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Holly Perzy's Personal Meeting Room - Shared screen with speaker view
Mike Aylward (U of Minnesota PD)
13:37
Hi everyone! Make sure you update your name to include where you are from.
Mike Aylward (U of Minnesota PD)
13:58
Also, feel free to ask questions via chat (we’ll be keeping track).
Allen Friedland (Christiana PD)
14:02
Send us your email and school you are from
Edward Corty, MS4 FSU
14:21
Edward Corty - ewc16@med.fsu.edu -- Florida State!
Michael Hu, MS4 Miami
14:37
Michael Hu - michael.hu@med.miami.edu - University of Miami
Charlie Oertli, MS4 Creighton
14:46
Charlie Oertli- Creighton University- CharlieOertli@creighton.edu
Brittany Brown
14:46
Brittany Brown: bsbrown0502@email.campbell.edu at CUSOM
Rachelle Gonzales - EVMS M3
14:50
Rachelle Ann Gonzales - gonzalrl@evms.edu - EVMS
Erica Onwuegbuchu, MS3 UTMB
14:53
Erica Onwuegbuchu—eronwueg@utmb.edu—UTMB
Meaghan Roszyk PCOM MS4
14:55
Meaghan Roszyk, meaghanro@pcom.edu, PCOM
Jacki Lineberry, VCOM 4th year
15:06
Jacki Lineberry, VCOM 4th year- jferrance@vt.vcom.edu
Jasmine Landry - Albany Med
15:07
Jasmine Landry MS3 landryj1@amc.edu
Ryan Erdwins
15:10
Ryan Erdwins: 4th year rerdwins@pnwu.edu- Pacific Northwest university
Austin Oslock - M4
15:12
Austin Oslock, M4, Austin.oslock@osumc.edu
Brianna Bockman
15:13
Brianna Bockman, MS4, briannabockman@mail.rossmed.edu
Dominique Cross -- PCOM
15:16
Dominique Cross, OMS-IV. dc147876@pcom.edu
Dana Goplerud
15:19
Dana Goplerud MS3 dgopler1@jhmi.edu
Jorge William Rivera
15:25
Jorge Rivera UICOM MS4- jriver71@uic.edu
Erica Onwuegbuchu, MS3 UTMB
15:25
Erica Onwuegbuchu, MS3—eronwueg@utmb.edu—UTMB
Laurine Tiema-Benson
15:31
Laurine Tiema-Benson, MS3, Laurine.tiemabenson@my.rfums.org
Nerissa Fernandes, OMSIV (NYITCOM)
15:33
Nerissa Fernandes, OMSIV, nferna08@nyit.edu, NYIT COM
Charlie Oertli, MS4 Creighton
15:33
Charlie Oertli, MS4- Creighton University- CharlieOertli@creighton.edu
Chance Najera
15:40
Chance Najera, U of R MS4 Chance_Najera@urmc.rochester.edu
Alex Woinski OMS-III
15:43
Alexander Woinski; awoinski@osteo.wvsom.edu; OMS3 at WVSOM
Tyler Knapp
15:44
Tyler Knapp, 4th year, tknapp@nyit.edu — NYIT-COM Arkansas
Nerissa Fernandes, OMSIV (NYITCOM)
15:57
Kathy Kolodziejski kkolod01@nyit.edu
Harry VanDusen
16:03
Harry VanDusen, MS4, harry_vandusen@brown.edu
Mamadou D. Tounkara
16:34
Mamadou D. Tounkara IMGs souckos3@gmail.com
JT Tolentino (Miami MP PD)
16:41
WOOT! Go Allen
Erica Onwuegbuchu, MS3 UTMB
16:41
Congratulations!
Holly Perzy, Chair, CWRU-MH, CLE
18:46
welcome!!!
Ronald Magliola
19:03
Great to have everyone back here tonight for another evening of med-peds. It's time to learn about MP primary care!
Amanda Whitehouse
33:41
So much of primary care is preventative medicine - how does your work intersect with advocacy and more specifically health policy?
Edward Corty, MS4 FSU
34:07
Thank you so much for taking the time! Some of you have been working in this field for decades--what is the main aspect that makes you most excited about going to the office each day?
JT Tolentino (Miami MP PD)
35:04
@Amanda - We see the intersection of the health disparities with actual care of the patients - and we are able to really about to advocate for our patients - As Dr. Alyward is saying.
JT Tolentino (Miami MP PD)
35:35
Legislators and policy makers need to hear from physicians who work with the underserved and the people who see these patients day in and day out.
Amanda Whitehouse
36:14
Thanks for that Dr. Aylward!
JT Tolentino (Miami MP PD)
37:05
@Edward - I love how every time you walk in - it’s like a continued conversation from the last visit. And you really develop deep relationships with entire families.
Mike Aylward (U of Minnesota PD)
37:08
I had this great experience where my patient’s on Suboxone were struggling with getting PA’s, and we couldn’t get the state to change. We talked to a reporter, who wrote a story on this as a barrier, and 2 weeks later the PA’s were removed.
Mike Aylward (U of Minnesota PD)
37:44
In primary care, advocacy can be an everyday occurrence.
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
38:04
We also get involved in advocacy and policy through NC Peds society and NC ACP, meeting with our legislators in the General Assembly in Raleigh. I'm sure the same is true for physicians in other states
Tom Davis (Geisinger PD)
38:33
evening all! hi from Geisinger
Mike Aylward (U of Minnesota PD)
38:54
@Edward — I also love the team I get to work with. Working at an FQHC is honestly protective when it comes to all of the societal stuff going on. So many good eggs.
JT Tolentino (Miami MP PD)
38:59
Hi Tom!
Tom Davis (Geisinger PD)
39:18
hey JT!
Ronald Magliola
39:20
I'm a specialist in weight management so a tremendous amount of advocacy through working with partner organizations to help with healthy food organizations, food bank, granting interviews with local TV stations and media outlets. Many opportunites to work with our city government.
Lisann Verrico (Albany Medical Center)
39:23
Political advocacy is huge! Especially here in the Capital District - we have access to our legislative representatives and can make a big difference.
Lisann Verrico (Albany Medical Center)
40:17
Our most recent initiative involved getting into the Governor’s office to help support the AAP position statement about kids returning to school in person in September.
Ryan Erdwins
40:21
I think one thing that I have become more aware of and passionate about is mental health in the peds population that I feel is lost as they transition to adult healthcare. With Neurodiversity ranging from ADHD to bipolar, do you find med meds enables you to support and advocate for these patients.
JT Tolentino (Miami MP PD)
40:22
For those who are in NY - the NY ACP also offers a 1 month rotation at the state capitol for an health policy
Rachelle Gonzales - EVMS M3
40:31
Thank you all for taking the time to put these webinars together! My q: what do you find to be the most challenging part of being a primary care physician?
Lisann Verrico (Albany Medical Center)
40:50
@JT Tolentino: yes!
JT Tolentino (Miami MP PD)
41:35
@Ryan - yes! Being integrated into the two departments, we able to access resources, and more importantly, you are able to support patients with transitions through two different cultures.
Tom Davis (Geisinger PD)
41:36
I am exclusively seeing adults with pediatric acquired disease in a medical home model. best of both worlds complex peds in adult based care. constantly learning, growing and teaching not just med peds but all my internist friends
Ryan Erdwins
44:16
couldn’t agree more!
Brianna Bockman
44:34
How might the experience differ practicing in a Med-Peds-exclusive clinic vs. working at clinics among internists and pediatricians? I often see Med-Peds doctors mixed in with family or internist doctors at various practices.
Ronald Magliola
44:49
Many clinics are moving to have psychiatric services co-located within primary care clinics.
Tom Davis (Geisinger PD)
45:11
med peds training does prepare you for care for Id/asd/DD/ADHD. allows you to really be an advocate for those patients. very hard to find adult psychiatrist comfortable caring for these patients. really can improve their quality of life managing their meds and social situations
Tom Davis (Geisinger PD)
46:14
much of the learning is on the fly but easily assessible out there and lots of cmes to attend
JT Tolentino (Miami MP PD)
46:15
@Brianna - some MP physicians mixed in with FP or IM practices often take more complex patients, and in some cases, sometimes take a larger portion of the pediatric populations.
Tom Davis (Geisinger PD)
46:28
I agree with jt
Tom Davis (Geisinger PD)
47:12
also may have more pediatric pts compared to fp colleagues. may have more adolescent and young adults
Brianna Bockman
48:50
@Dr. Tolentino and @Dr. Davis- Thanks, that sounds excellent
Harry VanDusen
49:07
With the packed Med-Peds inpatient curriculum, can you talk about any challenges residents face honing their outpatient skills during training? Thanks all for your time!
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
50:05
there is also a significant amount of outpatient care in the M-P curriculum!
Lisann Verrico (Albany Medical Center)
50:05
We have a robust outpatient curriculum with patient numbers and number of sessions that we all have to fulfill
Tom Davis (Geisinger PD)
50:09
I think all programs offer excellent outpatient experience in continuity clinics. also many programs are flexible to allow extra outpt time, free clinics, etc
JT Tolentino (Miami MP PD)
50:10
@Harry - MP programs must have at least 26 weeks of clinic every academic year, and for many programs, we have created ambulatory dedicated blocks focused on honing the primary care curriculum.
JT Tolentino (Miami MP PD)
50:51
Agree with Lisann and Tom!
Lisann Verrico (Albany Medical Center)
50:55
You have TONS of outpatient :). You have to be a good inpatient doctor to be a good outpatient physician AND you have to be a good outpatient doctor to be a good inpatient doctor....
Sharon Wretzel, PD Baystate
51:17
Agree with Lisann!
Gracie Arias
51:30
What role exists for primary care physicians interested in global medical education/global medical missions? Or is this career path typically achieved through hospitalist medicine? Thank you so much!
Harry VanDusen
51:32
all great pieces of information, much appreciated!
Tom Davis (Geisinger PD)
51:33
we have our residents completing 1 month of ambulatory a year, extra half day clinics in 3rd and 4th year and created hybrid outpt experiences. really the ability is almost endless to train to be the best outpt doc
JT Tolentino (Miami MP PD)
51:33
Yes - and the inpatient experience actually is synergistic with your outpatient experiences.
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
52:01
also dedicated blocks on outpatient peds, medicine, and electives
JT Tolentino (Miami MP PD)
52:33
@Gracie - Many primary care physicians do include global health as part of their global health experiences. Most importantly, the skill set of being able to work in systems to setup clinics can be a very valuable skill set - it’s not all inpatient medicine that happens globally!
Ronald Magliola Metro PD
52:49
I think one of the largest challenge to honing skills is just time. Residency is all about huge opportunities for learning in many areas. For residents interested in primary care, just make the ambulatory experience a priority. Choose ambulatory QI and research. Know yourself and say "yes" to what is important to you and feel comfortable saying "no" to what is not as key to your growth as a physician.
Tom Davis (Geisinger PD)
53:20
I agree with Ron as well
Lisann Verrico (Albany Medical Center)
54:29
@Ben… we all need some healing these days :)
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
54:41
celebrating clearing pt of his Hep C this week - pt also has HIV and refuses to see ID or GI. so agree with Dr. Doolittle!
Austin Oslock, M4 OSUCOM
55:38
@Benjamin Doolittle: I spent the past month in a med-peds clinic and we were lucky enough to have a social worker on staff. I can only imagine the difficulty of navigating transportation, food, housing as a solo doc in the outpatient setting
JT Tolentino (Miami MP PD)
56:33
@Austin - The skill set in primary care is often outside of medicine! But take these skills sets with you and it will make you a better physician.
Rachelle Gonzales - EVMS M3
56:49
Thank you!!
Michael Hu, MS4 Miami
57:01
Going off of that, how do you not become jaded with all the challenges that you see in clinic and in our healthcare system? How do y'all stay hopeful? What do y'all do to cope?
Tom Davis (Geisinger PD)
57:03
I think the hardest part is understanding you can't fix everything and that the social aspects are the hardest to fix. focus on quality of life of your patients and try to listen and things will be more good than bad
Lisann Verrico (Albany Medical Center)
57:24
@Tom - couldn’t agree more!
Mike Aylward (U of Minnesota PD)
57:38
@Michael: Advocacy, teamwork, family, community, and many many small wins.
JT Tolentino (Miami MP PD)
57:59
@Michael - Small wins - they add up.
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
58:00
The patients expressing their gratitude keeps us hopeful and resilient.
Tom Davis (Geisinger PD)
58:03
@michael you find the small victories. a patient doing better, a smile, stable weight/hgba1c, etc
Mike Aylward (U of Minnesota PD)
58:09
Also, bouldering with my daughter :-)
JT Tolentino (Miami MP PD)
58:16
Also, your small win for you is often a big win for the pain.
JT Tolentino (Miami MP PD)
58:25
*patient
Sharon Wretzel, PD Baystate
58:27
Michael, being able to walk with a patient through their life is one of the greatest honors. It’s how I stay centered and grounded.
JT Tolentino (Miami MP PD)
58:29
(Not pain - LOL)
Tom Davis (Geisinger PD)
58:32
then learn to care for yourself. exercise, family, mediation
Sharon Wretzel, PD Baystate
59:10
Having my patients ask ME how I’m doing, I can’t believe I’m lucky enough to work with people like my patients every day.....
Tom Davis (Geisinger PD)
01:00:11
Sharon I agree. many are as interested inmy life, my family and well being. it is a partnership
Lisann Verrico (Albany Medical Center)
01:02:24
We have an advocacy curriculum at well! Our proudest community efforts are: Albany Med-Peds has partnered with a local organization (The Baby Institute) through the pioneering efforts of our residents to bring nutrition and activity guidance to local families.
Lisann Verrico (Albany Medical Center)
01:03:16
Our residents are the heart of our advocacy efforts.
Mike Aylward (U of Minnesota PD)
01:04:45
Yes!
Sharon Wretzel, PD Baystate
01:07:26
Our antiracist working group is resident led and meeting every 2 weeks too:)
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
01:07:33
currently advocating for eliminating race distinction for GFR and PFTs
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
01:07:39
at our hosptial
Tom Davis (Geisinger PD)
01:10:28
all our residents are connected to the same med peds clinic site for 4 years on the same half day with a med peds preceptor. great mentorship. all clinics are medical homes with rn case management, integrated pharmacy, social work on call, etc. extra month a year for ambulatory
Jaime La Charite’s iPhone
01:10:46
At the Johns Hopkins UH Program we have an a strong advocacy and community urban heath curriculum with rotations in the health department, substance use, psychiatry, correctional medicine, legislative/policy rotations, etc. Many residency are involved in scholarly projects and other advocacy and anti racism efforts.
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
01:11:43
yes team based approach also includes our pharmacist and social worker
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
01:12:11
and residents become the PCP for our transition patients as well
Allen Friedland (Christiana PD)
01:14:51
if you came late send us your name and school and email address
Mike Aylward (U of Minnesota PD)
01:15:41
Thanks everyone! Great job moderating, Sharon!
Tom Davis (Geisinger PD)
01:15:50
thanks everyone!
Lisann Verrico (Albany Medical Center)
01:15:50
Thanks everyone!
Ronald Magliola Metro PD
01:15:53
Thank you all for coming tonight. Join us for these webinars! Go Med-Peds!!! Great facilitating, Sharon!
Edward Corty, MS4 FSU
01:15:54
thank you!!
JT Tolentino (Miami MP PD)
01:15:56
Thank you!
Harry VanDusen
01:15:57
thank you!
Mary Catherine Turner, PD Brody SOM at ECU/Vidant Medical Center
01:15:58
thank you!
Jorge Rivera UICOM-Chicago
01:15:58
Thanks!!!
Brittany Brown, CUSOM OMS4
01:15:58
Thank you!!!
Meaghan Roszyk PCOM MS4
01:15:59
Thank You!!!
JT Tolentino (Miami MP PD)
01:15:59
#MP4L
Nerissa Fernandes, OMSIV (NYITCOM)
01:16:00
Thank you!
Erica Onwuegbuchu, MS3 UTMB
01:16:01
Thank you!
Austin Oslock, M4 OSUCOM
01:16:01
Thank you all!!
Michael Hu, MS4 Miami
01:16:01
Thank you!
Jacob Vaught
01:16:02
Thank you so much!
Ryan Erdwins
01:16:03
thanks!
Alex Woinski, WVSOM OMS-III
01:16:04
Thank you all!
Brianna Bockman
01:16:05
Thank you! So great.
Charlie Oertli, MS4 Creighton
01:16:07
Thank you so much PDs! That was great!