![]() 55 Words from the Chair ![]() All department faculty, staff, and learners should feel valued and included. Designating a Diversity, Equity, and Inclusion Council - co-chaired by Kimberly Curseen and Antonio Graham - was an important first step. Incorporating DEI principles into our daily patient care, education, research, and administrative work is important and joyous, celebrated here in a special departmental newsletter issue. ****** FPM DEI Climate Survey Results
Based on your responses, the DEI council identified four areas needing attention:
The core of the respondents feels as though their needs are being met. However, it is clear from the “neutral" and "disagree" responses that there are still opportunities for growth. 1. I feel appropriately compensated in my current role:
2. Department members feeling they can be their authentic selves:
3. Education
4. Training
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Dr. Quest honored Dr. Tammie Quest has been awarded the 2022 Richard Payne Outstanding Achievement in Diversity, Equity, and Inclusion Award from the American Academy of Hospice and Palliative Medicine. This award is presented annually to an individual who demonstrates strong, lasting, personal, and professional commitment to improving care for diverse, vulnerable, and underrepresented patient populations. The award was presented in February at the AAHPM annual meeting. Click below to view a 3-minute video of her introduction and acceptance speech. Congratulations, Dr. Quest! ******
![]() I was born and raised in Los Angeles California. While I had no physicians in my family and was one of the first to graduate college, I always had the idea I wanted to be a doctor from a small child. I don’t know quite where it came from, but it was always there. After finishing high school, I went to U.C. Berkeley where I studied Physiology/Anatomy and gained my deep love for teaching. During the school year and summers, I worked tutoring Chemistry (yes, I’m the person that loved organic chemistry). Between college and medical school, I was a high school math teacher at Berkeley High School, which probably ranks as one of the hardest jobs I had in my life. From there and lots of emergency department volunteering, I went to U.C. San Francisco for medical school where I knew from nearly the beginning of medical school that I wanted to be an academic emergency physician. I stayed committed to that pathway through medical school and residency in Emergency Medicine at Alameda County Medical Center in Oakland, California. In my intern year, I had a formative experience after a terrible death disclosure in the ED that I performed with no training or supervision. I vowed I would do something to change that. As a 3rd year EM resident, I did a nationwide research study that showed that in emergency medicine residencies that we spent less than one hour training residents – not enough! In 1998, right after residency, I came to Emory by happenstance – we happened to be visiting town for a wedding and I was job searching. I cold-called Emory and got an interview the next day… the rest is history! I have always loved trying to help those in need and those in crisis with no questions asked. I enjoy just being there to help. I am so fortunate to have had 23 amazing years at Emory as faculty, where I have been able to develop my love, skill, and passion for caring for the seriously ill and have had so many incredible experiences to influence change locally, regionally, nationally and internationally as a teacher, clinician, researcher, and leader. Along the way, I met and married my husband Robert of 23 years, had two incredible boys ages now 19 and 22, acquired 2 silly dogs and 3 big horses. We are one big happy family! ******
![]() I chose Family Medicine as I wanted a longitudinal relationship with my patients - I enjoy caring for multiple generations from the same family and having the opportunity to help patients during various phases of their life cycles. I am passionate about women and underrepresented minority physicians pursuing careers in leadership. It is essential to have a seat at the table when important decisions are being made. My first mentor was my high school calculus teacher. Until then, I had not had an African American female teacher. Her presence made me feel that a career in math and science was possible. Ms. Hawkins stressed that along the journey, it is invaluable to be mentored and to be a mentor. I listened. I will continue to focus on equal representation in medicine and in leadership until it is no longer necessary. ****** Dr. Ted Johnson's DEI Work ![]() You may not know about the DEI work that our Department Chair is doing. Dr. Ted Johnson is Co-Chair of the Emory Collaborative for Community Outreach and Health Disparities; this group received the 2021 Martin Luther King, Jr. Community Service Award and were finalists in the 2021 Atlanta Business Chronicle Healthcare Hero Awards in the Community Outreach category. As a leader in General Internal Medicine, Geriatrics, and Family and Preventive Medicine, he has been committed to transparency - all positions with title, dedicated time, or promotion are posted. He has recently created an Inclusion in Publishing metric and tool kit for academic units to discern how to increase belonging and inclusion around academic manuscripts. Dr. Johnson serves as a coach for the RYSE Under-Represented in Medicine Program Cohort and is a sponsorship advisor for the Society of General Internal Medicine Women & Medicine Commission's Career Advising Program. In his position as director of Georgia GEAR (a HRSA Geriatric Workforce Enhancement Program), Dr. Johnson has funded programs such as ALTER, a Dementia Friendly Faith Villages program to prepare historically African American Churches to foster community to be inclusive for those living with dementia and RYSE, the Department of Medicine's URiM faculty development program. ****** Family and Preventive Medicine 1. What do you like to do in your spare time, outside of work? I enjoy time with my family! Exploring Atlanta, shopping, reading, and playing games. 2. Birthdate: 6/27 3. Home town (please tell us a few interesting items about your birthplace): 4. A fun fact about yourself! ******
DEI Calendar March 10, 12pm. FAALI Lecture Series - Leadership Lessons from Delta. Presented by Joanne Smith EVP and Chief People Officer, Delta Airlines. March 11, 12pm. Team Science Skill Series- Diversity and Representation in Teams. March 11, 12pm. FAALI Webinar: The Myth of Meritocracy. Presented by Jennifer Spicer MD. March 21 deadline: Submit an abstract for Dept. of Medicine Health Equity Day 2022. All members of the School of Medicine community, with at least one team member from the Department of Medicine, are invited to submit an abstract by Monday, March 21, at 11:59 p.m. Team members include faculty, postdoctoral fellows, clinical fellows, residents, and medical or graduate students. March 24, 12 pm: Update Forum: Community Engagement, Equity, and Inclusion, presented by Dr. Sheryl Heron. Register. March 30 deadline: Emory community encouraged to comment on University DEI Strategic Planning Report ******
DEI Recommended Reading In this new monthly column, members of the DEI Council will recommend articles that might be of general interest. Health Equity: The Only Path Forward for Primary Care. The Annals of Family Medicine, 20(1) Feb 2022, 2789. Dr. Tracey Henry, Emory faculty in the division of General Internal Medicine at Grady, is one of the authors. "Pulse Oximetry Accuracy Varies Among Different Groups." Francois Rollin, MD and Neil H. Winawer, MD, SFHM, reviewing Henry NR et al. Crit Care Med 2022 Feb Holder AL and Wong AI. Crit Care Med 2022 Feb. This article is behind a paywall, so the summary and links are included below. Drs. Rollin and Winawer are Emory faculty in the division of General Internal Medicine at Grady: Self-identified Black patients were more likely to have occult hypoxemia missed by pulse oximetry. Measuring arterial oxygen saturation with pulse oximetry might be less accurate in patients with darker skin pigmentation, and the effects of such a difference on patient outcomes is unclear (N Engl J Med 2020; 383:2477). In a retrospective observational study, researchers paired >128,000 pulse oximetry–estimated oxygen saturation (SpO2) measurements with their associated arterial blood gas (ABG)–derived oxygen saturation (SaO2) readings in >26,000 adult intensive care unit (ICU) or surgical inpatients at 3 U.S. academic medical centers. After adjusting for potential confounders, self-identified Black patients were significantly more likely to have occult hypoxemia (defined as SaO2 <88% despite normal SpO2 [i.e., ≥92%]) during hospitalization than were white patients (6.2% vs. 3.6%). Self-identified Asian and American Indian patients also had greater risk for occult hypoxemia (6.6% each) than did white patients, but low numbers of minority patients led to differences that were not statistically significant. Occult hypoxemia was associated with higher risk for mortality in surgical patients (odds ratio, 3.0) and ICU patients (OR, 1.4). Comment The authors recognize that race (a social construct) is not synonymous with skin pigmentation. That said, their study shows that skin pigmentation (which can affect light absorption) in self-identified Black patients influences the results of pulse oximetry in a way that can affect clinical outcomes adversely. As editorialists note, clinicians should have a low threshold for obtaining ABG-measured SaO2 in patients with darker skin pigmentation, especially when the index of suspicion for hypoxemia is high. Citation(s): Henry NR et al. Disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and associations with clinical outcomes. Crit Care Med 2022 Feb; 50:204. Holder AL and Wong AI. The big consequences of small discrepancies: Why racial differences in pulse oximetry errors matter. Crit Care Med 2022 Feb; 50:335. ****** Black History Month Spotlight on Ms. Claudette Colvin ![]() ![]() ****** FPM Staff - the DEI Council Needs You! ![]() Welcome to
![]() Promotion News!
![]() ![]() Wellness Corner
![]() New Healthy Emory Connect Have you tried Emory’s new Healthy Emory Connect powered by Sharecare? It went live on February 1 to all benefits-eligible employees, and it’s a one-stop-shop for: 1. Benefits: financial, educational, discounts, FSAP, work-life… it’s all here 2. Health and behavior tracking 3. Tons of wellness resources To get started, follow the easy step-by-step instructions here: https://healthyemory.sharecare.com/ For technical support, call Sharecare at 855-428-1708 or visit their Member Support. ******
SAVE the DATE! April 15, 2022 ![]() The Emory at Grady Professional Development Series will feature Dr. Paul DeSandre, Dr. Holly Gooding, and Dr. Ali John Zarrabi presenting on Finding Joy in Medicine Through Art. Transformative Research
Research News Kulshreshtha Receives Funding for ![]() Dr. Ambar Kulshreshtha has received two new grants. Dr. Kulshreshtha will serve as PI on both.
****** Lowers Receives 2022 CHA Pilot Funding ![]() The funded project “Aging alone with dementia: A qualitative investigation of care-seeking and caregiving,” will be led by Dr. Jane Lowers in partnership with the Emory Roybal Center for Dementia Caregiving Mastery This project aims to provide insight into the perspectives of dementia patients and the caregivers who support them, thereby defining the priorities and parameters of future interventions. The newly relaunched Emory Center for Health in Aging has announced four innovative pilot projects selected to receive up to $45,000 each for one year of study. The projects are a key tenant of the revitalized center, which will serve as a hub for innovation and cross-disciplinary collaboration throughout the Emory community.
FPM Monthly Research Meeting
Our research meeting this month is scheduled for Friday, March 18, 2022, 12:30-1:30 pm. Zoom. Dr. Jennifer Mascaro will be presenting. ![]() A wealth of research indicates that social connection is profoundly protective against morbidity and mortality, both for patients and the healthcare providers who care for them. However, much of this research to date has relied on self-report measures that suffer from evaluative and common-method biases. Accelerating organizational and interventional approaches to bolster social connection requires the use of assessment methods in natural environments that identify individual, dyadic, community, and system-level markers of social safety and social threat. Dr. Mascaro will present research that evaluates a chaplain-delivered compassion-based intervention for hospitalized patients. She uses ambulatory linguistic assessments to identify linguistic behaviors associated with improved patient mood after the chaplain consultation. She will present proposed studies to build upon this work and will look for feedback from the research team. ***** Nurse Burnout Paper Accolades Continue ![]() Dr. Shah ![]() Dr. Gandrakota ![]() Dr. Ghose ![]() Dr. Moore Dr. Ali Dr. Megha Shah, Family Medicine Resident Dr. Nikhila Gandrakota, Dr. Neena Ghose, Dr. Miranda Moore and Dr. Mo Ali's paper on Nurse Burn-out continues to make headlines. "Prevalence of and Factors Associated With Nurse Burnout in the US" was selected as Honorable Mention for the 2022 STFM Research Paper of the Year. ***** Recent Presentations ![]() Dr. Marcewicz ![]() Dr. Maxwell ![]() Dr. Cross ![]() Dr. Lal ![]() Dr. Kavalieratos ![]() Dr. Lowers Palliative Medicine Faculty and Fellows present at Emory was well-represented at the recent American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association Annual Assembly.
In addition, Dr. Kavalieratos, Dr. Lowers, and Dr. Cross gave multiple poster presentations at the inaugural AAHPM & HPNA State of the Science Meeting. Isenberg SR, Kavalieratos D, Graham C, Tanuseputro T, Quinn K. “Association Between Regionally Organized, Collaborative Home-Based Palliative Care And Healthcare Outcomes In Adults Who Died With Chronic Heart Failure: A Matched Cohort Study.” State of the Science in Hospice and Palliative Care. February 12, 2022. Graham C, Schonnop R, Killackey T, Kavalieratos D, Quinn K, Isenberg SR. Exploring health care providers’ experiences of providing collaborative palliative care for patients with advanced heart failure at home: a qualitative study. State of the Science in Hospice and Palliative Care. February 12, 2022. Dubin E, Lowers J, Dellon EP, Faro A, Tallarico E, Hempstead SE, Kavalieratos D. "Adults with CF, Caregivers, and Clinicians Differ Regarding Perceptions of Pain and Symptom Prevalence and Distress: Results of a National Survey." State of the Science in Hospice and Palliative Care. February 12, 2022. Ingle MP, Ernecoff NC, Check DK, Cross SH, Lowers J, Matlock D, Kavalieratos D. "Use of theoretical frameworks in the development and testing of palliative care interventions." State of the Science in Hospice and Palliative Care. February 12, 2022. Kavalieratos D, Harinstein M, Rose B, Hoydich ZP, Lowers J, Rollman BL, Bakitas MA, Bekelman DB, Allen L, Arnold RM. "PENPal-HF: A Randomized Pilot Trial of a Nurse-Led Primary Palliative Intervention in Outpatient Cardiology.” State of the Science in Hospice and Palliative Care. February 12, 2022.
Pictured below: Members of the Emory Palliative Care Center enjoy a gathering at Twain's during their virtual annual meeting of the American Academy of Hospice & Palliative Medicine (AAHPM) and the Hospice & Palliative Nurses Association (HPNA). Pictured are (L-R): Lynn O'Neill, Lawson Marcewicz, Paul DeSandre, Tammie Quest, Michael Schmitt, Kimberly Curseen, Emily Twa, Courtney Cawthon, Emily Pinto Taylor, Anita Sundaramoorthy, and Joanne Kuntz. ![]() ******
Preventive Medicine Residents ![]() Dr. Ghiya ![]() Dr. Molinari ![]() Dr. Chirumamilla Preventive Medicine resident Dr. Ronak Ghiya will be presenting his poster: "Evaluation of a local health department's response to the COVID-19 pandemic" at the NACCHO (National Association of County and City Health Officials) Preparedness Summit 2022. ****** Dr. Alex Molinari and Dr. Siri Chirumamilla have been selected as inaugural members of the Editorial Board of “AJPM Focus,” the new open access journal related to the AJPM (the American Journal of Preventive Medicine) as sponsored by the American College of Preventive Medicine and the Association for Prevention Teaching and Research. For the past 6 years, the Emory Preventive Medicine Residency didactic curriculum has included regularly-scheduled, highly interactive sessions on critical appraisal of the literature (known in some quarters as journal club). The sessions truly do emphasize probing assessment and constructive criticism of the articles selected for review through use of a basic framework for critical review. The decision of Alex and Siri to apply to serve on this Editorial Board dovetails wonderfully with their and the other PM residents’ engagement in the critical review process emphasized on the curriculum. ****** Gandrakota named 1st FM Residency Health Research Track Scholar ![]() Congratulations to Dr. Nikhila Gandrakota, who has been named the first Family Medicine Residency Health Research Track Scholar. As part of this program, Dr. Gandrakota will prepare a manuscript for publication, attend and present research findings at a national conference, submit progress reports, and work under the supervision of her mentors. Dr. Gandrakota has already been involved in research with Dr. Miranda Moore and Dr. Megha Shah. ****** Recent Publications
Family Medicine resident Dr. Nikhila Gandrakota and Family Medicine faculty Dr. Megha Shah published The social determinants of health associated with cardiometabolic diseases among Asian American subgroups: a systematic review. (BMC health services research, 2022;22(1), 257. doi: 10.1186/s12913-022-07646-7) Family Medicine resident Dr. Nikhila Gandrakota and Family Medicine faculty Dr. Miranda Moore and Dr. Megha Shah published Trends in Diet Counseling Among Stroke Versus Non-Stroke Patients: Evidence from the NAMCS, 2011-2016. (J Stroke Cerebrovasc Dis. 2022 Feb;31(2):106223. doi: 10.1016/j.jstrokecerebrovasdis.2021.106223. Epub 2021 Nov 26.) Family Medicine faculty Dr. Ted Johnson and Dr. Miranda Moore published The Georgia Memory Net: Implementation of a statewide program to diagnose and treat Alzheimer's disease and related dementias. (J Am Geriatr Soc. 2022 Feb 8. doi: 10.1111/jgs.17690) Palliative faculty Dr. Dio Kavalieratos and post-doc Dr. Sarah Cross published Rural-Urban Disparities in Mortality from Cirrhosis in the United States from 1999 to 2019. (Am J Gastroenterol. 2022 Feb 25. doi: 10.14309/ajg.0000000000001712) Dr. Jennifer Mascaro (Preventive Medicine), Dr. Maha Lund (PA Program), and Dr. Miranda Moore (Family Medicine) published Flourishing in Healthcare Trainees: Psychological Well-Being and the Conserved Transcriptional Response to Adversity. (International Journal of Environmental Research and Public Health, 2022;19(4), 2255) Palliative Medicine faculty Dr. Lawson Marcewicz, Dr. Susan Kunihiro, Dr. Kim Curseen, and Dr. Dio Kavalieratos published Application of Critical Race Theory in Palliative Care Research: A Scoping Review. (J Pain Symptom Manage. 2022 Feb 26:S0885-3924(22)00103-8. doi: 10.1016/j.jpainsymman.2022.02.018.) Palliative Medicine faculty Dr. Ali John Zarrabi and Dr. Kim Curseen published A dose-escalation clinical trial of intranasal ketamine for uncontrolled cancer-related pain. (Pharmacotherapy. 2022 Feb 11. doi: 10.1002/phar.2669)
Faculty publications Dr. Mo Ali: Burden and Correlates of Mental Health Symptoms Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men Engaged in HIV Care in Atlanta. (AIDS Behav. 2022 Feb 23. doi: 10.1007/s10461-022-03629-1) Cohort Profile: The Center for cArdiometabolic Risk Reduction in South Asia (CARRS). (Int J Epidemiol. 2022 Feb 9:dyac014. doi: 10.1093/ije/dyac014) Interventions for Reversing Prediabetes: A Systematic Review and Meta-Analysis. (Am J Prev Med. 2022 Feb 9:S0749-3797(21)00596-1. doi: 10.1016/j.amepre.2021.10.020) Dr. Kim Curseen: Response to Fitzgerald Jones et al., Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans (DOI: 10.1089/jpm.2021.05021). J Palliat Med. 2022 Mar;25(3):345-346. doi: 10.1089/jpm.2021.0622.
Dr. Ted Johnson: Exploratory evaluation of baseline cognition as a predictor of perceived benefit in a study of behavioral therapy for urinary incontinence in Parkinson disease. (Neurourol Urodyn. 2022 Feb 19. doi: 10.1002/nau.24891) Dr. Dio Kavalieratos: Perceptions of Need for Palliative Care in Recently Hospitalized Patients With Systolic Heart Failure. (J Pain Symptom Manage. 2021 Dec;62(6):1252-1261. doi: 10.1016/j.jpainsymman.2021.06.001) Dr. Tammie Quest: Race Roundtable Series: Structural Racism in Palliative Care. (J Pain Symptom Manage. 2022 Feb 11:S0885-3924(22)00038-0. doi: 10.1016/j.jpainsymman.2022.01.015)
****** Educational Investments for our future Dr. Guest Chosen to Lead ![]() Woodruff Health Sciences Center announced today the establishment of the Office of Interprofessional Education and Collaborative Practice (IPECP). The goal of the office is to educate, train and prepare the health care workforce through interprofessional opportunities that ultimately improve the health and wellness of the communities served by the Woodruff Health Sciences Center. The Office of IPECP will be led by co-directors Dr. Jodie Guest and Dr. Beth Ann Swan. ****** Newly Matched Preventive Medicine Residents! The Preventive Medicine Residency program has matched with three new residents who will begin in July 2022, joining Siri Chirumamilla and Alex Molinari (who will be in their second year): Radhika Agarwal, MD
Kunal Doshi, MD, MPH
Annie Rouza, MD, MPH Candidate
Being of Service
PA Program Faculty Bryson receives Emory APP Service Award ![]() ****** Emory Farmworker Project: ![]() The Emory Farmworker Project has been providing free health care for more than 25 years to farmworkers and their families in south Georgia who lack access to basic medical care. Unfortunately, COVID-19 impacted our ability to provide this important service to those communities last summer. We plan to resume our outreach this summer and invite you to participate with us. Bainbridge clinic is scheduled for June 4th-10th, followed by Valdosta clinic June 11th-17th. We need:
You can also support the program by donating hats and clothing or sponsoring meals to feed students, preceptors, and volunteers. Contact Khaliala Ward, Sr. Business Manager of the PA Program, at khaliala.ward@emory.edu for further information about donating or volunteering. ****** New Monthly CME Webinar Series on ![]() Georgia Memory Net is hosting a new monthly series called: GMNsights- Expert Clinical Insights in Dementia Care for your Patients. Earn .5 CME credits for attending. “Managing Dementia with cholinesterase inhibitors” Presented by Carolyn Clevenger, DNP, GNP-BC, AGPCNP-BC, FAANP, FGSA, FAAN, Associate Dean for Transformative Clinical Practice, Nell Hodgson Woodruff School of Nursing, Emory University and Alison Schlenger, NP, Integrated Memory Care Clinic, Brain Health Center, Emory University Register. Feel free to share with interested colleagues! Upcoming webinar topics include Neuroimaging finds, algorithms for neuropsychiatric medications, managing safety concerns, assessment tools, modifiable causes of ADRD, unusual case findings, and more!
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Dine Out/Take Out to Support The Nia Project ![]() Spread the word to your family and friends! A mano, an adorable Italian restaurant in the Old Fourth Ward, has generously offered to donate a portion of their proceeds to the Nia Project (program for survivors of intimate partner violence ) during the month of March. Proceeds will come specifically from Thursday dinners. They offer takeout and outdoor seating, as COVID-safe options. Check out their delicious menu here as well as information on their location. Pictured above: shrimp toast from a mano, photo: @amanoatl on Instagram. News from the ![]() Our department deadlines can be found here.
We also highly recommend that you view the following video: Understanding Promotion in the School of Medicine before meeting with your division or program director. Please note that our department deadlines are different from the School of Medicine deadlines. You should follow our department deadlines. Got news? Please send your announcements and photos to leigh.partington@emory.edu. |