Rounds 2009

Social Medicine Rounds @ Montefiore

For past Social Medicine Rounds, click on the year:
2006, 2007, 2008, 2009, 2010, 2011

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January 13, 2009:
Alison Jordan
New York City Department of Health
“Transitional Programs for Prisoners”
4:30PM-6PM
3rd Floor Conference Room
Residency Program in Social Medicine

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January 20, 2009:dkindig
David Kindig, MD, PhD
Emeritus Professor of Population Health Science
University of Wisconsin
To: President Obama
From: Harold Wise, MD, RPSM Founder
Re: Beyond Health Care Reform

Discussions of health reform focus primarily on health care reform, including expanding coverage and lowering costs. Both of these goals are necessary, but not sufficient, to improve overall population health and reduce disparities. Harold Wise knew, as did the Office of Economic Opportunity (which sponsored the Martin Luther King Jr. Health Center and the Residency Program in Social Medicine), that conditions in the social and physical environment are as important for achieving these goals as even innovative comprehensive medical care models. Can current interest in health care reform be broadened to encompass the balanced investment portfolio that is necessary for real population health reform?

See our posting about this talk at the following link.  His powerpoint can be downloaded from the posting.

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imagesFebruary 10, 2009
Rounds in the Community
A visit to St.  Joseph’s School for the Deaf
Bus will leave Gun Hill Road Entrance to Montefiore at 4:30PM sharp

For a posting about the visit to the School please see click here.

St. Joseph’s School for the Deaf is one of eleven New York State 4201 Schools created by legislation to provide educational services to children who are deaf, blind or physically challenged. The 4201 schools are located in areas throughout New York State and are financially supported directly from the New York State Department of Education.

St. Joseph’s School for the Deaf was established in 1869 as a model school for the education of children who are deaf. St. Joseph’s is located on a 10-acre campus in the Bronx, New York.

St. Joseph’s School for the Deaf meets the full range of student communication needs from the cochlear implanted oral/aural child to children needing a signed ASL communication approach. Staff follow the New York State Learning Standards as a guide for their instructional content and teaching strategies. Our staff are certified Masters level administrators, teachers of the deaf and teachers of speech. Support staff are fully licensed by the State of New York Department of Education. Our children range in age from infancy to 14 years, are severely/profoundly deaf (or function as such) and are culturally diverse.

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dolan-formal-bw-photo

February 24, 2009

Siobhan M. Dolan, M.D., M.P.H.
Associate Professor of Clinical Obstetrics &  Gynecology and   Women’s Health
Department of Obstetrics &> Gynecology and Women’s Health
Albert Einstein College of Medicine / Montefiore Medical Center
“Direct to Consumer Genetic Testing: > Are We Ready?”

Genetics, the study of rare, highly penetrant gene mutations and the diseases they cause, is being supplemented with new information in genomics, the study of common genetic variation that influences risk for disease.  Interpreting the results of many genetic tests will require data from large scale epidemiological studies because the risk estimates for common genetic variants are small.  Despite these limitations, direct to consumer genetic testing is available today.  Is it currently promising more than it can deliver?  What is the added value of genetic information for health promotion and disease prevention?  What are the
implications of genetic testing information provided directly to consumers?  Dr. Dolan will explore these issues in her lecture.


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we-actx_logo1-300x243March 10, 2009
Jon Wallen & Kathy Anastos, MD
HIV in Rwanda: Women’s Equity in Access to Care and Treatment (WE-ACTx)

Women’s Equity in Access to Care and Treatment (WE-ACTx) is a US based international community-driven women’s treatment and health access initiative operating primarily in the East African nation of Rwanda. The initiative was launched in 2004 by US-based AIDS physicians, activists and researchers with extensive experience in providing and advocating for care and treatment for HIV positive women in the US and internationally.

For more information on this presention, please visit our posting about the session.

md_header_new2March 24, 2009
Martin Donohoe, MD
Department of Community Health, Portland State University
“Corporate control of public health: Case studies and call to action”

This talk will begin with a review of the depth and breadth of corporate influence over public health policy and practice.We will then discuss specific case studies, including:

  • The technology transfer agreement between corporate polluter GE and Columbia-NY Presbyterian Medical Center
  • Battling threats of litigation from a widely-referenced corporate front group over an article criticizing their stance on global warming
  • The role of corporations in promulgating sponsored environmental health curricula in public schools
  • Attempts by food biotech corporations to scuttle laws relating to genetically-modified crops, including biopharmed crops
  • The prison-industrial complex and deteriorating prison health care
  • The Bush administration’s attempt to scuttle the Global Tobacco Treaty

Martin Donohoe is Adjunct Associate Professor in the Department of Community Health at Portland State University and a hospitalist at Kaiser Permanente Sunnyside Hospital. He serves on the Board of Advisors of Oregon Physicians for Social Responsibility (PSR) and is Chief Scientific Advisor to Oregon PSR’s Campaign for Safe Foods.

He received his BS and MD from UCLA, completed internship and residency at Brigham and Women’s Hospital / Harvard Medical School, and was a Robert Wood Johnson Clinical Scholar at Stanford University. His career has included clinical practice in academic medical centers, community hospitals, and clinics for homeless and un/underinsured patients.

Martin has taught courses in medical humanities, social justice ethics, women’s health, and the history of medicine at UCLA, UCSF, Stanford, OHSU, Clark College, and Portland State. He has published articles and frequently lectures on public health and social justice, activism, and the medical humanities.Articles, slide shows, and other documents are available at http://www.publichealthandsocialjustice.org

For more information about this talk, please see our posting: Dr. Martin Donohoe: GE, NY-Presbyterian Hospital & the Hudson River Clean-up.

April 14, 2009
Dr. Paul Levin & Dr. Adele Oltman
The Impact of Trauma: Two Professionals Come to Terms with Personal Experiences of Trauma

Dr. Paul Levin, Department of Orthopedic Surgery, Montefiore Medical Center:  “The Experience of an Orthopaedic Traumatologist When the Trauma Hits Home”

On May 11, 2001 Dr. Levin’s eldest daughter Emily suffered multiple trauma and he was forced into the position of experiencing orthopedic trauma as a worried parent. Subsequently, he and Emily (now a medical student) have written about their experience in an effort to stimulate a discussion on the “human side of trauma.” The experience also caused Dr. Levin to rethink multiple aspects of trauma care

Adele Oltman, PhD, Author of Sacred Mission, Worldly Ambition: Black Christian Nationalism in the Age of Jim Crow (University of Georgia Press, 2008): “Things I Couldn’t See”

Dr. Oltman will read from a work in progress that recounts the harrowing experience in Harlem Hospital following a traumatic brain injury. In 2004 she was struck by a fire truck while crossing a street in NYC. Placing the experience in historical context — the relationship between academic medical centers and the public hospitals that was forged in 1961. Dr. Oltman explores what that means for the delivery of healthcare in communities like Harlem.

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storeApril 28, 2009

Feast or Famine: Building an Oasis in the Food Desert

This Social Medicine Rounds is part of a larger series organized by the Public Health Association of NewYork City (PHANYC).  See our previous posting: Feast and Famine: Obesity, Diabetes and Hunger in New York City
Speaking will be: Zena Nelson of the South Bronx Food Coop, Triada Stampas from the Food Bank for New York City, Joel Berg of the NYC Coalition Against Hunger, and Debi Lomax of the Bronx District Public Health Office
This will be a great opportunity to learn more about malnutrition (feast or famine) in the Bronx and the people who are working in our neighborhoods to change things.

This Rounds was the subject of a posting on May 13th which you read here.

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100-2376May 12, 2009
Dr. Victoria Gorski
Taking Small Steps Toward Crossing the Quality Chasm:
Family Medicine Residents Report on CQI Team Work

The ACGME requires residents to acquire competence in Practice-based Learning and Improvement and in Systems Based Practice.  Learning about and implementing Quality Improvement projects is an established method for demonstrating partial achievement of these competencies.  Two resident, faculty and staff teams at each of two practices, Montefiore’s Family Health Center and Williamsbridge Family Practice, will share the trials, tribulations and learning that participation in this kind of work can bring.

In the photograph Faculty supervisors Drs. Andrea Littleton and Nicole Kirchen are shown busy at work with their resident team, Drs. Arathi Karnik, Max Quintana, Liza Goldman-Huertas and Dana Schonberg.

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May 26, 2009 / June 2, 2009 / June 9, 2009:
Presentation of Social Medicine Projects,
3rd Floor Conference Room

For a complete listing of all social medicine projects, please see this link.

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June 23, 2009
Health is Justice:
Health Issues in the Bronx Cambodian Community
RPSM, 3rd floor conference Room
4:30-6PM
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July 14, 2009
Movie Night:
Screening of the Film “Men with Guns”
4:30-6PM

A powerful political allegory set in an unnamed Latin American country, Men With Guns concerns Dr. Fuentes (Federico Luppi), an elderly physician long involved with a group that trains young people to provide health care for the poverty-stricken citizens of the outlying hill country, where small agricultural communities struggle to survive under primitive living conditions. The doctor has heard rumors that many of his former students are lost and feared dead, so he goes into the hills to investigate. The deeper he digs into the jungle, the more Fuentes finds that the people are menaced by “men with guns'” — military forces who use torture and execution to intimidate the people, and guerillas from opposition groups whose agenda is only marginally more benign. Accumulating several travelling companions — a defrocked priest, a deserter from the Army, a boy who survives by stealing, and a woman who has turned mute since she was raped — Fuentes finds that his journey becomes more revealing but also more perilous the deeper he ventures into the hills. American writer and director John Sayles filmed most of Men With Guns in Spanish (an language he speaks fluently), as well as several indigenous dialects; he claims to have based most of the film’s incidents on actual events that have occurred in a number of different Third World nations. Mandy Patinkin has a brief role as an American tourist Fuentes encounters in his travels. ~ Mark Deming, All Movie Guide

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July 28, 2009
Pay for Performance:
Drs. Merle Cunningham & Rohit Bhalla
RPSM, 3rd floor conference Room
4:30-6PM

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August 11, 2009
Social Medicine Rounds in the Community:
Visit to the Morris Heights Women’s Health & Birthing Pavillion
70 Burnside Ave.
Bronx, NY 10453

For information  about this Social Medicine Rounds, please see Dr. Arati Karnik’s posting: Morris Heights Birthing Center: A Rare Gem.

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August 25, 2009
Film Screening
“All of Us”
directed by RPSM graduate Dr. Mehret Mandefro
RPSM, 3rd floor conference Room
4:30-6PM

To learn more about Dr. Mandefro, please visit her website: http://drmehretmandefro.com/

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September 8, 2009

“In Honor of Dr. George Tiller”
RPSM, 3rd floor conference Room
4:30-6PM

For information about this Social Medicine Rounds, please see our Posting: Honoring George Tiller by Improving Access to Reproductive Health Services

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Susan Mason teachingSeptember 22, 2009
“Community Health Care in Cuba”
Dr. Susan Mason and others.
RPSM, 3rd floor conference Room
4:30-6PM

On September 27th 2009, Dr. Joan Beder, Dr. Susan Mason, and Joyce Wong, CSW spoke at Social Medicine Rounds on Community Health Care in Cuba. Drs. Beder and Mason have recently published a book of the same title which we have reviewed on the Portal (see: New Book on the Cuban Health Care System). For more information on this Social Medicine Rounds, please consult our posting: Community health care in Cuba.


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October 38gofin13, 2009
“Community Oriented Primary Care (COPC): Narrowing the Gap Between Teaching & Practice.”
Dr. Jaime Gofin
RPSM, 3rd Floor Conference Conference Room
4:30-6PM

On 10/13/2009 Dr. Jaime Gofin came to Social Medicine Rounds to discuss the gap existing between the teaching and the practice of Community Oriented Primary Care (COPC).  His presentation was followed by a discussion during which three New York clinicians presented their current work in the community. Dr. Gofin then explored the relevance of  COPC to their specific projects.  For more information, see our posting Dr. Jaime Gofin on Community Oriented Primary Care (COPC).

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October 27, 2009
“Physician Advocacy & Health Care Reform.”
Dr. Aaron Fox & others
Cherkasky Auditorium
4:30-6PM
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November 10, 2009
Dr. Luis Barrios (John Jay College of Criminal Justice):
Beyond Gangs: Identities and Resistance.
3rd Floor Conference Conference Room
4:30-6PM
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November 17, 2009
Presentation of RPSM Orientation Project by Intern Class
RPSM 3rd Floor Conference Conference Room
4:30-6PM
December 8, 2009
Rep. Cindy Rosenwald, New Hampshire House of
Representatives, Chair of Health, Human Services and Elderly Affairs Committee: “Eavesdropping in the Exam Room”
RPSM 3rd Floor Conference Conference Room
4:30-6PM

Description:  Data Mining physicians’ prescriptions is big business for the drug industry.  Policy experts believe this marketing tactic is bad news for both patient safety and state budgets, and some states are taking legislative action to put an end to the undue influence of drug reps over physicians and patients.

To learn more about this rounds, please check our posting entitled: New Hampshire’s Law to Restrict Data Mining by Pharmaceutical Sales

December 22, 2009
NO SOCIAL MEDICINE ROUNDS
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