MEDEX Northwest welcomed 235 students back in Fall quarter with 132 students entering the didactic phase of training. Students start the year with basic clinical and technical skills, pathophysiology, behavioral medicine and professional role development. Another 113 students began clinical rotations, with half of this group entering the four-month family practice preceptorship. practice preceptorship. In addition to this busy training schedule, the admissions team is busy reviewing record-breaking numbers of applications: more than 2,600 PA applicants selected our PA training program of choice, a 40% increase over last year. More than 1,600 applicants met the requirements to move forward in the screening and review process. Faculty have been hard at work reviewing applications and selecting applicants to interview in Seattle, Spokane, Anchorage, and Tacoma.
Also this Fall, representatives from MEDEX NW attended the Physician Assistant Education Association (PAEA) Annual Forum in October. Terry Scott and Amee Naidu presented details on our success in preparing PA students to pass the PA National Certifying Exam (PANCE). In addition, several faculty and staff had posters and presentations outlining some of the research being done at MEDEX. Topics included the impact of underrepresented minority students and its role in applicant selection of PA programs, the success of updating emergency medicine curriculum to include new technologies and teaching techniques, preceptor productivity, and the impact of unconscious bias on admissions decisions. Our presentations forum were well received and inspired many conversations amongst our PA colleagues.
MEDEX NW faculty and staff have been working hard to produce scholarly work. Several articles and a book chapter have been submitted and are currently under review process for publication. Clinician Review and Journal of Physician Assistant Education are just two of the publications in which MEDEX has articles slated for publication in the coming months.
Medical Student Education
WWAMI students, residents, and faculty from the 2016 AAFP National Conference of Students and Residents attend a networking dinner hosted by the UW Department of Family Medicine
WWAMI Family Medicine Residency Network
The Family Medicine Residency Network is pleased to announce that our two newest residency programs, Kadlec Family Medicine Residency in Richland, Washington and Kootenai Family Medicine Residency in Coeur D’Alene, Idaho have received official ACGME accreditation this month. Congratulations to the faculty and staff at both programs and kudos for all the hard work and perseverance it took to get their programs off the ground!
Kadlec Family Medicine Residency
Kootenai Family Medicine Residency
Development of new UWMC/HMC comfort care order set, new palliative sedation protocol and new patient controlled analgesia infusion order sets to keep patients safe.
Dr Melissa Bender (DFM) and Dr. Caroline Hurd have led the development of these important PC tools at UWMC and HMC, which go live November 7th and will not only increase patient safety and comfort, but also provide education tools and guidelines for clinicians. Dr Bender’s research focuses on how these new order sets and protocols will affect nurse and clinician satisfaction.
UW Medicine Clinical Physician Innovators group: Drs. Fausto, Raetz, and Marchand are actively involved in several practice transformation initiatives specific to palliative care, including physician orders for life-sustaining treatment, clinician education for advance care planning.
Dr. Marchand is the physician champion for the Honoring Choices Pacific Northwest Initiative with UWMC selected as early adopter hospital.
This advance care planning initiative will eventually be rolled out to the entire state of Washington.
Drs. Fausto and Marchand participate in the Vital Talk Train the Trainer program.
Vital Talk is a nationally recognized program for effective communication in challenging situations and was created in part by Dr Tony Back, co-director of the Cambia/UW Palliative Care Center of Excellence. Faculty trained in Vital Talk will train others in this method, and will teach in the UW Graduate Certificate Program in Palliative Care which is in its second year.
Advanced Educational Pursuits:
Dr. James Fausto has started the executive MHA program this fall at UW. Kelson Okimoto, Palliative Care section manager, started a MSW program this fall at UW.
Good evidence that our practice based research network is having an impact - three of the 10 Original Research articles in the September-October "practice-based research" edition of the Journal of the American Board of Family Medicine emanated from the WWAMI region Practice and Research Network (WPRN). The WPRN is the 58-clinic primary care practice-based research network that is a collaboration between the Department of Family Medicine and the Institute of Translational Health Sciences.
The studies all involved collaborations with practices and family medicine residency programs across the five WWAMI states, along with Group Health Research Institute and the UW Department of Human Centered Design and Engineering. These articles illustrate the breadth of research conducted in the WPRN, including implementation of a blood pressure kiosk for patient self-service check-in, a survey of patients' willingness to participate in weight loss programs, and development of a tool that practices can use to decide whether or not to implement a new evidence-based innovation.
The Department of Health Web Portal project is now underway. This project will develop a Web Portal Clearinghouse for the Washington State Department of Health HUB, funded by the Center for Medicare and Medicaid Services. It aims to identify, prioritize and disseminate across the state the best evidence and practical tools for practice transformation with a focus on primary care, substance abuse treatment and behavioral health services.
Internationally, our trial of a mobile phone decision support is finally underway in northern Malawi. The Supporting Life trial is measuring the impact of using mHealth decision support by first line health care workers at village clinics to improve care of children under 5 years in three districts of Malawi. A total of 100 health care workers will be involved, and recruitment of several thousand children is starting.
The department's residency program has been busy during its fall interview season, having received 1,068 applications, offering 160 interviews, and have scheduled 143 interviews over 12 days. Our first interview day was 11/1/2016 and the Residency anticipates another great interview season!
Fall cardiac screens were successful with Seattle United teams coming to the sports medicine clinic for cardiac screens on Tuesday evenings throughout the fall. Cardiac screens were performed with the Nick of Time Foundation at Tumwater High School and Kamiak High School.
Jon Drezner was named Deputy Editor for North America for the British Journal of Sports Medicine.Dr Drezner is also co-chair and lead author on the AMSSM Position Statement on Cardiovascular Pre-participation Screening in Athletes, which was published simultaneously in four journals. This evidence based document moves the conversation regarding cardiovascular screening forward.
Drs. Rao, Pelto, and Siebert taught in the 44th Annual Advances of Family Medicine Course. Dr. O’Kane taught an evidenced based shoulder exam to WWAMI faculty. Dr. Siebert also published a blog in the British Journal of Sports Medicine on ECG Screening.
Drs. Kim Harmon and Jon Drezner received two grants: The first is a grant from the Pac-12 on Cardiovascular Screening of College Athletes in the Pac-12, the second is a grant from the NCAA to examine the etiology of sudden cardiac death in athletes. In addition, Dr. Harmon is collaborating on another Pac-12 grant just awarded examining effective concussion education in coaches.
We are recruiting patients for two ongoing Clinical Trials in Sports Medicine:
- Double blind, placebo controlled study examining the effectiveness of platelet rich plasma in patellar tendinitis. If you have a patient with patellar tendinitis please contact Monica Zigman firstname.lastname@example.org
- Study of the use of orthotics in acquired flat foot deformity. If you have a patient with this or posterior tibial tendon dysfunction please contact Monica Zigman.