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www.urmc.edu/fammedFamily MedicineDepartment ofUniversity of Rochester School of Medicine & DentistryHighland HospitalNewsletter of One of the Premier Family Medicine Departments in the United StatesIn This Issue:Alumnus ReceivesHumanitarian Awardpage 1Expansion Projectpage 1Thoughts from theChairpage 2HRSA Grant SupportsHFM BuprenorphineProgrampage 2HFM Physicians onOpioid Taskforcepage 2AAFP Global HealthConferencepage 3Alumni Spotlightpage 3Residency Spotlightpage 4Golf Classicpage 4Highland FamilyPlanning Wins Awardpage 5Julie’s Storypage 5Resident Retreatpage 6Congratulationspage 6FacultyAccomplishmentspage 7Jocelyn Young, DOWins AAFP Awardpage 7Save the Datepage 8February 2018Family Medicine Alumnus ReceivesHumanitarian AwardSophina Manheimer Calderon, MD,is the recipient of the University ofRochester School of Medicine andDentistry 2017 Humanitarian Award.The award recognizes an alumnus ofthe school who has provided unique,compassionate care to patientswho have special needs becauseof specific afflictions, poverty, orliving conditions that lack resources.The award recognizes dedicationto providing medical care to theunderprivileged and underserved.Dr. Manheimer Calderon providesmedical care to disadvantagedpopulations in the U.S. and abroad.As a member of the Navajo Nationin Arizona, she was inspired topursue medicine for her communitythat would improve access andhealth care quality. She is a familymedicine physician at Tuba CityRegional Health Care Corporation(TCRHCC) in Tuba City, a small townon the western end of the NavajoNation in northeastern Arizona.Dr. Manheimer Calderon is amember of several professionalcommittees, serving on both themedical staff credentialing andpatient education committees.Sophina Manheimer Calderon, MDShe earned her medical degreein 2011 from the University ofRochester School of Medicineand Dentistry and completed herresidency in 2014 in the University’sFamily Medicine Residency Program.Highland Family Medicine toBegin Expansion ProjectA 3.2 million expansion projectis in process at Highland FamilyMedicine on South Clinton Avenue inRochester. The expansion will includea 1,500 square-foot addition foradministrative offices, an additionalclinic suite (for three providers),additional physician offices, and anew educational space that will serveas a private administrative area forresidents and fellows. The project willincorporate offices adjacent to allof the current seven suites and willhelp integrate Coordinated Care andBehavioral Health services.The expansion is supported byDelivery System Reform IncentivePayment Program (DSRIP) funds,and private funding through theHighland Hospital Foundation,including proceeds from the 2017Highland Hospital Foundation GolfTournament. According to MindyCirasuolo, Highland Family MedicineOperations Manager, the project isexpected to be completed in July2019.“We are excited about this muchneeded expansion as it will allow usto serve more patients and extendour reach into the community,” saidTom Campbell, MD, Chair, Universityof Rochester Department of FamilyMedicine.
Family Medicine Physicians on Monroe CountyTask Force to Combat Opioid EpidemicThoughtsFrom the ChairAmazing work is being done in the Department ofFamily Medicine. Our primary mission is to createinnovative models of primary care and train primaryhealth care teams to achieve what has been calledthe Quadruple Aim of health care: better communityhealth, improved patient experience, lower costs, andimproving work life of healthcare providers. Becauseof our commitment to underserved populationsin Rochester, our goal is also to help reduce theenormous health care disparities in our community.Our department is one of the oldest and mostprestigious Departments of Family Medicine inthe country, and we have a nationally recognizedresidency program. We are the largest producerof primary care physicians for this community.Highland Family Medicine is the largest singlesite primary care practice in Rochester, servingover 23,000 patients annually, many of whom areunderserved. With our expansion, we will soon havemore room to care for more patients and improvelogistics for integrated care.We have an established record of innovations ineducation and clinical practice. For example, wedeveloped the first nurse practitioner residencyprogram that is fully integrated into a medicalresidency. It serves as a national model ofinterprofessional education.Monroe County Executivefatal. As I see it, ERs areCheryl Dinolfo recentlya logical place to identifyannounced an advisory panelindividuals who are most likelyfor the newly unveiled plan toto benefit from our support.”combat the opioid epidemicDr. Russell said this task forcein the Rochester area. Thisis the first step in findingpanel will be convenedlong-term solutions. “We needby County Health Directorto meet people where theyMichael Mendoza, MD, whoare, in whatever way we can,”practices at Highland Familyshe said. “We can’t just waitMedicine, and will consist offor people to come to us. Themedical experts from localhope is to meet them whenhealth systems. Holly Russell, Holly Russell, MDthey come to the emergencyMD, another Highland Familyroomfortheoverdose,and not let them leaveMedicine physician, will also serve on thewithoutatreatmentplan.”panel.Monroe County saw more than 200 opioid orDr. Mendoza said they will look at emergencyheroin deaths in 2016. It’s still unclear howrooms first. “We know that people whomany people died from overdoses last year.present to the emergency department with aThe County Executive’s plan includes hiringnonfatal overdose have a five-fold chance oftwo additional toxicologists to help withhaving another overdose, sadly, sometimesautopsies.HRSA Grant Supports Highland Family MedicineBuprenorphine ProgramAn 80,000 grant from the Health Resourcesand Services Administration (HRSA) issupporting Highland Family Medicine’s effortsto help primary care physicians develop aprocess to prescribe buprenorphine.For several decades we have had an integratedbehavioral health services program providingservices for our patients. But more recently wehave taken the lead locally to address the opioidepidemic in Rochester by providing onsite substanceabuse and a buprenorphine program. We areplaying a major role in DSRIP, New York State’seffort to redesign Medicaid and move to ValueBased Payments for serious problems such asmental illness and addiction.Drs. Holly Russell, Elizabeth Loomis,Norm Wetterau, Tim Wiegand, and KristinSmith, DNP, are providing clinician-toclinician support for questions related tobuprenorphine treatment. Clinicians receivematerials that the Highland Family Medicineprogram has developed and refined over thepast four years including an intake packet,agreement of responsibilities, smartphrasesfor notes, and more.Primary care is the only specialty in our countrythat has been shown to improve health outcomeswhile saving money. I am proud of the work of ourdepartment, but it is work that is never finished. Wemust keep on developing innovative ways to carefor more people in a high quality, cost-effective way.Highland Family Medicine is providing trainingto physician administrative and support staff sothey can learn more about treating addictionas a chronic disease and what it will mean tobegin offering this at their sites. In conjunctionwith Strong Recovery and Unity ChemicalDependency, team members of the HighlandFamily Medicine buprenorphine program aredeveloping a community-wide process so thatpatients who relapse or otherwise becomeunstable can be easily referred back to moreintensive treatment programs.Best Wishes,2Thomas L. Campbell, MD (1982)William Rocktaschel Professor and Chair,Department of Family Medicine“The program we have developed withthe HRSA grant is hugely successful,” saidDr. Russell. “We budgeted/planned for 30clinicians to be trained over the whole yearand we had 40 at our first session. We aredoing two more training programs over theyear including one in Dansville to supportmore rural clinicians where the access tobuprenorphine can be more difficult forpatients.”Family Medicine residents are also nowrequired to rotate through the HighlandFamily Medicine buprenorphine clinicsessions, attend one of the trainings duringtheir second year, and have an electiveexperience where they can rotate with arural family doctor who has been prescribingbuprenorphine for many years and witha family doctor working at a chemicaldependency center in Rochester in order toget experience with patients in early recovery.“Residents have been universally enthusiasticabout the addition of opioid use disordertraining during their second year and we feelthat comfort with treating this disease inprimary care is one step towards curtailing theopioid epidemic,” said Dr. Russell.
Department of Family Medicine Representedat AAFP Global Health ConferenceRepresentatives from theUniversity of RochesterDepartment of Family Medicineattended the American Academyof Family Physicians (AAFP)annual Family Medicine GlobalHealth Workshop in October inHouston, Texas. The conferencefocuses on the contributionsof family medicine to globalhealth in the areas of clinicaland practical medicine, ethicalconsiderations in global health,and current research topics.The conference also heavilyemphasizes the role of U.S.residency programs in globalhealth efforts, and the expansionof family medicine residencyprograms internationally. Somestand-out topics includedrecognizing and reporting humantrafficking, research involved inchronic mountain sickness, andcreating sustainable relationshipswith communities.Lester (interpreter); Doug Stockman, MD; NidunDaniel, DO; Alex (interpreter); Kirk Scirto, MD;Katherine (interpreter); Ryan Cummings, MD; SonyaNarla, DO; Lauren Hobbs, MD; Barbara Gawinski,PhD; Jillian Gold (medical student); Mary Bonnet, MD;Melissa (interpreter); Amanda Pannu, MD, and VikkiIp, MD, in Honduras.Residency Program DirectorStephen Schultz, MD, FAAFP,led the delegation fromthe University of Rochester.Members of the residencyprogram had three separateabstracts accepted and gavethree individual workshops. Onetalk given by Ryan Cummings,MD, was entitled “AddressingDeterminants of Health in RuralHonduras: One Residency’sApproach,” and discussed thedepartment’s global healthprogram. Another, given by Dr.Schultz, was entitled “InitiationVikki Ip, MD (attending from Jericho Rd. Familyof Graduate Medical EducationPractice) and Family Medicine residents Lauren Hobbs,in Family Medicine in the Islamic MD; Amanda Pannu, MD; Sonya Narla, DO; RyanRepublic of Iran,” and was onCummings, MD, and Mary Bonnet, MD in Honduras.the topic of expanding familymedicine residency programsinternationally. Dr. Schultz, along with residents in attendance, presented “SeparatingFact From Fiction: 14-Year Experience of a Residency Global Health Book Club,” anddiscussed this unique aspect of our global health program.“The conference was an exceptionally relevant and thought-provoking experiencefocusing on the family physician’s role in improving global health at home and abroad,”said Dr. Cummings.Alumni SpotlightSophina Manheimer Calderon, MD, ’14Dr. Sophina Calderon recently visited with Family Medicineresidents. Left-to-right is Ryan Cummings, Sophina Calderon,Lauren Hobbs, Izabela Subczynska, Chanh Huynh, ElizabethGabel, and Nidun Daniel.“My experiences working in the Finger Lakes MigrantHealth Care Program greatly influenced my decisionto choose family medicine,” said Sophina ManheimerCalderon, MD, ’14. “I loved the idea of being able tohelp any person of any age and even do OB work. I lovedworking with the migrant population and seeing thesimilarities to my hometown people of the Navajo Nation.So I was convinced that it was the specialty for me.”Dr. Manheimer Calderon earned her bachelor’s degree inmathematics at Dartmouth College in 2004 and completedpremedical studies in 2005 at Bryn Mawr College. In 2006,she joined the University of Rochester School of Medicineand Dentistry as the only Native American member ofher class. She worked with the Finger Lakes MigrantHealth Care Project, delivering screenings and educationin migrant worker camps around the Sodus, New Yorkarea. She received a Community Health Fellowship grantin 2008 and served as a community health worker forthe program, providing interpretation services, rapid HIVtesting in camps, and preventative education classes. Dr.Manheimer Calderon also provided extensive obstetricseducation for pregnant migrant worker women.Today she is a family medicine physician at Tuba CityRegional Health Care Corporation in a small town on thewestern end of the Navajo nation in Arizona.Dr. Manheimer Calderon has special memories of thefamily medicine residency program. “My best memorieswere hanging out with my co-residents and attendingphysicians on teaching afternoons, reconnecting witheach other in a nonclinical setting,” she said. “I alwayslooked forward to these lectures and going out to dinnerafterward. We all supported each other in more ways thanI thought possible and they were all the key to helping methrough residency.”Dr. Manheimer Calderon and her husband, Martin, andtheir two young sons, Josue and Julian, enjoy exploringthe Southwest and making trips to Mexico to visit theCalderon side of the family.3
Residency SpotlightHighland Hospital Golf Classic Raises 56,000 forHighland Family MedicineMore than 130 golfers raised 56,000 in net revenue in support of Highland FamilyMedicine at last summer’s Highland Hospital Golf Classic. Bob McCann, MD, and DanaConsler co-chaired the golf tournament sponsored by the Highland Hospital Foundation.Tom Campbell, MD, Chair, Department of Family Medicine, and patient JulieStrasenburgh-Waterman spoke about Highland Family Medicine and the future of healthcare.Funds raised will support Highland Family Medicine as it embarks on a plan to expandspace and capabilities to support the Rochester community with excellent health care andtraining for the next generation of Family Medicine practitioners.Drs. Amanda and Navraj Pannu met duringfreshman year of college at the Universityof Akron and married right before theirgraduations from medical school at NortheastOhio Medical University. They decided topursue their residencies together and chose theUniversity of Rochester Department of FamilyMedicine Residency Program.“We wanted family medicine because we bothloved the continuity of care and the focuson treating the whole person and family,”said Amanda. “We chose the University ofRochester Family Medicine Residency programbecause it met all of our educational needs:a strong academic institution, a rigorousglobal health program, and a welcoming andsupportive environment.”They both graduated from the residencyprogram in 2017. Amanda, a recipient of theSTFM Resident Teacher Award and an STFMFaculty for Tomorrow Scholarship recipient, nowserves as a chief resident, and Navi is a facultymember in the department. They intend tomove back to Ohio where Amanda will pursueacademic family medicine and Navi has plans towork in an outpatient family medicine clinic.“My best experiences at the University ofRochester have been both our five-monthrotation that is focused on advancedtraining in psychosocial medicine andpractice improvement, and my global healthexperience,” said Amanda. “I have also enjoyedthe opportunity to pursue leadership positions,both within the University and nationally.”Navi agrees it has been a great experience forthe couple. “I greatly enjoyed meeting andworking with all the wonderful people in thisdepartment,” he said.4Tom Campbell, MDDana Consler and Bob McCann, MDWhat is family medicine?We take care of people before they’re even born, and if you live to be a hundred, youwon’t outgrow us.Our range of practice is nearly limitless. We deliver babies and give flu shots,diagnose major diseases, and sew up minor cuts.We have the heart and soul of that great American icon of the past, the familydoctor who went to see you in a horse-drawn buggy. But today’s family medicine meanscutting-edge research and training tomorrow’s doctors in the knowledge that is growingexponentially every year.We care for the body and the mind – the whole person – and we have a specialfeeling for the underserved.We didn’t go into family medicine to get rich. We did it to help people get well.We’re passionate about what we do, and our patients feel it.We are family medicine: medicine on a mission.
Highland FamilyPlanning Wins Awardulie’s Story:The Impact ofHighland FamilyMedicine(The following is an excerpt from a speechgiven by Julie Strasenburgh-Waterman at afundraiser for Highland Family Medicine.)My story begins in 1997 when my healthbegan to change. Over the course of thenext five years severe pain became my dailycompanion. I developed severe inflammationin my joints and limbs. My overall functioningdrastically decreased and the professional lifeI had built came to a screeching halt. I lostthe ability to walk independently, and alongwith my mobility, everything I had worked toachieve.By the time I met Dr. Ron Epstein at HighlandFamily Medicine in 2002, I had lost so muchof what I had come to identify as who I wasas a person. I was being seen by no less than10 specialists, averaging two appointmentsweekly and I spent a month in an alternativemedicine clinic in Virginia out of puredesperation to find a solution and relief.When I walked into the diverse and inclusiveatmosphere at Highland Family Medicine, Ifound their waiting rooms are a wonderfulcross-section of the Rochester community andof U.S. society. From high-powered businessexecutives to single teenage moms, andrefugees from around the globe, HighlandFamily Medicine embraces all people frominfants to the elderly.That first hour-long appointment with Dr.Epstein established a relationship of trust. Myrole as self-advocate and case manager wasrelinquished to a doctor who was far morequalified to the tasks at hand and I could shiftmy energies to focus on my family and myhealing. I could finally begin the adjustment tothe many physical changes I was experiencing.There is something unique to HighlandFamily Medicine. You can feel the presenceof humanity and generosity when you walkthrough the door. It is a clinic teeming withenergy, focused on the health of all membersof its community, not just the patients.Highland Family Medicine is dedicated torespecting the integrity of every person whocomes there for medical care.Julie Strasenburgh-Waterman with Dr. Ron Epstein“When I think aboutHighland Family Medicine,I think about all theextraordinary people andtalent contained within itswalls. Ordinary patients aredoing extraordinary thingsevery single day becauseHighland Family Medicinegives them the resources, thedignity, and the respect toachieve the extraordinary.”The emotional distress that I had beensuffering for so long was finally acknowledgedand I began a new course back to wellness.Dr. Epstein spoke directly to every specialist Ihad and we slowly fine-tuned my treatmentand my appointments. A new rheumatologistdiagnosed me with inflammatory arthritis –a real disease – and I needed bilateral hipreplacements. After two total hip replacementsurgeries in 2010, I got my legs back and Ifinally regained my ability to walk, my health,and my independence.When I think about Highland Family Medicine,I think about all the extraordinary people andtalent contained within its walls. Ordinarypatients are doing extraordinary things everysingle day because Highland Family Medicinegives them the resources, the dignity, and therespect to achieve the extraordinary.Holly Leisten and Jessica Coleman with theOrganizational Leadership Quality Award.Highland Family Planning was recentlypresented with the OrganizationalLeadership Quality Award for commitmentand active participation in the Youth ServicesQuality Council (YSQC) and recognized asa champion organization for positive
with Strong Recovery and Unity Chemical Dependency, team members of the Highland Family Medicine buprenorphine program are developing a community-wide process so that patients who relapse or otherwise become unstable can be easily referred back to more intensiv
