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OCTOBER 2018
Members from the Alvernon Family Medicine Residency Program participated in the 2018 Halloween "Brew HaHa" 5k run, Oct. 21. Pictured here (from left): Dr. Mari Ricker, Dr. Christine Chan, chief resident ; Kelsey Gender, residency program manager; Katie Clavel, Team 3 medical assistant; Dr. Jessie Pettit; Dr. Berna Dette Cornelison, clinical pharmacist (with her daughter Eliana)

MESSAGE FROM MYRA

Dear Colleagues and Friends,

Happy fall! I hope you are enjoying the cooler, crisper days, now that fall is finally here. It's the perfect time for a morning hike, or a fun run—like some members from our Alvernon residency program participated in last weekend (see photo above). It is also the start of residency selection season. Our clinics will be seeing groups of unfamiliar faces as the residencies host and interview applicants for our next class of family medicine residents.

There are so many great things going on in Family and Community Medicine! I am continually inspired by the stellar accomplishments of our department members—in clinical excellence, education, research and community outreach. For example, Dr. Ravi Grivois-Shah was selected as one of Tucson’s “40 Under 40,”—an award recognizing individuals in Tucson for their community service and professional accomplishments. Dr. Leila Ali-Akbarian was one of 20 women selected for a Tucson Public Voices fellowship—this is an incredible honor! In addition, after a national search, I’m delighted to announce that Dr. Ann Mathias was named Associate Chair of Clinical Affairs.

Four new faculty joined our department and Banner – University Medicine in October: Drs. Ashley Krauser, Ana Mendez, Jenny Saint Aubyn and Marcos Terán—welcome! We look forward to working with you.

~Myra
Myra Muramoto, MD, MPH
Professor and Chair, UA Department of Family & Community Medicine

NEW FACULTY - WELCOME TO FCM!

Ashley Krauser, DO, clinical assistant professor. Dr. Krauser completed her medical degree at Michigan State University College of Osteopathic Medicine, and her family medicine residency at McLaren Oakland Hospital (Michigan). As a medical student volunteer, Dr. Krauser provided care to underserved populations in Malawi and Peru, and at the mobile health clinic in her home community. She is interested in fitness and basketball, as well as a few of the more exciting sports of skydiving, whitewater rafting and wakeboarding. Her clinical interests are in preventative care, psychiatric care, international medicine and ambulatory office procedures. Dr. Krauser's family medicine practice will provide care to patients of all ages at Banner – University Medicine Multispecialty Clinic at Pantano. Welcome, Dr. Krauser!
Ana Mendez, MD, MPH, assistant professor. Dr. Mendez completed her medical degree from the University of Monterrey (Mexico), and completed her family medicine residency at the University of Arizona College of Medicine - Tucson. She also completed a Master of Public Health (MPH) degree from the Tulane School of Public Health and Tropical Medicine, with a concentration in International Health and Development. Prior to her MPH training, Dr. Mendez served as a Peace Corps Volunteer in Togo, West Africa. She has also conducted health research in Mexico, Honduras and Los Angeles  Dr. Mendez is bilingual in Spanish and has a working knowledge of French and Portuguese. She will provide outpatient care to patients of all ages at Banner University Medicine Family Medicine Clinic South (BUMCS). She will also provide obesity treatment in the Clinical Weight Loss Program in the Abrams Family Medicine Center at BUMCS. In addition to obesity medicine, Dr. Mendez's clinical interests include chronic disease management, immigrant and refugee health, travel medicine and tropical medicine. Welcome, Dr. Mendez!
Jenny Saint Aubyn, MD, assistant professor. Dr. Saint Aubyn, completed her medical degree at Ross University School of Medicine (Dominica West Indies), and completed her family medicine residency from our UA South Campus Family Medicine Residency program. Dr. Saint Aubyn is fluent in English, Spanish, French, Italian, Portuguese and Cape Verdean Creole. She likes to be active, enjoys traveling, hiking, dancing, snorkeling and working out.  Dr. Saint Aubyn's clinical interests include caring for underserved populations and refugees, and she is passionate about hospital medicine and women’s health. She will be a hospitalist providing inpatient care to patients at Banner – University Medical Center South. Welcome, Dr. Saint Aubyn!
Marcos Terán MD, clinical assistant professor. Dr. Terán completed his medical degree from Saint Louis University School of Medicine. He completed an internship in surgery from St. Joseph's Hospital and Medical Center (Phoenix), a year in surgery residency from Kaiser Permanente Los Angeles Medical Center. He completed his family medicine residency at the University of Arizona Family Medicine Residency at South Campus, in Tucson, AZ where he also served as chief resident. Dr. Terán speaks Spanish and he will be a hospitalist providing in-patient care at Banner University Medical Center South Campus. His clinical interests include acute care medicine, hospital medicine, urgent care and emergency medicine, as well as rural and underserved populations. Welcome, Dr. Terán!

FEATURED FACULTY

DR. ANN MATHIAS APPOINTED ASSOCIATE CHAIR OF CLINICAL AFFAIRS
Congratulations to Ann Mathias, DO, clinical assistant professor, who, after a national search, was named Associate Chair of Clinical Affairs. Dr. Mathias brings more than two decades of experience practicing in, and leading, large family medicine practices to this key leadership role. In addition, she brings extensive expertise in quality improvement, practice improvement, new models of healthcare payment, new models of integrated behavioral health care, and experience teaching residents and medical students.

In her new role, Dr. Mathias will oversee the clinical operations for all of Family and Community Medicine's clinics and clinical service lines. She will also continue to lead the family medicine behavioral healthcare integration initiatives and continue as the family medicine liaison to Banner – University Medicine Multispecialty Clinic at Pantano, Banner – University Medicine Multispecialty Clinic at North Hills, and Banner – University Medicine North.

Dr. Mathis joined the UA and Banner – University Medicine in 2017 as the medical director of primary care for the Banner – University Medicine Whole Health Clinic (WHC). As medical director, she implemented team-based care and quality improvement programs. WHC is a collaboration between the Department of Family and Community Medicine and the Department of Psychiatry, and offers integrated behavioral health and primary care services to address the whole-health needs of individuals with mental illness. The WHC recently received the Banner Amazement Award for their positive impact on patients’ lives as demonstrated by improved physical health measures, social determinants of health, quality improvement measures, and decreases in emergency room visits and hospital admissions.
 
Dr. Mathias currently serves on the Banner University Medical Group (BUMG) Primary Care Quality and Safety Council, and chairs the Quality Improvement (QI) committee for BUMG Tucson. This year, she was selected to participate in the Banner Advanced Leadership Program for Physicians, a Banner-wide leadership development program to identify and cultivate physicians to become the next generation of healthcare leaders.

We congratulate and welcome Dr. Mathias to her new role!

MEET A RESIDENT

Andrea Galaviz, MD
3rd-year resident, South Campus Family Medicine Residency Program
Languages spoken: Spanish
Why did you choose South Campus FM residency? I chose SCFM because it’s mission aligned perfectly with my interest to explore and serve rural AZ communities, as well as offering individualized global health opportunities. I also thought this program had the most rad residents I had met along the interview trail.
What do you love most about Tucson? The food is incredible, the people are friendly, and the sunsets can’t be beat!
Tell us about your family (including pets!): I’m so lucky to have an amazing (and large) extended family who mostly live in TX. I have 2 dogs (both mutts) who live with my parents in Phoenix, and a Cockatiel named Tequila who’s brightened my life since the 6th grade.
Tell us some fun facts about you!
1: I’m obsessed with Japanese candy.
2: I danced Ballet Folklorico for 10 years.
3: I’ve been involved in global health projects in Africa, India, and Nepal - and can’t wait to go back!
Erica Gadzik, MD; Chief Resident
3rd-year resident, Alvernon Family Medicine Residency Program 
Where are you from? Seattle, Washington
Why did you choose UA Family Medicine? Full spectrum training (training in care of patients of all ages, including prenatal care and pregnancy delivery) in an amazing location.  A strong emphasis on global health, with a diverse, underserved patient population. The opportunity to work with refugees and to use Spanish on a daily basis. And of course, supportive and enthusiastic residents and faculty.  I couples matched (my partner is in EM) and the U of A had everything we were looking for.
What is your favorite thing about living in Tucson? Mt. Lemmon! Incredible access to climbing and biking. Affordable cost of living with minimal traffic. Easy going people. Breweries and delicious Mexican food galore.
What are your interests or hobbies outside of medicine? Getting outside! Climbing, mountain biking, hiking, backpacking. Hosting BBQs and pizza nights.
What are your professional interests within Medicine? Global health, ultrasound, women's health, medical education/ teaching and underserved populations.
Favorite Way to spend a day off? Climbing all day on Mt. Lemmon, then coming home and hosting everyone at our house for pizza night
Best Arizona getaway? Sedona! Picture evergreens and cactus interspersed beneath gorgeous blue skies and stunning red rock. Complete with some of the best mountain biking trails I've ever been on.

FEATURED RESIDENCY ALUMNI

DR. NAOMI YOUNG, MD, ELECTED CHIEF OF STAFF AT TSEHOOTSOOI MEDICAL CENTER, FORT DEFIANCE
Naomi Young, MD, a UA South Campus Family Medicine residency alumna, class of 2016, was elected Chief of Staff at Tsehootsooi Medical Center, Fort Defiance, AZ. Dr. Young is a Navajo woman who grew up in Fort Defiance and returned there to practice medicine after completing her residency. She is a leader in the Navajo community and an inspiration to all young Navajo children aspiring to become physicians. "This is by far the most honorable achievement in my career," said Dr. Young. "Having the respectful nomination of my fellow physician-colleagues is one thing, but being elected into an administrative role is another. Thank you to friends/mentors whom I consulted before accepting this opportunity and thank you to my family for their never-ending support. This is what fate has brought upon me and I will try my best to represent as a Navajo woman, a Navajo physician, a Navajo leader.”

AWARDS AND ACCOLADES

Congratulations to Ravi Grivois-Shah, MD, who was selected as one of Tucson's "40 Under 40," for 2018. The awards are given annually by the Tucson Hispanic Chamber of Commerce and the Arizona Daily Star, and recognize honorees — all younger than 40 — for their professional achievements and community service. The awards ceremony will take place on December  4, 2018 at JW Marriott Star Pass Resort. Well deserved, Dr. Ravi-Grivois-Shah! Learn more here >>
Congratulations to Ingrid Patsch, MD, associate professor, who was recently board certified in Integrative Medicine through the American Board of Physician Specialties (ABPS). Dr. Patsch completed a two-year fellowship in Integrative Medicine through the Academy of Integrative Health and Medicine (AIHM), and passed the national certification exam. Well done!
Congratulations to  Ann Mathias, DO and Kyle Meehan, MD, who graduated from Banner Health's Advanced Leadership Program (ALP) for Physicians. Banner Health’s Physician ALP is a two-year program designed to identify and cultivate physicians to become the next generation of healthcare leaders, prepared to guide the system through cultural shift and reinvention. Participants are competitively selected from physicians across the entire Banner Health system. Moreover, participants achieve increased competency in leadership, finance, new standards in healthcare, patient experience and communication. The program is rigorous, and we are proud of Drs. Mathias and Meehan. Congratulations as well, to Sommer Aldulaimi, MD, who graduated from ALP last year, and was invited back to facilitate the graduation session—well done!
Dr.  Leila Ali-Akbarian, Selected as a 2018-2019 Tucson Public Voices Fellow
Congratulations to Lelia Ali-Akbarian, MD, who was one of only 20 women leaders from across the Tucson community selected for the Tucson Public Voices Fellowship. The fellowship is a partnership between the University of Arizona College of Social and Behavioral Sciences, the Women’s Foundation of Southern Arizona and The OpEd Project

Seven years ago, research by the OpEd Project found that less than 15% of key commentary forums (published op-eds) were written by women. Today, 26% of published op-eds are written by women. The Tucson Public Voices Fellowship is part of a national initiative that is moving the needle.  First piloted at Yale, this intense, year-long fellowship provides a unique professional and leadership development opportunity designed to increase the influence of women and minority thought leaders, thus broadening the voices of who narrates our world.

IN THE NEWS

FCM Sonoran Center's, Project SEARCH Highlighted in AZ Daily Star
Congratulations to the UA Sonoran Center’s Project SEARCH—which was highlighted in the AZ Daily Star article, “People with disabilities are a talented, underappreciated segment of workforce.” The article can be viewed here >>

Project SEARCH involves a community business partnership to place students and young adults with disabilities in a business to learn both work place readiness and actual job skills leading to competitive employment. Nationally, the Project SEARCH program has achieved enormous success with more than 70% of Project SEARCH graduates obtaining jobs in the health or similar businesses. Learn more about the Sonoran Center's work with Project SEARCH in Arizona>> 

EDUCATION

GRAND ROUNDS: IVO ABRAHAM, PHD, "MEDICATION ADHERENCE AND CLINICAL OUTCOMES" 

On October 11, FCM's Vice Chair of Research, Ivo Abraham, PhD, RN professor in Dept. of Pharmacy Practice, gave an interesting presentation about the impact of medication non-adherence on treatment outcomes, and identified aspects of adherence that can be integrated into daily clinical practice. View his presentation>>
Dr. Barry Weiss Presents at AAFP FMX Conference
Barry Weiss, MD, professor emeritus, was one of three leaders of a workshop on writing for publication at the annual AAFP FMX conference in New Orleans in October. Dr. Weiss is chief medical editor of FP Essentials, AAFP’s monthly monograph program and also associate editor of American Family Physician (AFP). His co-presenters were Dr. Sumi Sexton, AFP’s new editor in chief, and Dr. Kenneth Lin, AFP’s deputy editor.

 
36th Annual Global Health Course
FCM's Jerry Koleski, MD, assistant professor and and Melissa Moore, MD, assistant professor, Dept. of Pediatrics—updated and co-led the 36th annual Global Health Course,  which took place Sept. 24 - Oct. 12 on the UA Health Sciences campus. Nineteen participants—four family medicine residents and 15 fourth-year medical students—attended the course. Topics covered were "Dentistry for non-Dentists," "The Global Health Scourge of Tobacco," and "Neglected Tropical Diseases." The participants also attended skills labs in ultrasound, microscope lab and case simulations in the Arizona Simulation Technology and Education Center (ASTEC) Lab.
Dr. Beth Bruzzi Leads Suboxone Training for Residents and Faculty
On Sept. 22, Beth Bruzzi, DO, assistant professor, coordinated with the Dept. of Psychiatry to provide suboxone training for residents and faculty. Several family medicine faculty and residents attended the course. "With the opioid epidemic, we believe that expanding our services to provide opioid replacement therapy is important for our community," said Dr. Bruzzi. Dr. Bruzzi will support another training session for anyone who missed it.  
Drs. Ravi Grivois-Shah and Taiwona Elliott Present at AAFP FMX Conference
Taiwona L. Elliott, MD and Ravi Grivois-Shah, MD, presented on “Stepping into PrEP & nPEP in Primary Care: Pre-Exposure Prophylaxis (PrEP) and Non-Occupational Post-Exposure (nPEP)” at the 2018 American Academy Family Physicians (AAFP) FMX in New Orleans in October.

COMMUNITY OUTREACH

WORKFORCE DEVELOPMENT PROGRAM'S FOURTH ANNUAL "GLOBAL PEER SUPPORT CELEBRATION DAY"

The Workforce Development Program hosted a celebration for the 4th Annual Global Peer Support Appreciation Day on October 18th. In 2016, Tucson’s Mayor Jonathan Rothschild provided a Proclamation as a supporter of global peer support appreciation. At this year’s celebration, there were several guest speakers, including FCM department chair Myra Muramoto, MD, MPH, Jamie Synder, deputy director of AHCCCS; and Susan Junck, AHCCCS director for the Office of Individual and Family Affairs. More than 50 people attended, with many of them being peers and people in recovery. Several of them spoke and shared their own thanks and stories. The success of the celebration was the inspiration of peers empowering other peers to get involved, become trained as a certified peer, and learn to use their own lived experience of recovery from mental illness and/or substance abuse to help others. View photos>>
UA Sonoran Center for Excellence in Disabilities Host Workshop, "Dementia Capable Care of Adults with IDD and Dementia"
The UA Sonoran Center for Excellence in Disabilities was one of three organizations to host the Dementia Capable Care of Adults with IDD and Dementia workshop, Sept. 26-28, at the Flinn Foundation in Phoenix. The Sonoran Center’s I-AADAPT (Identify and Address Alzheimer’s and Dementia in Adults with intellectual and developmental disabilities through Prevention and Training) project began in the fall of 2016. I-AADAPT has provided a nationally-recognized training program, the National Task Group on Developmental Disabilities and Dementia Practices (NTG) Dementia Capable Care Training, to more than 430 family members and care providers across Arizona.
 

Workforce Development Program Presented at the Arizona Public Health Association Conference
FCM’s Workforce Development Program (WDP) was invited to give two presentations at the Arizona Public Health Association Conference in Phoenix (October 3rd, 2018). The conference focused on integrating behavioral health and primary care.
The staff at WDP, an interdisciplinary team—Jennifer Schultz De La Rosa, PhD, David E. Delawder, CRSS, CPRP, Beverly A. McGuffin, RN, MSN, CPRP, and James K. Cunningham, PhD—presented, “Integrating Behavioral Health Peer Support into Physical Health Service Settings: Opportunities and Challenges.” They discussed the potential value of peer support in primary care, reviewed the existing evidence, suggested recovery-oriented outcomes for evaluation, provided implementation suggestions, and identified several high level policy changes needed to support innovative integration of behavioral health care into physical health care settings.
TB & Leprosy Elimination in the Republic of the Marshall Islands [RMI]
From June 21-July 13, emeritus faculty Ron Pust, MD was one of 20 to volunteer with the RMI Ministry of Health /CDC intensive total-population case-finding drive in Majuro, the RMI capital of ~30,000. The case rates of both TB and leprosy (now called Hansen's Disease) are among the highest in the world. Dr. Pust's role was to confirm suspected leprosy cases and to read the TB skin tests and chest x-rays of more than 2,000 Marshallese, counseling them on the results before sending them for treatment of active TB or latent TB infection (LTBI). He was a part of the second of four 3-week volunteer teams. Dr. Pust, staffed the Maricopa County's Hansen's Disease clinic for the past 35 years until federal budget cuts forced the clinic to close earlier this year. Dr. Pust is one of only a handful of physicians in Arizona with extensive experience diagnosing and treating leprosy. We are thankful that he had the opportunity to contribute his experience to another group of patients in need.

RESEARCH

SUSAN SCHEMBRE, PHD, PRESENTS AT COM-TUCSON'S "INNOVATIONS & INVENTIONS" EVENT

On October 16th, at UA College of Medicine -Tucson’s second annual Innovations & Inventions Showcase, Susan Schembre, PhD, RD, associate professor, presented, “BioSense: Developing biobehavioral solutions for the treatment of obesity and diabetes.” Dr. Schembre discussed novel, evidence-based biobehavioral solutions to treat obesity and type 2 diabetes. She explained that current lifestyle interventions aimed at treating diet-induced obesity and diabetes are not metabolically personalized, and argued that new intervention approaches that integrate diet tracking with continuous measures of blood glucose levels are promising. Dr. Schembre then introduced a working prototype of a mobile app she developed with her team, “Hungry-4-Weightloss.” The app is coupled with a continuous glucose monitoring device that provides users with real-time immediate feedback on their glucose level and teaches users to eat only when they are physically hungry.  View her poster>> | See event photos>>
Francine Gachupin, PhD, associate professor, along with co-principal investigator, Lorencita Joshweseoma (Hopi), was awarded a four-year, $1.2M NIH grant, "A Hopi Tribal Health & Human Services Native American Research Centers for Health (NARCH) Initiative: Expanding Partnership with the University of Arizona through Student Enhancement, Training and Research Policy Development." The new grant is an expansion of an existing partnership between the Hopi tribe and FCM. This NARCH grant will work with the Hopi tribe to develop human subjects protection capacity, and to provide research training to Hopi students at the UA through Hopi-focused student internships, journal clubs, field work and other research experiences.
On September 28th, Amit Algotar, MD, PhD, Alicia Allen, PhD, MPH, Julie Armin, PhD, Francine Gachupin, PhD, MPH, and Judith Gordon, PhDpresented posters at the UA Cancer Center's fourth annual Scientific Retreat. View poster abstracts here >>

NEW STAFF - WELCOME!

David Campbell, joined the Workforce Development Program on Oct. 8, as an instructional specialist, senior.
Valerie Mata, joined the Sonoran Center for Excellence in Disabilities on Oct. 22, as a program coordinator.

PUBLICATIONS

Ivo Abraham, PhD, RN
  • Kelley EF, Snyder EM, Alkhatib NS, Snyder SC, Sprissler R, Olson TP, Akre MK, Abraham I. Economic evaluation of a pharmacogenomic multi-gene panel test to optimize anti-hypertension therapy: simulation study. Journal of Medical Economics. 2018 Oct 3:1-19. doi: 10.1080/13696998.2018.1531011. [Epub ahead of print] PubMed PMID: 30280614.
James Cunningham, PhD
  • Callaghan RC, Sanches M, Gatley J, Cunningham JK, Chaiton MO, Schwartz R, Bondy S, Benny C. Impacts of Canada's minimum age for tobacco sales (MATS) laws on youth smoking behaviour, 2000-2014. Tobacco Control. 2018 Oct;27(e2):e105-e111. doi: 10.1136/tobaccocontrol-2017-053869. Epub 2018 Jan 13. PubMed PMID: 29332007.
Francine Gachupin, PhD, MPH, CIP
  • Gachupin F, Harbaugh R, Amarillas A, Cupis F, Lockwood J, Tautolo SJ. Addressing Hepatitis C within a Southwest Tribal Community. Ethnicity & Disease, 2018; 28:4; Read publication>>
Anne Ryan, JD
  • Jacobs B, Ryan AM, Henrichs KS, Weiss BD. Medical interpreters in outpatient practice.  Annals of Family Medicine. 2018; 16:70-76.
Barry Weiss, MD
  • Jacobs B, Ryan AM, Henrichs KS, Weiss BD. Medical interpreters in outpatient practice.  Annals of Family Medicine. 2018; 16:70-76.
  • Mansfield E, Wahba R, Gillis DE, Weiss BD, L’Abbe M. Canadian adaption of the Newest Vital Sign – a health literacy assessment tool. Public Health Nutrition. 2018; 21:2038-204
  • Weiss BD. Assessing patients’ health literacy skills not necessary in clinical practice.  (letter). American Family Physician. 2018; 97:768.
  • Weiss BD. The Newest Vital Sign: frequently asked questions. Health Literacy Research and Practice. 2018; 2:e125-127.






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UA Department of Family and Community Medicine · 655 N. Alvernon Way, Ste. 228 · Tucson, AZ 85711 · USA

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