Social Medicine Rounds 2006

3 Comments

January 17:

Emily Jackson
Rounds in the Community:
“A Visit to the Bronx
Lesbian and Gay Health Resource”

Founded in 1996 by health care practitioners and activists as a source of health information and social services, the Bronx Lesbian and Gay Health Resource Consortium has become the only center for the gay and lesbian community in the Bronx. We will be visiting the consortium and speaking with program developers and community members in an effort to learn more about this unique cultural group in the Bronx.

_______________________________________________

February 7:

Emmanuel d’Harcourt
IRC : Recent Projects of the
International Rescue Committee
3rd Floor Conference Room, RPSM

_____________________________________________

February 21: 4:30-6PM
Jeffrey D. Sachs
“The Millennium Development Goals”
Cherkasky Auditorium

Professor Jeffrey D. Sachs is the Director of The Earth Institute at Columbia University and the UN Millennium Project. He also serves as a Special Advisor to United Nations Secretary-General Kofi Annan on the Millennium Development Goals. The Millennium Development Goals are the internationally agreed goals to reduce extreme poverty, disease, and hunger by the year 2015. Sachs is internationally renowned for advising governments in Latin America, Eastern Europe, the former Soviet Union, Asia and Africa on economic reforms and for his work with international agencies to promote poverty reduction, disease control, and debt reduction of poor countries.

A critique of the Millennium Development Goals was published in the March 2006 Monthly Review by Samir Amin, Director of the Third World Forum in Dakar, Senegal. Amin states: “A critical examination of the formulation of the goals as well as the definition of the means that would be required to implement them can only lead to the conclusion that the MDGs cannot be taken seriously. A litany of pious hopes commits no one.” (See: The Millennium Development Goals: A Critique from the South)

_____________________________________________

March 7: 4:30-6PM
Dr. Ron Waldman,
“Pathways to Survival”
3rd Floor Conference Room, RPSM

Pathway to Survival is about strategies to combat child mortality in the world and addressing child mortality issues. It is one on the UN’s millennium program goals. Professor Waldman is a world known expert in refugee health and child mortality issues. He has been serving as a consultant to WHO, government and non-governmental organizations for the last 30 years. He is a prominent member of the Refugee Health Department at the CDC, Chairman of the Emergency Response Committee of WHO and Professor of Clinical Public Health at Columbia University. Since the early 1970’s, he has been involved in many refugee situations all over the world. Professor Waldman has helped to design and perform many studies which have shaped the framework for current guidelines to address current refugees needs globally.

_____________________________________________

March 21: 4:30-6PM
Dr. Jennifer Kasper,
“International Child Health”
3rd Floor Conference Room, RPSM

Jennifer Kasper, MD, MPH is on the faculty of the Department of Family and Community Medicine at the University of Arizona Health Sciences and a pediatrician in the Tucson Medical Center Emergency Department. She is the President and CEO of Doctors for Global Health, a private, not-for-profit organization promoting health, education, art and other human rights throughout the world. She is a former Soros Medicine as a Profession Advocacy Fellow who worked with Physicians for Human Rights on immigrant issues.

Dr. Kasper’s domestic interests include child poverty and health; food insecurity and hunger; immigrant populations; and, child rights. She spent nearly two years in El Salvador serving as the field coordinator and community health worker trainer, as well as providing pediatric care. She has also worked in Honduras, India, and Chiapas, Mexico.

_____________________________________________

March 30, 2006: 4:30-6 PM
Dr. Judith Cook
“Medical Consequences of the War in Iraq”
Cherkasky Auditorium

Judith Cook, MD is a general practitioner working with marginalized and excluded groups in London, UK. She volunteered with Médecins du Monde, www.medecinsdumonde.org.uk, for projects in Afghanistan in 2002 and Liberia in 2003. She currently volunteers for Médecins du Monde-UK in Project: London, a new initiative to help vulnerable groups access main stream health care services.

Dr. Cook is a member of the board of Medact, www.medact.org, and was involved in Medact’s work on violence, conflict and health, including their three reports on the impact on health of war on Iraq. She has presented on the War in Iraq, both in the UK and internationally.

_____________________________________________

April 4:30-6PM
Emily Jackson
Rounds in the Community:
The Bótanicas Tour

Botanicas play an important role in the physical and emotional well being of many of our patients. Explore these centers of healing, spirituality and culture with our guides, trained in traditional herbal healing at the Bronx Botanical Garden. The Garden maintains a research program devoted to Understanding Plants in Human Health.

______________________________________________

April 4: 4:30-6PM
Zach Rosen
“The Genocide in Darfur”
Cherkasky Auditorium

Presenting, after recently returning from Darfur will be Michael Neuman, Program Officer, Medecins Sans Frontieres and Olivier Bercault, Counsel, Human Rights Watch. For more information on Darfur: www.savedarfur.org, www.hrw.org and www.msf.org.

_____________________________________________

April 18: 4:30-6PM
Dr. Abraham George,
“Improving primary health care delivery in rural areas of developing countries”
3rd Floor Conference Room, RPSM

_____________________________________________

May 2, 2006: 4:30-6 PM
Robin G. Steinberg
“The Bronx Defenders: Building Bridges between Clinicians and Public Defenders”
3rd Floor Conference Room
Residency Program in Social Medicine

Robin G. Steinberg is the Executive Director of The Bronx Defenders, an organization created in 1997 to provide outstanding legal representation to Bronx residents charged with crimes. The Bronx Defenders has developed a relationship with the Department’s CHCC (Comprehensive Health Care Center) Clinic through which patients facing legal problems can be referred to clinic for health care.

Readings & Links: Please visit the library at the Bronx Defenders web-site and read about their model of holistic advocacy.

_____________________________________________

May 30, 2006: 4:30-6 PM
Social Medicine Project Presentations (1 of 3)
3rd Floor, Residency Program in Social Medicine
Gerald A. Paccione, M.D.
Noga Shalev, MD
From public to private care:
the historical trajectory of medical services in a New York City jail

This research investigates the historical shifts in health care provision within the correctional setting. It looks at a case study correctional facility Rikers Island in order to examine trends in the bureaucratic and financial arrangement of medical services over the past half a century.

Juliet Widoff, MD
Health Care Experiences of Street-Based Sex Workers in New York City

A qualitative study of the health experiences, perceived health needs and barriers to care of street-based sex workers in New York City.

Manuel R. Esteban, MD and Gunther Groning, MD
Psychosocial Impact Of Erectile Dysfunction In Hispanic Patients
Qualitative study done with male patients from the Family health center
Sharmila Ramprasad, MD
Sugarbusters

Evaluation of the existing diabetes education program to determine if a structured telephone follow up after the 4 week program improved the effectiveness as compared to regular 4 week program without follow up.

Melanie Ukanwa, MD
St John’s Wort and Omega 3 Fatty Acids in the Management of the Depressed Patient: Creating Provider Pamphlets

Depression is Depression is recognized as an important cause of significant morbidity and mortality. Current standard pharmacotherapies, although effective, are notorious for side effect profiles which discourage patient adherence. Via a systematic review of current evidence-based literature and data obtained from need assessment surveys of WBFP and FHC providers, two provider pamphlets were created to educate on the use of the better tolerated alternative medicines, St John’s Wort and Omega 3 Fatty Acids, in the management of the mildly depressed patient.

____________________________________________

June 6, 2006: 4:30-6 PM
Social Medicine Project Presentations (2 of 3)
3rd Floor, Residency Program in Social Medicine
Daniel O’Connell, MD
Cyrus Boquin, MD, MPH
Understanding Adherence to HAART therapy
among Methadone Maintenance Patients

Using an ACASI (Audio Computer-Assisted Self-Interviewing) questionnaire, I assisted on a project led by Karina Berg investigating multiple factors that may affect adherence to HAART therapy among methadone maintenance patients. High rates of self-reported adherence made multivariate analysis difficult, but interesting findings regarding the potential relationship of chronic pain to reduced adherence will be highlighted.

Aisha Mays, MD
Young Mom’s Prenatal Group:
Medicine, Education, and Social Support

An adolescent prenatal group was conducted over 6 months at the Family Health center which was designed to incorporate a supportive alternative to traditional prenatal care along with an educational program to explore participants educational goals, career aspirations, and knowledge of personal rights as pregnant adolescents.

Emily Jackson, MD
Hitting the Streets:
A Resident Inspired and Resident Executed
Experiential Cultural Curriculum

The Bronx is a diverse mix of many cultures, defined not only by traditional means (country of origin, common language, shared beliefs) but also by societal factors (socioeconomic status, lifestyle, living environment). Recognizing that 77% of incoming Social Medicine residents are unfamiliar with and lack ties to the Bronx, and that residents were eager to move out of clinical settings and into the communities where their patients live and work, we developed a series of Bronx “field trips” oriented around this broadened definition of culture.

Sheena Kumar, MD
Nucleic Acid Testing For Chlamydia And Gonorrhea
In A School Based Clinic

The project is a study proving the importance of universal screening for std’s, the study uses urine pcr testing which is less invasive and just as sensitive as the traditional gen probe.

Rebecca Warkol, MD & Mindy Sobota, MD, MPhil
An Intervention to Increase Emergency Contraception Knowledge, Attitudes and Prescribing Practices among Internists at a Teaching Site

We surveyed Internal Medicine residents and faculty at CHCC about their knowledge about, attitudes towards and advance prescribing of emergency contraception (EC). Then we introduced a multi-part intervention comprised of a 45-minute case-based educational session followed by a one-month clinical reminder intervention during which time nursing staff placed pink reminder stickers in all the charts of female patients under the age of 45, NYC Department of Health posters were hung throughout the clinic and a prescription stamp for Plan B was placed in the precepting room to facilitate prescription. One month after the intervention, EC knowledge increased, attitudes about EC remained positive and 95% of participants reported offering to prescribe EC in the prior month compared to 40% before the intervention.

Kelly S. Ramsey, MD, MPH
A Comparison of HIV Health Services Utilization Measures in a Marginalized Population: Self-Report vs Medical Records

_____________________________________________

June 13, 2006: 4:30-6 PM
Social Medicine Project Presentations (3 of 3)
3rd Floor, Residency Program in Social Medicine
Peter Sherman, MD
Sharmila Matippa, MD
A study of utilization of clinic waiting time for health education using internet kiosks

A needs assessment done at both Williamsbridge health center and Family health center and a comparison of health attitudes and willingness to use computers as a source of health information if offered in the waiting area of the clinic. Also, done were semi-structured interviews at both sites to get further information regarding the same.

Kelly S. Ramsey, MD, MPH
A Comparison of HIV Health Services Utilization Measures in a Marginalized Population: Self-Report vs Medical Records
J. Lewis, MD, Anne Gordon, MD,
Kristen Wade-Kempiak, MD and Katherine O’Connor, MD
Breaking Down the Barriers to Inhaled Corticosteroid Use Among Caregivers of Children with Asthma

Asthma, a condition that disproportionately affects our patients, has been shown to have better clinical outcomes with ICS use. We previously explored our patient population’s beliefs about ICS and their side effects. Using this information, we designed a brief educational intervention given at various intervals, and assessed whether this resulted in more favorable attitudes toward ICS, better adherence to ICS, and better asthma health outcomes. We hope to identify an intervention that can reduce health disparities related to asthma in our patient population.

_____________________________________________

Summer Series on War and Health

“War has an enormous and tragic impact-both directly and indirectly-on public health. War accounts for more death and disability than many major diseases combined. It destroys families, communities, and sometimes whole cultures. It directs scarce resources away from health and other human services, and often destroys the infrastructure for these services. It limits-and often totally eliminates-human rights. War leads many people to think that violence is the only way to resolve conflicts, a mindset that contributes to domestic violence, street crime, and many other kids of violence in the world. War contributes to the destruction of the environment. In sum, war threatens large elements of the fabric of our civilization.”

– From the Preface to War and Public Health, edited by Barry S. Levy and Victor W. Sidel, Oxford University Press, 1996 (updated January 2000)

July 11, 2006: 4:30-6 PM
Vic Sidel
“All’s Quiet on the Western Front” [Film]
3rd Floor Conference Room, RPSM

“One of the most powerful anti-war statements ever put on film, this gut-wrenching story concerns a group of friends who join the Army during World War I and are assigned to the Western Front, where their fiery patriotism is quickly turned to horror and misery by the harsh realities of combat. Director Lewis Milestone pioneered the use of the sweeping crane shot to capture a ghastly battlefield panorama of death and mud, and the cast, led by Lew Ayres, is terrific. It’s hard to pick a favorite scene, but the finale, as Ayres stretches from his trench to catch a butterfly, is one of the most devastating sequences of the decade.” from The New York Times Movie Reviews.

_____________________________________________

July 18, 2006: 4:30-6 PM
“The Impact of the Iraq War on Clinical Practice in the Bronx”
Binswanger Auditorium, Montefiore Hospital

This rounds will be devoted to several ways in which the Iraq War has affected our clinical practices. Four case scenarios will be discussed which raise questions concerning the impact of the war on soldiers, their families and their communities.

For an editorial related to this topic please see Social Medicine, the Department’s academic journal, Volume 1, No. 2, August 2006.

_____________________________________________

August 1, 2006: 4:30-6 PM
Dr. Vic Sidel
“War and Public Health”
Binswanger Auditorium, Montefiore Hospital

War and Public Health , a book co-edited by Victor Sidel and Barry Levy, was published by Oxford University Press in 1997 and then in an updated paperback edition by the American Public Health Association in 2000. A fully-revised second edition will be published by Oxford in 2007. The relation to social medicine of war and its primary, secondary and tertiary prevention will be discussed in the presentation.

_____________________________________________

August 15th, 2006: 4:30-6:30 PM
Emily Jackson
“Green the Ghetto Toxic Bus Tour”
Sustainable South Bronx

The “Green the Ghetto Toxic Tour” will tour explore the community in and around Hunts’ Point, both evaluating the clustering of polluting facilities within the neighborhood, as well as the work that has been done and is ongoing to create sustainable development projects for the South Bronx that are informed by the needs of the community and the values of environmental justice. Our tour will be led by Marta Rodriguez, the Sustainable South Bronx Community Outreach Coordinator and resident of Hunts Point, as well as several community members.

Information about the Sustainable South Bronx can be found at www.ssbx.org. Majora Carter, the founder and Ex. Dir of SSBX, won the Mac Arthur Genius Award last year.

The Environmental Justice Movement has been developing for several decades in New York City and has become remarkably strong, effective and diverse in recent years. Organizations that historically have been leaders in the movement are The West Harlem Environmental Action and New York City Environmental Justice Alliance (NYCEJA)

A slideshow of the tour is available by clicking here.

_____________________________________________

September 5, 2006: 4:30-6 PM
Dr. Peter Sherman
The Effects of Domestic Violence on Families
Binswanger Auditorium, Montefiore Hospital

Dr. Peter Sherman is the Director of the Residency Program in Social Pediatrics at Montefiore Medical Center. He has lectured locally and nationally on issues concerning underserved children including; the health of homeless children and the impact upon children of witnessing domestic violence. He serves as co-chair of the Ambulatory Pediatrics Association’s Serving the Underserved Special Interest Group.and co-chairs the AAP Section II, chapter 3 Committee on Child Abuse and Domestic Violence.

For resources on domestic violence consult:

National Domestic Violence Hotline: 1-800-799-SAFE

American Bar Association Commission on Domestic Violence

The Feminist Majority’s Domestic Violence Information Center

The Family Violence Prevention Fund

US Department of Justice

_____________________________________________

September 19, 2006
4:30-6PM
Dr. Ruth Macklin
Binswanger Auditorium, Montefiore Hospital

Dr. Macklin will discuss cases provided by the Department illustrating ethical conflicts faced in providing clinical care. Information about Dr. Macklin can be found at the AECOM Website.

______________________________________________

October 3, 2006: 4:30-6 PM
Bill Difazio
“Ordinary Poverty: A Little Food and Cold Storage”
Binswanger Auditorium, Montefiore Hospital

Bill Difazio, a Professor of Sociology and producer of the WBAI progam City Watch will discuss issues of urban poverty. He is the author of several books, including: “Ordinary Poverty: A Little Food and Cold Storage“.

______________________________________________

October 17, 2006: 4:30-6 PM
Oliver Fein, Henry Kahn,
Fitzhugh Mullan, & Harold Osborn
“Lessons from Lincoln”
Cherkasky Auditorium,
Montefiore Hospital

On October 17, 2006 the Department of Family and Social Medicine is honored to present “Lessons from Lincoln”, a panel discussion with former members of The Lincoln Collective. The four speakers are Oliver Fein (chair of the NY chapter of Physicians for a National Health Program)Henry Kahn (founder of the Dekalb Grady Neighborhood Health Center in Atlanta, board member of Georgians for a Common Sense Health Plan), Fitzhugh Mullan (noted pediatrician and historian, author of “White Coat, Clenched Fist”), and Harold Osborn (leading NY emergency medicine physician, founder of The New Dawn Foundation). The panel will explore how the unique social and political environment of the Bronx became a rich environment to cultivate medical activism efforts, and how today’s health care workers can continue to fight for health as a human right.

The South Bronx of the 1960s and 1970s was seen an “urban catastrophe.” Concurrent declines in housing, job markets, government investment, and community identity forced inhabitants to live in conditions of neglect and devastation. Waves of arson spread across the borough during this time leaving scars that can still be seen today.

By the summer of 1969 the Young Lords Organization had been drawn to this urban wasteland. The Lords recognized that inattention and unresponsiveness had become common practice in many Bronx systems. Local institutions no longer cared for or served the communities they had initially been created for. As a group committed to preserving human rights and supporting the liberation of Puerto Ricans, the Young Lords swept into New York City to bring attention to the deplorable economic, social, and political conditions that were occurring in the South Bronx. In these efforts they were joined by the Black Panther Party.

At the same time, several physicians in training were becoming increasingly frustrated with traditional medical education. A small but visible group of students had become proponents of the civil rights movement and were forming organizations to promote social justice through medical activism. One such group was the Lincoln Collective: a novel training program whose members (medical residents at Lincoln Medical and Mental Health Center in the Bronx) wanted to practice community-oriented medicine with a focus on commitment to service and positive community impact via a collectivist model.

These three groups (Young Lords, Black Panthers, and The Lincoln Collective) turned their attentions to Lincoln Hospital -one of the poorest, most overburdened, and least-staffed hospitals in New York at the time. Patients referred to it as the “Butcher Shop.” The horrible health conditions faced by residents of the community were exposed by these three groups to a city that had been all too content to ignore the South Bronx. What followed in the next several years were multiple direct actions of protest: strikes by mental health workers, efforts to install a community presence within the administration, and reforms directed to ensure patient rights.

Early one morning in July of 1970, a group of Young Lords and its partner organization, the Health Revolutionary Unity Movement (a citywide radical union of black and Third World health workers), stormed the hospital and took it over. They demanded that Lincoln “return the hospital to the people of its community. The group called for numerous changes including new medical facilities, door-to-door preventive health services, drug addiction treatment programs, health education classes for patients and workers, childcare and senior citizens’ services, a permanent 24-hour grievance table, and minimum wage for all hospital workers. A Puerto Rican flag hung from a window and declared “Bienvenido al hospital del pueblo” (Welcome to the People’s Hospital). After negotiations with hospital and city management the protest ended fairly peacefully, if not successfully. Unfortunately more had been done to publicize Lincoln’s dysfunction than would be done to effect any lasting improvement in the community’s health.

For information on the take over and Lincoln Hospital today:

“Lords Liberate Hospital” The Old Mole (1970)

Lincoln Hospital Today

Lincoln’s ER

For information on the Young Lords and Black Panther Party:

Latino Education and Network Service (LENS)

Young Lords Internet Resource

Huey P. Newton Foundation

Disinfo.com (This article includes a number of Black Panther links)

Dr. Oliver Fein:

Currently, Professor of Clinical Public Health in the Department of Public Health at the Weill Medical College of Cornell University. Dr. Fein is active in Physicians for a National Health Program.

Dr. Henry Kahn

Dr. Kahn is a board member of Georgians for a Commonsense Health Plan and founder of the Dekalb Grady Neighborhood Health Center in Atlanta

Dr. Fitzhugh Mullan is on the Faculty of the George Washington University School of Public Health and Health Services. He is the author of Big Doctoring in America: Profiles in Primary Care and White Coat, Clenched Fist: The Political Education of an American Physician which will be republished in a new edition this fall by University of Michigan Press

Dr. Harold Osborn worked as Director of Lincoln’s ER. He works currently with The New Oaks Foundation.

______________________________________________

November 7, 2006:
Alice Fornari
Hunt’s Point Walking Tour

_____________________________________________

November 14, 2006: 4:30-6PM
Intern Project Presentation
Binswanger Auditorium

_____________________________________________

December 5, 2006: 4:30-6PM
Pat Beresford
Foster Care in New York City post-Nixmary

_____________________________________________

December 19, 2006: 4:30-6PM
Cristel Brellochs
“Reaching NYC’s Uninsured: The City’s
Strategies and Approaches to expand Health Insurance Access”

Cristel Brellochs is the Deputy Director of the Human Resources Administration’s Office of Citywide Health Insurance Access (OCHIA). Ms. Brellochs will discuss the Mayor’s HealthStat Initiative which seeks to connect New Yorkers to public health insurance through the collaborative effort of 14 City agencies, 17 health plans and community-based organizations throughout New York City. She is also involved in OCHIA’s initiatives to promote affordable health insurance coverage for small businesses and working individuals.

At Social Medicine Rounds Ms. Brellochs will provide background on the situation of New York City’s uninsured and discuss on-going efforts and challenges in expanding access to public and private health insurance coverage for children, families, working adults and small businesses.

For more information visit the Office of Citywide Health Insurance Access at:

http://www.nyc.gov/html/hia/html/public_insurance/enroll.shtml.

Share and Enjoy:
  • Print
  • Digg
  • StumbleUpon
  • del.icio.us
  • Facebook
  • Yahoo! Buzz
  • Twitter
  • Google Bookmarks

3 Responses to “Social Medicine Rounds 2006”


  1. 1Robert C. Bowman, M.D.

    School of Social Medicine Genogram and Next Generation Medical Education

    When Merle Cunningham MD came to visit the School of Osteopathic Medicine in Arizona (SOMA) the other day, the topic got around to the merger of two fine family lines. Merle has been active in Community Health Centers, NACHC, the National Health Service Corps, and health care access in NYC. He has been instrumental working through NACHC and Gary Cloud to help make SOMA a reality.

    Forrest Lang MD was the second family line. He took his Social Medicine training to NHSC, Appalachia, East Tennesee State, and the Appalachian Preceptorship. I have the honor of being his adopted mentee. He brought me to TN and helped me to develop the ETSU Rural Fellowship, the Minifellowship, the Rural High School Career Fair, and the initial work toward the Mountain City rural site. One of the Rural Minifellows, faculty that were developing rural programs, was Tom McWilliams DO. His rural program for the Minifellowship was the revision of the Kirksville family practice preceptorship. Much “Social Medicine” type collaboration was involved in the Rural Minifellowship.

    Tom McWilliams moved on to develop the first osteopathic school in Arizona at AZCOM and then the new ATSU SOMA, working back with the Kirksville folks. The preferential admissions process used was borrowed from my work which was borrowed from the various interactions with the Rural Minifellows. Tom hired me, Forrest Lang’s mentee, to come to Arizona to help develop this new school. Tom also shares NHSC background and helped recruit Barb Doty who helped found the Alaska FP training program that has top rates of underserved graduates in CHC And Native Consortia practice locations (about 43%). The Minifellowship, like the School of Social Medicine, helped keep ideals and ideas alive to translate them into action.

    The School of Osteopathic Medicine of Arizona works with CHCs to funnel in applicants familiar with work with the underserved. SOMA admits medical students with a top priority on service orientation. The top priority is a match to the mission of returning them to CHC locations as long term primary care physicians. After one year at Mesa AZ, the medical students depart Mesa for sites from Hawaii to Brooklyn. The first class will begin in Brooklyn at Sunset Park in a few months. One of the faculty hired here at the same time was a lab tech at Sunset Park, Noel Carrasco, MD. who later did research, U Autonoma De Guadalajara, Neonatology, and Complementary and Alternative work with Andrew Weil.

    Just wanted you to know that some epidemics are worth spreading and the School of Social Medicine is one of the best vectors.

    When the new medical students arrive at Sunset Park, might just be worth “completing” their training where it began.

    Robert C. Bowman, M.D.
    rcbowman@atsu.edu

  1. […] Shalev is a graduate of the Residency Program in Social Medicine and this work developed from her 2006 Social Medicine Project. The article describes the evolution of health care services at Riker’s […]

  2. […] nagging memory of a 2006 social medicine rounds (12/19/2006) led us to the Mayor’s Office of Citywide Health Insurance Access, a part of the […]

Leave a Reply

Time limit is exhausted. Please reload the CAPTCHA.




Open