55 Words from the Chair

Wellness Corner

Wellness Photo of the Month

Below: Dr. Rosette Chakkalakal, her sister, and their friends enjoy the Albuquerque International Balloon Fiesta - the perfect outdoor wellness break!

Wellness Tip

Civic action and wellbeing: “Hope locates itself in the premises that we don’t know what will happen and that in the spaciousness of uncertainty is room to act. When you recognize uncertainty, you recognize that you may be able to influence the outcomes – you alone or you in concert with a few dozen or several million others. Hope is an embrace of the unknown and unknowable, an alternative to the certainty of both optimists and pessimists. Optimists think it will all be fine without our involvement; pessimists take the opposite position; both excuse themselves from acting. It’s the belief that what we do matters even though how and when it may matter, who and what it may impact, are not things we can know beforehand.” - ― Rebecca Solnit, Hope in the Dark

If you have watched television, looked at the internet, or talked to another person lately, you know that there is an important election on November 8^th. Of course, there is a lot on the ballot, from healthcare, to safety, to housing, to education. But what do we know about the relationship between voting and well-being?

• People reporting high levels of well-being (e.g., high satisfaction with life, low depression) are more likely to vote (sources: World Happiness Report)
• People who vote have higher well-being: One recent study found that voting among adolescents/young adults was associated with better mental health and health behaviors later in adulthood (source: Impacts of Civic Engagement on Health and Socioeconomic Status in Adulthood)

The bottom line: “Research shows that the healthier you are, the more likely you are to cast a ballot,” says political scientist, Barry Burden. But it’s a cyclical relationship: “When a person is involved with civic life, they are social, efficacious, and participating,” (source: Healthy Democracy: How Voting Impacts Well-being)

Key dates for voting:

• Early voting: Oct. 17-Nov. 4
• Submit voted absentee ballot: Oct. 7-Nov. 8
• Election Day: Nov. 8

More information here: https://georgia.gov/election-2022

Preparing for Election Season: What You Need to Know About Emory, Advocacy and Lobbying: With less than three months to Election Day, many members of the Emory community are engaged politically. Whether you are sharing research and expertise with lawmakers and voters, volunteering at Emory’s election site, or spending your personal time on the campaign trail, it is important to understand how Emory, as a tax-exempt nonprofit, interacts with elected officials. Learn More.

Transformative Research

New Research Funding

Dr. Mo Ali and Dr. Leslie Johnson have a new R01 funded by NIMHD. This project examines whether Medicaid Managed Care mitigates race/ethnic disparities in diabetes in the US. The project is funded from September 2022 - May 2028.  

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Dr. Sarah Cross has a newly funded CTSA KL2; her co-mentors on this are Dr. Dio Kavalieratos and Neal Dickert (Emory Cardiology). The project is titled "Dying While Poor: Investigating Multi-level Determinants of Inequities in End-of-life Care for Adults with Cancer."

The goal of the Georgia CTSA KL2 Program is to support and enhance career development for junior faculty interested in a career that encompasses clinical and translational science and clinical and translational research. More information is available here. 

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Recent and Upcoming Presentations

Dr. Jane Lowers (pictured above) chaired a symposium titled, “Social, Political, and Interpersonal Power and Access to Hastened Death” at the 7th Public Health Palliative Care International Conference in Bruges, Belgium, Sept. 20 with colleagues from the UK and Switzerland. Dr. Lowers’s presentation was “Biopower, Social Roles, and Voluntarily Stopping Eating and Drinking (VSED).”

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Dr. Jane Lowers will present “Solo but not alone: An examination of social and help networks among community-dwelling older adults without close family” at the Gerontological Society of America meeting in Indianapolis on Nov. 5.

Dr. Dio Kavalieratos will give the keynote symposium at the 2022 North American Cystic Fibrosis Conference on “Year in Review: Palliative Care in Cystic Fibrosis” in Philadelphia on November 3.

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Research News 

Dr. Leslie Johnson was invited to teach in the Global Alliance for Chronic Diseases 5th Implementation Science School.  The GACD Implementation Science School is a one-of-a-kind opportunity for early- and mid-career researchers to build their knowledge, skills, and confidence in the fields of implementation science and non-communicable diseases in low- and middle-income countries.

Dr. Ali John Zarrabi convened a national conference on psychedelic therapy in palliative care in Madison Wisconsin on September 28 (see below).

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Researcher Appreciation Day

Dr. Leslie Johnson (below, left) and Dr. Jennifer Mascaro (below, right) were nominated by their peers and colleagues for their groundbreaking research, development of new technologies, and continued pursuit of novel and innovative ideas. Read more about the amazing research happening at Emory.

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Recent Publications

Collaborative department publications
 

Family Medicine faculty Dr. Leslie Johnson and Dr. Mo Ali were notified that "Stakeholder Perspectives regarding the Acceptability and Sustainability of a Multi-component Diabetes Care Strategy in South Asia: a longitudinal qualitative analysis" has been accepted for publication in Global Implementation Research and Applications.

Family Medicine faculty Dr. Ambar Kulshreshtha and Dr. Oguchi Nwosu, and Family Medicine residents Dr. Nikhila Gandrakota and Dr. Hannah Lee published Monkeypox Coinfection with Neurosyphilis in a transgender with HIV in Atlanta GA in Travel Medicine and Infectious Disease (2022 Nov-Dec). Online ahead of print. 

Family Medicine faculty Dr. Ashley Owen and Dr. Ambar Kulshreshtha published Developing an integrated cognitive behavioral therapy and motivational interviewing intervention for African Americans with mild cognitive impairment: A Pilot Study. (2022). Practice Innovations, 7(3), 241–254. doi.org/10.1037/pri0000182

Palliative Medicine faculty Dr. Jane Lowers, Dr. Jesse Soodalter, Dr. Kim Curseen, and Dr. Dio Kavalieratos published Integrating specialist palliative care to improve care and reduce suffering: cystic fibrosis (InSPIRe:CF) - study protocol for a multicentre randomised clinical trial. BMJ Open Respir Res. 2022 Sep;9(1):e001381. doi: 10.1136/bmjresp-2022-001381.

Faculty publications

Dr. Mo Ali:

Anxiety and depression among adult tobacco users during the COVID-19 restrictions in India. Front Psychiatry. 2022 Aug 23;13:964949. doi: 10.3389/fpsyt.2022.964949. eCollection 2022.

Association of family history of cardiometabolic diseases (CMDs) and individual health behaviours: Analysis of CARRS study from South Asia. Indian Heart J. 2022 Jul-Aug;74(4):307-313. doi: 10.1016/j.ihj.2022.05.004. 

Cardiovascular Health in India - a Report Card from Three Urban and Rural Surveys of 22,144 Adults. Glob Heart. 2022 Aug 2;17(1):52. doi: 10.5334/gh.1137. eCollection 2022.

Correction: Cardiovascular Health in India - a Report Card from Three Urban and Rural Surveys of 22,144 Adults. Glob Heart. 2022 Sep 22;17(1):68. doi: 10.5334/gh.1158. eCollection 2022.

Differences in incident and recurrent myocardial infarction among White and Black individuals aged 35 to 84: Findings from the ARIC community surveillance study. Am Heart J. 2022 Nov;253:67-75. doi: 10.1016/j.ahj.2022.05.020. 

Economic Evaluation of the $35 Insulin Copay Cap Policy in Medicare and Its Implication for Future Interventions. Diabetes Care. 2022 Sep 12:dc221230. doi: 10.2337/dc22-1230. Online ahead of print.

Multidisciplinary providers' perspectives on engaging young black, gay, bisexual and other men who have sex with men living with HIV in mental health care services. AIDS Care. 2022 Sep 14:1-7. doi: 10.1080/09540121.2022.2121954. Online ahead of print.

Obesity-associated metabolites in relation to type 2 diabetes risk: A prospective nested case-control study of the CARRS cohort. Diabetes Obes Metab. 2022 Oct;24(10):2008-2016. doi: 10.1111/dom.14788. 

Questioning a South African hypertension threshold of 150 mm Hg - Authors' reply. Lancet Healthy Longev. 2021 May;2(5):e248. doi: 10.1016/S2666-7568(21)00095-7.

Racial Disparities in Hospitalization Among Patients Who Receive a Diagnosis of Acute Coronary Syndrome in the Emergency Department. J Am Heart Assoc. 2022 Oct 4;11(19):e025733. doi: 10.1161/JAHA.122.025733. Epub 2022 Sep 21.

Rural-Urban Differences in Diabetes Care and Control in 42 Low- and Middle-Income Countries: A Cross-sectional Study of Nationally Representative Individual-Level Data. Diabetes Care. 2022 Sep 1;45(9):1961-1970. doi: 10.2337/dc21-2342.

Dr. Jodie Guest:

Association between the geographic accessibility of PrEP and PrEP use among MSM in nonurban areas. J Rural Health. 2022 Sep;38(4):948-959. doi: 10.1111/jrh.12645. 

Historically black college and university (HBCU) COVID-19 return-to-campus policies and prevention measures-Fall 2021.  J Am Coll Health. 2022 Oct 6:1-8. doi: 10.1080/07448481.2022.2128685. Online ahead of print.

Trends in Cause-Specific Mortality among Veterans with HIV: A 35-Year (1982-2016) Analysis of the HIV Atlanta VA Cohort Study. J Acquir Immune Defic Syndr. 2022 Sep 26. doi: 10.1097/QAI.0000000000003107. Online ahead of print.

Dr. Leslie Johnson:

Collaborative quality improvement strategy in secondary prevention of cardiovascular disease in India: Findings from a multi-stakeholder, qualitative study using Consolidated Framework for Implementation Research (CFIR), Global Heart. 2022; 17(1): 72. DOI: https://doi. org/10.5334/gh.1161 

Dr. Ted Johnson:

Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes. J Appl Gerontol. 2022 Oct 1:7334648221129855. doi: 10.1177/07334648221129855. Online ahead of print.

Mirabegron and antimuscarinic use in frail overactive bladder patients in the United States Medicare population. Neurourol Urodyn. 2022 Sep 13. doi: 10.1002/nau.25040. Online ahead of print.

Risk factors for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) seropositivity among nursing home staff. Antimicrob Steward Healthc Epidemiol. 2021 Oct 28;1(1):e35. doi: 10.1017/ash.2021.193. eCollection 2021.

Dr. Deanna Kaplan:

Emotional Change in its "Natural Habitat": Measuring Everyday Emotion Regulation with Passive and Active Ambulatory Assessment Methods. Journal of Psychotherapy Integration. 2022 Sept. Advance online pub.

Dr. Dio Kavalieratos:

Letter to the Editor: Tele-Palliative Care among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients. J Palliat Med. 2022 Sep;25(9):1326-1327. doi: 10.1089/jpm.2022.0234.

Regional collaborative home-based palliative care and health care outcomes among adults with heart failure. CMAJ. 2022 Sep 26;194(37):E1274-E1282. doi: 10.1503/cmaj.220784.

Supporting the Heterogeneous and Evolving Treatment Preferences of Patients With Heart Failure Through Collaborative Home-Based Palliative Care. J Am Heart Assoc. 2022 Oct 4;11(19):e026319. doi: 10.1161/JAHA.122.026319. Epub 2022 Sep 29.

Dr. Ambar Kulshreshtha:

COVID-19 therapy: What works? What doesn't? And what's on the horizon? J Fam Pract. 2022 Sep;71(7):E3-E16. doi: 10.12788/jfp.0474.

Use of Telemedicine in the Family Medicine Clerkship: A CERA Study. PRiMER. 2022 Jul 23;6:25. doi: 10.22454/PRiMER.2022.105712. eCollection 2022.

Dr. Tammie Quest:

Death Anxiety and Correlates in Cancer Patients Receiving Palliative Care. J Palliat Med. 2022 Sep 2. doi: 10.1089/jpm.2022.0052. Online ahead of print.

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Being of Service

New Part-Time Compensated Leadership Role in Family Medicine

Are you interested in becoming more involved in teaching and advising students? The Division of Family Medicine is excited to announce a position posting for Assistant Director of Undergraduate Medical Education! Opportunities for the 5% FTE position will include coordinating student experiences in family medicine, advising students about the specialty of family medicine, and serving as faculty advisor of the Family Medicine Interest Group. Ms. Patricia Woodard sent an email on Friday, October 7 with full position details and application information. Contact Ryan Smith (ryan.d.smith@emory.edu) with questions.

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EPIC Transition Tips
from Dr. Tina-Ann Thompson

Keep a Check on Mental Health. FSAP works y'all.

Hang in there. We've got this.

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Translating Clinical Work into Scholarship

Join Family Medicine's Dr. Rosette Chakkalakal and Dr. Anne Dunlop, along with General Internal Medicine's Dr. Lesley Miller for a Grady Leadership and Professional Development session on Translating Clinical Work into Scholarship. 
Nov. 18, noon - 1 pm

Register

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Grady Palliative "Pals"

Dr. Ashima Lal sent in this fantastic photo of Grady Palliative physicians (left to right) Dr. Anita Sundaramoorthy, Dr. Lal herself, Dr. Gretchen Bell, and Dr. Janelle Holder.  

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Flu Shot Fest!

Dr. Sharon Rabinovitz, Executive Director of Emory Student Health Service, reminds students to get their annual flu shot. EUSHS held Flu Shot Fest at the Emory Student Center October 4-6, vaccinating over 1,000 students. Swoop made a guest appearance as well to help encourage students to get their shots.

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Healthcare Innovation Symposium
Focuses on
Disparities and Workforce Issues

The 38^th Healthcare Innovation Symposium will be held on Wednesday, October 26, 2022, 12:00-1:30 pm ET via Zoom on Healthcare Disparities – Workforce Issues and Opportunities.

The keynote speakers will be Joseph A. Tyndall, MD, MPH, Executive Vice President for Health Affairs at Morehouse School of Medicine, and Darrell G. Kirch, MD, President Emeritus, Association of American Medical Colleges (AAMC). This event is free and open to all faculty, staff, and students.

REGISTER NOW or Click QR Code below.

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Save the Date: Emory Veteran's Day Ceremony

Educational Investments for our future

Register Now for MedEd Day!

Med Ed Day Bonus:
Join PA APD Dr. Jodie Guest
for a Design-Thinking Workshop

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New HRSA funding for Preventive Medicine Residency!

PM Residency Alum Accepted into EIS

Major Kimberly McKinney, MD, MPH, a 2020 graduate of the Emory Preventive Medicine Residency Program, has been accepted into the Centers for Disease Control and Prevention's Epidemic Intelligence Service program (EIS). EIS officers learn from and work alongside subject matter experts while providing service to domestic and international partners. EIS has trained over 3,900 disease detectives who have investigated and responded to a wide range of public health challenges and emergencies since the program’s inception in 1951. EIS maintains its core focus on training disease detectives to practice consequential epidemiology, which is the collection, analysis, and interpretation of data for evidence-based public health action. 

More exciting news about Emory Preventive Medicine Residents and EIS coming next month!

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Palliative Medicine faculty selected for new Advocacy course

Palliative Medicine faculty Dr. Kimberly Curseen, Dr. Janelle Holder, and Dr. Vaishali Rathee were selected to participate in the inaugural Emory at Grady Health Equity Advocacy Training Course. The Advocacy Course is a 5-month multi-pronged educational intervention that will bring faculty, learners, and community members from several institutions together to advocate around common health-related priorities.

The full cohort of participants is pictured below.

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Family Medicine faculty retreat

The Family Medicine Residency held its annual faculty retreat on September 15. The program was facilitated by Dr. Gordon Tuttle and Dr. Janice Harewood from the Emory Faculty Staff Assistance Program.

Pictured below, left to right: Dr. James Jo, Dr. Mirtha Aguilar-Alvarado, Dr. Leah Robinowitz, Dr. Susy Alfonso, Dr. Thien-Kim Le, Dr. Miranda Moore, Dr. Oguchi Nwosu, Dr. Ashley Owen, Dr. Neena Ghose, Dr. Tina-Ann Thompson, Dr. Jose Villalon-Gomez, Dr. Megha Shah, Dr. Ryan Smith, Dr. Ted Johnson.

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Adult Primary Care Clerkship Fall Bash!

The APC Clerkship Team returned to their tradition of thanking the physicians, APPs, and clinical staff who volunteer their time teaching medical students for the Adult Primary Care Clerkship. Post-pandemic, they opted for an outside event at Fun Spot Atlanta in Fayetteville, GA, where they spent the day riding go-karts and carnival rides.  

Pictured below, left to right: Dr. Ambar Kulshreshtha, Dr. Tina-Ann Thompson, Dr. Candace White, Dr. Reneeta Basu, Dr. Gabriel Onofre, and Ms. Porsha Clayton, Associate Academic Coordinator for Undergraduate Medical Education and Student Programs. 

Also in attendance but not pictured: Dr. Ryan Smith, Dr. Britt Marshall, Dr. Jason Higdon, Dr. Kris Manlove-Simmons, and Ms. Patricia Woodard, Senior Business Manager - Programs.

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M4s awarded STFM Scholarship

Congratulations to Charlie Lane and John Chancellor, Emory medical students in the class of 2023, who were announced as winners of the 2023 Society of Teachers of Family Medicine Foundation Student Scholarship award! The award provides support for them to attend and present posters at the 2023 Conference on Medical Student Education in Tampa. Charlie and John are currently applying to family medicine residency programs. They are pictured below with Dr. Ryan Smith earlier in the year at the AAFP National Conference in Kansas City.

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Register Now for the Branch Lecture!

"Can We Educate Physicians to be Trustworthy? It Depends"

October 17, 6 pm.

News from the DEI Council

Free Online Course on Structural Racism:
Causes of Health Inequities in the U.S.

Check it out and enroll at this link

Module 1: Policy, Politics, and Racial Health Inequities
Module 2: Historical Roots of Health Inequities
Module 3: State Violence and Health Inequities

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Save the Date:
FPM DEI Grand Rounds
December 5, 2022

Dr. Sherita Hill Golden is the Hugh P. McCormick Family Professor of Endocrinology and Metabolism and Vice President and Chief Diversity Officer for Johns Hopkins Medicine.  She holds joint appointments in the Welch Center for Prevention, Epidemiology, and Clinical Research, in the Department of Epidemiology at the Johns Hopkins Bloomberg School of Public Health, and in the Armstrong Institute for Patient Safety and Quality.

The first FPM DEI Grand Rounds was held on Monday, August 1, at 6 pm.   Speaker Ildemaro J. González, MBA presented “Disparities in Patients with Limited English Proficiencies.”

In case you missed it, you can watch the recording here. 
 

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DEI Educational Snippet: Ageism

Ageism is defined as discrimination against an individual strictly on the basis of their age.  Ageism is most often thought of as prejudice against older individuals, however, there are forms of ageism that affect the younger generation as well.

Types of Ageism

There are many different types of ageism that can affect each one of us throughout the course of our lives.  Some of them happen in the workplace, some within the healthcare system, and some are biases we self-inflict on ourselves. 

To learn more please visit What is Ageism? | Ageism.org

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New Additions to the
DEI Virtual Library

Emory General Internal Faculty member Dr. Francois Rollin recently gave a Medicine Grand Rounds on "The (Mis)Use of Race in Medicine." If you missed it, you can watch the recording here.

Lasting solutions for advancement of women of color: In an invited commentary in the AAMC peer-reviewed journal Academic Medicine, the authors examine the effects of institutional bias in academic medicine and highlight strategies for advancing leadership equity for women of color. Read More.  Watch Webinar

Jatoi, I., Sung, H., & Jemal, A. (2022). The emergence of the racial disparity in US breast-cancer mortality. New England Journal of Medicine, 386(25), 2349-2352.

Karvonen, K. L., Baer, R. J., Blebu, B., Calthorpe, L., Fuchs, J. D., Jelliffe-Pawlowski, L., ... & Pantell, M. S. (2022). Racial disparities in emergency mental healthcare utilization among birthing people with preterm infants. American journal of obstetrics & gynecology MFM, 4(2), 100546.

Knoepp, L., & Mirabella, O. (2022). LGBTQ Healthcare Issues. In Clinical Approaches to Hospital Medicine (pp. 255-264). Springer, Cham.

Ma, A., Sanchez, A., & Ma, M. (2022). Racial disparities in health care utilization, the affordable care act, and racial concordance preference. International Journal of Health Economics and Management, 22(1), 91-110.

DeGroote, N. P., Allen, K. E., Falk, E. E., Velozzi-Averhoff, C., Wasilewski-Masker, K., Johnson, K., & Brock, K. E. (2022). Relationship of race and ethnicity on access, timing, and disparities in pediatric palliative care for children with cancer. Supportive Care in Cancer, 30(1), 923-930.

Johnson, K. A. (2022). A Mother’s Tears: Contemplating Black Grief. The Annals of Family Medicine, 20(4), 381-382.

Kruse, G., Lopez-Carmen, V. A., Jensen, A., Hardie, L., & Sequist, T. D. (2022). The Indian Health Service and American Indian/Alaska Native Health Outcomes. Annual Review of Public Health, 43, 559-576.

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Upcoming Opportunities

 SOM Launches Latina/o/x Faculty
Affinity Group

The Emory School of Medicine is pleased to announce the launch of the Latina/o/x Faculty Affinity Group, led by Dr. Valeria Cantos and Dr. Paulina Rebolledo. This new Affinity Group will serve to empower Latina/o/x faculty through activities including but not limited to professional/leadership development, networking, professional peer support, and community engagement. Learn More. 

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Healthcare researchers launch DocsWithDisabilities

A new initiative, DocsWithDisabilities, has launched as a first-of-its-kind coordinated effort to systematically improve the inclusion of disabled individuals in health professions education. Read More

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Health Equity Advocacy Community Forum

Health Equity Advocacy Community Forum: Building Consensus for Action

Tuesday, November 15 | 4:30 – 8 PM

This session will bring together healthcare professionals, learners, and community members to build consensus around health-related priorities for advocacy. This program will feature collaborative discussions that will have tangible deliverables. Register Here.

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SOM DEI Ongoing Programs

Don't miss out on all that's going on. View the DEI Calendar.

• Affinity Month celebrations
• Anti-Racism Resources
• Racism & Social Justice Webinar Series
• Unconscious Bias Education Program
• URiM and Women Faculty Speakers Bureau

News from the Faculty Development Committee

SOM Faculty Resource Fair

Thursday, November 3, 2022, 4 – 6 PM at the Emory Student Center. There will be an opportunity to have a professional headshot taken at this event.

Register HERE.

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Navigating SOM Promotions

January 12, 2023, Noon-1pm via Zoom. Dr, Kathy Griendling explains the process for attaining a promotion at Emory School of Medicine.

Register HERE.

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Media and Academic Medicine:
Leveraging Social and Other Media for Success

Friday, October 21, noon - 1 pm, via Zoom. Dr. Kimberly Manning explains how to build a professional identity online. 

Register HERE.

Got news? Please send your announcements and photos to leigh.partington@emory.edu.
The DFPM newsletter is published monthly.