Student News

GAFP Annual Research Poster Competition Winners Announced at the GAFP Annual Meeting, November 9th in Stone Mountain

The Georgia Academy Annual Research Poster Competition was held during the Annual Meeting and Scientific Assembly November 7-10 in Atlanta. Posters were displayed outside of Salon E-G of the Evergreen Marriott Conference Resort in Stone Mountain for all attendees to view, and were evaluated by Dr. Rhonda Walton, Dr. Catherine James Peters, and AAFP Representative Dr. Leonard Reeves.  Pre-med, medical students, residents and practicing physicians from throughout the state participated in the competition.

Results were as follows:

Pre-Med Category Winner:

1st Place – “Say What?” Patient Health Literacy as a Determinant of Effective Physician-Patient

Communication in a Community Clinic

Author/Presenter: Taylor Bennett, Clark Hall, Kathryn McGraw

Advisor/Coordinator/Contributor: Catherine Apaloo, MD, FACP; Zahraa Rabeeah, MD

 

Abstract:

Effective communication is a key element in patient care. Health literacy can affect understanding and subsequent adherence to the treatment plan.  Miscommunication is thought to be the root cause of medical errors and malpractice cases.  In this study, we evaluated patient health literacy and physician communication style to protect patient safety using a descriptive cross-sectional at Piedmont Athens Regional Community Care Clinic (PARMC).  Questionnaires were given to patients and doctors to evaluate health literacy, communication style, autonomy, and shared decision capacity before and after the visit.  Analysis was done using IBM SPSS Statistics. Study population consisted of 51 percent male and 49 percent female.  83 percent of surveyed patients stated that they asked a lot of questions, yet only 50 percent were unable to read labels or follow hand out instructions.  Patients older than 50 years old asked more questions than younger patients [p=0.02].  Females were more likely to understand labels [p =0.03]. 66 percent of participants had difficulty navigating insurance plans.  Our studies show that low health literacy is a major contributor to non-adherence and loss of follow-up.  Future plans to improve physician-patient communication will include a score sheet for each physician implemented every 3 months designating patient feedback and advice for areas of improvement.  Communication workshops targeted towards health literacy will be conducted every 6 months in order to improve physicians’ attention to health literacy and to provide safer care.

Medical Student Category Winner
Reducing Non-Essential Emergency Department Visits Among Mercy Health Center Patients

Authors/Presenters: Jakob Feeney, Silki Modi, Nzota Nsona, E’Lexus Okafor, Kyle Royalty,

Harini Vakamudi, Eden Woubshet

Advisor/Coordinator/Contributor:

 

Abstract

Purpose. Approximately 20 percent of U.S. adults seek emergency department (ED) care each year, and at least 30% of these visits are non-urgent. Inappropriate ED use leads to unnecessary testing, treatment, and larger downstream healthcare costs for patients/providers. Interviews with patients/providers suggest a knowledge gap pertaining to proper ED use. This study aims to use patient education on appropriate ED use to decrease financial burdens on hospitals and improve long-term patient care.

Methods. Bilingual informative television slides and posters were displayed highlighting appropriate ED use and Mercy Health Center’s services. Surveys were administered eliciting patient comprehension of the posters. Mock phone calls to Mercy tested ability to schedule acute care appointments. Viability of a triage hotline was assessed for afterhours care recommendations.

Results. Surveys were completed by 40 patients. About 78 percent of patients reported increased willingness to call Mercy for an acute appointment, and 40 percent learned new information from the poster. Phone calls to Mercy highlighted barriers for making acute appointments, including scheduling unavailability during evenings and inconsistent callbacks. The initiation/use of triage hotlines was not currently a feasible option.

Conclusions. This study identified several factors to increase patient utilization of Mercy. Mercy’s scheduling can be improved by modifying voicemail protocol. Patient receptiveness to informational posters warrants converting them into brochures for distribution. This study reinforces using an educational, lifestyle medicine approach to increase patient understanding of symptoms and availability of medical resources which decreases inappropriate ED use, hospital financial burdens, and poor patient care.

 

Resident Category Winner
Implementation of Multi-Disciplinary Teams to Provide Comprehensive Care for Type 2 Diabetes Population in a Primary Care Clinic Setting

Author/Presenter: Afua Akhi-Gbade, MD

Advisor/Coordinator/Contributor: Miranda Moore, PhD; Susana A. Alfonso, MD, MHCM; Yawen Wang, MPH

Practicing Physician/Fellow Category Winner
Evaluate the Effectiveness of the American Heart Association (AHA) Check. Change. Control Hypertension Management Program in patients with uncontrolled Hypertension at Grady East Point Health Center.

Author(s): Dolapo Babalola, MD

Advisor/Coordinator/Contributor: Denise Bell-Carter, MD, Esther Iwotor, DNP, Carli Barbo, MS, Mark Mooney, MPH, Unique Waker, MPH, Nike Agbe, PharmD

 

Abstract

Evaluate the Effectiveness of the American Heart Association (AHA) Check. Change. Control Hypertension Management Program in patients with uncontrolled Hypertension at Grady East Point  Health Center.

Background

It is well documented the cardiovascular risk doubles with uncontrolled blood pressure for systolic and diastolic greater than baseline of 120/80. Data analysis reveals 60 percent of patients at Grady East Point Clinic (GEP) have uncontrolled Hypertension. This leads to macrovascular disorders complications from longstanding hypertension to include coronary artery disease, myocardial infarction, stroke, congestive heart failure, and peripheral vascular disease. These patient outcomes lead to increased healthcare bill and overall poor health.

Hypothesis

The Hypothesis is will the Evidence based American Heart Association (AHA) Check. Change. Control Hypertension Management Program reveal at least 70 percent of the patients seen at Grady East Point recruited with uncontrolled blood pressure of greater than 140/90 will have a BP of less than 140/90 or a 10 mmHg decrease in systolic blood pressure by the proposed four months multidisciplinary intervention involving physicians, community personnel, nutritionist and pharmacist.

Method

Setting:

  • The study will be conducted at Grady East Point (GEP) ambulatory clinic in the East Point Community. GEP is a Grady’s Neighborhood Health Centers which offers primary care and more for men and women of all ages. Providers offer complete care for all parts of your body and for most diseases. Referrals are made if there is a need to see a specialist.
  • The population density in East Point is 1319 percent higher than Georgia. The median age in East Point is 4 percent lower than Georgia. In East Point 15.43 percent of the population is Caucasian. In East Point 75.64 percent of the population is African American.

Design study

The procedure for the study is as follows;

  • There will be a Retrospective chart review of patients with uncontrolled Hypertension seen at Grady East Point Health Center between January to November 2017
  • 50 Adult patients’ ages 18-75 seen and treated at Grady East Point Health Center with uncontrolled hypertension greater than 140/90 will be recruited and consented by the physician champions to voluntarily participate in the study to monitor their blood pressure by using the AHA Check. Change. Control Hypertension Management Program.
  • The Intervention period will run for 4 months with patients participating in the following activities;
  1. Twice a month blood pressure check measured at either Grady East Point Health Center or the YMCA facility. This will take 15 – 30 minutes each time.
  2. Once a month blood pressure check via remote monitoring using the free blood pressure cuff monitor provided to patients to record their blood pressure on a log sheet which will be submitted to the physician champions to review the blood pressure and make treatment plan.
  3. Once a month nutritional seminar held at either Grady East Point Health Center or the YMCA facility to discuss the impact of nutrition, low sodium, low fat, and portion control on hypertension goals. The sessions will be one hour long.
  • Post-Intervention retrospective chart review will be done in July 2018 and results will be compared to patients’ baseline blood pressure.

Results/Discussion

 Table 1: Bivariate association between Final BP Meet Goal and covariates

Variable Final BP Meet Goal
Yes No
N (%) N (%) P-value*
Class Taken 1 or 2 6 (85.7) 1 (14.3) 0.585
3 or 4 6 (66.7) 3 (33.3)
Age < 60 6 (85.7) 1 (14.3) 0.585
>=60 6 (66.7) 3 (33.3)
Gender Male 2 (100) 0 (0) 1
Female 10 (71.4) 4 (28.6)
Smoking Status Yes 1 (50.0) 1 (50.0) 0.45
No 11 (78.6) 3 (21.4)
Alcohol Consumption Yes 2 (100) 0 (0) 1
No 10 (71.4) 4 (28.6)
*Fisher’s exact tests were used to calculate p-values.

 

Table 2: Association between Final BP Meet Goal and Number of Class Taken adjusted

for Age using logisitc regression model

Variable  aOR (95%CI) P-value
Class Taken 1 or 2 ref
3 or 4 0.399 (0.016, 4.734) 0.488
Age < 60 2.509 (0.211, 61.279) 0.488
>=60 ref
aOR=adjusted odds ratio, 95 percent CI= 95% confidence interval

The aOR for ‘Class Taken 3 or 4’ is 0.399, which means patients who attended 3 or 4 classes were about 60% less likely to meet the BP control goal compared to those who had 1 or 2 classes, but the result was not statistically significant (p=0.488). Intuitively, people who had more classes were supposed to be more likely to meet the goal. Two major explanations are;

(1) The sample size is too small to represent the true situation. Table 1 reveals 4 patients whose blood pressure didn’t meet the goal, but three of them actually attended all the four classes.

(2) Some confounding factors may play a part in the relationship between ‘Number of Class Taken’ and ‘Whether BP meet goal’. For example, baseline severity of hypertension may confound the association. People with severe hypertension or worse baseline health condition might be more interested and adhering to these classes, but it is also more difficult for them to meet the goal compared to people with much better health condition.

Conclusion

The purpose of this research is for GEP patients to improve and maintain a healthy heart as well as creating a Healthier Community by overcoming barriers by using a multidisciplinary approach with involves the following;

  • Checking their blood pressure with routine self-monitor and clinic appointments
  • Changing their blood pressure with healthy lifestyle habits: exercise and food
  • Controlling their blood pressure with the YMCA Community programs

 

Congratulations to the GAFP 2018 Research Poster Winners!  We wish them continued success in their research efforts!

Nominations Now Open for Medical Student Officer Positions for Georgia Academy of Family Physicians Board of Directors

Nominations Now Open for Medical Student Officer Positions for Georgia Academy of Family Physicians Board of Directors 

The Georgia Academy of Family Physicians (GAFP) has 6 exciting opportunities for medical student members to participate in board leadership activities in 2018.  Details on open positions and nomination forms are listed below.  Nominations must be submitted by December 14, 2018. Email voting for the Georgia Academy’s Board seats will take place from December 17-20, 2018.

Background on Positions:

GAFP Board of Directors

For 2019, we have 6 Student Board of Director openings:  3 Student Delegate positions, and 3 Student Alternate positions.  The 3 candidates with the most votes will become new student board directors, and the candidates with the 3 next most votes will become the student alternate directors. All terms are for 1 year.

List of Last Year’s Student Board Officers:    

Student Director               Macy  McNair – Morehouse School of Medicine

Student Director               Carmen Collins – Medical College of Georgia (MCG)

Student Director               Nicholas Schoenmann – Medical College of Georgia (MCG)

Student Alternate Director           Drevon Jones – Mercer University School of Medicine (Savannah)

Student Alternate Director           Aaron Doctor – Morehouse School of Medicine

Student Alternate Director           VACANT

As a board member, your main duties are to be in close contact with your peers and report back to the Board when we meet four times a year, and you will be given first option to participate in the AAFP National Conference of Students and Residents next summer.

Additionally, many of your travel expenses will be covered (see below).

We encourage all 6 of the student board representatives to attend each meeting.

Board Attendance Policy:

The student directors have 3 voting seats.  As long as at least 3 student board members are in attendance, the others can optionally attend or not attend without being charged with an unexcused absence.  It is your duty to be in contact with each other to determine attendance.

*Excused Absences for Board Meetings

Excused absences include emergency illness/funeral of a close family member or if a Board member must miss a GAFP Board meeting due to a conflict if representing the GAFP or AAFP at another meeting.  Absences and excused absences would be reflected in the minutes.

2019 Board Meetings:

Sunday, March 3, 2019 – Athens, GA (The Graduate Hotel)

Saturday, June 8, 2019 – Omni Amelia Island Resort, Amelia Island, FL

July 25 – July 27, 2019- Kansas City, MO- AAFP National Conference of Family Medicine Residents and Medical Students

The GAFP will pay two scholarships each of $599 to cover expenses for two resident and two student Board members (invitation to participate will be emailed in the spring).

Sunday, August 4, 2019 – Lanier Island Legacy Lodge, Buford, GA

Thursday, November 14, 2019 – GAFP Fall Board Meeting – Crowne Plaza Atlanta Perimeter at Ravinia at the GAFP Annual Meeting.

Travel stipends available subject to the following:

Comp registration to GAFP Annual Meeting OR Summer CME Weekend (Committee Conclaves have no registration fee), mileage (subject to standard IRS rate, currently $.545), and one night’s accommodation at GAFP hotel block room rate.  Incidentals, including wireless, parking, or meals (other than those served during GAFP functions at no charge) are at your own expense.

If you are interested in being nominated or have questions – please fill out the form below and e-mail it to twallace@gafp.org no later than December 14, 2018.  Thank you!

Student Board Position: Nomination Form for 2019

Position Applying for:  Georgia Academy of Family Physicians

 

Name: ______________________________________________________________

Program: ____________________________________________________________

E-mail: ______________________________________________________________

Which Year in Program:

 

List any current leadership activities:

 

If elected, how many of the meetings can you attend?

 

Why are you interested in participating on the GAFP Board in 2019?

 

Register Now for the October 3rd Webinar on Georgia’s Preceptor Tax Incentive Program

Host: Healthcare Georgia Foundation

Date:  Wednesday, October 3rd

Time: 10:30 AM – 11:30 AM EST

Speaker: Erin Mundy, MPA, Director of Community Based Training Programs and Cindy Peloquin, PTIP Program Manager

Program Description:

Georgia faces a critical shortage of health care professionals, particularly in primary care. Georgia Area Health Education Centers coordinate community-based training for health professional students in primary care specifically rural/underserved areas. The Preceptor Tax Incentive Program was created to entice physicians who are not compensated to train health professional students.

Learning Objectives:

At the end of the presentation, attendees should be able to:

  • Examine the process Georgia followed in creating the Preceptor Tax Incentive Program including developing a greater understanding of legislative processes in creating the bill and the challenges encountered during the process.
  • Examine the mechanisms utilized to certify the eligible rotations and eligible practitioners for tax purposes.
  • Recognize the critical role of the Georgia Statewide AHEC in collaborating partnerships with legislators, university leaders and state departments in creating a workable framework for reporting, managing, and auditing incentive dollars impacting the state’s revenue

Register Here

Georgia Dreams Big at the 2018 National Conference

Another successful National Conference of Family Medicine Residents and Medical Students took place in Kansas City, August 2-4. A total of 64 medical students and residents from around the state of Georgia were in attendance along with the following 11 Georgia state residency programs: Wellstar Atlanta Medical Center FMRP, Columbus FMRP, Emory FMRP, Augusta University Medical College of GA FMRP, Medical Center of Central Georgia, Floyd FMRP, Savannah FMRP Memorial Medical Center, Phoebe FMRP, Gwinnett Medical Center FMRP, Houston FMRP, and WellStar Kennestone FMRP.

In addition, we had representation in both the resident and student categories for the National Conference Congress.  Dr. Jessica Brumfield from the Georgia South Family Medicine Residency at Colquitt Regional Medical Center in Moultrie served as our resident delegate and Dr. Joshua Koerner from Gwinnett Medical Center in Lawrenceville served as our alternate. Macy McNair from the Morehouse School of Medicine Program in Atlanta served as our student delegate and Nick Schoenmann from the Medical College of Georgia in Augusta served as our alternate student delegate.

Macy McNair, a medical student at Morehouse School of Medicine stated, “one of my favorite features of the conference was the expo hall”. “I wish it was possible for all students to attend the conference to give everyone a baseline of the numerous opportunities family medicine offers”.

2018 Highlights

GAFP member and Resident Alternate Delegate to the AAFP Congress of Delegates Natalie Britt, M.D. was one of eight Adolescent Immunization Award Research Poster Winners to share best practices and techniques to boost adolescent immunizations at the national conference. Congratulations Dr. Brit!

Poster award winner Jordan Roberts, M.D., left, of the St. Mark’s Family Medicine Residency in Salt Lake City, explains his project to Eddie Richardson, M.D., Board Chair of the Georgia AFP

Another event that occurred at the AAFP National Conference was the Faces of Family Medicine: An Interactive Storytelling Event. GAFP Board Chair – Eddie Richardson, Jr., MD, FAAFP were amongst top panelists representing the diversity of choice within family medicine sharing his experiences, advice, and passion for primary care. Click here to view the video.

 

Storytellers: Anita Ravi, MD, MPH, MSHP, FAAFP; LTC Julie Hundertmark, MD, FAAFP; Eddie Richardson, Jr., MD, FAAFP; Renee Crichlow, MD; Kari Mader, MD, MPH

Georgia AFP Exhibits

Current residents from our programs were there to offer information and share their passion for family medicine with medical students, who were excited and energetic about family medicine and the future. The steady stream of medical students visiting the Georgia programs was non-stop for three days, and our programs engaged with hundreds of prospective applicants where they united to create a strong presence to the students.

2018 Annual Research Poster Competition

The Georgia Academy of Family Physicians is seeking submissions for the Annual Research Poster Competition to be held Friday, November 9, 2018, during the GAFP’s Annual Scientific Assembly.

Submissions from Pathway to Medical School Pre-med students, and GAFP members who are medical students, residents and practicing physicians/fellows are welcome.

Posters presented may be research results, case reports, summer projects, or educational projects.  Posters may address any topic relevant to family medicine.  Submissions must be of original work not yet published or presented at regional or national meetings.  However, concurrent (2018) submissions to other conferences such as NAPCRG and STFM are encouraged.  Medical student projects previously presented at medical schools or on student “Research Days” are accepted.

How to Submit Your Poster Information:

Please visit the GAFP website at www.gafp.org and access the Poster Competition information by clicking on the Education tab, then selecting the 2018 Research Poster Competition link.  Complete the entry form and submit it back to Megan Neuffer at mneuffer@gafp.org by Monday, October 1st with a copy of your project abstract and an electronic copy of your poster.

Poster Acceptance Notification:

Competition finalists will be notified via email no later than Friday, October 15th.

During the Competition:

Posters will be judged at the time of presentation at the Annual Meeting on Friday, November 9th from 9:30am – 12:30pm.  Review will focus on the Significance of findings for practicing family physicians; Quality of presentation of findings; and, Quality of methods used to generate findings.

Winners will be announced immediately after the competition in the Social and Information Hub.

After the Competition:

Awards up to $500 will be awarded to the winning outstanding pre-med student(s), medical student(s),

and resident(s). The winning practicing physician/fellow will receive a recognition award.

Monetary and recognition awards will be sent to the winners within two weeks after the meeting.  Please note, if there are multiple presenters for a winning poster, they will share the award equally.

For more information, please contact Megan Neuffer (800) 392-3841 or mneuffer@gafp.org