical, PA, MA, Athletic Training and Pharmacy students rotate regularly through the teaching program at Old Town.

OBJECTIVES • To develop and maintain a rural clinical teaching network capable of full implementation of a coordinated

departmental curriculum. • To provide medical students with an opportunity to learn about health care issues specific to an under-

served rural community. • To improve the quality of and access to health care for the rural communities of North Florida. • To offer cost-effective, comprehensive, longitudinal health care to rural communities in Florida. • To offer health maintenance and disease prevention programs by means of community education and as a

component of clinical practice. • To develop the rural teaching sites as referral bases for the Family Medicine Residency and Shands

subspecialty care. • To collaborate with the University of Florida AHEC Program including hosting a student from the Rural

Scholars Program during the summer term.

Equal Access

ABOUT The Equal Access Clinic was established by a group of dedicated medical students in 1988. The clinic opened its doors in 1992 at a local Salvation Army facility and fortunately was later provided with free access to a University of Florida Family Practice Medical Group facility in Gainesville, Florida. David Feller, MD serves as faculty advisor. Today, our organization is one of the largest and most comprehensive student-run free healthcare clinics in the nation. The clinic provides free healthcare and other services to the medically underserved in Alachua County and its surrounding counties. A diverse group of undergraduate and professional students from the University of Florida partake in volunteer activities at the clinic. The majority of student support is derived from the Colleges of Medicine, Dentistry, Pharmacy, and Public Health and Health Professionals.

33

COMMUNITY HEALTH

In addition, the administrative staff from the Department of Community Health and Family Medicine at the University of Florida provides much needed and appreciated support for our clinic. University of Florida/UF Health faculty from the departments of family, internal, and emergency medicine provide the supervision to assess and treat patients at each clinic site.

GOALS • Long-term sustainability – Continued focus on our ability to provide services for the long term with specific

interest in establishing a long term funding source. • Physician recruitment – Our goal is to not close clinic this year due to not having a provider. • Reopen our dental clinic – In the past, we ran a dental clinic which filled a huge need for our patient

population. Our goal is to have this clinic up and running again by the first of the year. • Quality improvement and research – Solidify our commitment to improving our clinic through critical

analysis of our process and data driven projects. Specific areas include tracking success of referrals to outside resources, such as WeCare and clinic efficiency.

• Lab resource efficiency – Lab work is currently our largest budget item. Our goal is to evaluate our lab usage and indications to ensure we are utilizing this resource as efficiently as possible, ensuring we maximize this benefit to our patients.

• Pharmacy – We have had huge successes in reducing our pharmacy cost over the past two years by being cost conscious and prescribing generics when possible. Our goal is to assess our practices to ensure the quality of care is maintained.

• Long-term contraception – While we currently hold a Women’s night each month with OB/GYN, our goal is to add long-term contraception to the services offered.

• Spanish services – Our goal is to improve our ability to serve Spanish-speaking patients by having all materials available in Spanish, while educating our volunteers on translation services available.

• Recommended screenings – Our capacity to connect patients with all recommended health screenings, such as colonoscopies, has waxed and waned over the years. Our goal is to ensure that we are maximizing the community resources available to get these for our patients.

SERVICE HOURS Annual Volunteering at EAC Medical Clinics

• Physician .............................................................................................................................. 800 hours • Residents ............................................................................................................................ 500 hours • Medical Students (clinical volunteering) ............................................................................. 6,400 hours • Medical Students (administrative) ...................................................................................... 3,000 hours • Other Health Professional Students .................................................................................... 3,000 hours • Undergraduate Students ..................................................................................................... 20,000 hours • Family Medicine Staff, Bus Driver, Social Worker ................................................................ 800 hours

Total hours of service for all volunteers ............................................................................................. 34,500 hours

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COMMUNITY HEALTH

FACULTY MEMBERS AND STAFF THAT HAVE CONTRIBUTED SERVICE TO THE EQUAL ACCESS CLINIC:

• Tanya E. Anim, MD – Health care provider, Equal Access Clinic

• Ronald L. Berry, MD – Health care provider, Equal Access Clinic

• Peter J. Carek, MD, MS – Health care provider, Equal Access Clinic

• Ku-Lang Chang, MD – Health care provider, Equal Access Clinic

• Shenary Cotter, MD – Health care provider, Equal Access Clinic

• Marvin Dewar, MD – Health care provider, Equal Access Clinic

• David B. Feller, MD – Faculty advisor, Equal Access Clinic

• Lucia Hansen, MD – Health care provider, Equal Access Clinic

• Jonathan Grant Harrell, MD – Health care provider, Equal Access Clinic

• Robert Hatch, MD – Health care provider, Equal Access Clinic

• Linda Hensley, MD – Health care provider, Equal Access Clinic

• Volha Ihnatsenka, MD – Health care provider, Equal Access Clinic

• Sarah Laibstain, MD – Health care provider, Equal Access Clinic

• Charlie Michaudet, MD – Health care provider, Equal Access Clinic

• Deena O’Toole, MD – Health care provider, Equal Access Clinic

• Richard Rathe, MD – Health care provider, Equal Access Clinic

• Siegfried Schmidt, MD – Health care provider, Equal Access Clinic

• Mack Tyner, MD – Health care provider, Equal Access Clinic

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COMMUNITY HEALTH

Faculty and Staff on Committees and Boards Our department faculty and staff continue to give their time and talent to serve others in the community. Listed below are the 198 committees they serve at a national, regional and local level. FACULTY William L. Allen, M.Div., JD

• National o Editorial Board Member, Genetic Testing and Molecular Biomarkers

• Regional/State o Florida CARES Reviewer

• Local/University o Board of Directors, Center for Government Responsibility (CGR), University of Florida Levin

College of Law o Co-Chair, Shands Teaching Hospital Ethics Committee o Ex Officio, College of Medicine Academic Status Committee o University of Florida Genetics Institute Executive Committee o Course Directors Committee, College of Medicine o Admissions Committee, College of Medicine

Tanya Anim, MD

• Regional/State o Co-Chair, Daytona Beach Alumnae Chapter, Protocol and Traditions Committee o Resident Member of Family Medicine Residency Review Committee, Accreditation Council for

Graduate Medical Education • Local/University

o Member, Communications Committee, Florida Academy of Family Physicians Ronald Berry, MD

• Local/University o Chair, University Sick Leave Pool Committee o Volunteer, Equal Access Clinic, College of Medicine

Charles E. Byrd, PhD, MS

• Regional/State o Active Member, Medical Reserve Corps, Florida Unit (SERVFL) o Executive Board Member, Florida Afterschool Network (FAN), C.S. Mott Foundation o Member & Vice Chair, 4-H Youth Development Advisory Council, UF 4-H Program, IFAS

Peter J. Carek, MD, MS

• National o Chair, Review Committee for Family Medicine, Accreditation Council for Graduate Medical

Education (ACGME) o Deputy Chair, Medical Section, Council of Review Committees, Accreditation Council for Graduate

Medical Education (ACGME) o Chair, Sports Medicine Milestones Working Group, Accreditation Council for Graduate Medical

Education (ACGME)

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COMMUNITY HEALTH

o Chair, Group on Research in Residency Programs, Society of Teachers of Family Medicine • Regional/State

o Member, Executive Committee (ex officio), Florida Academy of Family Physicians o Member, Residency Director’s Council, Florida Academy of Family Physicians

• Local/University o Chief of Family Medicine, UF Health Shands Hospital o Member, UF Health Shands Hospital Medical Staff Quality and Operations Committee o Member, College of Medicine Executive Committee, University of Florida o Member, Governance and Administration Subcommittee, Liaison Committee on Medical

Education (LCME) Self-Study. College of Medicine, University of Florida o Member, Associate Dean for Graduate Medical Education Search Committee, College of Medicine,

University of Florida o Member, Minority Mentor Program, University of Florida o Member, Liaison Committee for Medical Education Administration Sub-Committee, College of

Medicine, University of Florida o Vice-Chair, Multi-Mission Promotion Committee, College of Medicine, University of Florida

Ku-Lang Chang, MD

• Local/University o Billing and Compliance Officer & Director of Compliance (Clinics) o Director of Quality and Safety (Clinics) o Medical Review Officer, Shands at the University of Florida

Jay Clugston, MD, MS

• National o Operating Committee, NCAA-DoD Grand Alliance-Concussion Awareness Research Education

(CARE) Study o Research Committee, American Medical Society for Sports Medicine o Concussion Task Force, Arena Football League

• Regional/State o Working Group on Concussion, Southeastern Athletic Conference (SEC)

• Local/University o Medical Advisory Committee, University Athletic Association o Research Sub-Committee, Medical Advisory Committee, University Athletic Association o Concussion Committee, University Athletic Association o Research Committee, American Medical Society for Sports Medicine

Shenary Cotter, MD

• Regional/State o Infant and Maternal Perinatal Morbidity Review Board, Department of Health, State of Florida

• Local/University o University of Florida College of Medicine

Mobile Clinic Physician Assistant Program Admissions Committee

Robert W. Curry, Jr., MD

• National o Distinguished Member, Scholarship Advisory Committee for the Pisacano Scholars Program

37

COMMUNITY HEALTH

• Regional/State o Florida Academy of Family Physicians

Medical Education Committee Residency Director’s Council Committee Medical Care Advisory Committee

o Florida CARES Reviewer • Local/University

o University of Florida College of Medicine Campaign Chair, COM Raising Hopes Campaigns Executive Fiscal Affairs Committee Medical Director, Shands Occupational Health Services Medical Health Advisor, Health in a Heartbeat radio series Chair, Strategic Plan Taskforce Chair, Liaison Committee for Medical Education Subcommittee on Faculty Liaison Committee for Medical Education Steering Committee

Alpa Desai, DO

• Local/University o Medical Director Committee, Department of Community Health and Family Medicine o Member, Multidisciplinary Academic-Community Obesity Disparities Research Agenda Planning

Team o Member, Multidisciplinary Academic-Community Obesity Disparities Research Partnership o Sub-Committee Member, Evaluation and Analysis Committee, Multidisciplinary Academic-

Community Obesity Disparities Research Partnership Marvin A. Dewar, MD, JD

• National o Board of Directors, American Heart Association

• Local/University o Alachua County CHOICES Advisory Board o Associate Medical Director, University Athletic Association o Member, Florida Bar Association o Self-Insurance (SIP) Claims Review Committee, University of Florida o Shands/UF HSC Heart Walk, American Heart Association o Executive Committee, University of Florida Community Health and Family Medicine o University of Florida College of Medicine

Cancer ICAP Chair, Medical Director’s Committee Compensation Committee Dean’s Finance Group Dean’s Leadership Group Epic Governance Committee Institutional Committee for Graduate Medical Education

o University of Florida Faculty Practice Chair, Clinical Safety Committee

Eric Dietrich, PharmD

• Local/University o UF Health Shands Readmission Steering Committee

38

COMMUNITY HEALTH

Katherine Edenfield, MD • Local/University

o Medical Advisory Committee, University Athletic Association Michele Emery, MD

• Local/University o Health Care Provider, Clinic Bus

David B. Feller, MD

• Regional/State o Chair, Communications Committee, Florida Academy of Family Physicians

• Local/University o Volunteer and Faculty Advisor, Equal Access Clinic, College of Medicine, University of Florida o Editor, Florida Family Physician o Shands Quality and Patient Safety Committee (Shands Committee) o Chair of CCC (Clinical Competency Committee) for Residency o Member, Lab Advisor Board for Shands/UF o Member, Community Engagement Group for Shands/UF

Run Gan, MD

• Local/University o Volunteer, Medical Mission Trip to Dominican Republic, College of Medicine, University of Florida

Jocelyn Gravlee, MD

• National o Member, Group on Simulation in Medical Education, Society of Teachers of Family Medicine

• Local/University o Medical Advisory Committee, University Athletic Association

Ann Grooms, MD

• Local/University o Medical Advisory Committee, University Athletic Association

John Gums, PharmD

• National o Expert Consultant, Heart and Lung: The Journal of Critical Care o Fellow, American College of Clinical Pharmacy (ACCP) o Member, Editorial Board, Pharmacotherapy o Member, National Interdisciplinary Primary Care Practice Based Research Network (PBRN) o Scientific Editor, Pharmacotherapy

Karen L. Hall, MD

• National o Member, Committee on Education, Association of Family Medicine Residency Directors

• Local/University o Member, Internal Review Committee, Graduate Medical Education Sub-Committee o Member, Graduate Education Committee, College of Medicine, University of Florida

39

COMMUNITY HEALTH

Lucia Hansen, MD • Local/University

o Volunteer, Equal Access Clinic, College of Medicine, University of Florida Jonathan Grant Harrell, MD

• Local/University o Volunteer, Equal Access Clinic, College of Medicine, University of Florida o Preceptor, Athletic Training Program, University of Florida

Robert Hatch, MD

• Regional/State o Post-Licensure Assessment System Committee (joint NBME/FSMB committee) o Chair, NBME Family Medicine Subject Exam Task Force o Alliance for Clinical Education (ACE) o Chair, Research Committee, ACE

• Local/University o Clerkship Director, Family Medicine and Ambulatory Care Clerkship, Primary Care Center Director o Faculty Advisor, Premed American Medical Students Association o Medical Student Advisor o University of Florida College of Medicine

Chair, Clerkship Directors Committee Curriculum Committee Educational Operations Committee

Linda Hensley, MD

• Regional/State o Pharmacy and Therapeutics Committee

• Local/University o Graduate Medical Education

Chair, Internal Review Committee Committee Member

o Special Olympic Physicals, Sidney Lanier School Sarah Laibstain, MD

• Local/University o Volunteer, Equal Access Clinic, College of Medicine, University of Florida o Preceptor, Athletic Training Program, University of Florida

John Malaty, MD

• Local/University o Society of Teachers of Family Medicine

Group on Simulation in Medical Education Group on Residency Education

o University of Florida Graduate Medical Education – Program Review Committee o UF Health

Medical Executive Committee Record Shared Governance Committee Physician Advisory Task Force for EPIC Implementation

40

COMMUNITY HEALTH

Elvira Mercado, MD • Local/University

o Volunteer, Equal Access Clinic, College of Medicine, University of Florida Charlie Michaudet, MD, CAQSM

• National o Member of Educational Committee, AMSSM

• Local/University o Member, Interview Committee, College of Medicine, University of Florida o Volunteer, Equal Access Clinic, College of Medicine, University of Florida o Team Physician, Santa Fe College, Gainesville, FL o Physician Volunteer, Annual Pop Warner Physicals

Ray E. Moseley, PhD

• Regional/State o Board Member, Florida Bioethics Network o Chair, Florida Bioethics Network/Florida Department of Health, Public Health Ethics Workgroup o Pan American Bioethics Initiative Advisory Committee, University of Miami Ethics

Programs o Alpha-1 Foundation

Chair, Ethical, Legal, Social Issues (ELSI) Working Group MASAC Steering Committee Research/Registry Working Group

• Local/University o University of Florida, Health Science Center, Institutional Review Board Committee

Board Member Executive Committee Member Vice Chair

o Volunteer Teacher, University of Florida Center for PreCollegiate Education and Training BioDecide Program Student Science Training Program (SSTP)

o Chair, University of Florida Clinical and Translational Science Awards, Exemplary Investigator Program Development Ad Hoc Committee

o Ethics Advisory Committee and Consult Service, Shands at the University of Florida o Host, Annual Medical Student Student-Faculty Dinner o Research Advisory Committee, Clinical Research Center o Vice-Chair, University of Florida Gainesville Health Science Center Institutional Review Board (IRB-

01) Kim Nguyen, MD

• Local/University o Member, Minority Mentor Program, University of Florida

Guy Nicolette, MD

• National o Member, Musculoskeletal Ultrasound Committee, American Medical Society for Sports Medicine

• Local/University o Member, Fellowship Committee, American Medical Society for Sports Medicine

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COMMUNITY HEALTH

o Senate Medical Withdrawal Subcommittee, University of Florida o Senate Petitions Committee, University of Florida o Member, Emergency Operations Team, University of Florida

Cheree Padilla, MD

• Local/University o Medical Advisory Committee, University Athletic Association o Exceptionally

David M. Quillen, MD

• Regional/State o Faculty Senate Steering Committee o Florida CARES Reviewer


Member, Faculty Enhancement Opportunity (FEO) Task Force Member, Patient Grievance Committee Member, Continuing Education Committee Member, Multi-Mission Promotion Committee Admissions Committee Member, Multi-Mission Promotion Committee Member, Admissions Interview Committee Member, Department of Urology Chair Search Committee Member, Associate Dean for Graduate Medical Education Search Committee

o Search Committee Director, Primary Care Education and Innovation Center Richard Rathe, MD

• National o Member, National Board of Medical Examiners

• Local/University o Member, Physician Advisory Council, Epic

Daniel A. Rubin, MD

• National o Faculty Advisor, Family Medicine Interest Group o Member, Liaison Committee for Medical Education Learning Environment Sub-Committee

George Samraj, MD

• National o Fellow, Royal College of Obstetricians and Gynecologists

• Regional/State o Member, Women’s Health Interest Group, Society of Teachers for Family Medicine o Member, Managed Care Interest Group, Society of Teachers for Family Medicine


Volunteer, Equal Access Clinic o Member, Research and Scholarship Council, University of Florida o Member, Global Health Committee, University of Florida

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COMMUNITY HEALTH

Siegfried Schmidt, MD • National

o Reviewer for Journal of the National Medical Association o Reviewer for American Family Physician, published by the American Academy of Family

Physicians o Reviewer/Editor for AAFP Home Study Monograph, American Academy of Family Physicians o Clinical Lead, for the UF Health Personalized Medicine Program CYP 2D6 research protocol

(http://personalizedmedicine.ufhealth.org/research/program-research/implementation-research/)

o Medical Legal Expert Witness and Consultant, Gainesville, Florida • Regional/State

o Florida CARES Reviewer o Associate Editor, for “Personalized Medicine Corner”, provided by the UF Health Personalized

Medicine Program, and part of the “Pharma Note”, published by the Department of Pharmacy Services, UF Family Practice Residency Program, Department of Community Health and Family Medicine and Translational Research, University of Florida, Gainesville, Florida 2014- Present

o Primary Care “We Care” Physician (County-wide Organization to Provide Indigent Care) • Local/University

o UF Shands Psychiatric Hospital Community Advisory Council o UF CHOIR Working Group (Collaborative Health Outcomes Information Registry) o UF Personalized Medicine Program Committee o UF Health Medical Directors Group o UF Health Primary Care Access Center Physician Advisory Council o UF Pain Research and Interventional Center of Excellence, “Pain Connection” (”a quarterly

regional meeting for Healthcare Professionals to discuss various aspects of “Pain Management”) Moderator and Presenter

o UF College of Medicine (COM) Compensation Plan Committee o UF COM Family Medicine Residency Program, Chronic Pain Management at Main (CPM²)

Program Director Lauren Solberg, JD, MTS

• National o PRIM&R Knowledge Center Advisory Group o PRIM&R Annual Meeting Planning Committee

• Local/University o Board of Directors, Lady Gator Golf Boosters o UF Health Ethics Committee o UF Health DNR Workgroup o UF COM Medical School Admissions Committee o Faculty Advisor, UF Research Coordinators Consortium o UF Faculty Senate o UF Curriculum Committee

Steven Smith, PharmD

• National o Anniversary Fellow in Pharmacy, Institute of Medicine o Founding Member, American Society of Hypertension Committee on the Certified Hypertension

Clinician Certification • Local/University

43

http://personalizedmedicine.ufhealth.org/research/program-research/implementation-research/

http://personalizedmedicine.ufhealth.org/research/program-research/implementation-research/

COMMUNITY HEALTH

o Member, Personalized Medicine Program Education Advisory Board, Clinical and Translational Science Institute, University of Florida

Beverly Vidaurreta, PhD

• Local/University o Member, Minority Mentor Program, University of Florida o Mentor, Florida Opportunity Scholars Academy of Leadership, University of Florida o Member, Physician Assistant Admissions Committee, College of Medicine, University of Florida o Member, Physician Assistant Professional Standards and Promotions Committee, College of

Medicine o Chair, Student Advocacy Committee, College of Medicine, University of Florida o Member, Academic Status Committee, College of Medicine, University of Florida o Member, Clerkship Directors’ Committee, College of Medicine, University of Florida o Member, Course Directors’ Committee, College of Medicine, University of Florida o Chair, Low Performing Student Task Force, College of Medicine, University of Florida o Member, Curriculum Committee, College of Medicine, University of Florida o Member, Student Services Subcommittee and Learning Environment Subcommittee

STAFF Maria M. Bolanos

• Local/University o Committee Member, University Hearing Authority, TAPS

Sheila Diuguid

• Local/University o Committee Chairperson, Boy Scouts, Troop 416

Lavina Gramig

• Local/University o Executive Committee, University of Florida Community Health and Family Medicine o University of Florida Community Campaign for Charities o UF Steering Committee, College of Medicine Representative o Departmental Coordinator

Najwa Liscombe

• Local/University o Board Member – American Association of Professional Coders Chapter Association (AAPCCA) o Assistant Coordinator in Shands - No One Dies Alone (NODA) program. o President of the Council of Catholic Women in Gainesville o Treasurer of North Central Florida Chapter of the American Academy of Professional Coders, (NCF-

AAPC) o Fundraiser, Children’s Miracle Network, Shands at the University of Florida o Volunteer, Local Food Bank and Backpack Program o Bereavement and St. Vincent De Paul Committees at St. Patrick Catholic Church

Sherri Swilley

• National o Association of Family Practice Administrators o Healthcare Compliance Resources

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COMMUNITY HEALTH

• Local/University o Education Officer, American Academy of Professional Coders Gainesville, Florida Chapter o Executive Committee, University of Florida Community Health and Family Medicine o Superior Accomplishment Award Committee, University of Florida Health Science Center o University of Florida Community Health and Family Medicine

Billing Compliance Officer Operations Committee University of Florida College of Medicine Compliance Committee

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STATE OF THE DEPARTMENT

State of the Department

EVENT On Friday, Sept. 25, Dr. Carek delivered a State of the Department address to all CHFM faculty, staff, and special guests – Drs. Good, Flynn, and Limacher. The event was held in the brand new Harrell Medical Education Building, a stunning venue. Presentations included a run-through of the year for Community Health and Family Medicine, each medical director presented their clinics accomplishments for the year, and program directors followed suit with their accomplishments.

PATIENT CARE • Achieved PCMH Level 2 • Increased patient access for daily appointments • Placed physician assistants and nurse practitioners into most clinical sites • Provided additional services to our patients • Improved referral process • Involved in numerous studies (I-PRO, IGNITE, others)

MEDICAL STUDENT EDUCATION • COM Leadership Positions • LCME Site Visit • Curriculum Committee, Admissions Committee • NBME, ACE • 2015 American Academy of Family Physicians Program of Excellence Award Categorical Winner –

University of Florida College of Medicine Family Medicine Interest Group (Daniel Rubin, MD – Advisor)

Courses • Preceptor Series • Family Medicine/Ambulatory Care Clerkship • 4th Year Sub Internship

Innovation • Continuity Clinic • Interprofessional Learning • Students writing orders

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STATE OF THE DEPARTMENT

RESIDENT EDUCATION • Matched nine first-year resident positions • Experienced 100 percent pass rate on ABFM Certification Examination • Patient care experience • High volume of patient visits with expanded services • Implemented additional/focused procedural training • Team-based care addressing population health as well as care of individual patients • Expanded opportunities for research and quality improvement • Improve resident survey results • Outstanding teaching evaluations

FELLOWSHIP • Primary Care Sports Medicine Fellowship (CHFM, Ortho) • Full accreditation • Fellows qualify for CAQSM • Faculty with CAQSM • Work closely with UAA to provide care to UF student-athletes • Opportunities for resident and student rotations

FACULTY DEVELOPMENT • Instituted faculty development series with emphasis on improving scholarship and teaching skills • STFM Program Enhancement Award Recipients 2015 (Tanya Anim, MD) • Departmental Grand Rounds addressing faculty related matters; additional conferences present clinical

topics

FACULTY AND STAFF AWARDS

Awards

• Anniversary Fellow in Pharmacy, IOM – Steven Smith, PharmD • Superior Accomplishment Award – Lavina Gramig and Emil Kanji • Inducted, Royal College of Obstetricians and Gynecologists – George Samraj, MD • Clinical Science Teacher of the Year – Robert Hatch, MD, MPH

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SUMMARY

MISSION AND VISION .............................................................................................................1

CHAIRMAN LETTER ................................................................................................................2

NEW FACULTY, PROVIDER AND ADMINISTRATOR ..................................................................3

CLINICAL SERVICES .................................................................................................................5

MEDICAL STUDENT EDUCATION ............................................................................................10

RESIDENT EDUCATION PROGRAM .........................................................................................12

QUALITY AND PATIENT SAFETY ..............................................................................................15

GRANTS, RESEARCH AND PUBLICATIONS...............................................................................17

BIOETHICS, LAW AND MEDICAL PROFESSIONALISM .............................................................32

COMMUNITY HEALTH ............................................................................................................33

STATE OF THE DEPARTMENT ..................................................................................................46

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Documents

Community Health & Family Medicine...2. UF Health Family Medicine - Haile Plantation UF Health Family Medicine Haile Plantation provides a wide variety of services, including, but