VOLUME 24: JANUARY-FEBRUARY 2017

EMILY MANLOVE, M.D., FACULTY SCHOLAR After completing her family medicine residency at Via Christi, Emily Manlove, M.D., accepted a position as the faculty scholar in the Department of Family and Community Medicine. After a year and a half in her role, we interviewed her about her experience. What initially attracted you to this position? I knew that I eventually wanted to be in academic medicine, but I thought that I would need many more years in practice before I would be ready to teach. I was attracted to this program because it would help me achieve my goal of teaching through mentorship and exposure to dedicated, experienced faculty. I also had wanted to get an MPH, so that was a very attractive part of the program. Could you please give me a brief overview of your responsibilities in this role? I am based in the central department and I work in several locations. Much of my time is spent on my MPH. Up until now, this consisted mostly of course work. Now, I am focusing on my capstone research project. I also work on research projects. I do some teaching with the medical students. For example, I co-lead a PBL group with Dr. Kellerman, I teach a contraceptive seminar for the family medicine clerkship, and I lead the community agency seminar for the geriatric medicine clerkship. I do some supervision/teaching with the Via Christi family medicine residents. I precept in clinic and also take some night calls. My clinical job is with a hospitalist group. I work several days a month for them seeing patients in the hospital. Has the position been fulfilling in the ways you expected? I have been overwhelmed with the opportunities I have been given. I just graduated from residency, and the department has allowed me to become involved in so many projects and initiatives. It has also shown me that I can teach now. I don’t need to wait years gathering experience in a purely clinical job.How do you expect to use your Master’s of Public Health? Have your expectations changed as you have gone through classes? I think the greatest benefit of having the MPH is to gain a “bird’s-eye view” of health care and medicine. Especially in residency, it feels like you must constantly keep your nose to the ground, seeing patients and learning how to be a doctor. It is easy to forget there is a whole system operating (inefficiently!) to address the health of the public. Family doctors are perfectly poised to address the health care needs of individuals and the public. If we can start to see our patient panels as a mini population, we can create interventions to address shared needs. It could really be powerful, but we need the background in research methods, quality improvement, and epidemiology. I feel like the MPH has given me the tools to start to do this work. What is your MPH capstone project? I want to understand what residents and a residency clinic need to care for patients with complex medical and social needs. My hypothesis is that we need data (and a way to manage that data), manpower (clinical and support staff), resiliency (because the risk of burnout is real), and commitment to a mission statement. I’m doing background research to understand what is working in other clinical settings and what can be brought to Wichita. What would you say to someone who is considering the faculty scholar opportunity? I would say that if any family doctor is interested in teaching but is afraid that he or she does not have enough experience to do it well, they should consider doing the fellowship. I think it is best designed for those recently coming out of residency. The MPH is a critical component, so there must be a desire to do the MPH and understand the benefit of it, because it is hard to go back to school after residency while working full time. Often, the work in medicine can start to feel routine, we just keep seeing patients and writing notes (at least that is what it can feel like!). Working in academics, for me, has allowed me to express some of my creativity, while maintaining my clinical skills and learning how to teach these things to others. The Department of Family and Community Medicine is seeking the next faculty scholar. If you are interested, contact Rick Kellerman, M.D., at rkellerm@kumc.edu. The faculty scholar will obtain a Master of Public Health degree, participate in individualized faculty development activities, teach medical students and residents, conduct research and perform administrative projects. The faculty scholar will pursue their personal clinical interests.

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WESLEY FMR RECEIVES IMMUNIZATION AWARD The Wesley Family Medicine Residency (WFMR) program was one of four medical practices honored by the Immunize Kansas Coalition (IKC) with a recognition grant award for their improvements in adolescent immunization rates during 2016. WFMR was honored in the category of “Outstanding Residency Program.” The Wesley program identified meningococcal immunization as their target for improvement. By the end of the project period, the rate had increased from 50 percent to 71 percent. Congratulations to WFMR on an outstanding achievement!

RESEARCH TEAM GRANTED

FUNDS FOR INNOVATIVE RESEARCH PROPOSAL

Each year the Academy of Medical Education at the University of Kansas School of Medicine (KUSM) offers grant funding for innovative research proposals. Successful proposals should make a substantial and valuable contribution to the KUSM curriculum. This year, the Department of Family and Community Medicine research team was granted $6,700 to expand upon their work titled “Student Perspectives on the National Resident Matching Program (NRMP).” This proposal aims to better understand student concerns and experiences about the residency match process. Results of this study may help with the planning and scheduling of fourth-year medical rotations and in developing new policies covering interviewing absences and related issues. The research team plans to hold focus groups with students on all three campuses of KUSM. Contributors to the proposal include Paul Callaway, M.D.; Kari Nilsen, Ph.D.; Lisa M. Unruh, M.D.; and Anne D. Walling, M.B., Ch.B.

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The JayDoc Community Clinic fundraising event was held on Feb. 18 at Botanica. Over 120 guests comprised of local physicians, residents, students and other community members attended the event in an effort to raise money for the volunteer clinic. The evening included a social hour, dinner and a short program with presentation of awards. Speakers included Robin Walker, M.D., JayDoc faculty adviser, David Carter, chairman of board of directors at Guadalupe Clinic, and Max Jolly, MS4, JayDoc Community Clinic executive director. Jared Regehr, MS3, director of program development, organized the event. Award winners were Michelle Baalmann, MS4; Wade Billings, MS4; Kenneth Jezierski, MS2; and Pie Pichetsurnthorn, MS2, for outstanding student volunteers; Lan Ly, M.D., Wesley, for resident of the year; Richard Egelhof, M.D, clinical assistant professor, for physician of the year; and Missy Norton, fourth-year pharmacy student, for the JayDoc Superstar Award. The JayDoc Community Clinic, which partners with Guadalupe Clinic and the KU School of Medicine-Wichita, opened in 2005 in an effort to serve patients that do not have health insurance. The main clinic operates out of Guadalupe Clinic on Saturday mornings. No one is turned away for lack of ability to provide the suggested five dollar donation. JayDoc Clinic also holds Women’s Health Night and Diabetes Night the first Wednesday of each month to help patients manage chronic disease and deal with acute issues. About two years ago, the clinic expanded to include an Outreach Clinic held on Thursday nights. The Outreach Clinic is currently operating out of the Church of Christ in downtown Wichita and is focused on serving the homeless population. The clinic hopes to utilize the funds from the fundraiser to purchase supplies and improve their services at the Outreach Clinic.

JAYDOC COMMUNITY CLINIC

Richard Egelhoff, M.D., accepting award for physician of the year

Robin Walker, M.D., JayDoc adviser, speaking at JayDoc event

JayDoc Clinic directors, FRONT ROW L-R: Desmond Barber, MS3; Ali Rueschhoff, MS4; Chanel Doyle, MS2; Autumn Smith, MS3; Letisha Ferris, MS4; Alma Habib, MS2; Jaimie Fager, MS3; Ken Schmanke, MS1; and Robin Walker, M.D., faculty advisor. BACK ROW L-R: Codi Ehrlich, MS3; Isaac Schmied, MS1; Collin Clay, MS3; Austin Campbell, MS4; Patrick McEnulty, MS4; Max Jolly, MS4; and Jared Regehr, MS3.

STUDENT AND RESIDENT SCHOLARSHIPS AVAILABLE FOR AAFP FAMILY MEDICINE ADVOCACY SUMMIT The AAFP and KAFP work hard to advocate for patients in Washington, D.C., and Topeka, and to help you become an effective patient advocate. One way the AAFP does this is through a national conference called the Family Medicine Advocacy Summit. The following link contains all the details you need to know about the two-day meeting in Washington,D.C.: http://www.aafp.org/events/fmas.html Each year, the AAFP offers scholarships to residents and students to attend the advocacy summit. More information on scholarships can be found at the following link: http://www.aafp.org/events/national-conference/about/scholarships.html. Several KUSM-Wichita students and residents have been scholarship recipients in past years.

FMIG HOSTS DINNER FOR RONALD MCDONALD HOUSE

The Family Medicine Interest Group (FMIG) hosted dinner for the Ronald McDonald House on Jan. 29. FMIG members volunteer at the Ronald McDonald House every two months to prepare meals for 15-20 people. The Ronald McDonald House is chosen because of its ties to health care and patients at our local hospitals.

Mariah Miller, FMIG second-year representative, assisting with dinner at the Ronald McDonald House.

Grace Heidebrecht, first-year medical student, preparing dinner at the Ronald McDonald House.

Samantha Claassen, FMIG second-year

representative, showcasing the

prepared dinner at the Ronald

McDonald House.

FAMILY MEDICINE RESIDENT CONFERENCE The Family Medicine Combined Resident Conference on Drug and Alcohol Use Disorders was held on Feb. 22 at the Via Christi Chang Clinic. The conference provided residents from Via Christi, Wesley, and Smoky Hill techniques on how to treat patients battling such disorders. Those who presented were Tim Scanlan, M.D.; Chris Ebberwein, Ph.D.; Daniella Blea, LCMFT; Ruth Nutting, Ph.D.; Al Schmidt, LSCSW, LCMFT; and Chuck Allred, M.D.

TIFFANY BONFIGLIO JOINS DEPARTMENT Tiffany Bonfiglio joined the Department of Family and Community Medicine in February as a senior coordinator. Tiffany completed her undergraduate degree in business studies at Newman University. Starting in the fall of 2017, she will be pursuing her Master’s of Public Administration at Wichita State University. She previously worked for the Sumner County Planning-Zoning-Environmental Health office.

PROJECT ECHO

Project ECHO, replicated from a project of the same name at the University of New Mexico Health Science Center, is designed to reach rural and underserved patients who do not have access to specialty care. This innovative design reaches rural and underserved areas through technology-enabled, collaborative learning. Physicians utilize the ECHO model to acquire new knowledge that allows them to better treat their patients. An ECHO clinic offers primary care physicians from multiple locations the ability to connect at regularly scheduled times with a team of sub-specialists using videoconferencing. ECHO offers the primary care physicians the opportunity to consult with a team of medical experts and gain knowledge on how to care for a patient rather than being required to refer the patient to another physician. Each ECHO session includes the presentation of a patient case and a presentation by an expert on an identified topic. The first ECHO learning series offered in the state of Kansas has a focus on pain management. The KUSM-W pain management team consists of Amy Curry, M.D.; Tiffany Shin, Pharm.D.; Ashley Crowl, Pharm.D.; and Rick Kellerman, M.D. Drs. Curry and Shin serve as experts on the team. Currently the pain management ECHO meets twice a month, every other Friday over the noon hour. Approximately 20 locations have participated in the initial learning series. Contact Carla Deckert at cdeckert@kumc.edu or 913-588-2081 for more information.

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Jessica Kieffer, M.D.; Jessica Paxson, M.D.; and Robin Walker, M.D.; Wesley FMR, Sheryl Beard, M.D.; Philip Dooley, M.D.; and Tara Neil, M.D.; Via Christi FMR, Lauren Ferrell, M.D.; Scott Rempel, M.D.; Anna Rempel, M.D.; Jenica Wessels Harwood, M.D.; Rob Freelove, M.D.; and Chantel Long, M.D., Smoky Hill FMR, attended the Kansas Academy of Family Physicians Advocacy Day in Topeka, Kansas, where family physicians were offered the opportunity to discuss concerns with Kansas legislators, Jan. 24. Michael Machen, M.D., clinical assistant professor, has been named a finalist for the Ad Astra Outstanding Volunteer Physician Award. This award honors a preceptor who exemplifies the attributes of excellence and professionalism in medicine and who has generously given their time, experience and knowledge to our medical students. Dr. Machen was recognized at the 18th annual A Grande Affair on Saturday, March 18, at the Grand Ballroom of the Kansas City Convention Center. Kari Nilsen, Ph.D., was honored as “Alumni of the Year” at the Wichita State University’s National TRiO Day Banquet, Feb. 21. Lan Ly, M.D., Wesley FMR, was recognized as Outstanding Resident Physician of the Year by the JayDoc board of directors for her commitment to serving the patients and students of the JayDoc Community Clinic. Justin Grant, D.O.; John Grisham, M.D.; Andrew Ross, M.D.; and Marlana Sheridan, M.D., were elected as Via Christi chief residents for the Class of 2018. Cheryl Dobson, MS4, was appointed to the American Academy of Family Physicians Commission on Governmental Advocacy. The KUSM-W Sports Medicine Fellowship is proud to announce the sports medicine fellows for the 2017-18 academic year: Kelsey Berlin, D.O., and Emily Heronemus, D.O., Via Christi Family Medicine, Matt Pyle, D.O., Smoky Hill Family Medicine.

Congratulations to: Christopher Stanley, M.D., Wesley, and wife, Elizabeth, on the birth of their son, Michael Douglas, Jan. 6. Michael Heiland, M.D., Via Christi, and wife, Lauren, on the birth of their son, Gabriel, Feb. 8.

IN THE NEWS: Aaron Sinclair, M.D., appeared on the “The Doctor Is In” television segment on KWCH-12, and spoke on “Diverticulosis” Jan. 9.

PUBLICATIONS: Callaway P, Melhado T, Walling A, Groskurth J. Financial and Time Burdens for Medical Students Interviewing for Residency. Fam Med 2017;49(2):137-140. Dickson G, Wipperman J. Otitis Media and Externa. In: Paulman P, Taylor R, eds. Family Medicine: Principles and Practice. 7th ed. Switzerland: Springer International Publishing; 2017:929-936. Dooley P, Doolittle J, Knauss K, Crowl A. Atrial Fibrillation: Effective Strategies Using the Latest Tools. The Journal of Family Practice. 2017;66(1):16-26. Berg GM, Dobson C, Lee FA, Hervey AM, Kellerman R. Successes and Challenges of Optimal Trauma Care for Rural Family Physicians in Kansas. Kansas Journal of Medicine. 2017;10(1):13-17. Rowe K, Rowe W, Umbehr J, Dong F, Ablah E. Direct Primary Care in 2015: A Survey with Selected Comparisons to 2005 Survey Data. Kansas Journal of Medicine. 2017;10(1):4-7.

Cheryl Dobson, MS4

Kelsey Berlin, D.O.

Emily Heronemus, D.O.

Matt Pyle,D.O.

Continued on page 5.

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5FAMILY & COMMUNITY MEDICINE

Continued.

Leah Peterson, M.D. Hypertension in PregnancyAndrew S.T. Porter, D.O. Common Sports Injuries Amy Seery, M.D. Normal Infant FeedingAaron Sinclair, M.D. Diverticula of the Alimentary TractTodd Stephens, M.D. Genital Ulcer Disease: Chancroid, Granuloma Inguinale, and LymphogranulomaRobin A. Walker, M.D. EpididymitisAnne Walling, M.B., Ch.B. Migraine HeadacheTracy L. Williams, M.D. Chlamydia trachomatisJennifer Wipperman, M.D., MPH Dizziness and Vertigo

Former faculty, residents and sports medicine fellows:Leslie A. Greenberg, M.D. KeloidsNathan R. Krug, M.D., Ryan LaSota, M.D. Heat-Related IllnessRuth Weber, M.D., M.S.Ed. Pharyngitis

The following chapters were published in Conn’s Current Therapy 2017 co-edited by Rick Kellerman, M.D.:Sheryl Beard, M.D. RhinitisKari R. Clouse, M.D. DeliriumAmy E. Curry, M.D. Pelvic Inflammatory DiseaseJohn N. Dorsch, M.D. Dry Eye Syndrome; Red EyeMaurice Duggins, M.D. Erectile DysfunctionRobert S. Freelove, M.D. Nongonococcal Urethritis Danae D. Goerl, M.D. BronchiolitisKyle Goerl, M.D. Bursitis and TendinopathySarah Houssayni, M.D. Encopresis Gretchen M. Dickson, M.D., MBA Otitis MediaRick D. Kellerman, M.D. Chikungunya; Zika Virus DiseaseM. Chantel Long, M.D. Condylomata Acuminata; Warts (Verrucae)Emily Manlove, M.D. CoughLaura Mayans, M.D., MPH Varicella (Chickenpox)Tara J. Neil, M.D. Postpartum Care

PRESENTATIONS: Mary Masterman, M.D.; Robert M. Cronin, M.D., M.S.; Sharon E. Davis; Jared A. Shenson; Gretchen P. Jackson, M.D., Ph.D., presented “Adoption of Secure Messaging in a Patient Portal Across Pediatric Specialties” at the AMIA 2016 Annual Symposium. Caitlin Chiles, M.D., and Sheryl Beard, M.D., presented on resident wellness and burnout to the KUSM-Wichita Graduate Medical Education Committee (GMEC) on Jan. 12. THE GMEC membership includes all KUSM-W department chairs and residency program directors. Cole Gillenwater, M.D., presented and performed an experiment on “Hand Washing” for the 1st-6th grade students at Christ the King School, Wichita, Kansas, Jan. 31. Scott Moser, M.D., and Laura Mayans, M.D., co-presented “It’s Not Fair! Improving Precision of Medical Student Assessment by Preceptors” at the Society of Teachers of Family Medicine (STFM) Medical Student Education Conference, Anaheim, California, Feb. 10. Cassie Scripter, M.D., and Cole Gillenwater, M.D., co-presented “Primary Care Dermatology: An Innovative Elective” at the STFM Medical Student Education Conference, Anaheim, California, Feb. 11. Jennifer Wipperman, M.D., presented “A Continuity Obstetric Experience to Foster Interest in Family Medicine and Maternal Care: A Novel Family Medicine Clerkship Curriculum”at the STFM Medical Student Education Conference, Anaheim, California, Feb. 11. Mary Hursey and Julie Galliart co-presented “The Coordinator has Left the Building: Now What?” at the STFM Medical Student Education Conference, Anaheim, California, Feb. 11.

Cassie Scripter, M.D., and Cole Gillenwater, M.D., co-presenting at STFM, Anaheim, California

Cole Gillenwater, M.D., demonstrating hand washing at Christ the King School

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publication staffTiffany Bonfiglio, EditorRick Kellerman, M.D.

Lori Bearley

contributorsCaren Bachman, Smoky Hill FMKatie Kellerman, Wesley FMMarcia Beasley, Via Christi FM

wichita.kumc.edu/fcm

FAMILY & COMMUNITY MEDICINEJANUARY-FEBRUARY 2017

facebook.com/DepartmentofFamilyandCommunityMedicine

The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression, and genetic information in the university’s programs and activities. Retaliation is also prohibited by university policy. The following persons have been designated to handle inquiries regarding the nondiscrimination policies and are the Title IX coordinators for their respective campuses: Executive Director of the Office of Institutional Opportunity & Access, mailto: IOA@ku.edu, 1246 West Campus Road, Room 153A, Lawrence, KS 66045, 785-864-6414, 711 TTY (for the Lawrence, Edwards, Parsons, Yoder, and Topeka campuses); Director, Equal Opportunity Office, Mail Stop 7004, 3901 Rainbow Blvd., Kansas City, KS 66160, 913-588-8011, 711 TTY (for the Wichita, Salina, and Kansas City, Kansas, medical center campuses).

ATTENTION STUDENTS, RESIDENTS, AND FACULTY: The Family Medicine Cares Resident Service Award of $16,500 allows family medicine residents to design and implement resourceful service projects that address unmet health care needs of the underserved in their local communities. First- and second-year residents are eligible to apply. For more information, go to http://www.aafpfoundation.org/foundation/our-work/grants-awards/all/fmc-resident.html

2017 NHSC LOAN REPAYMENT PROGRAM The 2017 National Health Service Corps (NHSC) Loan Repayment Program provides loan repayment assistance to licensed primary care physicians who serve in communities with limited access to health care. Application deadline is 7:30 p.m. EST April 6. For more information, go to http://nhsc.hrsa.gov/loanrepayment/lrpapplicationguidance.pdf

2017 SANDRA L. PANTHER FELLOWSHIP The Center for the History of Family Medicine is accepting applications for the seventh annual Fellowship in the History of Family Medicine. The award provides up to $2,000 to support travel, lodging, and incidental expenses related to research on a project of the applicant’s choice dealing with the history of general practice, family practice, or family medicine in the United States. Interested family physicians, other health professionals, historians, scholars, educators, scientists, and others are invited to apply. All applications will be reviewed in April, and the fellowship awards will be announced by May 31. Complete fellowship rules, application forms, and instructions are available at: www.aafpfoundation.org/chfmfellowship. Contact Don Ivey at divey@aafp.org or 1-800-274-2237, ext. 4420 with questions.

KANSAS LEADERSHIP CENTER TRAINING OPPORTUNITY The Tobacco Free Kansas Coalition is offering a leadership program at the Kansas Leadership Center. There are three types of opportunities with multiple dates to choose from. Opportunities include: “You. Lead. Now.,” “Lead for Change,” and “Equip to Lead.” Travel scholarships are available for those living more than 50 miles from Wichita. Contact Becky Tuttle for more information at beckytuttle@med-soc.org or 316-651-6099.

1010 N. Kansas, Wichita, KS 67214316-293-2607 • Email: tbonfiglio@kumc.edu

APRIL13 Faculty Development: Fostering Critical Thinking and Clinical Reasoning in our Learners. Tara Neil, M.D. Chaney Conference Room (3011), KUSM-W, Noon-1:15 p.m.*

20 KUSM-W Research Forum

26 Department of Family and Community Medicine Research Meeting, Chaney Conference Room (3011), KUSM-W, Noon-1:15 p.m.

MAY11 Faculty Development: Developing Surveys. Kari Nilsen, Ph.D., and Samuel Ofei-Dodoo, Ph.D. Chaney Conference Room (3011), KUSM-W, Noon-1:15 p.m.*

* Session qualifies for CME credit

2017 AAFP FAMILY MEDICINE EXPERIENCE The American Academy of Family Physicians (AAFP) is offering an opportunity to share your research with your family medicine colleagues. Submit your family medicine research for possible presentation at the 2017 AAFP Family Medicine Experience in San Antonio, Texas, Sept. 12-16. Deadline for submissions is May 1. Contact Lisa Leader, FMX CME program specialist, at 800-274-2237, ext. 6539 or lleader@aafp.org for more information.