GAFP News

Recruitment for 2019 Georgia Academy Leadership!

Recruitment for 2019 Georgia Academy Leadership!

To:       GAFP Colleague (Active, Life, Resident, Medical Student)

From:   Donald L. Fordham, MD, FAAFP – President

One of the most important roles serving as your President for this upcoming year is appointing the Committee members for 2019.  I am soliciting your interest in participating on one of the Georgia Academy’s committees for next year.

I ask that you only volunteer to be nominated if you can attend either in person or by phone all 3 meetings in 2019.  Although several committees meet more than 3 times a year, here are the dates for the 2019 Committee Conclaves:

  • Saturday, March 2 Athens (The Graduate Hotell
  • Thursday, June 6 Amelia Island, FL (in conjunction with the GAFP Summer CME Meeting at Omni Amelia Island Resort)
  • Saturday, August 3 Buford (Lanier Island Legacy Lodge)

I appreciate your consideration of service with your colleagues on a committee.  We are only strong with many voices of family medicine working together.

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Committee membership will be held to no more than 15 members. For most committees, this will include one slot for a resident and a medical student. The expectation is that each member selected for a committee will have the ability to 1) attend the three committee conclave meetings, 2) respond to emails, and 3) review committee materials and be ready to offer advice and guidance.

There will also be a Legislative Session Working Group that meets for a shorter time period (January-March 2019) to assist in Georgia Academy programs.

Following is a list of the opportunities for service. We encourage your interest and participation as this is certainly an important and pivotal time for family medicine. We are only as strong as the commitment and involvement of our members.

Education and Research Committee (15 members): This committee is responsible for all the educational activities of the Georgia Academy, including the annual and summer meeting, as well as our national GO! Diabetes project and the education for the Patient Centered Medical Home University.

Finance Committee (15 members): This committee reviews the financials including staff benefits and the budget. It also makes recommendations to the Board on financial policies.

Legislative Committee (15 members): This committee oversees all advocacy and legislative activities and recommends action to the Board to assure representation of family medicine and our patients.

State Legislative Session Working Group (unlimited members): This working group will meet weekly by phone from January – March to review the policy priorities of the Georgia Academy along with receiving updates on the activities of the Georgia General Assembly. Areas of focus will include the State Budget (Medicaid, Public Health), Tort Reform, Insurance Initiatives, Public Safety, Medical Education, Georgia Board Physician Workforce Funding of Family Medicine Residency Programs and Scope of Practice.

Membership Services Committee (15 members): This committee has the responsibility for membership recruitment and retention, overview of leadership development, as well as, for all local and national award nominations. This committee is also tasked with monitoring the communications to our members.

Practice Management Committee (15 members): The Practice Management Committee monitors insurance policies and issues that affect the business of family medicine. It also works on practice transformation and the patient centered medical home. The committee is continually monitoring new payment models and works to educate our membership on patient centered medical home, accountable care organizations, Medicare Advantage plans and other business models.

Public Health Committee (15 members): This committee works to improve the health and welfare of our state’s citizens by assisting Georgia’s Department of Public Health in their mission. The Georgia Academy has an ongoing contractual relationship with the Department of Public Health that is overseen by this committee.

Student & Resident Recruitment Committee (15 members – 9 active/life members, 3 students, 3 residents) This Committee promotes family medicine to our Georgia medical students, pre-medical and high school students as well as looks for areas to support family medicine physicians-in-training.

Committee Membership Application

Name_____________________________________________________________________________

I am a __________Medical Student ______________Resident ________________Family Physician

______________________________is the Committee I would like to serve on in 2019.

____________I can attend all 3 committee dates (either in person or by phone).

I cannot attend all three committee dates, I can attend _______________of the meetings.

My talents and expertise that will assist the committee are:

 

 

If I am not selected for my committee of choice. I would like to be considered for the _______________ Committee.

I would also like to volunteer for the Legislative Session Working Group:____________________________

In this Season of Giving the Georgia Healthy Family Alliance Recognizes our 2018 “Your Giving is Great Medicine” Donors

 In this Season of Giving the Georgia Healthy Family Alliance Recognizes our 2018 Your Giving is Great Medicine Donors

 

The Georgia Healthy Family Alliance (GHFA) is grateful for the support of the following GAFP members and Industry Partners who have made pledges and donations toward our five year Your Giving is Great Medicine Capital Campaign.  For more information, or to make your pledge, contact Shan Hayes shayes@gafp.org or call (404) 321-7445. As of December 11, 2018:

 

$1,000,000

Georgia Academy of Family Physicians                  

 $25,000-$50,000- 

Dr. Chip and Elizabeth Cowart – Statesboro

Jackson Healthcare           

Dr. Patrick “PJ” and Lindsey Lynn -Rome            

$10,000-$24,999

Dr. John Bucholtz – Columbus

Dr. Mike and Dianne Busman – Americus

Dr. Samuel “Le” Church- Hiawassee

Dr. Evelyn Lewis & Clark – Newnan

Dr. Lanny and Mica Copeland- Brentwood, TN

Dr. Donald Fordham – Demorest

Fay Fulton – Atlanta

Dr. Gene and Ivy Jackson- Hawkinsville

Dr. Susan Margletta Harmon and Jack Harmon- Roswell

Dr. Dayle Hawthorne – Ft. Oglethorpe

Dr. Thaddeus Lynn – Atlanta

Jim and Patti Lyons- Jasper

Dr. Carl and Melanie McCurdy -Jasper

Dr. Howard and Janet McMahan- Ocilla

Dr. Rolf Meinhold and Caryn Bains – Alpharetta

Dr. T.J. Miller – Claxton

Dr. Adrienne Mims – Atlanta

Drs. Monica and Wylie Newton -Gainesville

Dr. Mitzi and Jeremy Rubin – Atlanta

Dr. Eddie Richardson and Dr. Jameelah Gater – Eatonton

Dr. Michael Satchell – Albany

Dr. George Shannon – Columbus

Dr. Daniel Singleton- Buena Vista

Dr. Collyn and Nick Steele – McDonough

Dr. Harry and Karen Strothers – Macon

Dr. John Vu- Griffin

Dr. Rick and Alice Wherry – Dahlonega 

$5,000-$9,999

 Dr. Susana A. Alfonso

Dr. Karla Booker – Lilburn

Dr. Mitch Cook- Athens

Dr. Denise Crawley- Rome   

Dr. Elvan Daniels – Atlanta

Dr. Thomas Fausett- Adel

Dr. Jay and Adelene Goberdhan-Adel

Gwinnett Medical Center

Dr. Emily J. Herndon- Decatur

Dr. Audrey and William Hodge – Union Spring, AL

Dr. Wayne Hoffman and Thomas Torrey – Atlanta

Dr. Beulette Hooks – Columbus

Dr. Theresa Jacobs- Conyers

Dr. Kevin and Connie Johnson – Lawrenceville

Dr. Bruce LeClair- Augusta

Dr. Sherma Peter – Sylvania

Dr. James and Harriet Ray – Swainsboro  

                                                     Dr. Leonard Reeves and Terri Brown -Rome                                                  

Dr. Susan Schayes – Marietta

Dr. Jeff and Holly Stone- Canton

$1000 -$4,999

Dr. Thomas Bevill – Cartersville

Dr. J. Larry Boss – Villa Rica

Dr. Michelle Cooke- Atlanta

Dr. David Fieseler- Thomaston

Shan Hayes- Duluth

Dr. Loretta Hicks- Atlanta

Dr. Christina Kelly – Richmond Hill

Dr. Ambar Kulshreshtha- Atlanta

Dr. Sharon Rabinovitz- Atlanta

Dr. Thad and Susan Riley – Statesboro

Shawn Smith – Lawrenceville

Dr. Charles Sow – East Point

Dr. Beverly Townsend- Columbus

Dr. Walter Steven Wilson – Kathleen

$500- $999

Dr. Kristen Kettelhut-Columbus

Dr. Aparna Mark- Decatur

Dr. Shameka Hunt McElhaney- Atlanta

$50 – $500

Dr. Ivy Smith Coleman – Hapeville

Dr. Martha Crenshaw- Stone Mountain

Dr. James R. Hagler- Buena Vista

Dr. F. Kennard Hood- Lake Spivey

Dr. Michael Miles- Bremen

Dr. Alison Lauber- Newnan

Dr. George A. Nixon- Martinez

Dr. Sandhya Ramayya- Macon

Dr. Harry Snapperman- Peachtree City

Dr. Ben Thomas- Atlanta

Dr. Susan Thomas- Snellville

Dr. Michael Walsh- Estero, FL

Dr. Howard Yager- Atlanta

  

Thank you all for your support in 2018!

 

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?

 

Dr. Donald L. Fordham Announced as President of the Georgia Academy of Family Physicians

Donald L. Fordham, MD, FAAFP was installed as President of the Georgia Academy of Family Physicians at the 2018 Annual Scientific Meeting on November 10th.

“Our organization will greatly benefit having Dr. Fordham as its new president,” said Loy D. “Chip” Cowart, MD, FAAFP outgoing president of GAFP. “We have all seen his determination for family physicians across Georgia for many years, and he is a leader both in his community, his patients and the physician community.”

As part of his inaugural comments, Dr. Fordham stated, “I look forward to working with the Georgia Academy of Family Physicians on behalf of all family physicians across the state and will continue to build on the incredible progress Dr. Cowart has achieved during his tenure as President of our academy. His dedication and leadership have been invaluable to the GAFP and inspiring to me personally. We all truly appreciate his service.”

Dr. Fordham is a solo family physician, at Habersham Family Medicine – recognized as an NCQA Patient Centered Medical Home.  He also currently teaches at the Augusta University/University of Georgia Medical Partnership as a Clinical Associate Professor.

Dr. Fordham received his Doctor of Medicine from the University of Alabama School of Medicine and then completed his family medicine residency at the University of Alabama at Birmingham Huntsville Family Medicine. He graduated from the University of Georgia with a bachelor’s degree in biochemistry with honors – summa cum laude.  He is a diplomate of the American Board of Family Medicine.

Dr. Fordham has served as 2017-2018 President-Elect of the GAFP. Prior to this position he served as both Speaker and Vice Speaker of the Georgia Academy’s Congress of Delegates. He is currently a member of the Georgia Physician Leadership Academy.

Following his presidency, Dr. Fordham will serve as Chairman of the Board of the Directors for the 2019-2020 year.