dr. caroline richardson · dr. stange was instrumental in shaping this highly-ranked journal....

Celebrating at the University of Michigan Fall 2019

http://medicine.umich.edu/dept/family-medicine

Dr. Caroline Richardson Appointed Editor-in-Chief of the Annals of Family Medicine

In This Issue

From the Chair2

Clinical Mission3

Education Mission8

Research Mission18

Department Programs23

Alumni News26

Faculty Activity28

Caroline R. Richardson, M.D., the Dr. Max and Buena Lichter Research Professor and associate chair for research programs, has been appointed editor of Annals of Family Medicine, among the most prestigious primary care research journals worldwide. Dr. Richardson, a nationally recognized leader in primary care research, will lead the journal in its mission to advance knowledge essential to understanding and improving health and primary care. Her successful academic work has led to this exciting new endeavor. Most recently, she was associate editor of the American Journal of Preventive Medicine and co-director of the University of Michigan National Clinical Scholars Program. “I am so pleased that Dr. Richardson has agreed to be editor of the Annals of Family Medicine. She will bring incredible expertise and a passion for excellence to this position. Under her leadership, I expect the journal to build on the tradition of excellence it has garnered over the past years,” noted Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine. Dr. Richardson succeeds William R. Phillips, M.D., M.P.H., who has served as editor, since founding editor Kurt Stange, M.D., Ph.D., of Case Western Reserve University stepped aside in January 2019. Dr. Stange was instrumental in shaping this highly-ranked journal. According to Richelle Koopman, M.D., M.S., president of Annals of Family

Medicine, Inc., “Dr. Richardson is a scholar, a strategist, an inspiring leader, and a diplomat. Beyond preserving what has made Annals the research powerhouse that Dr. Stange built over the past 17 years, we are excited about the new perspectives that Dr. Richardson brings to advance Annals’ learning community of researchers, clinicians, and policy makers.” “It is an honor to have been selected to lead the Annals of Family Medicine,” said Richardson, “and it is a privilege to build on the tradition of excellence that Dr. Stange and his team have established. The journal will continue to publish high-quality original research that advances the science of family medicine. And, as the academic publishing environment continues to change, we have some exciting plans to increase engagement with journal content through social media.”Congratulations Dr. Richardson! n

The current issue and all back issues of the Annals of Family Medicine and submission details can be found at www.annfammed.org. Follow the Annals of Family Medicine on Twitter @AnnFamMed

AN

NALS O

F FAM

ILY MED

ICINE

In this issue of the Annals of Family Medicine

®

Annals of Family Medicine, Inc. 11400 Tomahawk Creek Parkway Leawood, KS 66211-2680

NONPROFIT ORGUS POSTAGE PAIDLAWRENCE, KSPERMIT NO. 116

®

LE COLLÈGE DESMÉDECINS DE FAMILLEDU CANADA

THE COLLEGE OFFAMILY PHYSICIANSOF CANADA

EDITORIALS 290 A Tribute to Kurt Stange and the First Seventeen Years

John J. Frey III 291 The Next Generation of Connectivity in Family

Medicine Research Mohammed A. Rashid; Larry A. Green 293 The Essential Role of Primary Care Professionals in

Achieving Health for All Maria van den Muijsenbergh; Chris van Weel

ORIGINAL RESEARCH 296 A Nationwide Flash-Mob Study for Suspected Acute

Coronary Syndrome Angel M.R. Schols; Robert T.A. Willemsen; Tobias N. Bonten;

Martijn H. Rutten; Patricia M. Stassen; Bas L.J.H. Kietselaer;

Geert-Jan Dinant; Jochen W.L. Cals 304 Family Physicians’ Experiences of Physical Examination

Martina Ann Kelly; Lisa Kathryn Freeman; Tim Dornan 311 Association Between Primary Care Practitioner Empathy

and Risk of Cardiovascular Events and All-Cause

Mortality Among Patients With Type 2 Diabetes: A

Population-Based Prospective Cohort Study

Hajira Dambha-Miller; Adina L. Feldman; Ann Louise Kinmonth;

Simon J. Griffin 319 Team-Based Clinic Redesign of Opioid Medication

Management in Primary Care: Effect on Opioid

Prescribing Michael L. Parchman; Robert B. Penfold; Brooke Ike; David Tauben;

Michael Von Korff; Mark Stephens; Kari A. Stephens; Laura-Mae

Baldwin 326 A Structured Approach to Detecting and Treating

Depression in Primary Care: VitalSign6 Project

Manish K. Jha; Bruce D. Grannemann; Joseph M. Trombello; E.

Will Clark; Sara Levinson Eidelman; Tiffany Lawson; Tracy L.

Greer; A. John Rush; Madhukar H. Trivedi 336 Following Uninsured Patients Through Medicaid

Expansion: Ambulatory Care Use and Diagnosed

Conditions Nathalie Huguet; Steele Valenzuela; Miguel Marino; Heather Angier;

Brigit Hatch; Megan Hoopes; Jennifer E. DeVoe

345 Family Physician Perceptions of Their Role in Managing

the Opioid Crisis Laura Desveaux; Marianne Saragosa; Natasha Kithulegoda; Noah

Michael Ivers 352 Association Between Metformin Initiation and Incident

Dementia Among African American and White Veterans

Health Administration Patients Jeffrey F. Scherrer; John E. Morley; Joanne Salas; James S. Floyd;

Susan A. Farr; Sascha Dublin

RESEARCH BRIEFS 363 Primary Care Appointments for Medicaid Beneficiaries

With Advanced Practitioners Lena Leszinsky; Molly Candon

SPECIAL REPORTS 367 Powering-Up Primary Care Teams: Advanced Team

Care With In-Room Support Christine A. Sinsky; Thomas Bodenheimer

INNOVATIONS IN PRIMARY CARE 372 Utilizing PHATE: A Population Health–Mapping Tool

to Identify Areas of Food Insecurity Jonathan Lichkus; Winston R. Liaw; Robert L. Phillips 373 EMR Happy Hour: New Approach to Electronic Medical

Record Continuous Learning Margaret A. Day; Jeffery L. Belden

DEPARTMENTS 374 FAMILY MEDICINE UPDATES News from the organizations that sponsor the Annals 383 EMPLOYMENT OPPORTUNITIES ANNALS JOURNAL CLUBSee inside back cover for discussion questions, or go to http://

www.AnnFamMed.org/AJC/.

WWW.ANNFAMMED.ORG • VOL. 17, NO. 4 • JULY/AUGUST 2019

A Nationwide Flash-Mob Study for Suspected Acute Coronary Syndrome 296A flash-mob study finds that, in emergency care, acute coro-

nary syndrome cannot be safely ruled out using the Marburg

Heart Score or FP clinical assessment.Family Physicians’ Experiences of Physical Examination 304Family physicians experience physical examination as an

integral part of being a good doctor.Clinician Empathy and Risk of Cardiovascular Events and Mortality in Diabetes Patients 311

Diabetes patients experiencing empathy from their primary

care practitioners have lower risk of mortality.Team-Based Opioid Management: Impact on Opioid Prescribing 319In rural practice, system redesign results in declines in the

proportion of patients on high dose opioids and the number of

patients receiving opioids.A Structured Approach to Detecting and Treating Depression in Primary Care 326A questionnaire-based management algorithm for major

depressive disorder in primary care is feasible to implement but

attrition from treatment is high.

Following Uninsured Patients Through Medicaid Expansion: Utilization and Conditions 336In community health centers in Medicaid expansion states, a

sizable proportion of established patients remained uninsured

after implementation of the Affordable Care Act.Family Physician Perceptions of Their Role in Managing the Opioid Crisis 345Physicians struggle to balance external and system pressures

and patient expectations in opioid prescribing.Metformin Initiation and Incident Dementia in

African American and White VA Patients 352

Metformin use is associated with a reduced risk of incident

dementia in younger African American veterans, compared to

white veterans.Medicaid Beneficiaries’ Appointments With Advanced Practitioners, 2012 to 2016 363

Between 2012 and 2016, the proportion of primary care

appointments scheduled with advanced practitioners increased

across a sample of ten states.Powering-Up Primary Care Teams: Advanced Team Care With In-Room Support 367Advanced team care with in-room support is promising, but

adoption requires a willingness to truly share the care.

JULY/A

UGU

ST 2019

VOLU

ME 17, N

UM

BER

4, PAGES 289-384

The cover of the

first issue of the

Annals of Family

Medicine edited

by Dr. Richardson.

Reflections Chair

http://medicine.umich.edu/dept/family-medicine Fall 2019

fromthe

faculty member, David Serlin, M.D. was selected to be the Institution’s lead physician for Family Medicine. Family Medicine faculty, residents and mid-level providers engaged in more than 150,000 face-to-face clinic visits last year, plus provided care for numerous patients via non-face-to-face visits (on the portal and video-visits) as well as caring for patients in more than 3,000 adult-, obstetrical- and pediatric- hospitalizations. As part of our commitment to clinical care, we continue to address the needs of the underserved (e.g., Luke Clinic under Katherine Gold’s, M.D. leadership and Maggie’s Marketplace at our Ypsilanti Health Center), adopting new technology (e.g., POCUS — point of care ultrasound — under Christa Williams,’ M.D., leadership), and reaching out to other populations (e.g., the Japanese Family Health Program under Michael Fetters,’ M.D., leadership). These are a representative sample of the many clinical programs and endeavors with which we are engaged. Since we are in academia, we also teach and do scholarly work. In the education arena, you’ll find articles about our top-rated medical student clerkship, led by Joel Heidelbaugh, M.D. and Kent Sheets, Ph.D., our residency teaching, led by Jean Wong, M.D., clinical simulation center, led by James Cooke, M.D., and our upcoming CME courses, led by Catherine Bettcher, M.D. Similar to that described above in our clinical arena, these stories highlight just a sample of a much larger ongoing teaching effort. The newsletter also has articles about our research work, some of which have international impact. Among those

Family Medicine is a specialty known for its breadth. In fact, one of the unique (and appealing) aspects of being a family physician is being involved in all areas of medicine. This issue of our newsletter highlights this concept. It hits on some of the exciting things going on in the Department in all our missions. All of these, in one way or another, eventually help the patients and their families to be healthier. Whether it’s our clinical care, our teaching, or our research — it all supports our Michigan Medicine mission to improve the health of the people of Michigan and beyond. In the clinical arena, Michigan Medicine has redesigned their structure to better serve patients as health care changes. One of our faculty members, Kathryn Harmes, M.D. was selected to lead the Institution’s primary care clinical network (all ambulatory care provided by family medicine, general medicine, general pediatrics and geriatrics), and another

2

listed, you’ll find a story about Diane Harper’s, M.D. work on HPV, as well as a highlight of the recent British Medical Journal issue devoted entirely to family medicine research with Michael Fetters, M.D., as lead editor, and articles written by several other of our faculty. Faculty members on both the research and clinical tracks are quite productive in the scholarly realm, as demonstrated by the large number of articles published. In addition to this, many of us also travel both nationally and internationally, giving talks, consulting and doing poster presentations. In the last few years, we’ve focused on establishing and developing what we call “major programs” — endeavors that involve more than one of our missions with the ultimate aim of addressing areas of special importance. The most recent programs we’ve funded are the Michigan Mixed Methods Program, the MDisability program, and the POCUS programs. We are excited about all three, and each one is discussed in this issue. As you can see, there is much going on in the Department. All this phenomenal work is due to the efforts of the incredible faculty we’ve been able to attract over the years. They, along with the amazing staff supporting all three missions, are what makes the Department so successful and able to help the people of Michigan and beyond. I hope you enjoy reading about the Department, and I would love to hear from you. nGo Blue! ~ Philip

Philip Zazove, M.D., Professor and the George A. Dean, M.D.

Chair of Family Medicine

Fall 2019http://medicine.umich.edu/dept/family-medicine

Clinical MissionDr. Kathryn Harmes Named Associate Chief Clinical Officer, A New Institutional Leadership Role

3

Kathryn M. Harmes, M.D., M.H.S.A. , assistant professor, was selected for a new leadership position within the University of Michigan Medical Group (UMMG). A reorganization created this new position, the associate chief clinical officer for the primary care oversight team. She will be responsible for oversight and surveillance of the performance of all Michigan Medicine primary care groups including internal medicine, family medicine, geriatrics, pediatrics, along with women’s general and preventative health. Dr. Harmes is a skilled leader and clinician who has overseen, population health within the Department of Family Medicine for six years as the current associate chair for population health and previous director of the patient-centered medical home. Prior to that she was the medical director of the Dexter Health Center, during which time Dexter became an institution-wide leader in quality, patient satisfaction and clinical excellence. Nationally, she has served on a number of key strategic and leadership roles related to practice transformation and payment reform. A recent graduate of the U-M School of Public Health with a Master’s degree in

health management and policy, she is also a graduate of U-M Medical School (2001) and the Department’s family medicine residency program (2004), where she served as co-chief resident. “I am honored and excited to support our physicians and staff in their effort to provide the ideal primary care experience to our patients,” said Dr. Harmes. As primary care is undergoing major practice transformations, Dr. Harmes has the opportunity to make a significant impact on its future. “Dr. Harmes will work with administrative and nursing leadership to oversee ambulatory primary care as we expand our regional ‘whole patient care’ responsibility to 400,000 people over the next decade. Dr. Harmes will work with respective chairs to build a physician team of Ambulatory Care Clinical Chiefs (ACCC) who will provide content expertise and leadership in general pediatrics, general internal medicine, geriatrics and family medicine. She will lend her experience and leadership to Michigan Medicine as we move to a more progressive and unified primary care strategy,” said Michael W. Mulholland, M.D., Ph.D., senior associate dean for clinical affairs and

executive director of UMMG. In her role, Dr. Harmes will lead ACCCs from each of the primary care clinical service lines. David C. Serlin, M.D., assistant professor and associate chair for clinical programs, was selected as the family medicine ACCC. Dr. Serlin is also a dedicated leader, currently as the associate chair for clinical programs and previously as the medical director at Briarwood Family Medicine. As the ACCC, Dr. Serlin will provide operational leadership related to clincial processes, systems and practice models focused on improving safety, access and resource efficiency. He will be a liaison between the UMMG and the Department’s medical directors. n

Kathryn M. Harmes, M.D. David C. Serlin, M.D.

Clinical Mission


Wayne County ranks last (83/83) among Michigan counties for health outcomes and Detroit has one of the highest infant death rates (14.5 per 1,000 births) of any city in Michigan. Racial disparities, in a city that is 81% African American and 8% Latino, persist. Despite multiple health care systems located in Detroit, many women and infants, particularly African American and Latina women, receive inadequate prenatal care – a proxy for poor outcomes. Katherine J. Gold, M.D., M.S.W., M.S., associate professor of family medicine and obstetrics and gynecology, is working to combat these issues. As medical director of the Luke Clinic, the only free clinic in the Detroit area that provides prenatal care, Dr. Gold sees patients and oversees a team of volunteers and trainees who staff the clinic. The goal of the clinic, which provides free prenatal and infant care (up to one year of age), is to reduce adverse perinatal outcomes and infant mortality. The faith-based clinic is open to individuals of any race, ethnicity, sexual orientation or religion. Dr. Gold has volunteered her time since the clinic’s inception in October 2016, but has now succeeded in building a clinical/educational partnership between the clinic and the Department. This partnership will allow Dr. Gold to dedicate a small portion of her time for administrative oversight of the clinic and to develop resources for resident and medical

student rotations. Additionally, clinical time will be covered for four Department faculty to provide care once per month and residents will also start to rotate through the clinic in their third year of training.

“My experience at Luke Clinic has truly been life-changing. We focus first and foremost on building relationships with patients. This is the highest risk population I have worked with in my life, even counting years of other volunteer activities, time at the Ypsilanti Health Center and The Corner Health Center, and my social work training. Many of these moms have nothing--no money, no support, no

hope. We have become used to moms telling us that Luke Clinic is the only place they feel that anyone at all cares about them. Sometimes we can’t fix some of their life challenges, but we can always care and be present and that means a lot,” said Dr. Gold. Despite serving an extremely high-risk patient population (68% African American, 17% Latina, 100% have household incomes below $16,000 per year), the clinic has outstanding clinical outcomes. In its first two years, the clinic provided care for 127 moms and 50 babies and maintains a preterm birth rate of 10.3%, significantly lower than the rest of Wayne County(11.5%) and Detroit (14.5%). The 6.1% rate of low birth weight is more than half that of Detroit at 14.4%. For comparison, the U.S. average is 8.2%. “I’m so proud of family medicine — our faculty, residents, and Dr. Zazove for supporting this initiative. We have had literally hundreds of health professionals express interest in volunteering, but most never follow through. The fact that our Department made this commitment has stabilized our physician volunteer workforce and helped ensure care for

The Luke Clinic

Helping Those Most in Need in Detroit

Continued on page 7

Dr. Gold performs an ultrasound at the Luke Clinic. In addition to

healthcare, the clinic provides on-site social services and Michigan’s

Maternal Infant Health Program, assistance signing up for Medicaid,

doula and lactation experts, lab services, nursing care and education,

pharmacy with free medications, a free “store” for mom and baby

equipment, and a diaper bank.

Clinical Mission


A Point-of-Care ultra-sound (POCUS) is a tool used to perform limited ultrasound protocols that can be performed in clinic or directly at a patient’s bedside. They can help guide treatment and offer a higher patient satisfaction. According to an article

published in the August 2018 issue of American Family Physician, there is mounting evidence that POCUS can help decrease the costs of care while improving patient access to care and safety. Beyond that, POCUS is better than physical examination or plain radiography in many settings. Under the direction of Christa B. Williams, M.D.,

assistant professor, the Department is developing a POCUS program with a goal to have at least one, but ideally three to five clinician faculty members, trained in POCUS at each of our residency continuity sites and on all inpatient services. Clinical applications of this technology will include: office-based ultrasound, obstetric ultrasound and musculoskeletal ultrasound. Beyond improving clinical care, Dr. Williams will oversee the development of a robust clinical educational program centered around the teaching and clinical application of POCUS in family medicine. Educationally, the Department’s goals are to offer POCUS exposure in each category to every resident graduate and to offer a dedicated POCUS track for interested residents. Additionally, further education would be developed for the sports medicine fellowship program. n

POCUS – A New Departmental ProjectThe Luke Clinic

Helping Those Most in Need in Detroit

Christa B. Williams, M.D.

Dr. Denay Honored at ACSM

Dr. Keri Denay (center) celebrates the success

and recognition of Exercise is Medicine on

Campus at U-M. With her (left to right) are:

Dr. Peter Bodary, assistant professor at U-M’s

School Kinesiology; Dr. Robert Sallis, Exercise

is Medicine advisory board chair; Dr. Denay;

Dr. Cerena Winters, co-founder of the Exercise

is Medicine On Campus initiative; and Dr.

Lori Ploutz-Snyder, dean of U-M’s School of

Kinesiology.

Exercise is Medicine On Campus at the University of Michigan, a campus program led by Keri L. Denay, M.D., assistant professor and sports medicine fellowship director, earned Gold Status at the most recent American College of Sports Medicine annual meeting. Exercise is Medicine On Campus is a joint effort of the American Medical Association and the American College of Sports Medicine. It is designed to integrate the scientifically supported benefits of exercise into the healthcare system in the United States. The program has three core goals: 1 To encourage more physical activity on college campuses and enable students with the skills and knowledge necessary to establish healthy habits early in life

2 To encourage primary care physicians to assess levels of physical activity at medical visits as another vital sign of health, and write exercise prescriptions to patients 3 To connect fitness specialists and healthcare providers to allow for exercise referrals in the university clinical setting “We are delighted to be presented with this honor recognizing our commitment to the education and promotion of physical activity on our campus,” noted Dr. Denay about the program at U-M.

To learn more about Exercise is Medicine on Campus at U-M, please contact [email protected]. n

Clinical Mission


Ebony Parker-Featherstone, M.D., assistant professor of family medicine and obstetrics and gynecology, has been named medical director of the Ypsilanti Health Center. Dr. Parker-Featherstone, a 2006 U-M Medical School graduate, 2009 family medicine residency program graduate, and 2010 women’s health fellowship graduate, previously served as the medical director at Briarwood Family Medicine.

“Under her leadership, Briarwood has continued to grow and prosper, and remains the largest single specialty site in the health system, caring for over 18,000 patients,” said David C. Serlin, M.D., assistant professor and associate chair for clinical programs. “It is a large and dynamic place, with robust teams contributing to all of our missions, serving a variety of learners, housing multiple research projects, and offering a variety of clinical specialty consultations within family medicine. I thank Ebony for her dedication to Briarwood and look forward to working with her in her new role as the Medical Director at Ypsilanti Health Center.”

During her tenure at Briarwood Family Medicine, she led active sports medicine and procedures clinics and a new palliative care clinic. She also oversaw the clinic as a pilot site for a partnership with Meijer pharmacy for blood pressure control that is now an Institutional program and led the clinic through the development of a Department-wide walk-in clinic. Dr. Parker-Featherstone also serves as director of the Department’s diversity, equity, and inclusion committee. Congratulations Dr. Parker-Featherstone. n

New Medical Director at Ypsilanti Health Center

Japanese Family Health Program Celebrates 25 Years!

Established in 1994 by Michael D. Fetters, M.D., M.P.H., M.A., professor, the Japanese Family Health Program focuses on the health and well-being of each family by providing comprehensive cross-cultural care. Growing from one single patient 25 years ago, the program, under the direction of Dr. Fetters, now includes more than 7,000 patient visits a year, and serves the growing population of Japanese families living in the Midwest and beyond. Additionally, its missions have grown to include education, research and cross-cultural exchange. Joined by a number of friends who traveled from Japan, the October anniversary celebration included a Grand Rounds Presentation on the 25 years of success, a tour of U-M’s Clinical

Ebony Parker-Featherstone, M.D.

Faculty and staff from the Japanese Family Health Program (L-R): Shoko Tsunoda,

Hitomi Wild, Haruko Osaki-Wurtz, Michael Fetters, M.D., M.P.H., M.S., Karl Rew,

M.D., and Etsuko Inohara.

Clinical Mission


these patients. I’m thrilled that we can give our residents the opportunity to experience the lives of these patients and to understand how rewarding it is to give care to those who are most vulnerable,” Dr. Gold added. This partnership is a small step forward in improving healthcare outcomes and access to a very high-risk population in Detroit. There is still work to be done. Dr. Gold and the rest of the clinic team aim to provide care to as many patients as possible. The Luke Clinic is ultimately intended to serve as a mobile clinic in underserved communities and has early plans to initiate care at a site in Flint over the next 1-2 years. Funding, along with volunteer physicians, midwives and nurses who can commit to regular clinical care at the Luke Clinic, is desperately needed to help ensure care is safe and of the highest quality. If you are interested in supporting the Luke Clinic, please contact Amy St. Amour at [email protected] or 734-645-0423. n

Luke Clinic …continued from pg. 4Kroger Supports Maggie’s Marketplace

Simulation Center, and a Chair’s dinner to thank international guests for their continued support and encouragement. “It is hard to believe it has been 25 years since we saw our first patient. We are grateful to everyone who has supported us on our journey — our patients, our providers and staff, and the Department of Family Medicine. We look forward to the next 25 years of service of caring for our community,” noted Dr. Fetters. n

More than 40% of the patients of the Ypsilanti Family Medicine Health Center face food insecurity, which led to the opening of Maggie’s Marketplace in 2017. The food pantry, named for the health center’s former director, Margaret (Maggie) A. Riley, M.D. (2008 RES), focuses on healthy foods and offers a variety of perishable and non-perishable items at no cost to patients. Thanks to a new partnership, Kroger has awarded a $10,000 grant in support of Maggie’s Marketplace, which will ensure the shelves remain stocked with healthy food and other items, such as diapers, feminine hygiene products and light bulbs. Since opening, Maggie’s Marketplace has provided healthy food three days a week for more than 3,500 patients and their families. This is the equivalent of nearly 13,000 pounds of food or more than 10,000 meals. Thank you, Kroger! n

Betz Preceptorship The M1/M2 Kenneth and Judy Betz Preceptorship Program supported medical student, Brandon Ellsworth, for a two-week preceptorship exper ience wi th Kur t Lindberg, M.D. (MED 1996) in Holland, Mich. “With the new curriculum, this was an outstanding experience to test what you

learned in the didactic year, consolidate information and prepare you to see patients on the wards the second year. I feel more prepared to come up with treatment plans and present to health care professionals than before I did this preceptorship,” shared a grateful Brandon. He also participates in the MDisability wheelchair basketball drop-in sessions. n


Education Mission

Terence C. Davies, M.D. is excited to view the future of family

medicine and congratulates award winner, Lakshmi Karra.

Terence C. Davies, M.D. Award Winner

The Department is pleased to announce that Lakshmi Karra is the 32nd annual Terence C. Davies, M.D. Award Winner. Lakshmi graduated from Stanford University with an undergraduate degree in biological sciences and continued on to complete two graduate degrees in biology and psychiatric epidemiology. “Growing up, my parents always told me: ‘As long as you are learning something or helping someone, you are doing a good thing.’ Whether traveling to Morocco to practice French and immerse myself in another culture or traveling just up the road to Detroit to learn about the urban underserved in my own backyard, most of my life’s decisions have been guided by the twin principles of curiosity and service. These principles have led me along a multidisciplinary path, including work in education, economic

research, epidemiology, and public health, all of which shaped my desire to pursue medicine. These experiences, along with the many opportunities I have had in medical school, have helped me to start shaping a career in which I hope to serve women in urban, underserved communities with an emphasis on health policy, advocacy, and mental health care,” said Lakshmi. During medical school, L a k s h m i w a s v e r y involved in many service

activities including: The Corner Health Center, which provides judgment-free, high-quality, affordable health services to young people aged 12 through 25 in Ypsilanti, Mich.; the U-M Student-Run Free Clinic that provides primary care services to uninsured and underinsured

adults in Pinckney, Mich.; the Delonis Center for the homeless; and Detroit’s Women Inspired Neighborhoods Network. Lakshmi a l so worked wi th TeachAids, a nonprofit dedicated to

health education, served as a research associate for Cornerstone Research in San Francisco for four years, and was a project manager for a Rwanda higher education project. “Over the past three years, my clinical experiences have shown me how family medicine is uniquely poised to address the intersection of women’s health, mental health, and primary care for the underserved,” continued Lakshmi. “I aspire to become a family physician who has the ability to think creatively and with humility, and has the curiosity and commitment to service to bring about meaningful change for patients and populations alike.” Lakshmi is completing residency training at the University of Colorado, Denver. This award was established in honor of the founding Chair of the Department of Family Medicine, Terence C. Davies, M.D. The award is presented to a graduating senior(s) who exemplifies the qualities of an outstanding family physician: dedication to patient needs, intellectual curiosity, personal integrity, community service and leadership. n

“As long as you are learning something or helping someone, you are doing a good thing.”


Education MissionCongratulations, Class of 2019!

Resident Awards

Julie Blaszczak, M.D.Academic Fellowship

University of MichiganAnn Arbor, Mich.

Camila Diaz, M.D. Palliative Care Fellowship

Duke UniversityDurham, N.C.

Andrea Lui, M.D. Undecided

Daniel Oram, M.D.Women’s Health Fellowship

University of MichiganAnn Arbor, Mich.

Margaret Moon, M.D.Undecided

Anthony Tam, M.D. Sports Medicine Fellowship

Henry Ford HospitalDetroit, Mich.

Kristin Pacl, M.D.University of Wisconsin

Oregon ClinicOregon, Wisc.

Russ Wasylyshyn, M.D. University of Michigan

Ann Arbor, Mich.

Elizabeth Marshall, M.D. Ascension Medical Group

Frankenmuth, Mich.

Laura Crespo Albiac, M.D.University of Michigan

Ann Arbor, Mich.

nThomas L. Schwenk, M.D., Resident Teaching Award Presented in recognition of demonstrated interest, ability and commitment to family medicine education. Julie Blaszczak, M.D.

nMack T. Ruffin IV, M.D., M.P.H. Resident Original Project Award Presented in recognition of demonstrated interest, ability and commitment to family medicine scholarship. Anthony Tam, M.D.

The Class of 2019 also honored faculty and staff with the following awards:

nResident Appreciation Award Presented for encouragement and assistance beyond the call of duty. It honors someone who has significantly contributed to the residency program. Andrew Bendall, P.A.

nFaculty Appreciation Senior Resident Award Presented to a faculty member who best typifies the principles of family medicine in character and sensitivity to resident needs. John M. O’Brien, M.D.

nAward for Excellence in Teaching Presented in recognition of outstanding contributions to resident education. Uche D. George-Nwogu, M.D.

Hope Meyer, M.D. Essentia Health Moorhead

Moorhead, Minn.


Education MissionWelcome, Class of 2022!

Haden Sholl, M.D.The University of Toledo

College of Medicine

Benjamin Beduhn, M.D. University of Wisconsin

School of Medicine and Public Health

Sebastian Schoneich, M.D.University of Kansas School of Medicine

Meredith Baumgartner, M.D., M.P.H.

University of Illinois College of Medicine-Peoria

William Saunders III, M.D., M.B.A.

Medical College of Georgia

Blake Arthurs, M.D. Wayne State University

School of Medicine

Christopher Stoming, M.D. Medical College of Wisconsin

Laura Hadad, M.D. University of Cincinnati

College of Medicine

Carolina Sierra Lopez, M.D.

Universidad Central del Caribe School of Medicine

Sasha Collins, M.D. Michigan State University

College of Human Medicine – Grand Rapids

Jacob Wasag, M.D.Dartmouth Geisel

School of Medicine

Rudy Wenner, M.D. Wayne State University

School of Medicine

Nadia Hallaj, M.D. Chicago Medical School

at Rosalind Franklin University

Dr. Adetoye Invited to Speak at ABIM Forum

In a letter to the editor of Academic Medicine, Mercy Adetoye, M.D., M.S., house officer III, discusses residency recruitment and diversity.

In the letter, which ran in the June 2019 issue, Dr. Adetoye begins, “As I embarked on the interview trail in search of a family medicine residency program, I created questions to evaluate each program. I struggled with one topic: determining how my minority status would affect my education at a particular program. For instance, if a patient requested strictly Caucasian physicians, how would my program respond? I did not trust that a program director would broach the subject.” Her main directive was to propose steps that residency program directors should take to build trust with minority candidates and to convey that they will be protected and supported. Following the publication of this

letter, Dr. Adetoye was invited to attend the selective 2019 American Board of Internal Medicine Foundation Forum. The forum’s topic, [Re] Building Trust: A Path Forward, provided a fantastic opportunity for her to present her work. Speakers at the event discussed the strategies, tactics and environmental conditions that lead to greater trustworthiness and stronger trusting relationships. And, Dr. Adetoye presented background related to her letter along with her thoughts and ideas on promoting trust to minority resident candidates. n Mercy Adetoye, M.D., M.S.


Education MissionWelcome, Class of 2022!

Rudy Wenner, M.D. Wayne State University

School of Medicine

Dr. Adetoye Invited to Speak at ABIM Forum

Davies Lectureship: Father and Daughter Return The Department was privileged to welcome Nicola (Nikki) J. Davies, M.D., the oldest daughter of former Chair, Terence C. Davies, M.D., back to Ann Arbor as the Davies Lectureship in Medical Education presenter on May 8th. Nikki was joined by her father, Terry, and her twin sons. The presentation, “My Life in Family Medicine,” was fitting as Dr. Davies has spent her entire life immersed in family medicine, beginning with her parents, Drs. Terry and Margaret Davies, who were inaugural faculty at U-M in 1978. Nikki’s personal presentation told her journey as a family physician and shared reflections on balancing a career and motherhood. Dr. Nikki Davies graduated from U-M Medical School (MED 1992) and completed her residency program at Lancaster General Hospital in Lancaster, PA. Following residency, she completed a Rural and Emergency Medicine fellowship at the University of Tennessee in Memphis and then was

recruited to a faculty appointment at Eastern Virginia Medical School where she served as director of the Family Medicine Obstetric Service for almost a decade. Dr. Davies has been in private clinical practice in Virginia Beach, VA for the past fifteen years. The Lectureship and dinners brought together friends and former colleagues of Terry’s who remembered Nikki when she was a young girl. In addition to sharing memories and laughter, the special events and gatherings provided an opportunity to honor both Nikki and Terry for their accomplishments and dedication to family medicine. The Terence C. Davis, M.D. Endowed Lectureship in Medical Education supports an annual lectureship in family medicine that features a prominent speaker and family medicine educator, who embodies the same values and passion that Terry exemplified as Chair of the Department. n

Dr. Polk Presents Zazove Lecture

Nikki Davies, M.D., along with her sons, is thrilled to

return to the Department founded by her father, Terence

C. Davies, M.D.

The 5th annual Drs. Earl and Louise Zazove Lectureship in Family Medicine sponsored Thad A. Polk, Ph.D., professor, University of Michigan Department of Psychology, to present “The Aging Mind and Brain” at department grand rounds on July 10th. The lectureship showcased Dr. Polk’s research, which combines functional imaging of the human brain with computational modeling and behavioral methods to investigate the neural architecture underlying cognition. Some of his major projects have investigated differences in the brains of smokers who quit compared with those who

do not, changes in the brain as we age, and contributions of nature versus nurture to neural organization. He also had the opportunity to speak with residents and hold meetings with faculty members. The Zazove Lectureship in Family Medicine supports an annual lectureship in family medicine and an education program focused on aging that features a prominent speaker and family medicine educator. Although Dr. Earl Zazove was unable to attend, he was grateful Dr. Polk was the chosen lecturer and was able to share such an important topic with so many family physicians. n

Please SAVE the DATE for the 2020 Davies lectureship when we welcome back medical school alumna, Louito Edje, M.D., as the speaker on May 13, 2020.


Education Mission

The Clinical Simulation Center (CSC), under the leadership of James M. Cooke, M.D., associate professor, is an innovative, instructional envi-ronment and learning laboratory providing challenging, immersive simulation training for students, residents, faculty, nurses and other health care professionals at the University of Michigan. In 2004, the Department of Family Medicine was one of the CSC’s founding departments and continues to oversee its success through the work of several faculty members. Dr. Cooke, the executive director of the CSC, also serves as lead faculty for the Department’s simulation-based education, along with Ketti S. Petersen, M.D., assistant professor, and Christina W. Chiang, M.D., lecturer. Scott A. Kelley, M.D., assistant professor, is the Department’s liaison faculty member and a CSC core faculty member.

Dr. Cooke gives instruction in the simulation of an obstetrical ultrasound.

The Department is very active in the CSC with more than 143 hours of instruction using simulation for skills training of family medicine residents in the past year and is one of the most productive family medicine departments in terms of scholarship in simulation-based education. In honor of this momentous occasion, Dr. Cooke notes, “As we celebrate 15 years of the Clinical Simulation Center at Michigan Medicine, we wanted to take a moment to thank all current and former members of CSC committees, staff, instructors and those across the institution for supporting our mission of advancing best practices in health care education and improving patient safety through simulation. We have grown from a staff of two in one room in the Towsley Center for Continuing Medical Education, providing a few hundred hours of simulation per year, to a multi-site, high-fidelity center offering a wide variety of team- and skill-training simulators with 11 experienced staff and a host of instructors training more

than 12,000 learners per year from many departments, the medical school and the health system. The rapid adoption of high-impact education into training across an institution as large as Michigan Medicine has been remarkable, and many thanks go to all of those who contributed to the establishment and success of this amazing resource.” Dr. Cooke has authored a white paper, titled “Evolution of Simulation-Based Educat ion at Michigan Medicine From Simulation Center to Skills-Commons,” that focuses on the CSC’s journey and the center’s vision for the next 15 years (bit.ly/CSCWhitePaper2019) and developed videos showcasing the CSC (bit.ly/CSCYouTubeUM).

Please visit the CSC whenever you are back in Ann Arbor! n

Clinical Simulation Center Celebrates 15 Years

James M. Cooke, M.D.


Education Mission

Kristin Pacl, M.D., 2019 resident graduate, attended the 2018 North American Primary Care Research Group annual meeting where she presented her resident original research project. Due to her outstanding work with mentor Tammy Chang, M.D., M.P.H., M.S., she earned a Distinguished Trainee Research Award.

Her presentation entitled, “The Social Media CAGE: A Rapid Assessment of Problematic Social Media Use Among Youth” utilized Dr. Chang’s MyVoice project to ask open-ended questions regarding social media use. Her questions included: • List the types of social media (SM) you use:• Do you find yourself checking your social media without realizing it? Describe it.• Have you ever felt like you should CUT BACK on your SM use? Describe it.• Have people ANNOYED you by commenting on how often you use SM? Tell us about it.• Have you ever felt GUILTY about your SM use? What happened?• Is checking your SM the FIRST THING you do in the morning?

Dr. Pacl received responses from 572 participants and determined that participants were willing to respond to the CAGE-style questionnaire and provided insightful and nuanced views of their social media use. She found that more than 60% of respondents answered “yes” to at least 2 of the questions meaning that they would screen positive in a standard CAGE questionnaire. In terms of clinical practice, Dr. Pacl’s results find that a CAGE-style questionnaire may be helpful for clinicians to open a dialogue about social media use that is more extensive than simply screening for screen time. n

Outstanding Resident Research

Dr. Pacl presents her award winning work at

the annual NAPCRG meeting in Chicago.

By the Numbers: How We Rank In the 2019 US News & World Report ranking of Best Graduate Schools — Best Family Medicine Programs, the Department jumped to No. 3! “We are honored by this high ranking by our peers. I truly believe it’s due to the Michigan way, exemplified by Bo Schembechler’s famous speech about ‘The Team, The Team, The Team.’ Our team of incredible faculty, residents and staff do amazing work in all our missions, and are the ones who enabled us to achieve this ranking. And, of course, our patients and learners are the ones who benefit,” said Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine. The U-M Medical School is the No. 6 institution for training primary care physicians and is No. 16 nationally among research medical schools. The primary care ranking is up one spot from last year, while the research ranking places the U-M in the top 16 every year since 2003. Family

Medicine remains the top ranked specialty among all U-M Medical School specialties! Internally, all medical student clerkships are ranked and the family medicine clerkship consistently ranks among the highest programs, this year again earning the top spot. Kent J. Sheets, Ph.D., professor and director of educational development, noted, “As in the past, the high ratings of the clerkship have been due to the efforts of every one in our clinical sites and administrative offices who come into contact with the student-faculty, fellows, residents, staff and even patients. The Department has a long history of excellence in patient care, research/scholarship, community service and education. The success of the required clerkship is a reflection of all those areas of excellence and of the contributions of all of you.” n


Education Mission

Kristen Cross is excited to meet Kenneth

Betz, who established a scholarship in honor

of his daughter, Anne Kittendorf, M.D., an

assistant professor in the Department. Philip

Zazove, M.D., Kenneth Betz, Kristen Cross,

Anne Kittendorf, M.D. (2001 MED, 2004 RES),

and Jeff Kittendorf, Ph.D. (left to right).

Marguerite (Peg) Shearer, M.D. (1960 MED),

who established this scholarship in honor

of the AEI Sorority, is proud to congratulate

winner, Lakshmi Karra.

2019 Student Scholarships & Awards The University of Michigan Department of Family Medicine held its 16th annual Scholarships and Awards Ceremony on May 8, 2019. The scholarships and awards, which provided more than $100,000 in support, were presented to the recipients by Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine; and the event was emceed by R. Dale Lefever, Ph.D., emeritus faculty. The day of celebration and reflection concluded with a lunch for the scholarship donors, their recipients and their families. This year, we are sharing the recipients’ thoughts, plans and aspirations in their own words.

Kristen E. Cross: Kenneth & Judy Betz Family Medicine Scholarship and the Harold Kessler, M.D. Scholarship in Family Medicine recipient

“Coming from a family of rural Georgians, many of whom have never had health insurance, I understand how a lack of access to health prevention and health maintenance services takes its toll on individuals and their families. Many members of my family have suffered the preventable complications of untreated chronic illness. Not only

sustainable and affordable payment options based in cultural competency and community involvement.” Kristen has begun her residency at Mountain Area Health Education Center, Asheville, NC.

Lakshmi Karra: Department of Family Medicine Scholarship and the AEI Sorority Family Medicine Scholarship recipient

Please read more about Lakshmi in the article on page 8.

does this often lead to disability, resulting i n e c o n o m i c strife and further compounding of their difficult situation, but it also threatens many psychological a n d r e l a t i o n a l c o m p o n e n t s o f w e l l b e i n g . F o r those who do have insurance, usually

Medicaid, it has been challenging to find physicians located in accessible areas who accept public insurance. These experiences inspired me to pursue a career as a family physician in order to provide primary care to those who otherwise do not have access. I plan to combine all of the aspects of my training and interests in my practice as a broad-scope, rural family physician in an area where healthcare access is limited. I look forward to increasing access to healthcare services for my patients and to being an advocate for them as they navigate the complexities of the healthcare system. Throughout the remainder of medical school and residency, I will continue to build on the skills that I have already learned to enhance my medical knowledge and procedural skills as well as skills around health policy, diversity, and humanism with an ultimate goal of creating an accessible primary care clinic with


Education Mission

Continued on page 16

Tom Berlund, Jr. and Jill Berglund are proud

to offer a scholarship in memory of their

father and husband, Tom Berglund Sr., M.D.

(1959 MED), and to meet scholarship winner,

Emily Geerlings.

practice as a family physician for 35 years. He and his wife continue to live in Grand Rapids. Emily has begun her residency at Mercy Health in Grand Rapids, Mich.

Morgan S. White: Vincent P.and Genevieve L. Burns Family Medicine Scholarship; Paddy and Donald N. Fitch, M.D. Family Medicine Scholarship and the Harold Kessler, M.D. Scholarship in Family Medicine recipient

“My experiences from all of my clinical rotations have solidified my

The 2019 family medicine

scholarship and award winners

celebrate the end of their

medical school career. The

Department is excited to watch

how they will make their mark

on the field of family medicine.

Elizabeth Burns, M.D. (1976 MED) honored

her parents with a scholarship in their name.

She is pleased to meet this year’s winner,

Morgan White.

Dale Williams, M.D. (right) and Philip Zazove

M.D. (left) celebrate with Emily Geerlings.

Emily N. Geerlings: Dale L. Williams, M.D. Family Medicine Scholarship; Jill and Thomas R. Berglund, M.D., Family Medicine Scholarship and the Harold Kessler, M.D. Scholarship in Family Medicine recipient

“Since my decision to pursue medical training, I have envisioned myself as a family physician. Perhaps that dream arose from hearing my grandfather’s stories of his many years of practice in family medicine. Or, perhaps, I have always known that I am a generalist at heart. When my friends and classmates talked of other careers in medicine, I reconsidered my dedication to primary care, but I found that I genuinely liked aspects of most of my rotations. The longer I considered other specialties, the more I found myself reluctant to restrict myself to the care of just one organ system or to just one patient demographic. I also discovered that I love the variety of both general medicine and pediatrics, especially the intellectual challenge of unpredictable patient encounters. Similarly, I learned that I love the fast-paced decision-making of obstetrics just as much as the careful communication of psychiatry. I am looking forward to providing full-spectrum biopsychosocial medical care, across ages, languages and genders, for the rest of my career. I am excited for the variety of illnesses and concerns that I will treat in family medicine, as well as the deep relationships that can be formed with patients over time.” Emily’s grandfather, Dr. Harry Holwerda (1965 MED) was in private


belief that the path for me to become the physician I see myself being is through family medicine. I envision myself using family medicine as a platform to address health disparities in cancer, with a particular focus on the African-American community. I recognize that in dedicating myself to healthcare disparities, I am not just committing myself to the patient, but also to the community to which the patient belongs. I see my role as a family physician extending outside of the clinic to promoting the health of the community in schools and at community events. I hope to utilize community-based preventative health education strategies to promote healthy lifestyles and increase cancer screenings with the goal of decreasing the rates of late-stage cancer diagnoses and closing the gap between racial groups in cancer mortality. More broadly, I aim to grow in my understanding of the community in which I serve, in hopes to better understand the socioeconomic factors that affect my patients’ health and their access to health care, so that I can appropriately treat the whole patient.” Morgan has begun her residency at University of Wisconsin, Madison.

Josiah D. Smiley: Robert J. Fisher, M.D. Family Medicine Scholarship; Michael Papo, M.D. Family Medicine Scholarship and the Chelsea Community Family Medicine Scholarship recipient

“Medical school has shown me that family medicine is the answer to combining my passions for serving the underserved and providing whole-

person care. There is no other specialty that emphasizes both the individual and the community like family medicine. I envision myself working in places like Afghanistan as a physician, a teacher, and a community advocate. I want to partner with local government, businesses, and universities to help establish health centers, train future physicians, and establish clinics and hospitals in the areas of greatest need. As a medical student, my focus has been on building the foundation for this dream. In residency, I hope to supplement this knowledge by learning at a program whose strengths will complement my goals. I want to become an excellent clinician for children, men, and women of all ages, treating patients by integrating the latest evidence-based research into my practice. I want to become a better educator, using my skills as a teacher to teach medical learners at all levels. I want to grow as a leader, using my platform in the community to enact

lasting change. Ultimately, I want to become a proficient, globally-minded, compassionate, full-spectrum family physician, comfortable and capable of facing whatever comes my way.” Josiah has begun his residency at John Peter Smith Hospital, Fort Worth, Texas.

Mariam Z. Abdulghani: Gazella-Brandle Memorial Family Medicine Scholarship recipient

“At a very young age, my parents instilled within me a love of learning. Almost 20 years ago, they immigrated to the United States for the sole purpose of education, a decision motivated by a number of struggles. As with many other immigrants, they saw the United States as a place where educational success would not be shaped by political instability or economic difficulties. With such an education came a variety of opportunities and interests, particularly those related to science and medicine.

Josiah Smiley (center) is excited to begin his medical career with help from Robert J. Fisher,

M.D. (1960 MED) (left) and the scholarship he created to assist new family physicians.

Education MissionScholarships…continued from page 15


Having realized my passion for medicine, I felt determined to discover the one specialty that would match my interests. In looking back on my third year of medical school, I see that some of my most memorable moments have taken place during my family medicine rotation. I recall celebrating with my patients when they met their health maintenance goals, explaining why a particular treatment was prescribed, and engaging in deeply personal discussions surrounding mental health. It was then that I understood how privileged physicians truly are, having the ability to forge connections that are unlikely to happen outside of a hospital or clinical setting.” Mariam has begun her residency at Ascension Providence Hospital, Southfield, Mich. n

Education Mission

Bonnie and Gary Gazella, M.D. (1973 MED)

(left) created this scholarship in memory

of several family members and are happy

to be able to present it to winner, Mariam

Abdulghani.

Dr. Dobson (center) accepts her innovation award from the GME team.

Dr. Margaret Dobson Earns Innovation Award Margaret L. Dobson, M.D., assistant professor, received the Graduate Medical Education Faculty Innovation Award at a ceremony in April. “It is truly an honor to be recognized. I think the award is a reflection of Departmental innovation, the encouragement of Dr. Zazove and Dr. Skye to develop and move new ideas forward, and the effort of a very strong residency team,” said Dr. Dobson, who was previously the residency program director. The award is given to recognize faculty who have made outstanding and innovative contributions to graduate medical education. The nomination team noted, “Dr. Dobson has broad visions, a collaborative nature, and the bravery to pursue change at a large academic center where there can be institutional resistance. And, she possesses a unique ability to assess the pulse of the residency with a keen eye toward physician wellness, leading a highly regarded revamp of our wellness curriculum. At the same time, she focused on the future metrics by which family physicians will be measured; she directed our clinical teaching around quality improvement and oversaw an overhaul of our morbidity and mortality conference to focus on system improvement and quality care.” Eric P. Skye, M.D., professor and associate chair for educational programs, added, “The team that Dr. Dobson developed and led has accomplished so much that has impacted our residents, the Department and our patients. Her team’s accomplishment occurred while she role-modeled and created an environment of respect and care during great change, a model we would like to see more broadly.”

Congratulations Dr. Dobson! n

Research Mission

Fall 201918

Pregnant Smokers Shown to be More Open to Tobacco Screening Than Their Providers

http://medicine.umich.edu/dept/family-medicine

Restricting sales of tobacco products to people 21 and older could keep

11,000 Michiganders from starting to smoke within five years, potentially avoiding premature deaths in two-thirds of that population, according to a study conducted by a team of researchers at the U-M Institute for Health Policy and Innovation, including Tammy Chang, M.D., M.P.H., M.S., assistant professor. The change would translate into 17,000 fewer smoking-related deaths and 198,000 fewer smokers by 2100,

according to U-M researchers who analyzed the potential impact if Michigan were to pass what’s often called “Tobacco 21” legislation. “The population most likely to be affected by Tobacco 21 policies are younger teens, whose input is largely missing in the debate,” said Dr. Chang, an adolescent health researcher. “That’s where MyVoice comes in.” MyVoice, a national poll of youth developed by Dr. Chang and her team, sends a weekly text message survey to more than 1,800 youth, ages 14-24, from across the United States. The Tobacco

21 research team leveraged MyVoice to collect responses from 800 youth in September 2018. About 60% of Michigan youth surveyed supported the adoption of a Tobacco 21 policy, mirroring nationwide responses. Dr. Chang added, “Our work on Tobacco 21 is a perfect example of how MyVoice can engage youth in the policy decisions that impact their lives and their health.” n

Medicaid, as well as interviews with 20 clinicians who provide prenatal care. Surprisingly, the study found that patient participants generally saw the testing more positively than their clinician counterparts. Despite having some reservations, a majority of patients (89%) identified tobacco screenings as an intervention that could help them and others stop smoking. Endorsing statements were not mutually exclusive with concerns about the potential strain on the doctor-patient relationship. About one-third of patient participants expressed reservations and fears. At the same time, more than 80% of clinicians raised fears that the testing could have a negative impact on the doctor-patient relationship. Dr. Gold believes clinicians should recognize that patients may be open to being tested, as long as it is carried out in an honest, transparent, and non-judgmental way. Dr. Gold stresses that clinicians can leverage that openness to help women either quit or considerably reduce their tobacco usage. The study, “Prenatal Point-of-Care Tobacco Screenings and Clinical Relationships,” was published in the Annals of Family Medicine November-December 2018 issue. n

Physicians have long advocated cessation of tobacco use during pregnancy as a way to improve birth outcomes. Yet many pregnant smokers, including vulnerable Medicaid populations, may never disclose their smoking or their desire to quit when

asked by providers. One nontraditional option for starting the conversation is a urine test that traces cotinine, a tobacco metabolite. This test, when administered during a prenatal visit, could open the conversation to smoking cessation. But, it also runs the risk of damaging doctor-patient trust. Research from Katherine J. Gold, M.D., M.S.W., M.S., associate professor, explored the acceptability of urine testing for tobacco use, from both patient and provider perspectives. The research team conducted 19 interviews and four focus groups with 40 pregnant or postpartum women covered by

Tammy Chang, M.D.

Raising Tobacco Sale Age to 21 Would Prevent Thousands of Premature Deaths in Michigan

Research Mission


Raising Tobacco Sale Age to 21 Would Prevent Thousands of Premature Deaths in Michigan

The 14th annual William Clippert Gorenflo Research award was presented to Mercy A. Adetoye, M.D., a second-year U-M family medicine resident, and Emily H. Johnson, a second-year U-M medical student, on May 8, 2019. William’s son, Daniel W. Gorenflo, Ph.D., former faculty member, was able to attend. The current research interests of Dr. Adetoye include trends in healthcare leadership and workforce sustainability particularly pertaining to family medicine. “As our pa t ien t popula t ion becomes more diverse, I wonder if the physician population and leadership has changed as well. I am particularly interested in learning not only about the demographics of those who hold leadership positions, but what determinates led them to their positions. I recently applied for and was accepted into a fellowship during which I will get to learn about clinical leadership and how it is enhanced by research. Doing my own research

project, under the mentorship of Katherine J. Gold, M.D., M.S.W., M.S., associate professor, has provided me the opportunity to put together my own question and methods, learn the IRB process and gain a better understanding of data analysis. I have also been able to work closely with family medicine leadership nationally. Upon completion, I look forward to sharing my findings and hope that it will inspire young physicians in training to pursue leadership roles in academic family medicine,” explained Dr. Adetoye. Dr. Adetoye added, “I look forward to my continued growth as a physician and a scientist. The support that donors like you offer us as trainees is greatly appreciated. It is deeply gratifying to know that you and others like you have seen fit to create awards that assist students and residents like me to achieve their dreams.” In partnership with Justine P. Wu, M.D., assistant professor, Emily is conducting a project in women’s

health, in particular to help women with chronic medical conditions like high blood pressure and diabetes make thoughtful decisions about contraception and pregnancy. “These chronic conditions can make pregnancy complicated, and often contribute to maternal mortality and morbidity. Together with my mentor, Dr. Justine Wu, I will use the award to help study how medical providers and women of child bearing age with chronic medical conditions can use shared decision-making to promote better outcomes for this cohort of women. Specifically, this award will help pay for publication and dissemination of the information we collect. I hope to travel to conferences and lobby local and state politicians with our data, so we can promote evidence-based practices in women’s health,” Emily shared gratefully. This is the true spirit of the Gorenflo Award, which aims to provide incentive and reward passion for research among medical students or residents who are engaging in research with a family medicine faculty member. n

Emily Johnson, Philip Zazove, M.D., Daniel Gorenflo, Ph.D., and Mercy Adetoye, M.D. celebrate

at the annual Department of Family Medicine Scholarships and Awards event.

Gorenflo Research Award Winners

Research Mission


Medicine does not exist in a vacuum. New research from the Department strives to frame medicine in the context of our everyday life. To do so, these new works draw on insights from fields as far ranging as social computing and economics to genomics and epidemiology, all with the goal of understanding and solving large-scale issues in health and health care. New research funding will support investigations of online support groups for moms experiencing perinatal loss, the preventative health impact of hearing loss screenings and the power of data collected from the maternal microbiome.

New Research Funding

MOMSonLINE2: A Pilot Study Testing Recruitment and Retention of Women of Color to an Online Support Group for Bereaved Mothers

Katherine J. Gold, M.D., M.S.W., M.S., associate professor$75,000Michigan Institute for Clinical and Health Research

In the last decade, online support groups and communities have become

popular sources of peer support, including for women with pregnancy and infant loss. Perinatal death, loss of a baby in the second half of pregnancy (stillbirth) or infant death in the first month of life, is traumatic and devastating for parents and impacts more than 50,000 families a year in the United States and more than 5 million families worldwide. African-American women have twice the risk for perinatal loss and similar rates of depression and traumatic stress, but are rarely the focus of bereavement research. A feasibility study led by Dr. Gold will work with the Michigan Department of Health and Human Services to recruit bereaved women of color and with BabyCenter.com, which hosts an online anonymous loss group, to accurately track data on participant usage of an online support group. Fifty women of racial/ethnic minority groups will be recruited shortly after loss to participate in an online support group for six weeks, providing feedback on their experience. The study builds on Dr. Gold’s pilot study, which examined both anonymous and non-anonymous online interventions for perinatal loss support. It found that moms strongly preferred active and anonymous sites, like BabyCenter.com, over sites like Facebook where their identity was visible to others. Findings from the MOMSonLINE study were published in OMEGA—Journal of Death and Dying.

The Impact of Hearing Loss on Hospital Readmissions

Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine$75,000Blue Cross Blue Shield Foundation Is undiagnosed or untreated hearing loss (HL) associated with increased

hospital readmissions? Initial data suggests this might be true. Dr. Zazove and his research team will investigate this potential connection in a new study. They will evaluate the impact of treated and untreated HL status on readmission rates by tracking adult inpatients ages 55 and over, at two major southeast Michigan hospitals. Over a six-month period, the research team will evaluate hospitalized patients for HL using both a questionnaire and by doing an audiogram. The patients will then be followed over time to determine their 30-day readmission rate. Dr. Zazove and his team will include demographic, medical and other data from the electronic medical records, as well as health literacy, social and other data in their analysis. This study builds on the team’s work on the health impacts of untreated HL. Previous studies by Dr. Zazove and other MDisabililty researchers, Michael M. McKee. M.D., M.P.H., associate professor, and Elham Mahmoudi, Ph.D., assistant professor, include an analysis of Medical Expenditure Panel Sur-vey (MEPS) data. This study, published in JAMA Otolaryngology-Head & Neck Surgery in June 2018, found that patients with HL who used hearing aids had an 8% lower risk of any emergency visit and a 9% lower relative risk of any hospitalization. Additional research includes Dr. Zazove’s Early Auditory Referral in Primary Care (EAR-PC) study investigating how to identify untreated HL through the use of effective best practice alerts in the electronic medical record system and Dr. McKee’s examination of the social determinants of hearing aid use.

Research Mission


Optimizing and Validating Data on the Maternal Microbiome

Kimberly S. McKee, Ph.D., M.P.H.,assistant professor$200,000National Institutes of Health

How is a child’s long-term health shaped by their mother’s microbiome

during pregnancy? A new study of the vaginal microbiome, led by Dr. McKee, will provide the critical scientific precursor to determining the effects of the vaginal microbiota on pregnancy and child health outcomes. Dr. McKee and her team will analyze maternal microbiota data collected from pregnant women in five diverse cohorts across the country. The project aims to:• Harmonize and validate microbiota signatures across cohorts. • Identify different factors in pregnancy that may be associated with vaginal microbiota signatures. In 2016, the National Institutes of Health launched a nationwide research program to enhance child health, the Environmental influences on Child Health Outcomes (ECHO) Program. The program is designed to understand the effects of a broad range of early environmental influences on child health and development. It consists of existing and ongoing observational studies of more than 50,000 children. This project is funded by the ECHO Opportunities and Infrastructure Fund (OIF), a mechanism for ECHO Early Investigators to leverage extant cohort data. The project is a continuation of Dr. McKee’s work with the Child Health Advances from Research with Mothers, a coalition of maternal and child health researchers from five Michigan institutions, led by Nigel Paneth, M.D. M.P.H., professor of epidemiology, biostatistics and pediatrics at Michigan State University. n

Hearing Aids Linked to Lower Risk of Dementia, Depression and Falls

Older adults who get a hearing aid for a newly diagnosed hearing loss have a lower risk of being diagnosed with dementia, depression or anxiety in the following three years, and a lower risk of suffering fall-related injuries, than those who leave their hearing loss uncorrected, a new study finds.

Yet, only 12% of those who have a formal diagnosis of hearing loss actually get the devices – even when they have insurance coverage for at least part of the cost, the study shows. It also reveals gaps in hearing aid use among people of different racial and ethnic backgrounds, geographic locations and genders. The findings, made by a team of family medicine and other University of Michigan researchers, used data from nearly 115,000 people over age 66 with hearing loss and insurance coverage through a Medicare HMO between 2008 and 2016. The study was published in the Journal of the American Geriatrics Society. Lead investigator, Elham Mahmoudi, M.B.A, Ph.D., assistant professor and health economist, says it confirms what other research has shown among patients studied at a single point in time – but the new findings show differences emerging as time goes on. “We already know that people with hearing loss have more adverse health events, and more co-existing conditions, but this study allows us to see the effects of an intervention and look for associations between hearing aids and health outcomes,” she says. “Though hearing aids can’t be said to prevent these conditions, a delay in the onset of dementia, depression and anxiety, and the risk of serious falls, could be significant both for the patient and for the costs to the Medicare system.” n

Research Mission


Dr. Harper Finds Promising Effects of Experimental HPV Immunotherapy

The May 2019 issue of Family Medicine and Community Health (FMCH) provides ten quick start research guides, with contributions from ten U-M Family Medicine faculty. In an opening editorial, Michael D. Fetters, M.D., M.P.H., M.A., professor and FMCH editorial board member, dedicates the issue to aspiring family medicine and community health researchers, encouraging readers to share the resources with students, residents, fellows, as well as experienced clinical practitioners “who are inquisitive and want to contribute to the science of family medicine and community health.”

Among the works: A template for curriculum development, developed by Jill R. Schneiderhan, M.D., assistant professor, Timothy C. Guetterman, Ph.D., M.A., former assistant professor, and Margaret L. Dobson, M.D., assistant professor, which outlines a six-step approach to curriculum development in family medicine. A guide to improving patient health directly using this quality improvement methodology. Co-authors, Allison N. Ursu, M.D., assistant professor, Michael M. McKee, M.D., M.P.H., associate professor, and Grant M. Greenberg, M.D., M.H.S.A., M.A., former assistant professor and class

of 2000 residency alumnus, discuss a quality improvement method used in a case study of chlamydia screening in women. They reported an increase in screening rates from 29% to 60%. Instructions for mixing survey data with qualitative data in your first mixed methods research project by John W. Creswell, Ph.D., adjunct professor, and Mariko Hirose, Ph.D. of Kwansei Gakuin University, Japan. Work by Melissa J. DeJonckheere, Ph.D., assistant professor, Lisa M. Meeks, Ph.D., assistant professor, and Michael D. Fetters, M.D., M.P.H., M.A., professor, were also featured. Find the full contents of the special issue online http://bit.ly/fmchmethods n

procedures for CIN2/3 and the removed tissue was examined. Women who received the vaccine were more than twice as likely as those who received placebo to see their CIN eliminated regardless of the type of HPV infection. The results were most striking in the more-severe CIN3: at least 15 percent, and as much as 36 percent of those who got the vaccine, saw their CIN3 eliminated, while none of the women in the placebo group did. With the TS vaccine, researchers found that it not only eliminated the lesions, but also eliminated the HPV infection. Researchers followed the participants for another two and one half years after surgery; the longest any study has followed women in these trials. They showed that long-term follow-up was better for those who received vaccine over placebo, with more women in the vaccine group remaining completely clear of HPV. The study was published in Gynecologic Oncology in June. The study looked only at cervical lesions, but HPV is linked to several other types of cancer, including head and neck cancer and anal cancer. The researchers envision testing TS for these cancers in the future. n

A potential new therapeutic vaccine to treat precancers in the cervix completely eliminated both the lesion and the underlying HPV infection in a third of women enrolled in a clinical trial led by

Diane M. Harper, M.D., M.P.H., M.S., professor of family medicine, obstetrics and gynecology, and women’s studies. The vaccine, called Tipapkinogen Sovacivec, or TS, injects a specific protein that triggers an immune system response to attack high-risk HPV types that cause nearly all cervical cancer precursors, known as cervical intraepithelial neoplasia, or CIN. “There are very few products trying to cure women who already have an HPV infection,” noted Dr. Harper. “It’s very exciting. This is the first time we’ve seen something with this success rate that is relatively easy to implement.” The study enrolled 192 women diagnosed with moderate (CIN 2) to severe (CIN 3) dysplasia, randomizing 129 to receive the vaccine and 63 to receive a placebo. Women were given three shots in their thigh, one per week for three weeks. Six months later, the women were treated with standard surgical

Ten Faculty Members Author Works on Conducting Research in Family Medicine

Department Programs


Dr. Harper Finds Promising Effects of Experimental HPV Immunotherapy

One in five Americans identify themselves as a person with a disability (PWD) and experience significant health inequities. PWD are rarely the focus in health care efforts, including research, education, and employment and remain underrepresented in medical education and practice.

The Department of Family Medicine is working to change this. A new program, MDisability, was founded in April 2019 to promote greater inclusion of people with disabilities in healthcare research, education, practice and community engagement. Under the leadership of three co-directors — Michael M. McKee, M.D., M.P.H., assistant professor (research and clinical); Lisa M. Meeks, Ph.D., M.A., assistant professor (education); Oluwaferanmi O. Okanlami, M.D., M.S., assistant professor (community) — they lead several MDisability initiatives producing impactful research, guiding national educational policy and providing specialized and inclusive care and sports opportunities for PWD. Recent MDisability efforts include: Research: Earlier this year, two

grants were funded through the Blue Cross Blue Shield Foundation and the National Institutes for Health to gauge how hearing loss may impact health. Dr. McKee’s research project, “Assessing Hearing’s Effects on Aging, Memory and Health Literacy,” will assess the effect hearing has on cognitive abilities, aging related decline and health literacy. Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine, is also leading a multi-site research project to determine whether undiagnosed or untreated hearing loss is associated with increased hospital readmissions. Elham Mahmoudi, Ph.D., M.B.A., M.S., assistant professor, received widespread publicity with her recent article, “Can Hearing Aids Delay Time to Diagnosis of Dementia, Depression, or Falls in Older Adults?” in the Journal of American Geriatrics Society. See page 21. Education: #DocsWithDisabilities, a new bimonthly podcast hosted by Dr. Meeks, explores real-life stories and experiences of doctors with disabilities. The goal is to provide a deeper understanding of issues, challenges faced by medical professionals with disabilities through critical conversations with the doctors, researchers, administrators, faculty and policy makers working to ensure medicine remains an equal opportunity profession. Subscribe to the #DocsWithDisabilities podcast on iTunes, Google Play, Spotify and SoundCloud.

MDisability completed its first summer internship program designed to train future clinicians and researchers interested in disability health. The inaugural cohort included Caroline Cerilli, a sophomore at Johns Hopkins University; Kate Panzer, a 2018 graduate from the University of Pennsylvania; and Anah Salgat, a 2019 graduate from the University of Michigan. Clinical: The Deaf Health Clinic recently celebrated its fourth year. Located at the Dexter Health Center, it provides accessible, integrated health programs for patients with hearing loss, including nearly 150 deaf signers residing locally. In September, Dr. McKee and Leslie Pertz, LMSW, conducted a conference workshop on Deaf Patients’ Substance Use Disorders and managing their healthcare needs at the 20th Annual Substance Use and Co-Occurring Disorder Conference in Detroit. Community: Physical fitness is vital for everyone’s health and wellness. Participation in sports offers the ability to provide a sense of community. Dr. Okanlami, in partnership with U-MAISE and RecSports. is ensuring adaptive sports opportunities are available for everyone regardless of competition level or (dis)ability. This year kicked off wheelchair drop in basketball sessions with Rec Sports and U-MAISE wheelchair tennis began this fall. The Department is supporting two student athletes in tennis. n

Ten Faculty Members Author Works on Conducting Research in Family Medicine

M-Disability For more information about MDisability, visit bit/ly.mdisability-meded.

Department Programs


DEI in Family Medicine

DE

I C

OM

MIT

TE

E

The Department of Family Medicine values and invests in Diversity, Equity and Inclusion (DEI) efforts. This commitment has been long standing and, over the past three years, the Department’s work has been synergistic with efforts of the Institution and Michigan Medicine, both of which have identified DEI as a strategic priority, necessary for excellence. Our commitment to these same principles is reflected in the Department’s strategic plan, which includes set goals related diversity, equity and inclusion.

In an effort to expand our reach and applicant pool, faculty and resident representatives have attended the Student National Medical Association (SNMA) conference, the largest medical student organization for students under-represented in medicine, and participated in the U-M simulation fest. The Residency program has revised the recruitment process to be more inclusive, expanded education to include annual HO-1 unconscious bias training, incorporated core lectures on DEI content and established a Spanish Language and Community Medicine track. Carolina B. Sierra Lopez, M.D., house officer I, is the inaugural resident to match to this new track and sees patients at the Ypsilanti Health Center. n

DEI COMMITTEE MISSION Develop sustainable department processes that promote diversity, equity and inclusion and allow us to recruit and retain diverse talent such that faculty members, residents and staff “mirror” the diversity of the State of Michigan. Our aim is to be the leader among peer departments locally and nationally, related to programming and scholarly work focused on diversity, equity and inclusion efforts. Committee members are working on multiple efforts and have formed working groups to achieve their goals.

Mercy Adetoye, M.D., house officer III, and Oluwaferanmi

O. Okanlami, M.D., M.S., assistant professor, attended the

2019 SNMA conference to recruit new residents.

Ebony Parker-Featherstone, M.D.

Department Co-Lead

Devon KinneyDepartment Co-Lead

Jean H.C. Wong, M.D.Resident Education

Masahito Jimbo, M.D., Ph.D., M.P.H.

Recruitment/Retention

Elizabeth K. Jones, M.D.Department Engagement

Philip Zazove, M.D.Committee Member

Katherine E. Hughey, M.D.Committee Member

Golfo K. Tzilos Wernette, Ph.D.Infrastructure/IT

Anna R. Laurie, M.D.Gender Equity

Anita K. Hernandez, M.D.Department Engagement

Gender Equity

Michigan Mixed Methods Program

Department Programs


Mixed methods researchers use the power of “stories” from qualitative research and “numbers” from quantitative research to address society’s most challenging behavioral, clinical and educational issues. Based in the Department of Family Medicine, the University of Michigan Mixed Methods Program (MMP) is promoting applications and advances in the methodology of mixed methods research (MMR). “Mixed methods methodology is like a ‘core technology’ that researchers can apply to understand and solve complex phenomenon,” noted professor and MMP director, Michael D. Fetters, M.D., M.P.H., M.A. John W. Creswe l l , Ph .D . , adjunct professor, and Timothy C. Guetterman, Ph.D., adjunct professor, established MMP in 2015 as the world’s first mixed methods research “think tank.” Over 300 researchers from across the country and from over 20 countries have participated in

interactive MMP workshops advancing study design, analysis, software use, and writing. Melissa DeJonckheere, Ph.D., assistant professor and MMP faculty member, provides mixed methods expertise on two NIH projects, one with associate professor, Michael M. McKee, M.D., M.P.H. , on understanding health literacy and information accessibility for the deaf, and with Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine, on early auditory referral for hearing loss in primary care. MMP faculty member and assistant professor, Justine P. Wu, M.D., M.P.H., utilizes mixed methods to improve contraceptive care for adult women with chronic disease through an NIH career development award. Current MMP fellow, Paul Chandanabhumma, Ph.D., combines MMR with community-based participatory research to reduce health disparities. Recently, MMP faculty collaborated with several clinical faculty members in a special issue of Family Medicine and Community Health that you can read about on page 22. Dr. DeJonckheere and Dr. Jane Forman, Sc.D., director of Qualitative and Mixed Methods Core at the VA Ann Arbor’s Center Clinical Management Research, lead the Qualitative and Mixed Methods Learning Lab, which provides a venue for work-in-progress and methodology sessions. MMP faculty members collaborate with colleagues in cardiothoracic surgery, emergency medicine, psychiatry and public health and have authored nearly 80 peer-reviewed articles. With support from the McCune

Foundation, the MMP provides training to female visiting scholars from low- and middle-income countries. The MMP is partnering with both the William T. Grant Foundation to support scholars’ research approaches to reduce inequality in youth outcomes through policy change and the Foundation for Child Development to optimize the methodology of applicants who are emerging scholars of color or studying minority issues in early childhood development. The MMP benefits from the support of faculty across U-M including the School of Social Work, School of Nursing, School of Public Health, School of Education, Institute for Healthcare Policy and Innovation and VA Ann Arbor Center for Clinical Management Research, as well as the Mixed Methods International Research Association. “It is a privilege to train and collaborate with so many local, national and international researchers as they tackle the most compelling and complex problems of our time in clinics, classrooms, and society,” notes Dr. Fetters. nLearn more about MMP at www.mixedmethods.org

Workshop participants presenting and receiving

feedback on their project.

Dr. Guetterman, Ms. Marta Carolina Ibarra from

Colombia, a McCune Foundation scholarship

recipient, Dr. Creswell, Opeyemi Oluwatosin

Latona-Babajide from Nigeria, a McCune

Foundation scholarship recipient, and Dr.

Fetters (left to right).

Fall 2019

Alumni News

26http://medicine.umich.edu/dept/family-medicine

The Department of Family Medicine hosted a reception for returning Medical School Alumni family physicians during Reunion Weekend this October. With guests in attendance from as far as Texas, Colorado and Utah with graduation years ranging from 1953 to 2011, the evening was a nice opportunity to reconnect fellow family physicians and share Department updates.

Family Physicians Return to U-M

Kent J. Sheets, Ph.D., professor and author

of the Department’s 40-year history, signed

a copy of the tome for James W. Langley,

M.D. (MED 1957), who traveled from

Colorado for the weekend.

Two of four members of first residency

graduate class of 1982, Patrick J. Kearney,

M.D. (MED 1979), Colorado, and John M.

O’Brien, M.D. (MED 1979), emeritus faculty;

reconnect and reminisce.

Amy B. Locke, M.D. (MED 1999, RES 2002),

former director of the Department’s Integrative

Medicine program, flew in from Utah to spend

time with friends and former colleagues,

including Eric P. Skye, M.D, associate

professor, and Louito C. Edje, M.D. (MED 1995).

Philip Zazove, M.D., chair, spends time

with David S. Webster, M.D. (MED 1994),

wife, Joann R. Webster, M.D. (MED 1993),

an ophthalmologist. David is the Vice

President, Executive Medical Director, at

Highmark Health, the third largest Blue

Cross Blue Shield organization nationally.

Summer Liston-Crandall, M.D. (MED 2004),

Michael J. Harmeling, M.D. (MED 1994),

Andrea L. Wendling, M.D. (MED 1994) and Lynn

L. Swan, M.D. (MED 1984, RES 1987) traveled

within Michigan to attend activities.

In September, the Department of Family Medicine, in partnership with the U-M Alumni Association, launched a new online family medicine community for all current and former residents and fellows. This new family medicine alumni community will:• Provide a platform for resident and fellow alumni to engage with one another and share ideas, such as job posts, and learn how -and what- friends and former colleagues are doing, • Create a safe and trusted space to build a community of family physicians, and • Allow discussions and sub-groups to grow organically around the field of family medicine and the community’s interests. We look forward to welcoming you into our new community! n

Calling Resident and Fellow Alums!

Alumni News


Larry S. Kelly, M.D. (MED 1957) and wife, Sandy, spend time with

James F. Peggs, M.D., emeritus professor.

Louis R. Zako, M.D. (MED 1957), his wife, Mary Jane, and

good friend, R. Dale Lefever, Ph.D., emeritus faculty, see each

other regularly “Up North” during the summer months. Lou

is still very active in locum tenens in Michigan and beyond.

Dr. Okanlami Receives Prestigious Alumni Award

Oluwaferanmi O. Okanlami, M.D., M.S., assistant professor of family medicine and physical medicine and rehabilitation, was awarded the prestigious Michigan Medicine Alumni Society’s Early Distinguished Career Award. Dr. Okanlami, who is also the director of medical student programs in the Medical School’s Office for Health Equity and Inclusion and director of Michigan Medicine’s Adaptive Sports: Michigan Center for Human Athletic Medicine and Performance,

accepted the award during the Medical School Reunion in October. Born in Nigeria, he completed medical school at U-M in 2011 and matched into the Orthopedic Surgery Residency Program at Yale University. In his third year, he acquired a spinal cord injury, paralyzing him from the chest down. Through surgeries and intense rehabilitation, he regained some motor function and went on to earn a Master’s in Engineering, Science, and Technology Entrepreneurship from the University of Notre Dame. He completed a family medicine residency at Memorial Hospital in South Bend, Ind. Dr. Okanlami is vice-president of the River City Challenged Athletes, a South Bend nonprofit supporting sports programs for people with disabilities. He is currently growing similar opportunities at U-M as director of adaptive sports beginning with wheel chair basketball and tennis. He has given talks around the country on diversity, equity, and inclusion. His catchphrase — “Disabusing Disability®” — demonstrates that disability is not inability. Clinically, Dr. Okanlami provides full-spectrum care at Briarwood Family Medicine, with a focus on disability health, and is a leader in the Department’s MDisability program. He works with all students, with an aim to encourage success among those underrepresented in medicine. The Early Distinguished Career Award is presented to U-M Medical School alumni or faculty members in the initial 20 years of their career, this honor acknowledges the recipient’s excellence and exemplary achievement in medical education, research or patient care. nCongratulations Dr. Okanlami!

Carol R. Bradford, M.D., executive Vice

Dean for Academic Affairs, Oluwaferanmi

O. Okanlami, M.D., M.S., and Juan Carlos

Alejos, M.S., president of the Michigan

Medicine Alumni Society

If you have not received your evite to join us in the family medicine resident and fellow online community, please email [email protected]


Faculty ActivityJohn M. O’Brien, M.D., a graduate of the U-M Medical School (1979) and one of the first four Department of Family Medicine residency graduates in 1982, retired this year. His entire career was spent with the Department, teaching clinical medicine and providing primary care for the residents of Chelsea and surrounding communities. He spent 38 of those years delivering babies. He served in several leadership positions at both Chelsea

and U-M hospitals, including residency program director for 16 years. He was chosen as Educator of the Year by the Michigan Academy of Family Physicians. Dr. O’Brien remains a member of the Department’s emeritus faculty.

Theresa R. Peters, M.D., a longtime physician at the Dexter Health Center, retired this June. Dr. Peters worked at Dexter Village Family Physicians before the practice was purchased by the University in 1996. For 31 years she cared for the families of Dexter and the surrounding communities. Fostering an interest in women’s health, Dr. Peters served as the medical director of the Women’s Health Center at Chelsea Community Hospital and

developed a practice around vulvodynia. Dr. Peters graduated from the U-M Medical School in 1985 and completed her residency at Providence Hospital in Southfield, Mich. in 1988.

Margaret A. Riley, M.D., a Department faculty member since 2009, recently left to join Totora Health in Hawke’s Bay, New Zealand. A 2008 graduate of the Department’s residency program, Dr. Riley developed expertise in adolescent health and spent several years as medical director of both the U-M Regional Alliance for Healthy Schools and U-M’s Adolescent Health Initiative. In 2016, she was named medical director of the Ypsilanti

Health Center where she aided the practice’s transition to population management and spearheaded Maggie’s Marketplace, a food pantry available to all patients and community members in Ypsilanti. n

WelcomeNew Faculty

• Melissa J. DeJonckheere, Ph.D., Assistant Professor Health services researcher and mixed methods methodologist

• Kimberly S. McKee, Ph.D., M.P.H., Assistant Professor Maternal and child health researcher

• Christopher J. Frank, M.D., Ph.D., Assistant Professor Chelsea Family Medicine Medical School: Johns Hopkins School of Medicine, 2007 Residency: University of Wisconsin, 2010

• Aleksandr Belakovskiy, M.D., Assistant Professor Dexter Health Center Medical School: Georgetown School of Medicine, 2015 Residency: University of Michigan, 2018

• Robert J. Heizelman II, M.D., Instructor Briarwood Family Medicine Medical School: University of Toledo, 2002 Residency: University of Toledo, 2004

• Cornelius D. Jamison, M.D., M.S.P.H., Lecturer Briarwood Family Medicine Medical School: East Carolina University School of Medicine, 2012 Residency: Duke University, 2016 Fellowship: U-M National Clinician Scholars, 2019

• Leigh M. Morrison, M.D., Assistant Professor Briarwood Family Medicine Medical School: University of Cincinnati College of Medicine, 2015 Residency: University of Michigan, 2018 Fellowship: Academic Medicine, University of Michigan, 2019

• Timothy J. Tellez, M.D., Lecturer Ypsilanti Health Center Medical School: University of Arkansas College of Medicine, 2015 Residency: University of Michigan, 2018 Fellowship: Community Medicine, University of Michigan, 2019

• Laura M. Crespo Albiac, M.D., Lecturer Ypsilanti Health Center Medical School: Rush Medical College, 2016 Residency: University of Michigan, 2019

Best Wishes


Faculty ActivityFour Family Medicine Stories: Why We Do What We Do

WelcomeNew Faculty

A few years ago, I saw a new patient with abdominal pain. She reported weight loss, changes in stools, and was jaundiced. Labs showed severe anemia. She was admitted, found to have metastatic colon cancer and tested positive for Lynch syndrome. She died within two months of our first visit. This case resonated with me because she had two teenage children. I thought about her a lot. It made me reflect on my mortality, and appreciate my family’s health. Months later, I saw a young woman as a new patient for a physical. When asked about her family history, she said her mother died recently from colon cancer. It turned out that she was my patient’s daughter. She, along with her father and brother, established care with me because they liked how I cared for her mother. I was overwhelmed with emotion and had to sit in the break room. I was so honored that this woman’s family would trust me to care for them, despite only meeting her at the end of her life. I still see them and the daughter plans to become a doctor because of what happened to her mother.

Women with HPV often read about my research and share intimate details. Knowing that my work makes a difference to so many people gives me the strength to keep applying for grants despite rejections. Here’s an example of the frequent emails I get:I’m 21 years old, and have HPV. I’m contacting you because I follow all research being done on HPV. I’ve been doing everything to get rid of this as it’s made my depression worse. I read about you online and want to know how you choose people for your studies. Is there any way I could be considered? I know there are risks that could be involved, but I’m willing to accept those. I know you’re trying your best to find a cure, and just wanted to know if and/or how it would be possible to be a “test subject.”

A former resident contacted me to talk about her pregnancy. At 35 weeks pregnant, she had some complications and worried about balancing new motherhood with the demands of being a family physician. She felt torn about not disrupting her patients’ care, while also caring for herself and her soon-to-be-born baby. She wanted to be available for her patients, but knew she needed to slow down and take care of herself and her child. When her husband asked who she could trust to give her advice about balancing these tensions, she chose me — her former faculty advisor. It was tremendously affirming for me that she trusted me so much. It highlighted that the value of the education we provide extends far beyond clinical care. It also showed the value of having compassion and kindness as leaders.

A few months ago, I had the misfortune of diagnosing an early case of colon cancer in a 40 year-old man. How we got there was a testament to the power of family medicine. In short, I diagnosed colon cancer with a PHQ-9. I was seeing him for unrelated reasons (because patients don’t ever come in for just one reason) when I stumbled into some concern about his mood. This led to a PHQ-9, which highlighted his sleep issues, which led to his restless leg symptoms, which caused me to order iron studies, which prompted me to check a CBC, which led to his colonoscopy, which made the diagnosis. This story has an unfortunate ending from one perspective, but from another, we caught a colon cancer in a gentleman with no family history or symptoms several years before he was due for routine screening. Without that family medicine holistic approach, this is a diagnosis that would certainly have been made months, if not years later, and his prognosis would have been much worse. n

Faculty Activity


Faculty PublicationsVGV, Zhao X, Collins-Thompson K, Resnicow K, Chang T. Using Text Messaging, Social Media, and Interviews to Understand What Pregnant Youth Think About Weight Gain During Pregnancy. JMIR Form Res. 2019 Apr 1;3(2):e11397. • McGowan ML, Prows CA, DeJonckheere MJ, Brinkman WB, Vaughn L, Myers MF. Adolescent and Parental Attitudes About Return of Genomic Research Results: Focus Group Findings Regarding Decisional Preferences. J Empir Res Hum Res Ethics. 2018 Oct;13(4):371-382. • D e J o n c k h e e r e M J , V a u g h n L M . Semistructured interviewing in primary care research: a balance of relationship and rigour. Fam Med Com Health. 2019:7(2):1-8.• Shampain K, Gaetke-Udager K, Leschied JR, Meyer NB, Hammer MR, Denay KL, Yablon CM. Injuries of the pediatric girl athlete: a review of imaging findings. Skeletal Radiology. 2018; 48:77–88. • Anacker M, Denay KL. Chest Pain in a Football Strength Coach. Med Sci Sports Exer. 2019;51(6):451.• Denay KL. A Typically Female Hip Issue in a Male Basketball Coach. Med Sci Sports Exer. 2019;51(6):180. • Djuric Z, Bassis CM, Plegue MA, Sen A, Turgeon DK, Herman K, Young VB, Brenner DE, Ruffin MT IV. Increases in Colonic Bacterial Diversity after w-3 Fatty Acid Supplementation Predict Decreased Colonic Prostaglandin E2 Concentrations in Healthy Adults. J Nutr. 2019 Jul 1;149(7):1170-1179. • Griffin LE, Djuric Z, Angiletta CJ, Mitchell CM, Baugh ME, Davy KP, Neilson AP. A Mediterranean diet does not alter plasma trimethylamine N-oxide concentrations in healthy adults at risk for colon cancer. Food Funct. 2019 Apr 1;10(4):2138-2147. • Hagiwara N, Elston Lafata J, Mezuk B, Vrana SR, Fetters MD. Detecting implicit racial bias in provider communication behaviors to reduce disparities in healthcare: Challenges, solutions, and future directions for provider communication training. Patient Educ Couns. 2019 Sep;102(9):1738-1743. • Rogers CR, Okuyemi K, Paskett ED, Thorpe RJ Jr, Rogers TN, Hung M, Zickmund S, Riley C, Fetters MD. Study protocol for developing #CuttingCRC: a barbershop-based trial on masculinity barriers to care and colorectal cancer screening uptake among African-American men using an exploratory sequential mixed-methods design. BMJ Open. 2019 Jul 24;9(7):e030000. • Dossett L, Miller J, Jagsi R, Sales A, Fetters MD, Boothman RC, Dimick JB. A Modified Communication and Optimal Resolution Program for Intersystem Medical Error Discovery: Protocol for an Implementation Study. JMIR Res Protoc. 2019 Jul 2;8(7):e13396. • Gossa W, Jones C, Raiculescu S, Melaku

• Lee AA, Aikens JE, Janevic MR, Rosland A-M, Piette JD. Functional support and burden among out-of-home supporters of heart failure patients with and without depression. Health Psychology. 2019. • Bouldin ED, Aikens JE, Piette JD, Trivedi RB. Relationship and communication characteristics associated with agreement between heart failure patients and their carepartners on patient depressive symptoms. Aging Ment Health. 2019 Sep;23(9):1122-1129. • Potempa K, Rajataramya B, Barton DL, Singha-Dong N, Stephenson R, Smith EML, Davis M, Dinov I, Hampstead BM, Aikens JE, Saslow L, Furspan P, Sarakshetrin A, Pupjain S. Impact of using a broad-based multi-institutional approach to build capacity for non-communicable disease research in Thailand. Health Res Policy Syst. 2019 Jun 14;17(1):62. • Mayberry LS, Piette JD, Lee AA, Aikens JE. Out-of-home informal support important for medication adherence, diabetes distress, hemoglobin A1c among adults with type 2 diabetes. J Behav Med. 2019 Jun;42(3):493-501. • Casida J, Aikens JE, Pagani F, Ewald G, Craddock H, Pavol M, Schroeder S, Yang J. Advancing the Science of Self-Management in Adults With Long-Term Left Ventricular Assist Devices. Artif Organs. 2018 Nov;42(11):1095-1103. • Teo AR, Chen JI, Kubo H, Katsuki R, Sato-Kasai M, Shimokawa N, Hayakawa K, Umene-Nakano W, Aikens JE, Kanba S, Kato TA. Development and validation of the 25-item Hikikomori Questionnaire (HQ-25). Psychiatry Clin Neurosci. 2018 Oct;72(10):780-788. • Bishop TW. Mental Disorders and Learning Disabilities in Children and Adolescents: Learning Disabilities. FP Essent. 2018 Dec;475: 18-22. • Danak SU, Guetterman TC, Plegue MA, Holmstrom HL, Kadri R, Duthler A, Yoo A, Buis LR. Influence of Scribes on Patient-Physician Communication in Primary Care Encounters: Mixed Methods Study. JMIR Med Inform. 2019 Jul 11;7(3):e14797. • Buis LR, McCant FA, Gierisch JM, Bastian LA, Oddone EZ, Richardson CR, Kim HM, Evans R, Hooks G, Kadri R, White-Clark C, Damschroder LJ. Understanding the Effect of Adding Automated and Human Coaching to a Mobile Health Physical Activity App for Afghanistan and Iraq Veterans: Protocol for a Randomized Controlled Trial of the Stay Strong Intervention. JMIR Res Protoc. 2019 Jan 29;8(1):e12526. • Buis LR, Dawood K, Kadri R, Dawood R, Richardson CR, Djuric Z, Sen A, Plegue M, Hutton D, Brody A, McNaughton CD, Brook RD, Levy P. Improving Blood Pressure Among African Americans With Hypertension Using a Mobile Health Approach (the MI-BP App): Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2019 Jan 25;8(1):e12601. • Chandanabhumma PP , Narasimhan S.

Towards health equity and social justice: an applied framework of decolonization in health promotion. Health Promot Int. 2019 Jun 24. pii: daz053. • Chandanabhumma PP, Duran BM, Peterson JC, Pearson CR, Oetzel JG, Dutta MJ, Wallerstein NB. Space within the Scientific Discourse for the Voice of the Other? Expressions of Community Voice in the Scientific Discourse of Community-Based Participatory Research. Health Commun. 2019 Feb 20;1-12. • Sonneville KR, Mulpuri L, Khreizat I, Nichols LP, Plegue MA, Chang T. Youth Preferences for Weight-Related Conversations. Health Commun. 2019 Jul 10;1-6.• Crissman HP, Czuhajewski C, Moniz MH, Plegue M, Chang T. Youth Perspectives regarding the Regulating of Bathroom Use by Transgender Individuals. J Homosex. 2019 Jun 4;1-16. • Tipirneni R, Kieffer EC, Ayanian JZ, Campbell EG, Salman C, Clark SJ, Chang T, Haggins AN, Solway E, Kirch MA, Goold SD. Factors influencing primary care providers’ decisions to accept new Medicaid patients under Michigan’s Medicaid expansion. Am J Manag Care. 2019 Mar;25(3):120-127. • Tipirneni R, Kullgren JT, Ayanian JZ, Kieffer EC, Rosland AM, Chang T, Haggins AN, Clark SJ, Lee S, Solway E, Kirch MA, Mrukowicz C, Beathard E, Sears E, Goold SD. Changes in Health and Ability to Work Among Medicaid Expansion Enrollees: a Mixed Methods Study. J Gen Intern Med. 2019 Feb;34(2):272-280. • Guetterman, TC, Chang T, DeJonckheere MJ, Basu T, Scruggs E, Vydiswaran VGV. Augmenting Qualitative Text Analysis with Natural Language Processing: Methodological Study. J Med Internet Res. 2018;20(6):e231.• Quiñones AR, Melekin A, Cigolle CT, Nagel CL. Disputes of Self-reported Chronic Disease Over Time: The Role of Race, Ethnicity, Nativity, and Language of Interview. Med Care. 2019 Aug;57(8):625-632. • Abe M, Tsunawaki S, Matsuda M, Cigolle CT, Fetters MD, Inoue M. Perspectives on disclosure of the dementia diagnosis among primary care physicians in Japan: a qualitatively driven mixed methods study. BMC Fam Pract. 2019 May 23;20(1):69.• V a u g h n L M , D e J o n c k h e e r e M J . Methodological Progress Note: Group Level Assessment. J Hosp Med. 2019 Aug 16;14. • Goesling J, DeJonckheere MJ, Pierce J, Williams DA, Brummett CM, Hassett AL, Clauw DJ. Opioid cessation and chronic pain: perspectives of former opioid users. Pain. 2019 May;160(5):1131-1145. • Zucker NA, Schmitt C, DeJonckheere MJ, Nichols LP, Plegue MA, Chang T. Confidentiality in the Doctor-Patient Relationship: Perspectives of Youth Ages 14-24 Years. J Pediatr. 2019 Jun 20. pii: S0022-3476(19)30673-0. • DeJonckheere MJ, Nichols LP, Vydiswaran

OCTOBER 2018 – OCTOBER 2019

Faculty Activity


stillbirth in low- and middle-income countries: a systematic review and meta-summary. BJOG. 2019 Jan;126(1):12-21.• Bakhbakhi D, Burden C, Storey C, Heazell AE, Lynch M, Timlin L, Gold KJ, Siassakos D. The PARENTS 2 Study - A qualitative study of the views of healthcare professionals and stakeholders on parental engagement in the perinatal mortality review: from ‘bottom of the pile’ to joint learning. BMJ Open. 2019. 8(11):e023792.• Barber T, Sharif B, Teare S, Miller J, Shewchuk B, Green LA, Marlett N, Cibere J, Mrklas K, Wasylak T, Li LC, Campbell-Scherer D, Marshall DA. Qualitative study to elicit patients’ and primary care physicians’ perspectives on the use of a self-management mobile health application for knee osteoarthritis. BMJ Open. 2019 Feb 1;9(1):e024016. • Sturgiss E, Luig T, Campbell-Scherer DL, Green LA et al. Using Concept Maps to compare obesity knowledge between policy makers and primary care researchers in Canada. BMC Res Notes. 2019;12:23.• Wagner KK, Austin J, Toon L, Green LA et al. Differences in Team Mental Models Associated With Medical Home Transformation Success. Ann Fam Med. 2019;17:S50–6.• Barber T, Sharif B, Teare S, Green LA et al. Qualitative study to elicit patients’ and primary care physicians’ perspectives on the use of a self-management mobile health application for knee osteoarthritis. BMJ Open. 2019;9:e024016.• McDonald T, Seidel JE, Patel AB, Green LA et al. High-volume general practitioners in Alberta: a descriptive analysis. CMAJ Open. 2018;6:E254–60.• Kolber MR, Olivier N, Babenko O, Green LA et al. Alberta Family Physician Electronic Endoscopy study. Can Fam Physician. 2018;64:e553.• El-Zein M, Ramanakumar AV, Naud P, Roteli-Martins CM, de Carvalho NS, Colares de Borba P, Teixeira JC, Moscicki AB, Harper DM, Tyring SK, Ramjattan B, Dubin G, Franco EL; HPV-007 Study Group. Determinants of Acquisition and Clearance of Human Papillomavirus Infection in Previously Unexposed Young Women. Sex Transm Dis. 2019 Aug 23. • Harper DM, Nieminen P, Donders G, Einstein MH, Garcia F, Huh WK, Stoler MH, Glavini K, Attley G, Limacher JM, Bastien B, Calleja E. The efficacy and safety of Tipapkinogen Sovacivec therapeutic HPV vaccine in cervical intraepithelial neoplasia grades 2 and 3: Randomized controlled phase II trial with 2.5 years of follow-up. Gynecol Oncol. 2019 Jun;153(3):521-529. • Harper DM, Godfrey EM. Optimizing Women’s Health in Primary Care. Prim Care. 2018 Dec;45(4):xiii-xiv. • Hashikawa M, Gold KJ. Disaster Preparedness Preparedness in Primary Care: Ready or

M, Kebebew E, Zerihun M, Fetters MD. Family Medicine Residents’ Attitudes About Training in Ethiopia and the United States. Fam Med. 2019 May;51(5):424-429. • Hou SI, Fetters MD. Mixed methods in public health research in Taiwan - Using visual diagrams to communicate complex design procedures. Health Care Women Int. 2019 May;40(5):515-526. • Alwashmi MF, Hawboldt J, Davis E, Fetters MD. The Iterative Convergent Design for Mobile Health Usability Testing: Mixed Methods Approach. JMIR Mhealth Uhealth. 2019 Apr 26;7(4):e11656. • Lian S, Chen Q, Yao M, Chi C, Fetters MD. Training Pathways to Working as a General Pract i t ioner in China. Fam Med. 2019 Mar;51(3):262-270. • Runaas L, Hoodin F, Munaco A, Fauer A, Sankaran R, Churay T, Mohammed S, Seyedsalehi S, Chappell G, Carlozzi N, Fetters MD, Kentor R, McDiarmid L, Brookshire K, Warfield C, Byrd M, Kaziunas S, Maher M, Magenau J, An L, Cohn A, Hanauer DA, Choi SW. Novel Health Information Technology Tool Use by Adult Patients Undergoing Allogeneic Hematopoietic Cell Transplantation: Longitudinal Quantitative and Qualitative Patient-Reported Outcomes. JCO Clin Cancer Inform. 2018 Dec;2:1-12. • Hagiwara N, Mezuk B, Elston Lafata J, Vrana SR, Fetters MD. Study protocol for investigating physician communication behaviours that link physician implicit racial bias and patient outcomes in Black patients with type 2 diabetes using an exploratory sequential mixed methods design. BMJ Open. 2018 Oct 18;8(10):e022623.• Fetters MD, Hou S-I. Mixed Methods Research: State of the Art Integration Procedures. Taiwan Journal of Public Health. 2018;37(4).• Fetters MD, Rew J, Heidelbaugh JJ. The role of the teaching practice in undergraduate medical education: A perspective from the United States of America. Fam Med Com Health. 2018;6(3):142-53.• Fetters MD. Getting started in primary care research: choosing among six practical research approaches. Fam Med Com Health. 2019;7(2):1-8, 2019. • Fàbregues, S, Fetters MD. Fundamentals of case study research in family medicine and community health. Fam Med Com Health. 2019;7(2):1-8.• Chen Q, Lian S, Plegue M, Fetters MD. First-year medical student attitudes about general practice in China: A Comparison between Chinese and international students. Dove Medical Press. 2019;10: 571-579. • AlRawi SN, Fetters MD. Traditional Arabic and Islamic Medicine Primary Methods in Applied Therapy. Global Journal of Health Science. 2019;11(10):73-88.• Fet ters MD . S ix Equat ions to Help Conceptualize the Field of Mixed Methods.

JMMR. 2018;12(3):262-267. • Fetters MD, Molina-Azorin JF. Journal of Mixed Methods Research on Migration. JMMR. 2018;12(4):363-365.• Molina-Azorin JF, Fetters MD. Future Special Issues at Journal of Mixed Methods Research. JMMR. 2018;12(4):369-370. • Fetters MD, Molina-Azorin JF. A Call for Expanding Philosophical Perspectives to Create a More “Worldly” Field of Mixed Methods: The Example of Yingyang Philosophy. JMMR. 2019;13(1):15-16. • Fetters MD, Guetterman TC. Discovering and doing family medicine and community health research. Fam Med Com Health. 2019;7(2):1-3.• Fetters MD, Molina-Azorin JF. In This Issue: The Performative Paradigm, Pillar Integration, Value Creation Evaluation, Longitudinal Procedures, Gender-Based Violence Mitigation, and Whole Design Integration. JMMR. 2019;13(3): 271-274.• Fetters MD , Mol ina-Azor in JF. New Requirements to Include the Methodological Contribution in Articles Published in the Journal of Mixed Methods Research. JMMR. 2019;13(2):138-142.• Molina-Azorin JF, Fetters MD. In This Issue: Integration Interrogations, Visual Replay Methodology, Mixed Methods Training, Health Policy, and Health Services Illustrations of Mixed Methods Research. JMMR. 2019;13(1): 3-5.• Molina-Azorin JF, Fetters MD. In This Issue: Innovations in Mixed Methods–Casuality, Case Study Research With a Circular Joint Display, Social Media, Grounded Theory, and Phenomenology. JMMR. 2019;13(2): 123-126. • Molina-Azorin JF, Fetters MD. Building a Better World Through Mixed Methods Research. JMMR. 2019;13(3):275-281. • Essuman A, Gold KJ, Vitale C, Toma G, Cigolle CT, Gyakobo M, Spangenberg K, Odoi-Agyarko K, Skye EP, Zazove P. A Collaboration Between the University of Michigan and the Ghana College of Physicians and Surgeons. Establishing the First Geriatric Medicine Fellowship Program in Ghana. J Am Geriatr Soc. 2019 Aug;67(8):1718-1723. • Angell JN, Abdul-Mumin AS, Gold KJ. Determining the cause of stillbirth in Kumasi, Ghana. Int J Gynaecol Obstet. 2019 Jul 28. • Gold KJ , Boggs ME, Kavanaugh KL. MOMSonLINE: Lessons Learned From a Feasibility RCT of Online Support for Mothers Bereaved by Perinatal Loss. Omega (Westport). 2019 Jul 10:30222819861558. • Bobb-Semple AA, Williams AF, Boggs ME, Gold KJ. Prenatal Point-of-Care Tobacco Screening and Clinical Relationships. Ann Fam Med. 2018 Nov;16(6):507-514. • Shakespeare C, Merriel A, Bakhbakhi D, Baneszova R, Barnard K, Lynch M, Storey C, Blencowe H, Boyle F, Flenady V, Gold KJ, Horey D, Mills T, Siassakos D. Parents’ and healthcare professionals’ experiences of care after



Faculty Activity

Not? Disaster Med Public Health Prep. 2018 Oct;12(5):644-648. • Crockett SD, Greer KB, Heidelbaugh JJ, Falck-Ytter Y, Hanson BJ, Sultan S. American Gastroenterological Association Institute Clinical Guidelines Committee. American Gastroenterological Association Institute Guideline on the Medical Management of Opioid-Induced Constipation. Gastroenterology. 2019Jan;156(1):218-226. • Heidelbaugh JJ. Goals of Care, Plans for Life. Prim Care. 2019 Sep;46(3):xiii-xiv. • Heidelbaugh JJ. The Adult Well-Male Examination. Am Fam Physician. 2018 Dec 15;98(12):729-737. • Heidelbaugh JJ. Emerging Challenges and Opportunities in Women’s Health. Prim Care. 2018 Dec;45(4):xi-xii. • Epling JW, Heidelbaugh JJ , Woolever D, Castelli G, Mi M, Mader EM, Morley CP. Examining an Evidence-Based Medicine Culture in Residency Education. Fam Med. 2018 Nov;50(10):751-755. • Hendriks E, MacNaughton H, MacKenzie MC. First Trimester Bleeding: Evaluation and Management. Am Fam Physician. 2019 Feb 1;99(3):166-174. • Riley MA, Hernandez AK, Kuznia AL. High Blood Pressure in Children and Adolescents. Am Fam Physician. 2018 Oct 15;98(8):486-494. • Hughey KL , Bell JD, Mullan PB, Rana GK, Wagenschutz HM, Skye EP, Kolars JC, Mangrulkar RS, Williams BC. Scaling Up a Global Health and Disparities Path of Excellence Pilot Program at the University of Michigan Medical School. Acad Med. 2019 May 14. • Jamison CD, Chang T, Mmeje O. Expedited Partner Therapy: Combating Record High Sexually Transmitted Infection Rates. Am J Public Health. 2018 Oct;108(10):1325-1327. • Jimbo M, Sen A, Plegue MA, Hawley S, Kelly-Blake K, Rapai M, Zhang M, Zhang Y, Xie X, Ruffin MT IV. Interactivity in a Decision Aid: Findings From a Decision Aid to Technologically Enhance Shared Decision Making RCT. Am J Prev Med. 2019 Jul;57(1):77-86. • Clark PE, Spiess PE… Jimbo M (16/36)*…Gurskey LA. NCCN Guidelines Insights: Bladder Cancer, Version 5.2018. J Natl Compr Canc Netw 2018;16(9):1041-1053.• Flaig TW, Spiess PE… Jimbo M (16/35)*…Wile G. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Penile Cancer Version 1.2018. © 2018 National Comprehensive Cancer Network, Inc. • Jones EK, Kumagai AK, Kittendorf AL. Through another lens: the humanities and social sciences in the making of physicians. Med Educ. 2019 Apr;53(4):328-330. • Manzor Mitrzyk B, Kadri R, Farris KB, Ellingrod VL, Klinkman MS, Ruffin MT IV, Plegue MA, Buis LR. Using Pharmacogenomic Testing in Primary Care: Protocol for a Pilot Randomized Controlled

Study. JMIR Res Protoc. 2019 Aug 19;8(8):e13848. • Brannon E, Wang T, Lapedis J, Valenstein P, Klinkman MS, Bunting E, Stanulis A, Singh K. Towards a learning health system to reduce emergency department visits at a population level. AMIA Annu Symp Proc. 2018;295-304. • Kaziunas E, Klinkman MS, Ackerman MS. 2019. Precarious Interventions: Designing for Ecologies of Care. In: Proceedings of the ACM on Human-Computer Interaction, Vol. 3, No. CSCW, Article 113, November 2019.• Gask L, Dowrick C, Klinkman MS. Diagnosis and classification of mental illness: a view from primary care. In: Gask L, Kendrick T, Peveler R, and Chew-Graham CA, eds., Primary Care Mental Health (2nd edition). London: Royal College of Psychiatrists, RCPsych Publications. 2018. • Litt le SH , Fetters MD . Transcultural Modifications of a Japanese Language Group Prenatal Care Program for Transcultural Adaptation. J Transcult Nurs. 2019 Mar;30(2):106-114. • Fleming PJ, Lopez WD, Ledon C, Llanes M, Waller A, Harner M, Martinez R, Kruger DJ. ‘I’m going to look for you and take your kids’: Reproductive justice in the context of immigration enforcement. PLoS One. 2019 Jun 4;14(6):e0217898.• Mahmoudi E, Basu T, Langa K, McKee MM, Zazove P, Alexander N, Kamdar N. Can Hearing Aids Delay Time to Diagnosis of Dementia, Depression, or Falls in Older Adults? J Am Geriatr Soc. 2019 Sep 4. • Mahmoudi E, Malay S, Maroukis BL, Sarsour T, Chung KC. The Application of Medicare Data for Musculoskeletal Research in the United States: A Systematic Review. J Am Acad Orthop Surg. 2019 Jul 1;27(13):e622-e632. • Rong H, Lai X, Mahmoudi E, Fang H. Early-Life Exposure to the Chinese Famine and Risk of Cognitive Decline. J Clin Med. 2019 Apr 10;8(4). • Xiang X, Zuverink A, Rosenberg W, Mahmoudi E . Social work-based transitional care intervention for super utilizers of medical care: a retrospective analysis of the bridge model for super utilizers. Soc Work Health Care. 2019 Jan;58(1):126-141. • Mahmoudi E, McKee MM. Can Hearing Aids Delay Time to Diagnosis of Dementia, Depression or Falls in Older Adults? J Am Geriatr Soc. 2019;1-8.• Mahmoudi E, Cohen A, Buxbaum J, Richardson CR, Tarraf W. Gaining Medicaid coverage during ACA implementation: effects on access to care and preventive services. J Health Care Poor Underserved. 2018;29(4):1472-1487.• Marshall E, Moon MA, Mirchandani A, Smith DG, Nichols LP, Zhao X, Vydiswaran VGV, Chang T. “Baby Wants Tacos”: Analysis of Health-Related Facebook Posts from Young Pregnant Women. Matern Child Health J. 2019 Jun 20. • McKee MM, Lin F, Zazove P. State of research and program development for adults with

hearing loss. DHJ. 2018;11(4):519-524. • McKee MM. The Invisible Costs of Hearing Loss. JAMA Otolaryngol Head Neck Surg. 2019;145(1):35.• McKee MM, Meade M, Zazove P, Stewart H, Jannausch M, Ilgen MA. The Relationship Between Hearing Loss and Substance Use Disorder Among Adults in the U.S. Am J Prev Med. 2018;1-5. • Weir RC, Toyoji M, McKee MM, Li V, Wang CC. Assessing the impact of electronic health record interventions on hepatitis B screening and vaccination. J Health Care Poor Underserved. 2018;29(4):1587-1605.• Hsu AK, McKee MM, Roscigno C, Jenerette C, Lewis A, William S, Crandell J, Hazzard W. Associat ions among Hearing Loss, hospitalization, readmission and mortality in older adults: A systematic review. Geriatr Nurs. 2019;1-13. • Viglianti EM, Oliverio AL, Cascino TM, Meeks LM. The Policy Gap: A Survey of Patient-Perpetrated Sexual Harassment Policies for Residents and Fellows in Prominent US Hospitals. J Gen Intern Med. 2019 Aug 14. • Meeks LM, Ramsey J, Lyons M, Spencer AL, Lee WW. Wellness and Work: Mixed Messages in Residency Training. J Gen Intern Med. 2019 Jul;34(7):1352-1355. • Lapedis CJ, Meeks LM. Burnout Contagion. Ann Intern Med. 2019 Jun 4;170(11):816. • Swenor B, Meeks LM. Disability Inclusion - Moving Beyond Mission Statements. N Engl J Med. 2019 May 30;380(22):2089-2091. • Meeks LM, Liao P, Kim N. Using Twitter to promote awareness of disabilities in medicine. Med Educ. 2019 May;53(5):525-526. • Meeks LM, Jain NR, Herzer K. In Reply to Lawson et al. Acad Med. 2019 Jan;94(1):8-9. • Meeks LM, Engelman A, Booth A, Argenyi M. Deaf and Hard-of-Hearing Learners in Emergency Medicine. West J Emerg Med. 2018 Nov;19(6):1014-1018. • Engelman A, Case B, Meeks LM, Fetters MD. Conducting health policy analysis in primary care research: turning clinical ideas into actions. Fam Med Com Health. 2019;7(2):1-7. • Axelrod J, Borst R, Crawford A, Meeks LM, Meyer A, Sullivan L. Documenting Disability Professional and Student Interactions: Reasons and Recommendations for “notes.” [White Paper]. Association for Higher Education and Disability. Huntersville, NC. 2019.• Meeks LM, Jain NR, Moreland C, Taylor N, Brookman J, Fitzsimons M. Realizing a Diverse and Inclusive Workforce: Equal Access for Residents with Disabilities. J Grad Med Educ. 2019. • Meeks LM, Sullivan L. Appropriately staffing DS offices in health science education. Disability Compliance for Higher Education. 2019;24(6):1-5.• Meeks LM. The new normal: Disability inclusion in health science education. Disability

Publications…continued from page 31


Faculty Activity

Compliance for Higher Education. 2019;24(9):1-4.• Meeks LM, Hall E. The case for comprehensive case notes in health sciences. Disability Compliance for Higher Education. 2019;24(8):1-5.• Meeks LM, Murray JF. Mental Health and Medical Education. In: Zappetti D, Avery J. (eds) Medical Student Well-Being. New York, NY: Springer. 2019. • Meeks LM. The disabilities we don’t see. [Invited Article in Medical Education]. AAMC News. 2019.• Riley MA, Morrison LM, McEvoy AK. Health Maintenance in School-Aged Children: Part I. History, Physical Examination, Screening, and Immunizations. Am Fam Physician. 2019 Aug; 100(4):213-218. • Oram D, Tzilos Wernette GK, Nichols LP, Vydiswaran VGV, Zhao X, Chang T. Substance Use Among Young Mothers: An Analysis of Facebook Posts. JMIR Pediatr Parent. 2018 Dec 4;1(2):e10261. • Castro-Camero P, Park B, Gupta A, Vemulapalli R, Shreve M. A case of humoral hypercalcemia of malignancy secondary to hepatocellular carcinoma with fulminant clinical course. Spartan Med Res J. 2019;4:1-6.• Vordenberg SE, Lindell V, Sheerer K, Parker-Featherstone, EC et al. Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy. J Am Coll Clin Pharm. 2019;2:357–365.• Parker-Featherstone EC, Maben-Feaster, R, Curran, D, Delancey, J, Haefner, H. Vulvar pain, difficulty swallowing, and bleeding with intercourse. A Case Study. Contemporary OB/GYN. 2019; Vol 64;9:16-21.• Kang MM, Guetterman TC, Prussack JK, Ursu AN, Wu JP. Contraceptive Care for Women With Medical Conditions: A Qualitative Study to Identify Potential Best Practices for Primary Care Physicians. Fam Med. 2019 Jul;51(7):559-566. • Petrilli CM, Henderson J, Keedy JM, Dibble ER, Wei MY, Prussack JK, Greenberg GM, Kerr EA. Reducing Unnecessary Vitamin D Screening in an Academic Health System: What Works and When. Am J Med. 2018 Dec;131(12):1444-1448. • Reed BD, McKee KS, Plegue MA, Park SK, Haefner HK, Harlow SD. Environmental Exposure History and Vulvodynia Risk: A Population-Based Study. J Womens Health (Larchmt). 2019 Jan;28(1):69-76. • Waetjen LE, Crawford SL, Chang PY, Reed BD, Hess R, Avis NE, Harlow SD, Greendale GA, Dugan SA, Gold EB; Study of Women’s Health Across the Nation (SWAN). Factors associated with developing vaginal dryness symptoms in women transitioning through menopause: a longitudinal study. Menopause. 2018 Oct;25(10):1094-1104. • Rew KT. Prescription Drug and Alcohol Use Disorders: Foreword. FP Essent. 2019 Mar;478:2. • Rew KT. Mental Disorders and Learning Disabilities in Children and Adolescents:

Foreword. FP Essent. 2018 Dec;475:2. • Rew KT. Hematologic Conditions: Foreword. FP Essent. 2019 Oct;495:2.• Rew KT, Smith MA. Kidney Stones. In: Usatine RP, Smith MA, Mayeaux Jr EJ, Chumley H (editors), The Color Atlas and Synopsis of Family Medicine, Third Edition, McGraw-Hill, December 2018.• Rew KT, Smith MA. Bladder Cancer. In: Usatine RP, Smith MA, Mayeaux Jr EJ, Chumley H (editors), The Color Atlas and Synopsis of Family Medicine, Third Edition, McGraw-Hill, Dec 2018.• Cascino TM, McLaughlin VV, Richardson CR, Behbahani-Nejad N, Moles VM, Visovatti SH, Jackson EA. Physical activity and quality of life in patients with pulmonary hypertension. Eur Respir J. 2019 Jun 20;53(6). • Richardson CR, Franklin B, Moy ML, Jackson EA. Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ. 2019 Jun 17;365:l2191. • Cohen GR, Friedman CP, Ryan AM, Richardson CR, Adler-Milstein J. Variation in Physicians’ Electronic Health Record Documentation and Potential Patient Harm From That Variation. J Gen Intern Med. 2019 Jun 10. • Stroumsa D, Shires DA, Richardson CR, Jaffee KD, Woodford MR. Transphobia rather than education predicts provider knowledge of transgender health care. Med Educ. 2019 Apr;53(4):398-407. • Cascino TM, McLaughlin VV, Richardson CR, Behbahani-Nejad N, Moles VM, Visovatti SH, Jackson EA. Barriers to physical activity in patients with pulmonary hypertension. Pulm Circ. 2019 Apr-Jun;9(2):2045894019847895. • Kurlander JE, Gu X, Scheiman JM, Haymart B, Kline-Rogers E, Saini SD, Kaatz S, Froehlich JB, Richardson CR , Barnes GD. Missed opportunities to prevent upper GI hemorrhage: The experience of the Michigan Anticoagulation Quality Improvement Initiative. Vasc Med. 2019 Apr;24(2):153-155. • Kurlander JE, Kennedy JK, Rubenstein JH, Richardson CR, Krein SL, De Vries R, Saini SD. Patients’ Perceptions of Proton Pump Inhibitor Risks and Attempts at Discontinuation: A National Survey. Am J Gastroenterol. 2019 Feb;114(2):244-249. • Wolfson JA, Ramsing R, Richardson CR, Palmer A. Barriers to healthy food access: Associations with household income and cooking behavior. Prev Med Rep. 2019 Jan 31;13:298-305. • Lee PG, Damschroder LJ, Holleman R, Moin T, Richardson CR. Older Adults and Diabetes Prevention Programs in the Veterans Health Administration. Diabetes Care. 2018 Dec;41(12):2644-2647. • Admon LK, Bart G, Kozhimanni l KB, Richardson CR, Dalton VK, Winkelman TNA. Amphetamine- and Opioid-Affected Births: Incidence, Outcomes, and Costs, United States,

2004-2015. Am J Public Health. 2018 Nov 29:e1-e7. • Moin T, Damschroder LJ, AuYoung M, Maciejewski ML, Havens K, Ertl K, Vasti E, Weinreb JE, Steinle NI, Billington CJ, Hughes M, Makki F, Youles B, Holleman RG, Kim HM, Kinsinger LS, Richardson CR. Results From a Trial of an Online Diabetes Prevention Program Intervention. Am J Prev Med. 2018 Nov;55(5):583-591. • Goodrich DE, Lowery JC, Burns JA, Richardson CR. The Phased Implementation of a National Telehealth Weight Management Program for Veterans: Mixed-Methods Program Evaluation. JMIR Diabetes. 2018 Oct 9;3(3):e14. • Winkelman TNA, Admon LK, Jennings L, Shippee ND, Richardson CR, Bart G. Evaluation of Amphetamine-Related Hospitalizations and Associated Clinical Outcomes and Costs in the United States. JAMA Netw Open. 2018 Oct 5;1(6):e183758.• Armstrong M, Paternostro-Bayles M, Conroy MB, Franklin BA, Richardson CR, Kriska A. Participation Screening Prior to Physical Activity in Community Lifestyle Intervention. Transl J Am Coll Sports Med. 2018;3(22):176-180.• Teylan M, Kantorowski A, Homsy D, Kadri R, Richardson CR, Moy M. Physical activity in COPD: Minimal clinically important difference for medical events. Chronic Respiratory Disease. 2019;16:1-9.• Janke EA, Richardson CR, Schneider KL. Beyond Pharmacotherapy: Lifestyle Counseling Guidance Needed for Hypertension. Annals of Internal Medicine. 2019;170(3):195-196.• Senteio C, Adler-Milstein J, Richardson CR, Veinot T. Psychosocial Information Use for Clinical Decisions in Diabetes Care. Journal of the American Medical Informatics Association. JAMIA. 2019;1-12.• Damschroder L, Gierisch JM, Kim HM, Bastian LA, McCant F, Evans RR, Hooks G, Richardson CR, Buis LR. Gender Differences in Self-Reported Physical Activity Levels Compared to Objective Measures from a Fitbit Tracking Device. Ann Behav Med. 2019;53:S806.• Rockwell PG. The Family Physician’s Role in the Prevention of Measles. Am Fam Physician. 2019 Sep 15;100(6):329-330. • Rockwell PG. ACIP Approves 2019 Adult and Childhood/Adolescent Immunization Schedules. Am Fam Physician. 2019 Feb 15;99(4):264-265. • Rockwell PG. Childhood Immunizations Part 2 Family Medicine Residency Curricular Resource, (Eds: Tuggy, Graham, Montgomery, Roett, Stiles, Iroku-Malize, Maurer, Patterson). Society of Teachers of Family Medicine, 2015 (updated 2016, 2018).• Kamal AH, Wolf SP, Troy J, Leff V, Dahlin C, Rotella JD, Handzo G, Rodgers PE, Myers ER. Policy Changes Key To Promoting Sustainability


Faculty Activity


And Growth Of The Specialty Palliative Care Workforce. Health Aff (Millwood). 2019 Jun;38(6):910-918. • Sawada K, Yoshida K, Ozawa C, Mizuno Y, Rubinstein EB, Suzuki T, Mimura M, Uchida H. Impact of subjective vs. objective remission status on subjective cognitive impairments in depression. J Affect Disord. 2019 Mar 1;246:99-104. • Miller WL, Rubinstein EB, Howard J, Crabtree BF. Shifting Implementation Science Theory to Empower Primary Care Practices. Ann Fam Med. 2019 May;17(3):250-256. • Bryan AD, Ginsburg ZA, Rubinstein EB, Frankel HJ, Maroko AR, Schechter CB, Cooksey Stowers K, Lucan SC. Foods and Drinks Available from Urban Food Pantries: Nutritional Quality by Item Type, Sourcing, and Distribution Method. J Community Health. 2019 Apr;44(2):339-364. • Ginsburg ZA, Bryan AD, Rubinstein EB, Frankel HJ, Maroko AR, Schechter CB, Cooksey Stowers K, Lucan SC. Unreliable and Difficult-to-Access Food for Those in Need: A Qualitative and Quantitative Study of Urban Food Pantries. J Community Health. 2019 Feb;44(1):16-31. • Penwell-Waines L, Runyan C, Kolobova I, Grace A, Brennan J, Buck K, Ross V, Schneiderhan JR. Making Sense of Family Medicine Resident Wellness Curricula: A Delphi Study of Content Experts. Fam Med. 2019 Jul 2. • Schwenk TL, Gold KJ. Physician Burnout-Reply. JAMA. 2019 Feb 5;321(5):514.• Hill EM, Esper RM, Sen A, Simon BR, Aslam MN, Jiang Y, Dame MK, McClintock SD, Colacino JA, Djuric Z, Wicha MS, Smith WL, Brenner DE. Dietary polyunsaturated fatty acids modulate adipose secretome and is associated with changes in mammary epithelial stem cell self-renewal. J Nutr Biochem. 2019 Sep;71:45-53. • Hill EM, Esper RM, Sen A, Simon BR, Aslam MN, Jiang Y, Dame MK, McClintock SD, Colacino JA, Djuric Z, Wicha MS, Smith WL, Brenner DE. Dietary polyunsaturated fatty acids modulate adipose secretome and is associated with changes in mammary epithelial stem cell self-renewal. J Nutr Biochem. 2019;71:45-53. • Furgal AKC, Sen A, Taylor JMG. Review and Comparison of Computational Approaches for Joint Longitudinal and Time-to-Event Models. Inter Stat Rev. 2019;87(2):393-418. • Wilson MJ, Sen A, Bridges D, Turgeon DK, Brenner DE, Smith WL, Ruffin MT IV, Djuric Z. Higher baseline expression of the PTGS2 gene and greater decreases in total colonic fatty acid content predict greater decreases in colonic prostaglandin-E(2) concentrations after dietary supplementation with w-3 fatty acids. Prostaglandins Leukot Essent Fatty Acids. 2018 Dec;139:14-19. • Boonstra PS, Barbaro RP, Sen A. Default Priors for the Intercept Parameter in Logistic Regressions. Comput Stat Data Anal. 2019;133: 245-256.

• Serlin DC, Heidelbaugh JJ, Stoffel JT. Urinary Retention in Adults: Evaluation and Initial Management. Am Fam Physician. 2018 Oct 15;98(8):496-503.• Vordenberg SE, Lindell V, Sheerer K, Settles A, Fan AL, Serlin DC, Parker-Featherstone EC, Bernstein SJ, Choe HM. Improving hypertension control through a collaboration between an academic medical center and a chain community pharmacy. J Am Coll Clin Pharm. 2019;2:357–365.• Hogikyan E, Dayton N, Skye EP. How do I benefit from coaching in medicine? In: It Takes Two A Guide to Being a Good Coachee A Learner Handbook. American Medical Association Publications. 2019;4-10.• Zlotnick C, Tzilos Wernette GK, Raker CA. A randomized controlled trial of a computer-based brief intervention for victimized perinatal women seeking mental health treatment. Arch Womens Ment Health. 2019 Jun;22(3):315-325. • Braciszewski JM, Tzilos Wernette GK, Moore RS, Bock BC, Stout RL, Chamberlain P. A Pilot Randomized Controlled Trial of a Technology-Based Substance Use Intervention for Youth Exiting Foster Care. Child Youth Serv Rev. 2018 Nov;94:466-476. • Tzilos Wernette GK, Plegue MA, Mmeje O, Sen A, Countryman K, Ngo Q, Prosser L, Zlotnick C. Reducing sexual health risks and substance use in the prenatal setting: A study protocol for a randomized controlled trial. Contemp Clin Trials.2019 Sep;84:105827. • Tzilos Wernette GK, Bonar EE, Blow FC, Walton MA. Psychosocial Correlates of Marijuana Use among Pregnant and Nonpregnant Adolescent Girls. J Pediatr Adolesc Gynecol. 2018 Oct;31(5):490-493. • Ursu AN, Greenberg GM, McKee MM. Continuous quality improvement methodology: a case study on multidisciplinary collaboration to improve chlamydia screening. Fam Med Com Health. 2019:7(2):1-7.• Rahtz E, Warber SL, Dieppe P. Understanding public perceptions of healing: An arts-based qualitative study. Complement Ther Med. 2019 Aug;45:25-32. • White MP, Alcock I, Grellier J, Wheeler BW, Hartig T, Warber SL, Bone A, Depledge MH, Fleming LE. Spending at least 120 minutes a week in nature is associated with good health and wellbeing. Sci Rep. 2019 Jun 13;9(1):7730. • Rahtz E, Child S, Knight S, Warber SL, Dieppe P. Clients of UK healers: A mixed methods survey of their demography, health problems, and experiences of healing. Complement Ther Clin Pract. 2019 May;35:72-77. • Marselle MR, Warber SL, Irvine KN. Growing Resilience through Interaction with Nature: Can Group Walks in Nature Buffer the Effects of Stressful Life Events on Mental Health? Int J Environ Res Public Health. 2019 Mar 19;16(6). • Irvine KN, Hoesly D, Bell-Williams R, Warber SL. Biodiversity and Spiritual Well-being. In:

Marselle M, Stadler J, Korn H, Irvine K, Bonn A (eds). Biodiversity and Health in the Face of Climate Change. Springer, Cham. 2019.• Shanahan DF, Astell-Burt T, Barber EA, Brymer E, Cox DTC, Dean J, Depledge M, Fuller RA, Hartig T, Irvine KN, Jones A, Kikillus H, Lovell R, Mitchell R, Niemelä J, Nieuwenhuijsen M, Pretty J, Townsend M, van Heezik Y, Warber SL, Gaston KJ.Nature-Based Interventions for Improving Health and Wellbeing: The Purpose, the People and the Outcomes. Sports (Basel). 2019 Jun 10;7(6).• Musial F, Mist S, Warber SL, Kreitzer MJ, Ritenbaugh C, Kessler C. Why and how should we integrate biomarkers into complex trials? A discussion on paradigms and clinical research strategies. Complement Med Res. 2019 Apr 11:1-10.• Stroumsa D, Wu JP. Welcoming transgender and nonbinary patients: expanding the language of “women’s health”. Am J Obstet Gynecol. 2018Dec;219(6):585.e1-585.e5. • Johnson M, Douglas M, Grumbach K, Muramoto M, Ramanathan A, Wilson B, Zazove P, Davis A. Advancing diversity, inclusion, and health equity to the next level. Annals of Family Medicine. 2019;17(1):89.• Kezar LB, Kirscner KL, Clinchot DM, Laird-Metke E, Zazove P, Curry RH. Leading practices and future directions for technical standards in medical education. Acad Med. 2019;94(4):520-527.• Murphy SL, Harris RE, Keshavarzi NR, Zick SM. Self-Administered Acupressure for Chronic Low Back Pain: A Randomized Controlled Pilot Trial. Pain Med. 2019 Jun 25. pii: pnz138. • Charoenwoodhipong P, Harlow SD, Marder W, Hassett AL, McCune WJ, Gordon C, Helmick CG, Barbour KE, Wang L, Mancuso P, Somers EC, Zick SM. Dietary omega polyunsaturated fatty acid intake and patient-reported outcomes in systemic lupus erythematosus: The Michigan Lupus Epidemiology & Surveillance (MILES) Program. Arthritis Care Res (Hoboken). 2019 May 10. • Cohen AJ, Oatmen KE, Heisler M, Hesterman OB, Murphy EC, Zick SM, Richardson CR. Facilitators and Barriers to Supplemental Nutrition Assistance Program Incentive Use: Findings From a Clinic Intervention for Low-Income Patients. Am J Prev Med. 2019 Apr;56(4):571-579. • Zick SM, Snyder D, Abrams DI. Pros and Cons of Dietary Strategies Popular Among Cancer Patients. Oncology (Williston Park). 2018 Nov 15;32(11):542-7.• Zick SM, Sen A, Hassett AL, Schrepf A, Wyatt GK, Murphy SL, Arnedt JT, Harris RE. Impact of Self-Acupressure on Co-Occurring Symptoms in Cancer Survivors. JNCI Cancer Spectr. 2018 Nov;2(4):pky064. n

Publications…continued from page 33

Faculty Activity


As a 2019 Institute for Healthcare Policy & Innovation Emerging Scholar, Lorraine R. Buis, Ph.D., assistant professor, traveled to the University of California,

San Francisco as a visiting scholar. She presented “Using mHealth in Clinical Settings: Benefits and Challenges” at UCSF’s Philip R. Lee Institute for Health Policy Studies. Dr. Buis is also a member of the Invited Guest Editorial Committee for the Journal of the American Medicine Informatics Association and is an invited author for the 20th anniversary issue of JMIR.

Tammy Chang, M.D., M.P.H., M.S., assistant professor, serves on t h e C o m m i t t e e o n the Neurobiological and Socio-behavioral Science of Adolescent

Developments and Its Applications through the National Academies of Sciences, Engineering, and Medicine. The committee produced a report, The Promise of Adolescence: Realizing Opportunity for All Youth, that draws on work from Dr. Chang’s national adolescent polling platform, MyVoice.

James M. Cooke, M.D., associate professor, is an elected member of the U-M Medical School’s Executive Committee. The committee advises the Dean and is charged

with duties of investigating and formulating educational and instructional policies for consideration by the faculty and acts for the faculty on personnel matters such as the promotion and appointment of faculty and curriculum and student-related issues.

Keri L. Denay, M.D., assistant professor, was selected as a world team physician with U.S. Figure Skating. In March, she traveled to Nottingham, England to

provide care for athletes selected to the world team. Dr. Denay was also elected to the Midwest American College of Sports Medicine Board of Directors.

Margaret L. Dobson, M.D., assistant professor, was one of four faculty members inducted into the Michigan Chapter of the Gold Humanism Honor Society. The

chapter honors physicians who practice patient-centered care by modeling the qualities of integrity, excellence, compassion, altruism, respect and empathy. Dr. Dobson was also selected to be a peer mentor for Michigan Medicine’s new Patient Advocacy Reporting System (PARS) and Coworker Observation Reporting System (CORS). Peer mentors in this program provide informal and confidential feedback to faculty about concerns from patients and coworkers with the goal to improve professionalism, safety and accountability at Michigan Medicine.

The Society for Teachers of Family Medicine presented Michael D. Fetters, M.D., M.P.H., M.A., professor, with t h e 2 0 1 9 G a b r i e l Smilkstein Award for

outstanding contributions to the growth and development of family medicine education throughout the world. Dr. Fetters has conducted cross-cultural primary care research for more than 20 years and remains committed to building partnerships with medical schools and

family medicine training programs around the world. Additionally, in a trip to Japan, Dr. Fetters presented a mixed methods research design workshop for faculty and graduate students in nursing to the Japan Academy of Gerontological Nursing. And, he served as the conference chair for the combined meeting of the Mixed Methods International Research Association Asia Regional Conference 2019 and the 5th Japan Society of Mixed Methods Research Annual Conference.

A f t e r s e r v i n g f o r th ree yea r s a s the U-M representative, Katherine J. Gold, M.D., M.S.W., M.S., associate professor, was selected as the American

Academy of Family Physicians representative to the Association of American Medical Colleges Council of Faculty and Academic Societies. Dr. Gold also recently completed her three-year term as chair of the International Stillbirth Alliance, the largest global coalition working toward stillbirth prevention.

Lee A. Green, M.D., M . P. H . , e m e r i t u s professor, is now chair of the Association of Canadian Chairs of Family Medicine.

Kathryn M. Harmes, M . D . , M . H . S . A . , assistant professor and associate chief clinical officer, now sits on the University of Michigan Medical Group Board

Nominating Committee.

Faculty Accolades


Faculty Activity


Diane M. Harper, M.D., M.P.H., M.S., professor, was named senior associate director of the Michigan Institute for Clinical and Health Research (MICHR).

MICHR is a catalyst for clinical and translational research at U-M. The Institute serves to educate, fund, connect and support research teams at Michigan and beyond. Dr. Harper was also named a professor in U-M’s Department of Women’s Studies.

Katherine L. Hughey, M.D., assistant professor, was selected by U-M Medical School’s Global Health and Disparities Path of Excellence and U-M’s Global Reach to

develop Spanish-speaking options for medical student electives in Peru. Related to this, she authored a paper published in the May issue of Academic Medicine entitled, “Scaling Up a Global Health and Disparities Path of Excellence Pilot Program at the University of Michigan Medical School.”

As a member of the A m e r i c a n G a s t r o -e n t e r o l o g i c a l Association, Joel J. Heidelbaugh, M.D., professor, co-authored new guidelines on the

medical management of opioid-induced constipation. They guidelines were published in Gastroenterology in January.

Cornelius D. Jamison, M . D . , M . S . P. H . , lecturer, is leading adolescent medicine at Michigan Medicine as the co-director of U-M’s Ado le scen t Hea l t h

Initiative. This group works with health

care providers and health systems to help improve their care and better serve adolescents nationwide.

Masahito Jimbo’s , M.D., Ph.D., M.P.H., professor, work was h ighl ighted as one of the distinguished papers of the year at the Society of Teachers

of Family Medicine’s annual meeting. His recognized paper is titled “Does Shared Decision Making Affect People’s Preference, Intent, and Adherence Regarding Colorectal Cancer Screening?Results From the Decision Aid to Technologically Enhance Shared Decision Making (DATES) Study.” Dr. Jimbo was also appointed to the Medical Decision Making editorial board.

Elizabeth K. Jones, M . D . , a s s i s t a n t professor, and Anne L. Kittendorf, M.D., assistant professor, were featured in a Medical Education Podcast from

the journal, Medical Education. They discussed “Creative Art and Medical Student Development.”

Anne L. Kittendorf, M.D., assistant professor, and Elham Mahmoudi, P h . D . , a s s i s t a n t professor, were selected as 2019 Policy Fellows through U-M’s Center

for Health and Research Transformation (CHRT). The fellowship brings together policymakers and researchers to learn about health policy and the research process — and the intersection between the two — from subject-matter experts and each other. Dr. Kittendorf authored a commentary piece entitled “Michigan should fight weakening of federal school

lunch standards” that was featured in September’s issue of Bridge.

Angela L. Kuznia, M.D., M.P.H., assistant professor, received a New Faculty Scholars Program scholarship from the Society for Teachers of Family

Medicine (STFM). The scholarship is designed to be a catalyst for developing future leaders in STFM and other areas of academic family medicine.

Elham Mahmoudi, Ph.D., assistant professor, was named co-chair of AcademyHealth’s Disability Interest Group. The group is composed of health services and

policy researchers interested in the coordination, quality improvement, and financing of services, assistive devices, and environmental changes needed for the optimal health and social integration of people in situations of disability. Dr. Mahmoudi was also accepted to the leadership committee for AcademyHealth 2020. And, she was selected as the representative of Gerontological Society of America’s delegation team to present at the annual Gerontological Conference in China.

Lisa M. Meeks, Ph.D., assis tant professor, w a s a n v i s i t i n g professor speaking at: Stanford University Medica l Center on Disability Inclusion in

Medical Education; Harvard Medical School and Massachusetts General Hospital on Excellence in Disability Accommodation; and New York Medical College on Disability as Part of Diversity in Medical Education.

Faculty Accolades…continued from page 35

Faculty Activity


She was also appointed as the U.S. advisor to the International Council on Disability Inclusion in Medical Education. And, she authored a chapter entitled “Mental Health and Medical Education” in the book, Medical Student Well-Being.

O l u w a f e r a n m i O . Okanlami, M.D., M.S., ass is tant professor, was named director of adaptive sports for the Michigan Center for Human Athletic

Medicine and Performance (MCHAMP). MCHAMP is an Institutional program that unites more than 30 departments with a goal of caring for the athlete in all of us. General Motors presented Dr. Okanlami with General Motors African Ancestry Network Inspiration Award at its 13th annual Black History Month Celebration. The theme of the program was The Power of Reinvention and the corporation honored several community leaders who model perseverance, dedication and courage that open avenues of growth in society. Dr. Okanlami was also elected to the Michigan Medicine Alumni Society; the U-M Student Inclusion, Diversity, Equity and Accessibility (IDEA) Board; and the Association of American Medical Colleges Group on Diversity and Inclusion.

Ebony C. Parker-Featherstone, M.D., assistant professor, was accepted as a fellow with the International Society for the Study of Vulvovaginal Diseases.

At the group’s recent international meeting she presented work discussing the rates of marijuana use in women with vulvar diseases.

Karl T. Rew, M.D., associate professor, taught at The University of Tokyo, Graduate School of Medicine and Faculty of Medicine. Invited as a visiting

scholar through the International Research Center for Medical Education, he worked with medical students teaching clinical reasoning and professionalism. While in Tokyo, Dr. Rew also spoke about “Family Medicine in the USA” at Tokyo Medical and Dental University, and he organized and helped to teach a workshop for medical interpreters at Juntendo University. Additionally, working with Michigan Medicine interpreter, Jeanette Kibler, Dr. Rew co-authored a pair of reference books for medical interpreters: Kibler’s Medical Terms for Interpreters, Japanese to English, and Kibler’s Medical Terms for Interpreters, English to Japanese.

Caroline R. Richardson, M.D., the Dr. Max and Buena Lichter Research Professor of Family Medicine, was awarded the prestigious Curtis Hames Research Award

from the Society for Teachers of Family Medicine. Dr. Richardson has published more than 130 peer-reviewed articles, received funding from more than 50 grants and has maintained independent research funding during her nearly 20 year career. Her academic pursuits have focused on the benefits of exercise in promoting health, improving the care of diabetes, and reducing the adverse effects of obesity. The Hames award honors those individuals whose careers exemplify dedication to research in family medicine. Dr. Richardson was also named editor-in-chief of JMIR Diabetes.

A team including Pamela G. Rockwell, D.O. , associate professor, received a grant award from Pfizer Educational Grants and the National Kidney Foundat ion

for their project entitled, “Improving Vaccination Rates in Chronic Kidney Disease Using Reminder/Recall Strategies via the Patient Portal.”

Phillip E. Rodgers, M.D., professor, joined the founding board of the Palliative Care Quality Collaborative a n d w i l l s e r v e a s treasurer. The group is

the leading national registry and quality improvement network in palliative medicine. Additionally, he was appointed chair of the Policy and Advocacy Strategic Coordinating Committee for the American Academy of Hospice and Palliative Medicine (AAHPM). The committee examines public policy issues; develops AAHPM’s advocacy agenda; and, guides the Academy’s response to legislative and regulatory proposals. Dr. Rodgers also gave several invited talks including: the opening plenary at the inaugural Forging the Future of Palliative Care conference at the University of Alabama-Birmingham, “Getting It Paid For: Alternative Payment Models in Palliative Care;” the closing plenary address for the annual meeting of the Palliative Care Quality Network, “Value-Based Payment is Here: Why Quality Palliative Care Has Never Been More Important;” and the annual Driskill Lecture Penn State University, entitled: “Integrating Palliative Care in Value-based Care Delivery.”


Faculty Activity


Keturah P. Schacht, M . D . , l e c t u r e r , i s a m e m b e r o f t h e Michigan Academy of Family Physicians’ Practice Management Committee. The group

provides advisory support for Academy efforts to address Family Physician practice management issues through advocacy.

Ananda Sen, Ph.D., professor, served as a reviewer on a biostatistics panel at the National Science Foundation.

David C. Serlin, M.D., assistant professor, was selected as a member of the Association of Departments of Family M e d i c i n e P r a c t i c e T r a n s f o r m a t i o n Workgroup.

Eric P. Skye, M.D., professor, co-authored a chapter entitled “How do I benefit from coaching in medicine?” that was featured in the book, It Takes Two: A Guide

to Being a Good Coachee, from the American Medical Association.

G o l f o K . T z i l o s We r n e t t e , P h . D . , ass is tant professor, has joined the College on Problems of Drug Dependence’s Travel Awards Committee.

This committee solicits and reviews applications for the Early Career Investigator Travel Awards and the Awards for Community Clinicians and recommends a final list of awardees.

Sara L. Warber, M.D., emeritus faculty, was named an Ins t i tu te Scholar at the health-centered nonprofit and “think tank,” the Institute for Integrative Health.

The institute focuses on improving optimal health and wellness of people and communities.

Jean H.C. Wong, M.D., assistant professor and r e s idency p rog ram director, completed the National Institute for Program Director Development Fellowship

from the Association of Family Medicine Residency Directors. Through this program she had the opportunity to engage with and learn from seasoned program directors, family medicine educators and other family medicine leaders.

Justine P. Wu, M.D., M . P. H . , a s s i s t a n t professor, was selected for the Advisory Group on Advancing the Adoption o f C o n t r a c e p t i o n Guidel ines through

clinical decision support at the Centers for Disease Control and Prevention. The work of this committee is synergistic with Dr. Wu’s research program focused on developing a contraceptive decision tool for women with medical conditions. She also was selected as a member of the Department of Internal Medicine’s Clinical Trials Academy, which offers early career faculty and new clinician investigators a combination of lectures and hands-on small group sessions to teach the complex and changing landscape of clinical trials. Dr. Wu has established a partnership with the Michigan Department of Health and Human Services as the U-M

primary investigator on a project to develop a scalable innovation to support provider delivery of patient-centered contraceptive services, patient-provider discussions and shared-decision making through an interactive, virtual platform.

Philip Zazove, M.D., the George A. Dean, M.D. Chair of Family Medicine, has joined the Assoc ia t ion o f Departments of Family Medicine’s Diversity

Task Force. He was also an invited visiting professor at both the University of Texas, San Antonio and Western Michigan University.

Suzanna M. Zick, M.D., M.P.H., associate professor, was named co-chair of the joint c o m m i t t e e o f t h e American Society of Clinical Oncology and

Society of Integrative Oncology. In her role she will develop guidelines for integrative oncology. n

Faculty Accolades…continued from page 37

Faculty Activity

Fall 2019

Professor and Chair Philip Zazove, M.D.ProfessorJames E. Aikens, Ph.D.Zora Djuric, Ph.D.Michael D. Fetters, M.D., M.P.H., M.A.Diane M. Harper, M.D., M.P.H., M.S.Joel J. Heidelbaugh, M.D.Masahito Jimbo, M.D., Ph.D., M.P.H.Michael S. Klinkman, M.D., M.S.Caroline R. Richardson, M.D. Phillip E. Rodgers, M.D.Ananda Sen, Ph.D.Kent J. Sheets, Ph.D.Eric P. Skye, M.D.Associate ProfessorWilliam E. Chavey II, M.D., M.S.Christine T. Cigolle, M.D., M.P.H.James M. Cooke, M.D.Katherine J. Gold, M.D., M.S.W., M.S.Robert B. Kiningham, M.D., M.A.Michael M. McKee, M.D., M.P.H.Karl T. Rew, M.D.Pamela G. Rockwell, D.O.Suzanna M. Zick, N.D., M.P.H.Assistant ProfessorDavid J. Alvarez, D.O.Aleksandr Belakovskiy, M.D.Catherine M. Bettcher, M.D. Thomas W. Bishop, Psy.D., M.A.Lorraine R. Buis, Ph.D.Juana Nicoll Capizzano, M.D.Maricela Castillo MacKenzie, M.D.Tammy Chang, M.D., M.P.H., M.S.Melissa J. DeJonckheere, Ph.D.Keri L. Denay, M.D.Margaret L. Dobson, M.D.Jill N. Fenske, M.D. Randall T. Forsch, M.D., M.P.H.Christopher J. Frank, M.D., Ph.D.Kristina M. Gallagher, M.D.Uche D. George-Nwogu, M.D. Jenna B. Greenberg, M.D.Kathryn M. Harmes, M.D., M.H.S.A.Micheleen Hashikawa, M.D.Erin Hendriks, M.D.Anita K. Hernandez, M.D.Katherine L. Hughey, M.D.Elizabeth K. Jones, M.D.Scott A. Kelley, M.D.Nell B. Kirst, M.D.Anne L. Kittendorf, M.D.Ayano Kiyota, M.D., Ph.D.Christine W. Krause, M.D.Angela L. Kuznia, M.D., M.P.H.Cheryl E. LaMore, M.D.Anna R. Laurie, M.D.Sahoko H. Little, M.D., Ph.D.Mikel Llanes, M.D.Elham Mahmoudi, Ph.D.Tarannum A. Master-Hunter, M.D. Anna K. McEvoy, M.D.

Kimberly S. McKee, Ph.D.Lisa M. Meeks, Ph.D.Amy C. Miller, M.D.Leigh M. Morrison, M.D.Karen L. Musolf, M.D.Oluwaferanmi O. Okanlami, M.D., M.S.Carissa A. Orizondo, M.D.Bumsoo Park, M.D., Ph.D.Ebony C. Parker-Featherstone, M.D.Ketti S. Petersen, M.D.Jill R. Schneiderhan, M.D.David C. Serlin, M.D. Gregory D. Shumer, M.D.Ghazwan Toma, M.D., M.P.H.Golfo K. Tzilos Wernette, Ph.D.Allison N. Ursu, M.D.Toshiaki Wakai, M.D.Stephen M. Wampler, M.D.Christa B. Williams, M.D.Joy C. Williams, M.D.Jean H. Wong, M.D.Justine P. Wu, M.D., M.P.H.Gary Yen, M.D.Alisa P. Young, M.D.InstructorChristina W. Chiang, M.D.Michelle L. Rabideau, M.D.LecturerJane E. Chargot, M.D.Laura M. Crespo Albiac, M.D.Eduard Drannikov, M.D.Laura E.A. Heinrich, M.D.Robert J. Heizelman II, M.D.Cornelius D. Jamison, M.D., M.S.P.H.Christine J. Medaugh, M.D.Christina A. Murphy, M.D.Courtney K. Nall, M.D.Marie Clare O’Dwyer, MB, BCh, BAO, M.P.H.Amal Othman, M.D.Julie K. Prussack, M.D.Manasi Ramakrishnan, M.D.Razel Remen, M.D.Keturah P. Schacht, M.D.Monica C. Schaffer, M.D.Timothy J. Tellez, M.D.George R. Wasylyshyn, M.D.Emeritus FacultyBarbara S. Apgar, M.D.Ricardo R. Bartelme, M.D.Lee A. Green, M.D., M.P.H.R. Dale Lefever, Ph.D.John M. O’Brien, M.D.James F. Peggs, M.D.Barbara D. Reed, M.D., M.S.P.H.Mack T. Ruffin IV, M.D., M.P.H.Thomas L. Schwenk, M.D.Lourdes Vélez, M.D. Sara L. Warber, M.D.Adjunct ProfessorGeorge A. Dean, M.D.

Department FacultyThe Regents of the University of MichiganJordan B. Acker

Michael J. Behm

Mark J. Bernstein

Paul W. Brown

Shauna Ryder Diggs

Denise Ilitch

Ron Weiser

Katherine E. White

Mark S. Schlissel (ex officio)

Editor-in-ChiefPhilip Zazove, M.D.

Managing EditorKristen A. Ochomogo

Editorial Consultants Sandra M. Genske

Devon Kinney

Noa Kim

Dawn Michel

Satoko Motahara

Rick Schulte

Amy C. St. Amour

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

Printed on pcw Forest Stewardship Council Certified stock, manufactured usingwind generated electricity.

39http://medicine.umich.edu/dept/family-medicine

Family Medicine

PresortedFirst-Class Mail

U.S. PostagePAID

Ann Arbor, MIPermit #144

Highlights

Providing OB Care to Underserved Patients

in Detroit

Clinical Simulation Center Celebrates 15

Years

Innovation Through Inquiry – Current

Research Projects

Michigan Mixed Methods Program Grows

Medical School Alumni Reunion

Follow the Department Online! www.facebook.com/UMFamilyMedwww.twitter.com/UMFamilyMed

Department of Family Medicine300 North Ingalls Street, NI4C06Ann Arbor, Michigan, 48109-5435

Mark Your Calendars for These CME CoursesJoin the Department for these outstanding CME courses.

These conferences feature speakers who are experts in their field and offer hands-on workshops to hone your skills.

27th Annual Primary Health Care of Women Conference

December 5–6, 2019Ann Arbor, Mich.

Hear the latest updates in women’s health and apply integrative medicine practices to your office. Get into the holiday spirit while shopping at local businesses.

56th Annual Northern Michigan Family Medicine Update

June 22-26, 2020Shanty Creek Resort, Bellaire, Mich.

Enjoy a mini-vacation while earning CME! Join us at Shanty Creek Resort in beautiful Northern Michigan for top-notch presentations in the mornings followed by afternoons filled with hiking, wine tasting, kayaking, golfing and shopping.

Sports Medicine for the Primary Care Physician &

Fall Update in Family Medicine

September 30–October 2, 2020Ann Arbor, Mich.

Enjoy the fall weather and University of Michigan’s

homecoming football game while honing your sports medicine skills and discussing evidence-based primary care topics.Register for these courses or sign up for our mailing list at www.UMFamilyMedCME.com.

dr. caroline richardson · dr. stange was instrumental in shaping this highly-ranked journal....

Documents