Greetings from UCSF Fresno FamilyMedicine!

What an incredible year so far! Thisyear’s Match brought some GREATpeople to UCSF Fresno FamilyMedicine. Check inside this issue forour new additions to the program.Congratulations also to our new ChiefResidents, Aman Gill and Raul Ayala.I’m already amazed at the energyand new ideas being proposed. OurPGY3 residents are starting to oxy-genate once again, as the ABFM cer-tification exam was moved up to Aprilthis year and most residents have nowsuccessfully put that hurdle behindthem. As the academic year nearsits end, I’m pleased to present anoth-er group of fine physicians who will beproviding care to the much neededpopulation of the Central Valley andbeyond.

Special thanks to Dr. Mortimer for hisyears of service as Department Chief.

He has been a valuable colleagueand I am glad to say will be remainingwith us to pursue other interests withinthe program. Thanks Roger! See thisissue for more details on our changingof the guard.

Our residency graduation celebrationwill be at Fort Washington on June 8th.We’d love to see our alumni and otherpartners there!

We are on FaceBook! Check it outonline. UCSF Fresno Family &Community Medicine

We are making a concerted effort todevelop an active alumni group thatcan meet at national meetings, stayin touch with us and each other tokeep involved in program events andhelp us better prepare residents forthe real world of family medicine.Any suggestions? Let us know!

Please e-mail Donna McBrien,Program Manager at dmcbrien@fresno.ucsf.edu to updateyour contact information and if youknow the addresses of any otheralumni please let us know so we cancontact them as well.

NEW DEPARTMENT CHIEF!

We welcome Alex Moir, MD to his newrole as Interim Chief. No stranger tothe department, Dr. Moir has been acore member of the faculty based atSelma Community Hospital and theAdventist Health Community CareClinic in Selma for over 20 years. Aleader in the department, Dr. Moirexemplifies and champions the com-prehensive full-scope of rural commu-nity practice and supports educationfor family medicine residents in the

ProgramDirector’s Corner:Ivan Gomez, MD

The Scope Vol. 3, Issue 9Spring 2012

The Scope is published by the UCSF Fresno Familyand Community Medicine Residency Department.

Any inquiries or comments about content should bedirected to Andy Alba ataalba@fresno.ucsf.edu

Central Valley. Dr. Moir has partici-pated in many leadership roles bothwith theresidencyprogramand withour part-ners atAdventistHealth,servingcurrentlyas MedicalDirector fora ruralcommuni-ty healthcenterand previously as Chief of Staff atSelma Community Hospital, amongmany other management and advi-sory roles. UCSF Fresno is fortunate tohave Dr. Moir take over the role ofDepartment Chief during these chal-lenging times for primary care and pri-mary care education and to overseethe department as we contend withthe anticipated major changes tohealth care delivery that will occur inthe near future. Welcome Dr. Moir!

New FCM Chief, Alex Moir, MD

THE SCOPE

DepartmentUpdates

After four years Roger Mortimer, MD isstepping down from the role of InterimDepartment Chief. Alex Moir, MD willassume the role of Interim Chief forthe Department of Family &Community Medicine (FCM) startingMay 1, 2012.

UCSF Fresno FCM would like to thankDr. Mortimer for his tireless service tothe department during these chal-lenging times for primary care and pri-mary care education. Dr. Mortimer’sefforts and accomplishments in main-taining the mission of service to theunderserved and the direction ofFamily Medicine education in theCentral Valley have been highlightedby the development of our Hospiceand Palliative care fellowship,expanding the role of the department

Thank You, Dr. Mortimer!

Cubicle Shuffle

in providing care in rural health clinics,furthering the expansion of primarycare training in the Valley and sup-porting educational innovationsincluding a four-year training modelfor the residency program. Dr.Mortimer will be staying with the pro-gram to expand his passion forresearch, and focus on inpatientmedicine, outpatient teaching, andHIV/AIDS care. Dr. Mortimer will alsooversee implementation of thepatient-centered medical home(PCMH) model of care at theAmbulatory Care Center FamilyHealth Center at CRMC as UCSFFresno FCM and our institutional part-ners anticipate and prepare for thechanges proposed through healthcare reform. Thank you Dr. Mortimer!

Seating changes were made to accom-modate administrative faculty changesand consolidate staff that provide residentservices. Keep looking if someone isn’twhere you expect them to be!

2012 FAMILY MEDICINE INCOMING RESIDENTSErica Delsman Boston University School of Medicine

Nitika Dhir St. George’s

Mario Espindola Michigan St. University

Jasmine Garcha Ross

Rachel Goerzen Lincoln Memorial University of Osteopathic Medicine

Miriam Ida Harris University of Arizona College of Medicine

David Hoang Western University of Osteopathic Medicine

Derik Keshishian Ross

Ji Young Park University de Sa Paulo

Melanie Southard Touro

Anjani Tilak University of Buffalo SOM

THE SCOPE

Family MedicineNews

Many in the Fresno Family Medicine community do not know thatour residency program began in 1972 at then Valley MedicalCenter (VMC). VMC was operated by Fresno County. Ron Smith,MD, a family physician who still attends noon lectures, was our firstprogram director. Initial funding and support for the programcame from the brand new California Area Health EducationCenter Program (AHEC). The AHEC was the first University ofCalifornia health professions program in the valley. John Blossom,third of the first family medicine graduates, heads the now State-

wide AHEC Program, which providesgrant support to 15 centers throughoutthe state. The local AHEC, hosted bythe Fresno Healthy Community AccessPartners, is currently providing fundingand support for the exploration of anew family medicine residency pro-gram based in a teaching health cen-ter in Fresno. This effort is being led byour own Dr. Lydia Herrera-Mata who isalso Associate Program Director for theStatewide AHEC.

FACULTY NEWS

California Area Health EducationCenter Program

Faculty Publication

Dr. Jennifer Ruff, PhD, Clinical Psychologist and coordinator of the chronic pain manage-ment program at Corcoran State Prison, California Department of Corrections andRehabilitation and clinical faculty at Family and Community Medicine UCSF, Fresno wroteChapter 11 “Adversity, Healing, and the Development and Practice of a WomanPsychologist” of the recently published book “Women Psychotherapists: Journeys inHealing.”

Congratulations Rusty!

Russell 'Rusty" Tontz, MD a 2009 graduate of the pro-gram and the Selma Pathway for rural FP training hasbeen accepted into the 2012 entering class of the USAirforce Aerospace Medicine Residency Program. Dr.Tontz will spend the first year of this program atHarvard University obtaining an MPH in Health CareManagement and Policy. He then moves to WrightPatterson Air Force Base in Dayton, Ohio for his lasttwo years of specialty training. There are currentlyonly five accredited U.S. residency programs in aero-space medicine and a very small number of residen-cy positions.

Rusty is presently the acting chief of AerospaceMedicine at Mountain Home Air Force Base in Idaho,and recently returned there after a tour of duty inIraq. We appreciate his service and are proud of hisaccomplishments.

THE SCOPE

Spotlight onResearch

Introducing FOCUS: the new UCSF Fresno Family andCommunity Medicine Scholarly Activites insert!

Be sure to check out the new insert to the newsletter. Focus: A Publication ofScholarly Activity highlights the new journal club and outside presentations madein the last quarter. The format of our journal club now has a resident take a clini-cal question, search for the best evidence-based answer, and summarize thefindings. Our first four residents to go through this process are represented here.The abstracts for the most recent presentations are all from the UCSF FCM JackRodnick Colloquium. We had a large group in attendance with 3 poster presen-tations and Dr. Sherriff’s talk based on a study completed with the help of UCSFLIFE medical student Alecia Greenlee.

UCSF Fresno Family and Community Medicineawarded Innovations Grant

The Haile T. Debas Academy of Medical Educators Innovations Funding WorkingGroup awarded UCSF Fresno Family and Community Medicine nearly $30,000 tofurther Faculty Development. Dr. Ivan Gomez developed the proposal titled“Using a Dynamic Objective Structured Teaching Exercise (DOSTE) in aLongitudinal Model for Faculty Development.” This project will build on what thedepartment learned in the last HRSA training grant, using structured exercises withstandardized patients to teach residents about psychosocial issues. Funding is forthe next academic year. Open to all faculty in the School of Medicine, theseintramural grants serve as a catalyst for the development of curriculum thataddresses the constantly changing ways in which physicians practice medicine.

Past and present UCSF Fresno attendees at UCSF FCM Jack Rodnick Colloquium

THE SCOPE

Chief ResidentsCorner

Happy Spring Everyone! We are pleasedto have matched 11 great interns. Andwith the new year approaching we arealso preparing to say goodbye to our cur-rent third years. The three years here havebeen an adventure and I cannot believeit is almost over. It is crazy to think that myfellow graduates and I are almost donewith our training. To think that roughly 11years ago most of us were finishing highschool and then starting college. It hasbeen a very long 11 years of work andstruggles to get to our dreams of beingdoctors, but it is finally here! All of ourpatience and dedication has finally paidoff and in a few months my fellow class-mates and I will enter the world as FamilyPractice Physicians. I would like to thankall of our families that have supported usthrough each of our journeys and all thefaculty of the UCSF Fresno Family andCommunity Medicine Program in facilitat-ing our growth as physicians. It has beena long road, but a fulfilling one.Graduation here we come!

—Sarojini Schorling, MD

They say time flies when you’re having fun. We think that time flieswhen you don’t have time to look at your watch or phone to seewhat time it actually is. The last two years have been a whirlwind ofactivity and work in Family Medicine. We are so excited to be thechiefs for the Family Medicine Residency in 2012 and 2013. Wewould like to thank Sarojini and Victor for the fine mentorship thatthey have done and the tools that they have provided to us astheir residency completes. We look forward to continuing to workwith them all the way until their graduation. We are excited to wel-come the new Family Medicine interns in June. Their energy andexcitement will help us power through our final year. We know westill have a lot of work to do and we are planning for an epic resi-dents retreat this year at Pajaro Dunes resort near Monterey.Thanks to our fellow residents, faculty, and staff for believing in usand allowing us to represent Family Medicine this year.Cheers!

—Aman Gil, MD and Raul Ayala, MD

NEW FAMILY MEDICINE CHIEF RESIDENTS FOR 2012-13

OUTGOING CHIEF RESIDENTS

THE SCOPEUCSF Fresno Medical Education Program155 North Fresno StreetFresno, CA 93701

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THE SCOPE

FAMILY MEDICINEEVENTS

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ALSO Course May 10th and 11th, 2012 – UCSF Fresno Medical Education andResearch building, 8am – 5 pm.

UCSF Fresno Family Medicine EXPO May 24th, 2012 - Room 136 at the UCSF FresnoMedical Education and Research building, 2 pm – 4 pm.

UCSF Fresno Housestaff Graduation June 7, 2012 – Saroyan Theater, 5:30 – 9:00 p.m.

FCM Graduation June 08 2012 - Fort Washington Country Club, 6 p.m. – 11 p.m.