A new elective launched this year in the Department of Family Medicine and Community Health’s (DFMCH) Madison residency program offers allopathic residents, fellows and faculty an opportunity to learn basic skills in osteopathic manipulative treatment (OMT).

Osteopathic medicine seeks to treat the whole person while promoting the body’s innate ability for self-healing. It’s rooted in the concept that the body’s physical structure—the relationship between nerves, muscles, bones and organs—affects physiologic function.

OMT seeks to correct those structural problems though a variety of modalities, including soft tissue, counterstrain, muscle energy and myofascial release.

Hands-on Skills that Benefit Patients

Developed by DFMCH faculty Sarah James, DO, and osteopathic chief resident Jared Dubey, DO, the course, “Osteopathic Manipulative Treatment for the Allopathic Physician (OMT4MD),” consists of required readings, online lectures and nine monthly hands-on labs.

Each lab focuses on a different area of the body, such as the lumbar spine, lower extremities, pelvis, sacrum, thoracic spine, ribs, cervical spine and upper extremities.

Above, participants in the March 2017 lab, from left: Sasha Ilkevitch, MD; Suhani Bora, MD; Jonathan Takahashi, MD; Jared Dubey, DO; Jasmine Hudnall, DO; Jennifer Perkins, MD; Mukund Premkumar, MD; Tom Hahn, MD; Paul Stevens, MD; Mathew Herbst, MD

Through the course, participants learn to formulate osteopathic treatment plans for common conditions, perform osteopathic structural examinations and gain proficiency in OMT modalities. They’re also encouraged to shadow an osteopathic physician in the clinic, which provides the learner with hands-on mentoring and a supportive learning environment.

Above, Tom Hahn, MD, practices an OMT technique with Suhani Bora, MD.

“This course gives MDs awareness and comfort in knowing that it’s OK to put your hands on a patient and try some new techniques that are going to be helpful to patients,” notes Allison Couture, DO, a Madison resident who, along with alumna and current palliative medicine fellow Jasmine Hudnall, DO, helps teach the course.

OMT is indicated in many primary-care clinical scenarios. It can be used to alleviate pain, restore motion, and help the body function more efficiently. Studies have also shown that the use of OMT significantly decreases the use of oral pain medicines in patients with low back pain and shortens hospital stays for patients with pneumonia.

Learners who complete the elective and demonstrate competence will receive a certificate of completion indicating proficiency in OMT.

“I use OMT on an almost daily basis in clinic, and I regularly have patients asking me after a successful treatment, ‘This works so well; why don’t all doctors get taught to do this?’” Dr. Dubey notes.

“Our hope is that with this course, more will. That means more patients will have access to a treatment that is gentle, hands-on, has extremely low risk, and works in harmony with the body’s natural ability to heal.”

The first OMT4MD course will end on June 7, 2017. The Madison residency program is planning to offer it again in the 2017-2018 academic year.

For more information about the course, or for questions about enrollment, contact OMT4MD@fammed.wisc.edu or visit https://inside.fammed.wisc.edu/residency/madison/omt4md.

Published: March 2017

DFMCH complementary and integrative health research Maggie Grabow, PhD, MPH, is investigating whether “social prescriptions” for healthy eating and increased exercise can help improve the health of overweight and obese college students.

Despite mounting evidence on the beneficial health effects of fruit and vegetable consumption and regular exercise, changing people’s behavior to incorporate these activities on a daily basis is challenging.

That’s why Maggie Grabow, PhD, MPH, a UW Department of Family Medicine and Community Health (DFMCH) complementary and integrative health research (CIHR) fellow working with mentor Bruce Barrett MD, PhD, is conducting a feasibility study to determine whether a “social prescription” for healthy eating and increased exercise can help improve the health of overweight and obese college students.

Prescribing CSAs and Bikeshares

Through her randomized controlled trial, Fruit And Vegetable Or Recreation Prescriptions (FAVORx), she recruited 25 UW-Madison undergraduate students who have a body mass index (BMI) of over 25 and who receive health care at University Health Services (UHS). Participating students must also live outside of the dorms, not bike regularly or belong to a fruit and vegetable community-supported agriculture (CSA) program.

Participants were randomized into three groups:

1. A CSA group, which received a 10-week fruit and vegetable CSA share with education and cooking support from UW Slow Food;
2. A bikeshare group, which received a 10-week membership to Madison BCycle, plus exercise support from the UHS wellness program; and
3. A “usual care” control group.

Dr. Grabow collected baseline health measures, including BMI, blood glucose levels, lipids, physical activity and perceived stress, at the beginning of the study and after the 10-week intervention. Participants also completed a 24-hour food diary at the beginning of the study and after the intervention.

Preliminary Findings are Encouraging

Dr. Grabow is currently analyzing study data to identify specific outcomes of the interventions, which she’ll submit for future publication.

At the DFMCH’s biannual Fellowship Symposium in December 2016, she presented preliminary findings that may help inform the feasibility of social prescription programs like FAVORx. For example, she found that although some participants in the CSA intervention group noted that they ate healthier overall, only six of the 10 people in that group attended the cooking class.

“It [the CSA prescription] made me eat healthier, walk more; I did yoga more consistently than I did in the past,” noted one participant.

Similarly, three participants in the bikeshare group used the service cycle extensively, but lack of proximity to the BCycle station meant that four participants didn’t use it at all.

“I felt healthier definitely, and happier that I was doing something,” noted another participant. “Plus I didn’t have to allot a certain time for exercise, it was just a part of my day, and that just made it so much better.”

Dr. Grabow says the preliminary results are encouraging and appear to be promising. If their team can demonstrate feasibility, their long-term goal is to offer social prescriptions to marginalized populations in Madison and beyond.

To learn more about the FAVORx study, contact Dr. Grabow at grabow@wisc.edu.

Published: March 2017

The UW Department of Family Medicine and Community Health’s (DFMCH) Madison residency program welcomed Ildi Martonffy, MD, as its new director on March 1, 2017, and thanks outgoing director Kathy Oriel, MD, for her years of dedication and service to the program.

Advocating for Residents Through Leadership

Ildi Martonffy, MD, became the Madison residency program director on March 1, 2017. She looks forward to the program’s upcoming expansion and advocating for residents’ needs as a leader.

Dr. Martonffy is a 2005 graduate of the DFMCH’s Madison residency program. After graduation, she practiced at the Beloit Area Community Health Center in Beloit, Wisconsin, before returning to the DFMCH in 2010.

She practices full-scope family medicine at the Access Community Health Center Wingra Family Medical Center, and in July 2014, became the Madison residency program’s associate director.

Dr. Martonffy is happy to continue supporting residents during their training, but in her new role also looks forward to advocating for their needs on a leadership level.

She’s particularly excited about the Madison program’s upcoming expansion this coming academic year to include two new residents focused on rural health at the Belleville clinic.

She also looks forward to leading the program’s future development. “We continue to grow and adjust curriculum to meet the training needs of our residents and the primary care needs of the state of Wisconsin,” she says.

Thomas Hahn, MD, and Jensena Carlson, MD, will serve as the program’s co-associate directors.

An Honor to Make a Contribution

Kathy Oriel, MD, served as the Madison residency program director since 2008.
“Like each patient we partner with, I hope those I’ve worked with have felt a bit safer, a bit more understood, and felt authentically respected,” she reflects.

Dr. Oriel is a 1995 graduate of the family medicine residency program at St. Paul Ramsey Medical Center in St. Paul, Minnesota. After graduation, she joined the DFMCH as a research fellow, completed a master’s degree in population health, and became a member of the faculty in 1996.

Dr. Oriel practiced at the Northeast Family Medical Center and was named director of the Madison residency program in 2008.

She credits the decades of commitment by everyone involved with the Madison program— residents, staff, faculty and organizational leaders—as essential contributors to its success. “Any contributions we’ve made with our patients, with our learners, or with our communities are the work of too many people to name,” she says, noting that those collaborations remain strong today. She is especially grateful to the DFMCH residents and staff who, over the years, have worked tirelessly behind the scenes to support, lead and advocate for the program.

Dr. Oriel believes that passion is what connects everyone in the department. That passion manifests as the trust learners place in the physicians who teach them, as the staff who step up to new responsibilities, or as the faculty who serve locally, nationally and internationally.

She also hopes that she has “internalized just a piece of Jeff Patterson’s legacy of kindness, patience, and acceptance of each person—without exception.”

Although Dr. Oriel leaves the Northeast Clinic “wistful but content,” she’s pleased that it is “a space where lesbian, gay, pansexual, transgender and gender-expansive people feel safe, understood, and respected.”

“Like each patient we partner with, I hope those I’ve worked with have felt a bit safer, a bit more understood, and felt authentically respected,” she reflects. “What an honor to try to make that contribution.”

Published: March 2017

Marlon Mundt, PhD, above left, and Matthew Swedlund, MD, above right, investigated how team-based primary care delivery could be improved using human factors approaches.
Their study appeared in the December 2016 issue of Family Practice. It builds on an earlier study published in the Annals of Family Medicine.

A recent study by the Department of Family Medicine and Community Health’s Marlon Mundt, PhD, and Matthew Swedlund, MD, argues that focusing on personal relationships among staff, teams’ electronic health records use, physical environment, communication and organizational support could empower primary care teams to deliver better patient care.

The study, published in the December 2016 issue of Family Practice, uncovered team work system components that impact primary care team performance.

Data for this research come from an earlier study of team communication networks in primary care clinics.

For the current study, researchers invited 155 clinicians and staff at six UW Health primary-care clinics to complete a face-to-face survey on communication patterns. Of those, 19 participants (three to four clinicians and staff at each clinic) who had the highest number of communication connections participated in an additional qualitative interview on communication, team climate and overall teamwork.

The interview questions brought to light valuable team work system components related to primary care team function and quality of care.

For example, participants noted:

• the importance of personal relationships, supportive ties among staff and social interactions for team functioning;
• the shortcomings of e-mail and electronic health record communication for timely information sharing in the fast-paced environment of the clinic;
• the value of physical proximity and clinicians co-location for optimizing team performance, communication and care processes;
• the need for rich face-to-face communication in patient care coordination, especially as clinical situations unfold; and
• the influence of clinic managers’ leadership style and the impact of policies or mandates from the larger organization.

“I think we are all eager or willing to get up and jump in if we can see that someone is getting behind or if something needs to be done we are helpful to each other and share knowledge and ideas,” said one interview participant.

“I think face-to-face communication is probably the best if you need to talk to somebody about an issue or a question or anything like that,” said another.

Participants also noted that they believe team cohesion contributes to better patient care, that team climate contributed to work-life quality outcomes and that high turnover contributes to a lack of team cohesion.

A Blueprint for Improvement

According to the researchers, focusing on relationships among staff, teams’ electronic health records use, physical environment, communication and organizational support will help individual team members better understand their roles and think through all of the care elements that affect patient outcomes.

Carefully examining multifaceted dimensions of team functioning at a system level allows practitioners to understand better how these individual elements of their team’s work system contribute to team climate and high-quality care—and where improvements could be made.

For example, deliberate evaluation of the team’s work system components could help guide decisions about how to use technology more effectively, how to improve the physical environment, how tasks get done, how leadership can support the team’s mission, and what behaviors support the team’s performance.

“Targeting team work system components will help us find new ways to unlock the power of primary-care teams to lead the charge of quality improvement efforts and to drive value-based care solutions in primary care,” noted Dr. Mundt.

Learn more about the UW-developed SEIPS model that informs their work.

Published: March 2017

DFMCH senior scientist Rachel Grob, MA, PhD, helped developed a new patient narrative elicitation protocol that supplements the CAHPS® Clinician & Group Survey.

Rachel Grob, MA, PhD, a senior scientist in the UW Department of Family Medicine and Community Health, has helped develop a new national survey protocol that may more robustly capture patients’ experiences with their health care providers.

Dr. Grob, who is also the director of national initiatives for the UW-Madison Center for Patient Partnerships, created the “CAHPS Patient Narrative Elicitation Protocol” with colleagues from the Yale  University and RAND Corporation CAHPS Reports Team. (The team’s methods are summarized in a recent paper published in Health Services Research ).

The beta version of the protocol was made publicly available by the Agency for Healthcare Research and Quality (AHRQ) in December 2016.

Five Open-Ended Questions

The adult version of the protocol consists of five questions designed to lead patients through the telling of their health care stories in a structured sequence, thereby eliciting a clear and comprehensive portrayal of their experience. (The child version of the protocol has six questions.)

Although the protocol can be administered on its own, it’s intended to supplement the CAHPS® Clinician & Group Survey (CG-CAHPS), the standardized survey tool that health care organizations nationwide use to collect quality data.

The difference is that while CG-CAHPS consists of closed-ended questions, the new protocol consists of open-ended questions.

“What we didn’t have was a way of hearing from patients in their own words,” Dr. Grob explained. She added that the team used a scientific process to develop and test the new protocol’s questions, so that it would capture patient narratives that were “complete, balanced, meaningful and representative.”

The five questions are:

1. What are the most important things that you look for in a healthcare provider and the staff in his or her office?
2. When you think about the things that are most important to you, how do your provider and the staff in his or her office measure up?
3. Now we’d like to focus on anything that has gone well in your experiences in the last 6 months with your provider and the staff in his or her office. Please explain what happened, how it happened, and how it felt to you.
4. Next we’d like to focus on any experiences in the last 6 months with your provider and the staff in his or her office that you wish had gone differently. Please explain what happened, how it happened, and how it felt to you.
5. Please describe how you and your provider relate to and interact with each other.

A Win for Patients, Providers and the System

Health care groups in California and Massachusetts have already used the beta protocol, and are beginning to use the data it yields for primary-care quality improvement projects. Dr. Grob and her colleagues are working to identify other organizations that could serve as early adopters.

According to Dr. Grob, the new protocol is valuable in three distinct ways. Specifically:

1. It provides concrete, actionable examples of aspects of care that are measured on closed-ended surveys;
2. It highlights additional sub-categories of experience in areas such as access, communication, office staff and coordination that are not currently measured directly on surveys; and
3. It highlights domains of care that are important to patients but not included on existing CG-CAHPS surveys.

“[This protocol] yields textured descriptions of things that you can’t learn from a closed-ended survey alone,” Dr. Grob reflected.

“It elicits narratives about care in patients’ own words,” she continued. “This makes patients part of the never-ending quality improvement that’s at the heart of any primary care endeavor. I think it’s a big win for patients, providers and the system alike.”

To learn more, visit the CAHPS Patient Narrative Elicitation Protocol page at AHRQ

Published: March 2017

Integrative Health (IH) faculty are piloting the “Whole Health” model at the UW Health Arboretum Clinic.
“This model focuses on what matters most to people, which increases the chances of their actively participating in the health care process,” explains Adam Rindfleisch, MPhil, MD, DFMCH associate professor and medical director of the UW Health IH program.

To help patients understand their health in a way that goes beyond traditional disease management and wellness, Integrative Health (IH) faculty from the UW Department of Family Medicine and Community Health (DFMCH) are piloting the “Whole Health” model at the UW Health Arboretum Clinic.

The model is offered to patients who come to the clinic for longer primary-care office visits, such as physical exams. Patients who opt to participate first complete a personal health inventory, which encourages them to consider aspects of their health that are most important to them.

Specifically, patients rate their current state—and where they would like to be in the future—in eight areas:

1. Working the Body (energy and flexibility)
2. Recharge (sleep and refresh)
3. Food and Drink (nourish and fuel)
4. Personal Development (personal life and work life)
5. Family, Friends and Coworkers (relationships)
6. Spirit and Soul (growing and connecting)
7. Surroundings (physical and emotional)
8. Power of the Mind (relaxing and healing)

The Circle of Health graphic illustrates how patients can think about the Whole Health model. The inner dark blue circle represents an individual’s values and aspirations. The green circle represents self-care and everyday choices. The outer dark blue circle represents professional medical care (traditional and complementary). The outer light blue circle represents community support. (Circle of Health courtesy of the VHA Office of Patient Centered Care & Cultural Transformation.)

Patients also rate their overall physical and mental well-being and their sense of their day-to-day life.

The inventory is designed to help patients better understand what really matters to them, why they want to be healthy and what their best possible life might look like.

Patients then work with their physician to determine how self-care, professional care (including traditional and complementary approaches) and their community can best support them.

Focusing on What Matters Most

“This model focuses on what matters most to people, which increases the chances of their actively participating in the health care process,” explains Adam Rindfleisch, MPhil, MD, DFMCH associate professor and medical director of the UW Health IH program.

“It empowers them around what they can do to optimize their health,” he continues. “It also offers them a chance to build a team that can help, including by providing guidance around complementary approaches and community resources.”

So far, patients have responded positively to the “Whole Health” model. Some are curious about the different approach, which provides an opportunity for clinicians to discuss the importance of overall well-being.

“Blood glucose and blood pressure control are important, but we don’t want to lose sight of the reasons they are important,” explains Greta Kuphal, MD, who practices at the Arboretum Clinic and offers the model to her patients.

“We want to support someone in improving their overall health, so they can reach a goal they set for themselves—whether it be climbing a mountain, walking a daughter down the aisle or being a ‘spry old woman’. This is the journey we walk with patients.”

Advancing Health and Well-Being

The “Whole Health” model is informed by a national collaboration between the DFMCH and the Veteran’s Health Administration’s Office of Patient Centered Care & Cultural Transformation.

That collaboration aims to advance an approach to health care in which clinicians and patients partner to co-create health and well-being.

The “Whole Health” pilot began at the Arboretum clinic in January 2016. If it continues to be successful there, it may be rolled out to other UW Health primary care clinics.

The IH program, in collaboration with UW Health Wellness, is also holding a two-day conference in May to introduce the “Whole Health” model more broadly to UW Health clinicians and leaders.

To learn more about the model, contact Dr. Rindflesich.

Published: April 2017

At the Wingra Clinic, Beth Potter, MD, (above, left) and Access Community Health Centers behavioral health fellow Audra Wagaman, PsyD, piloted a group visit program to help patients with chronic pain maximize function and minimize suffering.

A recent pilot program at Access Community Health Centers Wingra Family Medical Center examined the feasibility of group visits for patients who have chronic pain.

Led by the UW Department of Family Medicine and Community Health’s (DFMCH) Beth Potter, MD, and Access behavioral health fellow Audra Wagaman, PsyD, the pilot consisted of six 90-minute group sessions held from January through March.

The program aimed to help patients maximize function and minimize suffering. Participants learned about sleep hygiene, coping with stress, nutrition, communication, social support and alternative approaches to pain management (such as acupuncture).

In each session, they also answered “pain check-in” questions, shared their own pain management strategies, and learned movement techniques and mindfulness meditation.

Building on Established Trust and Community

Dr. Potter based the program on one previously developed by Joseph Eichenseher, MD, at Access’ Joyce & Marshall Erdman Clinic.

Wingra faculty and residents identified patients who might benefit from the program, and recruited them through fliers and follow-up phone calls.

Eight to 10 patients attended each session, which Dr. Potter considered an excellent turnout for a pilot. Although the program was open to patients from Wingra or any Access clinic, many participants were patients of Dr. Potter. She noted that all participants had existing relationships with Access providers and entered the program with a high of level of trust.

She added that because the clinic directly serves the surrounding neighborhood, many of the participants knew each other and the sessions reflected the feel of Wingra’s diverse community.

“We view this pilot as a success due to the great turnout,” noted Dr. Potter. “In the future, we would like to study the impact of the program on the physical function and well-being of our patients.”

In the future, Dr. Potter would like to offer the program two times per year, and include DFMCH residents as co-teachers.

To learn more about the pilot, contact Dr. Potter.

Published: April 2017

Match Day 2017 was a great day for family medicine.

On March 17, 2017, 33 fourth-year UW School of Medicine and Public Health (SMPH) students—decked out with their classmates in green “St. Matrick’s Day” t-shirts—matched into family medicine residency programs across the nation.

They represented 19.5 percent of the graduating SMPH class, demonstrating students’ continued interest in family medicine. (In 2016, 25 SMPH students, or 15 percent of the class, matched into family medicine.)

What’s more, the percent of SMPH students entering family medicine is more than double the 8.8 percent of students nationwide who chose the specialty (source: American Academy of Family Physicians).

Of those 33 students, 14 are entering family medicine residency programs in Wisconsin. Nine SMPH students are entering a residency program that’s sponsored by or partnered with the UW Department of Family Medicine and Community Health (DFMCH).

Expanded Madison Residency, Academic Partner Programs

All of the DFMCH residency programs also enjoyed a successful match. The incoming statewide class consists of 52 residents in DFMCH-sponsored or academic partner programs.

It includes two additional Madison residents who will be part of a new rural health equity track at the UW Health Belleville Clinic. Residents on this track will partner with communities, public-health researchers, and multidisciplinary teams to better understand and eliminate rural health disparities.

The new class also includes 10 residents at two Aurora Health Care programs that are now—or soon will be—DFMCH academic partner programs.

• The Aurora Lakeland Rural Training Track Family Medicine Residency is a brand-new program in which residents spend their first year in Milwaukee on inpatient rotations with Aurora St. Luke’s Family Medicine residents, and their second and third years at the Aurora Lakeland Medical Center in Elkhorn, Wisconsin. This program will welcome four residents.

• The Waukesha Family Medicine Residency Program will transition from Medical College of Wisconsin sponsorship to Aurora Health Care sponsorship in July. This program will welcome six residents.

Thanks to everyone who worked to make this year’s match a success for family medicine!

Published: April 2017

The UW Department of Family Medicine and Community Health’s (DFMCH) is proud to honor those who made new donations to its Visionaries Fund from January through March 2017.

The new fund was created to commemorate the physicians, teachers, researchers and leaders who built the DFMCH into the outstanding department it is today.

Here are the most recent donors, and the specific visionaries they honored:

These donations go to a special fund designed to support the DFMCH’s statewide missions of education, research, patient care and community service.

To learn more about you can honor DFMCH founders, innovators and mentors—past or present— visit our Visionaries Fund page or contact Linda Haskins, MBA (phone: 608-263-6402; email: linda.haskins@fammed.wisc.edu).

Thank you for your support!

Published: April 2017

Principal Investigator: Beth Burnside/Sarina Schrager

Department: Radiology/DFMCH

Summary of Study: Based on information gathered from previously funded physician interviews and patient focus groups, our multidisciplinary team has developed an alpha version of the Breast Cancer Risk Estimator (B~CARE) embedded in the EHR at UW (HealthLink).  We aim to demonstrate the impact of B~CARE 2.0 for  women considering the decision to undergo mammography with their primary care physicians, focusing on the outcomes of decision conflict, patient satisfaction, physician satisfaction, and duration of the clinical encounter.  The next crucial step for our team is to codify and measure core components of shared decision making using the RE-AIM framework for measuring implementation success.  Lastly, we aim to assess the operational impact of the B~CARE tool within a primary care encounter.  

Objective: To improve physician/patient communication for screening mammography decision making.

Eligibility and Exclusion of Recruitment: Eligible women are 40-49, English speaking, have not had a mammogram in 9 months. Exclusion criteria include a history of dementia or breast cancer.

Study Design: Test the effect of B~CARE among women who are making the decision to undergo mammography with their primary care physicians: improving health indicators (projected morbidity & mortality); health related quality of life (false positives, psychological distress, patient satisfaction and information competence) and projected impact on improving disparities in breast cancer screening.

Phase I:  A preliminary sample of study participants (physician/patients) will consent/participate in evaluating the B-CARE 2.0 decision tool.  This cohort will use the tool in a clinical encounter.  We will then survey physician/patients focusing on the outcomes of decision conflict, patient satisfaction, physician satisfaction, and duration of the clinical encounter.

Phase II: With the aid of WREN, we plan to audiotape patient/physician dyads to extract the core components of shared decision making from these interactions in order to demonstrate fidelity. These clinical interactions will be transcribed and then coded for a range of outcomes using WordStat, a text analysis platform for the extraction of themes and trends, along with precise measurement of predefined topic areas. This will allow us to observe how both patients and providers steer the shared decision making discussion, and correlate aspects of these interactions (source of utterance – patient or physician; type of utterance – declarative or interrogative; content of utterance – risks/benefits, expectations, or values).

We will also survey patients and physicians to qualitatively assess possible barriers and facilitators for the RE-AIM metrics that can be predicted based on experience. Specifically, we will identify factors that physicians perceive will determine Reach and Adoption (in order to maximize them in the future) and incorporate these metrics into our evaluation framework.

Phase III.  We have submitted an application to the UW Health Innovations Grant Program to operationalize the B~CARE shared decision making tool within a primary care encounter.   We propose the development of a process whereby this tool is used during health maintenance exams in an efficient, standardized, and evidence-based manner.  We will receive notice to this application in late August.

Study Contact Person: Sarina Schrager, MD (DFMCH)

Email: sbschrag@wisc.edu

Date of Approval:  September 15, 2016

Study Dates:

The Addiction Medicine physician will provide care in both the inpatient and outpatient setting for patients with or at-risk of substance abuse use issues. They will additionally provide didactic and clinical teaching of fellows, residents and other learners and may engage in research.

The School of Medicine and Public Health has a deep and profound commitment to diversity both as an end in itself but, also as a valuable means for eliminating health disparities. As such, we strongly encourage applications from candidates who foster and promote the values of diversity and inclusion.

Degree and area of specialization:
MD/DO
Family Medicine, Internal Medicine or Psychiatry.
The ideal candidate is also board certified in Addiction Medicine or willing to pursue.

Minimum number of years and type of relevant work experience:
Successful completion of a fully accredited residency program in Family Medicine, Internal Medicine or Psychiatry.

Successful completion of a fully accredited fellowship in Addiction Medicine
OR
1500 hours of clinical experience in Addiction Medicine during the past five years.

Experience in detoxification from alcohol and opioids is preferred, including experience in treating complex medical conditions in the inpatient setting.

Candidates for associate professor (CHS) or full professor (CHS) rank must meet criteria for appointment at rank per UW School of Medicine and Public Health guidelines for appointment and promotion on the CHS Track.

License or Certificate:
Wisconsin medical license is required prior to start date.

Certified by or eligible for certification by the American Board of Family Medicine, American Board of Internal Medicine or American Board of Psychiatry.

Certified by or eligible for certification by the American Board of Addiction Medicine.

DATA waiver to prescribe FDA-approved controlled substances to treat substance use disorders; i.e. buprenorphine, is preferred. If waiver is not currently held, openness to pursuing this credential is required.

Principal Duties:
Consultation in the inpatient and outpatient settings for patients with or at-risk for substance use issues.
Engage in prevention as well as treatment of potentially substance-related health issues, such as infectious disease, mental health issues and other complications.

Didactic and clinical teaching of fellows, residents, medical students and other health care trainees.

Administrative responsibilities for the fellowship as well as policy and protocol development for relevant inpatient and outpatient settings.

Interest and experience in research preferred.

Potential opportunity for a VA assignment.

Salary/Benefits: Competitive salary and excellent benefits.

Application Procedures: This vacancy is being announced simultaneously with PVL# 90246 please note that only one vacancy exists. Having two position vacancy listings allows the School of Medicine and Public Health to consider candidates with both CHS-track faculty credentials and tenure track faculty credentials for this position.

Please press “Apply Now” to begin the application. You will be required to upload a cover letter, CV and three letters of reference.

APPLY NOW

PVL #: 90245

The UW-Madison is an EO/AA employer, women and minorities are encouraged to apply. Wisconsin caregiver and open records laws apply. A background check will be conducted prior to employment.

The Addiction Medicine physician will provide care in both the inpatient and outpatient setting for patients with or at-risk of substance abuse use issues. They will additionally provide didactic and clinical teaching of fellows, residents and other learners and may engage in research.

The School of Medicine and Public Health has a deep and profound commitment to diversity both as an end in itself but, also as a valuable means for eliminating health disparities. As such, we strongly encourage applications from candidates who foster and promote the values of diversity and inclusion.

Degree and area of specialization:
MD/DO
Family Medicine, Internal Medicine or Psychiatry.
The ideal candidate is also board certified in Addiction Medicine or willing to pursue.

Minimum number of years and type of relevant work experience:
Successful completion of a fully accredited residency program in Family Medicine, Internal Medicine or Psychiatry.

Successful completion of a fully accredited fellowship in Addiction Medicine
OR
1500 hours of clinical experience in Addiction Medicine during the past five years.

Experience in detoxification from alcohol and opioids is preferred, including experience in treating complex medical conditions in the inpatient setting.

Candidates for associate or full professor rank must meet criteria for appointment at rank per UW Madison guidelines for appointment and promotion on the tenure track.

License or Certificate:
Wisconsin medical license is required prior to start date.

Certified by or eligible for certification by the American Board of Family Medicine, American Board of Internal Medicine or American Board of Psychiatry.

Certified by or eligible for certification by the American Board of Addiction Medicine.

DATA waiver to prescribe FDA-approved controlled substances to treat substance use disorders; i.e. buprenorphine, is preferred. If waiver is not currently held, openness to pursuing this credential is required.

Principal Duties:
Consultation in the inpatient and outpatient settings for patients with or at-risk for substance use issues.

Engage in prevention as well as treatment of potentially substance-related health issues, such as infectious disease, mental health issues and other complications.

Didactic and clinical teaching of fellows, residents, medical students and other health care trainees.

Administrative responsibilities for the fellowship as well as policy and protocol development for relevant inpatient and outpatient settings.

Interest and experience in research preferred.

Potential opportunity for a VA assignment.

Salary/Benefits: Competitive salary and excellent benefits.

Application Procedures: This vacancy is being announced simultaneously with PVL# 90245 please note that only one vacancy exists. Having two position vacancy listings allows the School of Medicine and Public Health to consider candidates with both CHS-track faculty credentials and tenure track faculty credentials for this position.

Please press “Apply Now” to begin the application. You will be required to upload a cover letter, CV and three letters of reference.

APPLY NOW

PVL #: 90246

The UW-Madison is an EO/AA employer, women and minorities are encouraged to apply. Wisconsin caregiver and open records laws apply. A background check will be conducted prior to employment.

The theme of compassion—brought to life through advocacy, influence and change—wove through the Department of Family Medicine and Community Health’s (DFMCH) annual McGovern-Tracy and Student Scholars awards ceremony, held May 17, 2017, at the Monona Terrace Community and Convention Center in Madison.

The awards program honors medical students or family medicine residents who exemplify outstanding community service, outreach, and leadership.

Slideshow

Patricia Tellez-Giron, MD, with Shiva Bidar-Sielaff, MA

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Shiva Bidar-Sielaff Speaks on Being a Compassionate Citizen of the World

William Schwab, MD, a professor and the DFMCH’s vice chair for education, served as the evening’s master of ceremonies. He introduced the evening’s keynote speaker, UW Health Chief Diversity Officer Shiva Bidar-Sielaff, MA.

Bidar-Sielaff gave an inspiring presentation that began with the story of her childhood in pre-revolution Iran. She recalled how, at the age of eight, she and her mother and brother fled the country for Spain, where she lived as “a Farsi speaker in a French school in Spain.”

Navigating those early experiences as a linguistic and cultural “translator” fostered Bidar-Sielaff’s ambition to become a professional interpreter; later, recognizing that many people struggle with access to health care due to language barriers, she focused her career on medical interpreting. She developed UW Health’s interpreter-services program and is an organizational leader on matters of cultural competency and diversity.

Bidar-Sielaff is also deeply engaged in community service: she has served on the Madison Common Council for eight years, co-chairs the Latino Health Council of Dane County and is on the boards of many area nonprofit organizations.

During her presentation, she explained how every citizen has circles of influence that start with one-on-one advocacy and radiate out to include community and public health, policy shaping and political service. “Are you really influencing as much as you can at all these levels?” she asked the audience, encouraging each person to root their actions in compassion.

“Don’t ever forget the word compassion, because that should always be your center,” she concluded. “Hold on to that as your anchor and keep changing the world.”

Meet all the Winners

Congratulations to the 26 health sciences students and residents who received awards at this year’s ceremony. To learn more about them, read the event program.

Complete list of award winners:

Compassion in Action
Nnenna Ezeh

Compassion in Action Community Health Leadership
Vy Dinh
Nailah Cash‐O’Bannon

Compassion in Action International Health Leadership
Elizabeth Abbs

Lester Brillman Scholarships
Andrew Beine
Tricia Brein
James Ircink
Kristin Magliocco
Kelsey Schmidt

Lester Brillman Leadership and Advocacy Award
Sabrina Martinez

Lester Brillman Mentorship in Family Medicine
Jonas Lee, MD

Founders Award (WAFP)
Cameron Blegen

Robert and Irma Korbitz Endowed Scholarships
Lindsey Anderson
Abigail Navarro
Ngoc Pham

Vogel Foundation Scholarship
Justin Meyers

Martin and Charlotte Gallagher Scholarship for Prolotherapy
Michael Braunsky, DO

Jan Ashe Memorial Award for “Excellence in Community Radiography”
Marrae Keith

McGovern-Tracy Student Scholars
Katie Eszes
Matt Guerrieri
Manu Habibi
Kali Kramolis
Jacqueline Mirr

McGovern-Tracy Resident Scholars
Jared Dubey, DO
Jody Epstein, MD
Jasmine Wiley, MD

The McGovern-Tracy and Student Scholars program is named for Isabel McGovern Kerr and Michele Tracy. McGovern Kerr endowed the DFMCH in 1998 to establish scholarships in memory of the McGovern family who pioneered in Wisconsin and were some of its first family physicians. Michele Tracy was a second-year UW medical student who was killed while participating in an educational service program in Malawi, Africa, in July 1999.

Published: June 2017