Annual Report for 2011-2012 - Case Western Reserve University ...

caring for Our COmmunity
Department of Family medicine and Community Health 2011-2012 Annual report

Department of Family medicine and Community Health 2011-2012 Annual report
table of contents
Message from the Chairman .............................................................................................................1
$25 Million commitment from Al and Celia Weatherhead ....................................................................2
Top Rankings ..................................................................................................................................4
Transforming Community Health .......................................................................................................5
OAFP Recognizes Dr. Masahiro Morikawa as Family Medicine Educator of the Year.................................6
Kurt Stange, MD, PhD — Curtis G. Hames Research Award in Family Medicine .....................................7
George Kikano, MD, Named a Crain’s Cleveland Healthcare Hero .........................................................8
Stephen Zyzanski, PhD: Recognizing More Than 30 Years of Mentorship and Research ...........................9
Marriage of the Art and the Science of Healing: Reflections on Thomas Muther Mettee, MD ..................10
Cleveland Magazine’s 2012 Best Doctors in America ® .......................................................................11
Urban Health Initiative Launches ....................................................................................................12
Research Progress .........................................................................................................................13
Training the Next Generation ..........................................................................................................14
Geriatric Medicine in the Community ...............................................................................................15
Extramural Research Funding 2011-2012 .......................................................................................16
Faculty Publications ......................................................................................................................19
Faculty Recognition & Community Outreach .....................................................................................21

Message from the chairman
George E. Kikano, mD
it is with great enthusiasm that i share with you the Annual report of the
Department of Family medicine and Community Health at Case Western
reserve university School of medicine and university Hospitals Case medical
Center. i am honored and privileged to serve as the department’s Chair over
the last decade and to share with you the department’s accomplishments
during the 2011-2012 academic year.
One of the most exciting events of the academic year was the $25 million
gift from the late Al Weatherhead and his wife, Celia, allowing us to establish
the Weatherhead institute of Family medicine and Community Health. the
institute will provide our medical students opportunities to understand the
challenges of providing health care in urban and underserved areas, and the
ability to transform community health in greater Cleveland and northeast Ohio.
We are fortunate to have a large number of physicians recognized as top Docs in the Cleveland area and
northeast Ohio. two of our physicians were specifically honored for their outstanding contributions in research
and teaching. Kurt Stange, mD, PhD received the Curtis G. Hames research Award in Family medicine from the
Society of teachers of Family medicine and masahiro morikawa, mD, mPH was selected as the Family Physician
Educator of the year by the Ohio Academy of Family Physicians.
in partnership with Care Alliance (a local federally-qualified health center), we received funding from the St. Luke’s
Foundation to expand the residency program to Care Alliance. With support from the mt. Sinai foundation, we are
able to offer a year-long series of health education topics to clients of the Hunger network of Greater Cleveland.
in its seventh year, our House Calls program is thriving and we are able to provide services in two underserved
urban communities, East Cleveland and the Slavic Village neighborhood.
the department continues its national reputation for excellence. U.S. News & World Report ranked the Department
of Family medicine and Community Health 12th and our Geriatrics Center 27th of best hospitals in the country.
these rankings honor the exceptional education, research and services that the department provides. Our niH
ranking among departments of Family medicine remains at 14.
Health care is at a time of great change nationally. Primary care, in particular, will be at the forefront of the
transformation of patient care, prevention, and health education. i am confident that the Department is well
positioned to not just contribute to the advances and changes in our health system, but to be a leader in this
transformation.
george Kikano, MD
Dorothy Jones Weatherhead Professor and Chairman
Department of Family Medicine and Community Health
Case Western Reserve University/University Hospitals Case Medical Center
Director, Weatherhead Institute of Family Medicine and Community Health
Vice Dean for Community Health
Case Western Reserve University School of Medicine
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
1

2
$25 Million Commitment to
school of Medicine from al and celia Weatherhead
it is a great honor to announce that
the Case Western reserve university
School of medicine received a $25
million commitment to launch an
initiative dedicated to transforming
community health in greater Cleveland
and, ultimately, around the world.
During the October 2011 public launch
of Forward thinking: the Campaign
for Case Western reserve university,
President Barbara r. Snyder shared
that the late Al Weatherhead and his
wife, Celia, agreed to pledge $50
million to support programs at the
Weatherhead School of management
and the School of medicine. the
casemed.case.edu/fammed
couple they wanted the funds
divided equally between the two
schools. With this pledge, the
School of medicine founded the
Weatherhead institute of Family
medicine and Community Health.
Al Weatherhead, a remarkably
successful Cleveland-area businessman
and generous philanthropist,
died September 20, at the age of 86.
His wife, Celia, accepted the university
medal on her husband’s behalf
during the gift announcement. Dr.
George Kikano, the Dorothy Jones
Weatherhead Professor of Family
medicine and Chair of the Department
of Family medicine (now known as
the Department of Family medicine
and Community Health), developed
the model for the institute and
serves as its first leader. the School
of medicine’s family medicine faculty
are among the nation’s best, and now
will be part of an ambitious new effort
to coordinate many outstanding community
initiatives into a comprehensive
whole – and in turn combine them with
innovative programs of education,
outreach, analytical research and
policy advocacy.

the late Al Weatherhead and his wife, Celia
the institute will build upon already
robust academic programs that
provide our medical students
opportunities to understand the
unique challenges of providing health
care in urban areas. the new institute
will also engage faculty already active
in research on the large-scale impact
of local interventions to address
childhood hypertension, youth obesity,
diabetes and other chronic diseases.
The institute’s ultimate goals are
to develop:
– new generations of true physicianleaders
actively engaged in direct
care and rigorous research;
– extensive studies rooted in sophisticated
analysis of huge streams of
community health data; and
– advocacy initiatives that draw on
the institute’s programs to support
health policy reforms that enhance
patient outcomes even as they
reduce overall costs.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
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4
U.S. News & World Report
top Medical schools
specialty – family Medicine
1 university of Washington Seattle, WA
2 university of north Carolina – Chapel Hill
Chapel Hill, nC
3 university of California – San Francisco
San Francisco, CA
3 university of Colorado–Denver Aurora, CO
5 Oregon Health and Science university Portland, Or
5 university of new mexico Albuquerque, nm
7 university of michigan – Ann Arbor Ann Arbor, mi
7 university of missouri Columbia, mO
9 university of Wisconsin – madison madison, Wi
10 university of minnesota minneapolis, mn
11 Duke university (nC) Durham, nC
12 Case Western reserve university Cleveland, OH
12 West Virginia School of Osteopathic medicine
Lewisburg, WV
14 university of Arizona tucson, AZ
14 university of California, Davis Sacramento, CA
16 East Carolina university (Brody) Greenville, SC
16 university of California, San Diego La Jolla, CA
16 university of iowa (Carver) iowa City, iA
16 university of Kansas medical Center Kansas City, KS
16 university of north texas Health Science Center
Fort Worth, tX
16 university of South Dakota (Sanford) Sioux Falls, SD
casemed.case.edu/fammed
top twenty
niH-funded
Departments
of family Medicine
1 university of California –
San Diego
2 Wake Forest university
Health Sciences
3 university of new mexico
4 Wayne State university
5 university of michigan
at Ann Arbor
6 university of California –
Los Angeles
7 Dartmouth College
8 university of minnesota –
twin Cities
9 university of massachusetts –
medical School Worcester
10 Albert Einstein
College of medicine of
yeshiva university
11 university of California –
San Francisco
12 university of Kansas
medical Center
13 State university of
new york at Buffalo
14 case Western
reserve University
15 university of South Florida
16 university of rochester
17 university of Pennsylvania
18 university of north Carolina –
Chapel Hill
19 Oregon Health and
Science university
20 university of Arizona

transforMing
Case Western reserve university
School of medicine now has an
inclusive home for dozens of
initiatives dedicated to improving
community health, from its Studentrun
Free Clinic to population-based
research programs that increase
access to healthy foods in urban
neighborhoods.
the Weatherhead institute for Family
medicine and Community Health
– established with a $25-million
commitment from the Weatherhead
Foundation – will lead School
of medicine efforts to improve
health in Cleveland, northeast
Ohio and around the world.
George Kikano, mD, the Dorothy
Jones Weatherhead Professor
and Chair of Family medicine and
Community Health at the School
of medicine and university
Hospitals, serves as the
institute’s inaugural director.
Community Health
“the potential of this institute
to advance our understanding of
community health is extraordinary,”
says School of medicine Pamela
B. Davis, mD, PhD. “We are
deeply grateful to Albert and
Celia Weatherhead, and absolutely
dedicated to realizing their great
hopes for this effort.”
the health disparities between
Cleveland’s urban residents and
their suburban neighbors are
striking. twenty six percent of
city-dwellers lack health coverage,
compared with 13 percent countywide,
according to Center for
Disease Control and Prevention
statistics. Obesity rates are also
higher among urban residents, as
are rates of many chronic diseases.
the institute will help the university
maximize the impact of its current
initiatives and expand its program
offerings to address these issues
through direct community outreach,
population health research and
medical education.
“this institute will enable us
to draw more students into
primary care, prepare them
to serve as leaders of their
organizations and community
advocates, and, at the same
time, support communitybased
research programs
and gather the data necessary
to affect policy changes
that help populations and
communities,” Kikano says.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
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6
oafP recognizes Dr. Masahiro Morikawa as
family Medicine educator of the Year
Dr. masahiro morikawa received the 2011 Family medicine Educator of
the year Award from the Ohio Academy of Family Physicians.
Dr. morikawa has been practicing
family medicine for 24 years
with areas of interest that include:
in-patient management, global
health, bedside education and
primary care in post-conflict
communities. He serves many
roles at university Hospitals Case
medical Center, including Course
Director for the annual internal
track workshop, Director for
inpatient Service and Director
of the Global Health track.
As director of the Global Health
track for the residency program,
Dr. morikawa developed an
integrated global health curriculum
including a yearly two-week
workshop on global health, and
recurrent journal clubs. Dr. morikawa
casemed.case.edu/fammed
is also responsible for creating a
600-plus page global health
handbook entitled international
Health Handbook: Guidebook to
Family medicine international
Health track that contains core
content, key resources and
bibliographic material.
Among other factors, Dr. morikawa
was chosen for his experience and
expertise abroad. He has traveled
to Afghanistan, Vietnam, Guatemala,
nepal, Honduras and Balkan
training and sharing his knowledge
and skills with family physicians
and health care workers.
“Dr. morikawa is an inspirational
leader in that he not only talks the
talk, he walks the walk. He is not
only a strong educator and clinician,
but he is a visionary leader in the
education of learners in family
medicine. His creativity, productivity
and excellence in teaching learners
of all levels is commendable, but his
selfless commitment to the health
and well-being of others makes him
a role model for students, residents
and fellow faculty,” said George
Kikano, mD, nominator and chair of
the Department of Family medicine
and Community Health at Case
Western reserve university and
university Hospitals Case
medical Center.
According to one of Dr. morikawa’s
students, his philosophy on patient
care and commitment to best
clinical outcomes is the reason
why people truly trust him with
their health and families.
“i have yet to meet another
clinician in my years of both
general surgery and family medicine
residency who makes rounds
every day without fail at 3 a.m.;
actually hand feeds patients; makes
each and every day, each and every
patient a learning experience; finds
the time to mentor residents both
in and out of his department, and
continues to do this day in day out
without fail for more than ten
years,” explained Dr. Kerry Lecky,
a past resident of Dr. morikawa.
not only has Dr. morikawa had
an impact overseas sharing his
knowledge to the world, he has
been a role model for his students
and residents in Ohio.
“Whether we had 30 seconds or
an hour, he taught,” explained
Dr. Hisam Goueli, a past student
of Dr. morikawa. “He expanded
my knowledge and challenged
my understanding of medical
concepts every time.”

Kurt stange, MD, PhD —
curtis g. Hames research award in family Medicine
the Curtis G. Hames research
Award in Family medicine honors
those individuals whose careers
over the years exemplify dedication
to research in family medicine. in
2012, the prestigious award went
to Kurt Stange, mD, PhD, a family
physician and epidemiologist with
an active clinical practice at university
Hospitals Case medical Center.
At Case Western reserve university
School of medicine, he is the
Gertrude Donnelly Hess, mD,
Professor of Oncology research,
and professor of family medicine,
epidemiology and biostatistics,
oncology, and sociology. Dr. Stange
is an American Cancer Society clinical
research professor.
He serves as editor for the peerreviewed,
indexed, primary care
research journal, the Annals of
Family medicine, and directs the
multi-site Center for research in
Family Practice and Primary Care,
one of three research centers
funded by the American Academy
of Family Physicians. Dr. Stange is
actively engaged in ongoing basic
and applied research that aims to
2012 Society of
teachers of Family medicine
Honors Kurt stange, MD, PhD,
with Curtis G. Hames research
Award in Family medicine
understand the core structures and
processes of primary care practice
and their effect on preventive
service delivery and patient
outcomes, and to discover new
methods of enhancing the comprehensive,
integrative, and relationship-centered
generalist approach
to patient care.
He also is a past president of the
north American Primary Care
research Group and is a member
of the institute of medicine of the
national Academy of Sciences.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
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george Kikano, MD,
named a crain’s cleveland Healthcare Hero
Each year, Crain’s Cleveland
recognizes dedicated professionals
of northeast Ohio’s medical and
wellness communities for the
difference they make in the region,
economy and in the quality of
everyday lives. in may 2012,
George E. Kikano, mD, was named
a physician hero. He has served
patients for more than two decades
while championing research
and programs that create ways to
provide better patient care at less
expense and has worked to attract
more students to the family
medicine profession.
in October 2011, George E. Kikano,
mD, became Case Western reserve
university School of medicine’s first
Vice Dean for Community Health.
in this role, Dr. Kikano is charged
with leading the school’s new
Weatherhead institute for Family
medicine and Community Health,
which is being established through
the generosity of Celia and the late
Al Weatherhead. Dr. Kikano also
serves as the Dorothy Jones
Weatherhead Professor at Case
Western reserve university and
Chairman of the Department of
Family medicine and Community
Health at Case Western reserve
university School of medicine
and university Hospitals Case
medical Center.
From the start, Dr. Kikano strived
to inspire students to see the great
opportunities in community health,
casemed.case.edu/fammed
to create models that enable
homebound patients to receive the
treatments that prevent hospitalizations,
to persuade policymakers
that common-sense reforms
benefit those in need and the
economic bottom line.
in a decade as Chair of the Department
of Family medicine (now the
Department of Family medicine
and Community Health), Dr. Kikano
maintained existing strengths and
added new layers of distinction.
today the department ranks 12th in
rankings from U.S. News & World
Report and 14th in overall funding
from the national institutes of
Health. its faculty constantly seek
new opportunities to prepare medical
students and residents to serve
vulnerable populations and identify
the most effective ways to better
patient and community results.
With the new Weatherhead
institute, Dr. Kikano and his
colleagues expand their work to
involve faculty across the school and
university. Among the programs
under the institute’s umbrella are
the urban Health initiative, the
Photo credit: Chris Pappas
Prevention research Center for
Healthy neighborhoods, education
initiatives focused on training
primary care physicians and
epidemiology/biostatistics-based
research programs.
One flagship program led by
Dr. Kikano is the “House Calls”
program, an effort from the
Department of Family medicine
and Community Health to maintain
elders’ health so that they may
remain in their own homes, rather
than being placed in nursing home
facilities. Dr. Kikano has also
overseen the development of an
urban medicine track within the
medical school curriculum to
specifically engage students to
provide family medicine or primary
care in urban environments.
Since 2002, Dr. Kikano has been
annually recognized as one of the
Best Doctors in America; as one of
northeast Ohio’s top Docs in northern
Ohio Live magazine and Cleveland
magazine; and has received many
other teaching awards and honors.

stephen Zyzanski, PhD: recognizing More than
30 Years of Mentorship and research
June 1 and 2, 2012, the Department of Family medicine and Community
Health hosted a scientific symposium to honor Stephen Zyzanski, PhD,
who will be transitioning to Emeritus Professor in the Fall of 2012.
Dr. Zyzanski is one of family
medicine’s most productive
researchers nationally. throughout
his long and distinguished career,
he has contributed significantly to
published literature on a host of
important subjects, including
behavioral risk factors and coronary
artery disease, community-oriented
primary care, family systems
health issues, mental health and
substance abuse in primary care
and clinical preventive services.
Dr. Zyzanski joined the
Department of Family medicine
in 1979. He served as the Director
of research in the Department
until 2008. Dr. Zyzanski’s work,
along with that of his colleagues,
led to Case Western reserve
university School of medicine
developing its widely recognized
reputation as one of the premier
Family medicine research groups
in the country. Due to his reputation
as a world-class mentor and
methodologist, fellows have
continued to seek out Dr. Zyzanski
for research training. many fellowship
graduates are now prominent
family medicine researchers,
academics and leaders around
the country.
Steve’s unwavering optimism
and enthusiasm for answering
important research questions
illuminates conversations about
research aims and analyses. the
excitement and positive energy
during consultations with Steve
help to revitalize the fun of doing
research, contributing to discovery
and propelling novice and experienced
researchers down the path
of inquiry. Colleagues and students
confer that he is one of the most
humble and gracious human
beings one is likely to encounter.
Dr. Steve Zyzanski’s research and
educational contributions to Family
medicine are substantial and
enduring, and he continues to
contribute significantly to the
science of the discipline.
We thank Dr. Zyzanski for his many
contributions and wish him well
as he transitions to his role as
emeritus professor.
“Steve’s legacy is twofold.
He has made extraordinary
contributions to our knowledge,
our methods, and our
approach to problems. His
contributions to our field are
gigantic. But far more important
than that, he has brought
a tone of kindness, a posture
of generosity, a filter of
improvement that encourages
us and emboldens us and
shores us up for the
next round.”
— Frank deGruy, mD mSFm,
Woodward Chisholm Professor
and Chair, university of Colorado,
Scientific Symposium Keynote Speaker
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
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Marriage of the art and the science of Healing
reflections on thomas muther mettee, mD
may 23, 1941 – February 16, 2012
the human-to-human relationship
between the healer and the patient
is deemed paramount in seeking
to cure, relieve and comfort. Dr.
thomas mettee’s career speaks
to this very issue. tom made a
concerted effort every day to
share his vast practical skills and
knowledge, while imparting
wisdom gleaned from the ages.
tom represented the essence
of a physician, friend, role model
and teacher.
tom joined the newly established
Western reserve university
Department of Family medicine
in 1978. Shortly thereafter, he
founded Chesterland Family
Practice in Geauga County.
casemed.case.edu/fammed
tom served as a clinical faculty
member of the Department of
Family medicine and, throughout
his 40 year career, hosted
hundreds of students from
Case Western reserve university,
university Hospitals Health
System and locations around
the country in his active, rural
medical office.
tom took great pride in the
specialty of family medicine
for its vital role in people’s lives
and their communities. tom
emphasized “patient-centeredcare”
through focused team
work, and synergistic collaboration
among doctors, staff, nurses,
patients, families and caregivers.
tom mentored students because
he cared deeply about educating
the physicians of tomorrow. His
intellect, compassion and ever
caring manner, with his diverse
patient clientele, especially the
homebound, influenced many.
125,000 office visits, 12,000
home visits, 11,000 hospital visits,
25,000 phone consults, thousands
of teaching hours and countless
hours of care: tom truly believed
and lived the Hippocratic Oath.
tom’s ability to understand other’s
feelings was unsurpassed. His
endless knowledge, his touch of
reassurance, his soothing words of
comfort and always a bit of humor
were amazing qualities he applied
to illness and suffering. this made
him extraordinary. He was truly a
master of his trade. He was often
heard saying, “in my opinion, the
only way you learn medicine is at
the elbow of a mentor.”
tom was the first recipient of the
Case Western reserve School of
medicine’s mettee Educational
Award, honoring doctors who
demonstrate a passion for medicine.
An endowment fund is also
being created to sustain the
thomas muther mettee Annual
Lectureship in Family medicine,
an educational venue for students
from the Schools of medicine,
nursing and Social Sciences.
We will all, each one of us, pass
on a more tender kindness and
compassion because we have
been graced by his knowledge,
wisdom, care and values. When his
students would say, “Doc, you are
amazing, and i will never forget this
time with you.” His response was
always, “you’d better not!” And
we will not either.
Contributed by Bill Ginn and Kristi Burr,
with excerpts from a eulogy by
Mary Hogan, RN

cleveland Magazine’s 2012 best Doctors in america ®
to the uH doctors who live our mission every day:
thank you
and congratulations
family Medicine
Dr. Louise S. Acheson
uH Case medical Center
Department of Family medicine
Dr. Alan S. Cadesky
uH Case medical Center
Department of Family medicine
Dr. Jason Chao
uH Case medical Center
Department of Family medicine
Dr. Peter A. DeGolia
university Hospitals
medical House Calls Program
Dr. David J. Dulle
Sharon Family Physicians
Dr. Patricia Kellner
university Hospitals
Eastside Family medicine
Dr. George Kikano
uH Case medical Center
Department of Family medicine
Dr. Beth McLaughlin
uH Case medical Center
Department of Family medicine
Dr. Lynda G. Montgomery
uH Case medical Center
Department of Family medicine
Dr. Patricia H. Moore
uH Case medical Center
Department of Family medicine
Dr. Masahiro Morikawa
uH Case medical Center
Department of Family medicine
Dr. Michael P. Rowane
university Hospitals
richmondmedical Center
it’s because of the record number of uH doctors
named to this year’s Best Doctors in America ® list
and our entire community of physicians, nurses,
and staff – that we’re able to provide our patients
and our community with the most advanced
personalized care.
Dr. Charles Kent Smith
uH Case medical Center
Department of Family medicine
Dr. Robert B. Truax
uH Case medical Center
Department of Family medicine
Dr. Judith K. Waters
Family medicineCenter
of Strongsville
Dr. Larry J. Witmer
uH twinsburg Health Center
Dr. Todd Michael Zeiger
Sharon Family Physicians
Dr. Brian D. Zelis
Family medicine Center
of Strongsville
Department of Family medicine
Dr. Cynthia B.R. Zelis
Family medicine Center
of Strongsville
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
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Urban Health inititative launches
in June, 2011 Pamela Davis, mD,
PhD, Dean of School of medicine
and Vice President for medical
Affairs, established the urban
Health initiative (uHi). uHi aims to
improve the health of Cleveland
area residents by leveraging the
institution’s research, education and
service resources. By increasing
attention to the social and environmental
factors that affect the ability
of residents to lead healthy lives,
seek and obtain health care, and
manage their illnesses, uHi focuses
on issues that can improve health
of the area population and engage
more residents in the process.
Urban Health Pilot Award January 2012:
casemed.case.edu/fammed
through establishing more and
stronger partnerships among
faculty, staff and students across
the university; and with area
government organizations, health
care institutions, and community
partners, we seek greater and
measureable community benefit.
Amy Sheon, PhD, mPH was
recruited to serve as Executive
Director. With an adjunct appointment
in the Department of Family
medicine, Sheon brings two
decades of experience addressing
urban health issues including HiV
prevention at the national institutes
of Health, establishing multidisci-
plinary health research centers at
the university of michigan, and
developing an obesity surveillance
system for the State of michigan.
in its first year, the uHi has defined
a mission and core strategies for
better leveraging the research,
health profession education, and
service assets of the university
and its clinical affiliates. the
program’s website and listserve
(http://urbanhealth.case.edu) help
to publicize activities and connect
students, faculty and community
programs. in the works is a searchable
inventory of partnerships
between the university and the
community to enable students
and trainees to find opportunities
of interest for clinical training or
research projects. in partnership
with the Clinical and translational
Science Consortium, uHi offered a
competition for urban health pilot
grants. One of the three awardees
is in the Department of Family
medicine and Community Health.
Dr. Lynda Montgomery, Department of Family Medicine and Community Health, “Learning Leadership through
Community Engagement: the Improve Children’s Health Access Project”
the national Coordinator of youth leadership and Development for the Children’s Defense Fund will connect teams
of 1st and 2nd year medical students with neighborhood organizations where they will gain first-hand understanding
of barriers children face in seeking health care and living healthy lives. the program will increase medical students’
awareness of the need for health care in underserved urban areas. Such experiences have been shown to increase
the likelihood that medical students will continue their work with underserved populations after graduation.

esearch Progress
researcH
Division
the research division continues to grow and mature.
Our primary goals are to improve the health of
individuals, practices and local communities. this is
accomplished by conducting research that spans from
basic science to intervention development and implementation
science. Focal areas include research to
improve physician-patient communication, facilitating
practice engagement and change, raising awareness
of individual risk to prompt change / action, developing
web-based tools for family history, and conducting
cancer epidemiology to understand how genetics,
the environment and health behaviors change the
likelihood of getting cancer.
the eleven faculty members in the research Division
had a strong year in terms of grant applications, grants
awarded, and peer reviewed publications. those in the
division submitted 31 grant applications during the
2011-2012 academic year. ten new research grants
were funded during this period, and many of the
proposals are still pending. there are 43 ongoing
grants in the division, including investigator initiated
research, research training grants and grants for
program leadership. Of the 43 funded grants, 25
involve a family medicine faculty member as the
principal investigator.
Funded training programs include a post-doctoral
research training program in Computational Genomic
Epidemiology of Cancer, co-directed by Li Li, mD, PhD.
James Werner, PhD, is leading a HrSA-funded training
program to expand and improve faculty skills in
behavioral medicine. Other faculty highlights during
the past academic year include an editorial published
in JAmA by Louise Acheson, mD, mS on the value of
family history for cancer prevention, and an article by
Cheryl thompson, PhD. in Cancer about short duration
of sleep and the increased risk of colorectal adenoma.
Our department continues as the editorial home of the
Annals of Family medicine. Kurt Stange, mD, PhD is
editor, and Stephen Zyzanski, PhD and Dr. Acheson
serve as associate editors.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
13

14
training the next generation
eDUcational
Division
the Educational Division of the Department of
Family medicine and Community Health has had
another successful year. the two areas within the
Division, Predoctoral Education and residency
Education, each presented programming and projects
that culminated in the graduation of strong future
family medicine physicians.
Predoctoral Education was awarded a training in Primary
Care grant from Health resources and Services
Administration. the goal is to prepare students to care
for underserved populations in urban settings. the
Predoctoral Education faculty implemented its summer
fellows program, Leadership and Advocacy in urban
and Community Health (LAunCH). medical and
pharmacy students worked together in implementing
a needs assessment with Harbor Light, a facility in
downtown Cleveland that provides services to the
most disenfranchised members of society, including
homeless men, women and children, those with
substance abuse issues, and those making the
transition from the penal system back to society.
Additionally, the Family medicine interest Group held
many popular sessions for the entire student body,
including “Strolling through the match,” affording a
career in primary care, and clinical skills workshops.
With over 15 years of service to the department,
Al Cadesky, mD, the residency Director, decided to
accept a position in a group practice in Cleveland.
Wanda Cruz-Knight, mD, has assumed the position
of Program Director of the residency Program.
casemed.case.edu/fammed
replacing Dr. navracruz as the Associate Program
Director is rasai Ernst, mD, a graduate of our program
and fellowship trained in academic medicine. Sonja
Harris-Haywood, mD, mS, assumed the role of Director
of Predoctoral Education. this new leadership team
promises to take our educational programs to even
greater heights.
Lisa navracruz, mD, assumed the directorship of our
efforts to expand our residency training program to
Care Alliance, a Federally Qualified Health Center
(FQHC) that provides primary medical care, dental
care and supportive services to individuals living in
extreme poverty in Cleveland, Ohio. this project is
supported by a generous grant from the St. Luke’s
Foundation. During the 2012-2013, the residency
program will be recruiting two individuals who see
continuity patients in the Care Alliance Clinic. Additionally,
the Preventive medicine residency program,
directed by Kurt Stange, mD, PhD, continued to
thrive. this program combines classroom and experiential
learning in Preventive medicine and engages
both the County Board of Health and the Cleveland
Health Department as key collaborators in training.
interweaving this training with the Family medicine
and Community Health residency program results in a
4 year program and dual board eligibility. the Preventive
medicine residency program has been highly
successful and the first graduate, Johnie rose, mD,
PhD, joined the Department faculty in 2011.

geriatric Medicine in the community
the Center is a collaborative effort
between the Department of Family
medicine and Community Health,
the Department of medicine, and
the Department of internal medicine.
it encompasses geriatric
medicine and palliative care
services at university Hospitals
and is responsible for the education
and training of CaseWestern
reserve health professional
students and university Hospitals
residents in the fields of geriatric
medicine and palliative care.
this year, we witnessed the
continued growth of the uH/Case
House Calls program (which now
provides home-based medical
care to over 400 older patients),
the mcGregor PACE program
(a medical home for frail elders
and people with chronic diseases
who are eligible for nursing home
placement but live in the commu-
the university Hospitals Center for Geriatric medicine is a national
leader in clinical services for older adults who are frail or have chronic
diseases. Again this year, uH was ranked by US News and World
Report as one of the top 30 geriatric medicine programs in the
country. the Center for Geriatric medicine is led by Peter
DeGolia, mD, CmD, the Jack H. medalie Endowed
Professor in Home-Centered Health Care at the
Case Western reserve School of medicine, and
Director of the Center, and Lori Lozier, LiSW,
LnHA, CHPCA, Director of Post Acute Services,
Geriatric medicine, and Palliative Care.
nity), and the uHCmC Palliative
Care Consultation Service (which
encountered over 700 new palliative
care consults this past year,
in an interdisciplinary team of
physicians, nurses, and support
professionals). We opened a new
outpatient geriatric medicine
service at the uH Otis moss
Health Center in Cleveland’s Fairfax
neighborhood. in addition, the
mcGregor PACE program became
a training site for students and
residents to learn the new model
of care provided in a medical home
setting. this year, the Center staff
began to work with uH richmond
Family medicine and internal
medicine programs to provide
education and training in geriatric
medicine and palliative care. Also,
university Foley ElderHealth Center
serves a frail older population
experiencing geriatric syndromes
such as dementia, polypharmacy,
depression, and falls.
the center sponsored two key
symposia on the care of older
hospitalized adults. they highlighted
the center’s work in promoting
and expanding the niCHE program
(nurses improving Care for Healthsystem
Elders) throughout the
university Hospitals system. in
fact, through the leadership of
Catherine roscoe-Herbert, DnP,
this program was a national leader
in staff development. Our symposium
on palliative care emphasized
the growing movement toward
developing programs that address
suffering of acutely ill and terminal
hospitalized patients as well as
those who care for them.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
15

16
extramural research funding 2011-2012
Using Illness Visits to Provide
Health Behavior Advice
Principal investigator:
Susan Flocke, PhD
Source of Support:
national Cancer institute
Dates: 07/01/09 – 05/31/14
total Direct Costs: $1,582,346
Behavioral Measurement Core Facility
Principal investigator:
Susan Flocke, PhD
Source of Support:
national Cancer institute
Dates: 01/01/00 – 03/31/13
total Direct Costs: $51,083
Clinical Translational Science Award
(CTSA) – Communication Pilot
Principal investigator:
Susan Flocke, PhD
Source of Support:
Center for Clinical investigation,
Case Comprehensive Cancer Center
Dates: 07/01/11 – 06/30/12
total Direct Costs: $29,977
Cancer Research Center (CRC) –
Practice-Based Research Network
Core Facility
Principal investigator:
James Werner, PhD
Source of Support:
national Cancer institute
Dates: 04/01/11 – 03/31/13
total Direct Costs: $53,632
Enhancing Residency Training
in the Care of Medically
Vulnerable Populations
Principal investigator:
Lynda Montgomery, MD
Source of Support:
HrSA – Bureau of Health Professions
Dates: 07/01/08 – 12/31/11
total Direct Costs: $675,815
Appraisal and Diagnostic Delay
in Colon Cancer
Principal investigator:
Sonja Harris-Haywood, MD
Source of Support:
Virginia Commonwealth university
Date: 08/01/08 – 05/31/12
total Direct Costs: $155,266
casemed.case.edu/fammed
Appraisal Delay and Disparities in
Timely Cancer Diagnosis
Principal investigator:
Sonja Harris-Haywood, MD
Source of Support:
Virginia Commonwealth university
Date: 08/01/08 – 07/31/11
total Direct Costs: $60,459
Understanding Oncologist-Patient
Communication
Principal investigator:
Mary Step, PhD
Source of Support:
American Cancer Society
Dates: 01/01/10 – 12/31/14
total Direct Costs: $403,772
Academic Administrative Units
in Primary Care
Project Director:
George Kikano, MD
Co-investigators:
Stephen Zyzanski, PhD, Kurt Stange,
MD, PhD, Lynda Montgomery, MD
Source of Support:
HrSA – Bureau of Health Professions
Dates: 09/01/05 – 07/31/12
total Direct Costs: $1,270,153
Practice-Based Research Network
Cancer Control Training-R25
Principal investigator:
Kurt Stange, MD, PhD
Co-investigator:
James Werner, PhD
Source of Support:
national Cancer institute
Dates: 09/28/05 – 08/31/11
total Direct Costs: $1,998,624
Cancer Control through Primary
Care Practice Transformation
and Partnership
Principal investigator:
Kurt Stange, MD, PhD
Source of Support:
American Cancer Society
Dates: 07/01/07 – 06/30/12
total Direct Costs: $400,000
Proposal for a Northeast Ohio Learning
Collaborative to Support American
Board of Family Medicine Diplomates
in Meeting Performance Requirements
Principal investigator:
Kurt Stange, MD, PhD
Source of Support:
the American Board of Family medicine
Dates: 07/01/10 – 06/30/12
total Direct Costs: $149,997
Clinical Translational Science
Award (CTSA) – Practice Based
Research Network
Principal investigator:
Pam Davis, MD
Co-investigator:
James Werner, PhD
Source of Support:
Clinical and translational research
Dates: 06/01/11 – 05/31/12
total Direct Costs: $323,275
Genetic Variants in the P13K Pathway
in Mammographic Density
Principal investigator:
Cheryl Thompson, PhD
Source of Support:
niH-national Cancer institute
Dates: 09/15/09 – 07/31/14
total Direct Costs: $347,667
Genetic Epidemiology of Insulin
Resistance Pathway Factors and
Colon Cancer
Project Principal investigator:
Li Li, MD, PhD
Source of Support:
national Cancer institute
Dates: 09/01/09 – 08/31/12
total Direct Costs: $60,000
Obesity-Related Insulin Resistance
Signaling Pathway Factors and
Colon Cancer
Project Principal investigator:
Li Li, MD, PhD
Source of Support:
national Cancer institute
Dates: 09/01/09 – 07/31/14
total Direct Costs: $637,361

Case Center for Transdisciplinary
Research on Energetics and
Cancer (TREC)
Principal investigator:
Nathan Berger, MD
Project ii Principal investigator:
Li Li, MD, PhD
Source of Support:
national Cancer institute
Dates: 09/01/09 – 08/31/13
total Direct Costs: $93,301
Primary Care to Prevent Heart Disease
Project Director:
George Kikano, MD
Source of Support:
HHS – Health & Human Services
Dates: 09/30/10 – 12/30/11
total Direct Costs: $404,535
Expansion of Medical House Calls
Program to Slavic Village
Principal investigators:
George Kikano, MD, Peter DeGolia, MD
Source of Support:
third Federal Foundation
Dates: 04/13/09 – 04/12/14
total Direct Costs: $1,000,000
Community Based Family Physicians
Training Grant
Principal investigator:
George Kikano, MD
Source of Support:
St. Luke’s Foundation
Dates: 10/15/11 – 10/14/14
total Direct Costs: $1,036,259
New Faculty Development Award
Principal investigator:
Lyla Blake-Gumbs, MD
Source of Support:
university Hospitals Case medical Center
Dates: 7/01/09 – 06/30/12
total Direct Costs: $75,000
Geriatric and Transitional Care Program
Principal investigator:
Peter DeGolia, MD
Source of Support:
mcGregor Foundation
Dates: 11/18/09 – 10/31/11
total Direct Costs: $51,000
Strengthening the Behavioral
Health Training Skills of Family
Medicine Faculty
Principal investigator:
James Werner, PhD
Source of Support:
HrSA – Bureau of Health Professions
Dates: 09/01/10 – 06/30/15
total Direct Costs: $373,183
Integrating Trajectory of Change
in Mammographic Density into
Risk Prediction
Principal investigator:
Li Li, MD
Source of Support:
national institute of Health
Dates: 01/01/11 – 12/31/12
total Direct Costs: $95,000
Aging and Cancer Pilot
Principal investigator:
Cheryl Thompson, PhD
Source of Support:
Case Comprehensive Cancer Center
Dates: 10/01/10 – 08/31/12
total Direct Costs: $25,000
Cancer Research Career Development
– Biorepository in Lung Cancer Risk,
Detection and Prognosis
Principal investigator:
Cheryl Thompson, PhD
Source of Support:
Case Comprehensive Cancer Center
Dates: 04/01/10 – 03/31/13
total Direct Costs: $20,000
Intergovernmental Personnel Act
Mobility Program (NCI – IPA)
Principal investigator:
Kurt Stange, MD, PhD
Source of Support:
niH nCi – national Cancer institute
Dates: 06/01/11 – 05/31/12
total Direct Costs: $238,103
Validation and Comparison of
Biomarkers for the Early Detection
of Colorectal Adenocarcinoma
Principal investigator:
Li Li, MD, PhD
Source of Support:
university of michigan
Dates: 07/01/10 – 06/30/12
total Direct Costs: $20,561
Promoting Healthcare Across
Boundaries (PHAB)
Principal investigator:
Kurt Stange, MD, PhD
Source of Support:
Case Western reserve university
Dates: 07/01/11 – 06/30/12
total Direct Costs: $50,000
Open Health Source Risk – UH
Principal investigator:
James Werner, PhD
Source of Support: Agency for
Healthcare research and Quality
Dates: 09/30/11 – 07/31/12
total Direct Costs: $12,470
SPRINT Senior ARRA – UHMP FM
Principal investigator:
Peter DeGolia, MD
Source of Support: niH – national
Heart, Lung & Blood institute
Dates: 09/24/10 – 09/23/12
total Direct Costs: $222,009
Impact of the Gold Foundation HETA
Award on Recipients
Principal investigator:
Kathy Cole-Kelly, MD
Source of Support:
Arnold P. Gold Foundation
Dates: 04/01/12 – 01/31/13
total Direct Costs: $5,000
Predoctoral Training Grant in Family
Medicine: Care of Medically Vulnerable
Population Within a House Calls
Program for the Elderly and Disabled
Principal investigator:
Wanda Cruz-Knight, MD
Source of Support: Health resources
and Services Administration
Dates: 09/30/11 – 09/29/16
total Direct Costs: $898,434
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
17

18
extramural research funding 2011-2012 (continued)
Health Care Partners in Cancer
Prevention and Care of the Aged
Principal investigator:
Eva Kahana, PhD
Co-investigator:
Kurt Stange, MD, PhD
Source of Support:
national Cancer institute
Dates: 03/01/11 – 12/31/15
total Direct Costs: $998,139
Insulin/IGF-1 Pathway in
Barrett’s Esophagus
Principal investigator:
Amitabh Chak, MD
Co-investigator:
Li Li, MD, PhD
Source of Support:
national Cancer institute
Dates: 07/21/08 – 06/30/12
total Direct Costs: $6,936
Training in Computational Genomic
Epidemiology of Cancer
Principal investigator:
Robert Elston, PhD
Co-Director:
Li Li, MD, PhD
Source of Support:
national Cancer institute
Dates: 09/24/07 – 07/31/12
total Direct Costs: $4,436,833
CWRU Prevention Research Center
for Healthy Neighborhoods
Principal investigator:
Elaine Borawski, PhD
Co-investigator:
Susan Flocke, PhD
Source of Support:
Center for Disease Control
Dates: 09/30/09 – 09/29/14
total Direct Costs: $1,377,430
casemed.case.edu/fammed
National Children’s Study,
Cuyahoga County
Principal investigator:
Dorr Dearborn, MD
Co-investigator:
Kurt Stange, MD, PhD
Source of Support:
HHS – Health & Human Services
Dates: 09/26/08 – 09/25/13
total Direct Costs: $1,682,662
Center of Excellence in Child
Healthcare: A University-Practice-
Public Partnership
Principal investigator:
Leona Cuttler, MD
Co-investigators:
Kurt Stange, MD, PhD,
James Werner, PhD
Source of Support: Cuyahoga County
Board of Commissioners
Dates: 10/01/09 – 06/30/12
total Direct Costs: $1,044,024
Interprofessional Learning Exchange
& Development Center (I-LEAD)
Principal investigator:
Terry Wolpaw, MD
Co-investigator:
Kathy Cole-Kelly, MD
Source of Support:
macy Foundation
Dates: 07/01/10 – 06/30/14
total Direct Costs: $180,658
Faculty Development for
CPCP-Preceptor Hub
Principal investigator:
Mamta Singh, PhD
Co-investigator:
Kathy Cole-Kelly, MD
Source of Support:
HrSA – Bureau of Health Professions
Dates: 07/01/10 – 06/30/12
total Direct Costs: $41,098
Detection of Advanced Adenoma
via stool DNA (sDNA) Methylation
Testing (GI SPORE)
Principal investigator:
Gregory Cooper, MD
Co-investigators:
Li Li, MD, PhD,
Cheryl Thompson, PhD
Source of Support:
niH – national Cancer institute
Dates: 09/14/11 – 08/31/12
total Direct Costs: $156,844
Elders Marshalling Responsive
Care & Enhancing Quality of Life
in the Final Years
Principal investigator:
Eva Kahana, PhD
Co-investigator:
Kurt Stange, MD, PhD
Source of Support:
niH-ninr – national institute of
nursing research
Dates: 05/25/07 – 03/31/13
total Direct Costs: $1,487,615
Generalized Causal Mediation
Analysis for Social Environment
and Health Research
Principal investigator:
Jeffrey Albert, PhD
Co-investigator:
Mary Step, PhD
Source of Support:
niH – niDCr – national institute of
Dental and Craniofacial research
Dates: 09/23/11 – 08/31/16
total Direct Costs: $140,000

faculty Publications
2011 – 2012 Publications – family Medicine research Division faculty
(acheson, flocke, Harris-Haywood, Karakurt, li, rose, stange, step, thompson, Werner, Zyzanski)
Acheson LS. recording, interpreting, and updating the family
history of cancer: implications for cancer prevention. JAMA.
2011 Jul 13; 306(2):208-10. PmiD: 21750302
Aspy CB, Hamm rm, Schaul KJ, mold JW, Flocke SA.
interpreting the psychometric properties of the components of
primary care instrument in an elderly population. Journal of
Family & Community medicine. 2012, 19(2): 119-124.
Carroll JK, Antognoli E, Flocke SA. Evaluation of physical activity
counseling in primary care using direct observation of the 5As.
Ann Fam Med. 2011 Sep-Oct; 9(5):416-22. PmiD: 21911760
Blake-Gumbs L, Chen Z, thompson CL, Berger nA, tucker tC,
Li L. Adult Bmi Change and risk of Colon Cancer in Postmenopausal
Women. J Obes. 2012;2012:857510. Epub 2012 Jul 9.
Christiansen A, thomas V, Kafescioglu n, Karakurt G, Lowe W,
Smith W, Wittenborn A. multicultural supervision: Lessons
learned about an ongoing struggle. Journal of Marital and
Family Therapy. 2011 Jan; 37: 109-119.
Cohen DJ, Clark EC, Lawson PJ, Casucci BA, Flocke SA.
identifying teachable moments for health behavior counseling in
primary care. Patient Educ Couns. 2011;85:e8-15. PmiD: 21183305.
Cousino m, Hazen r, yamokoski A, miller V, Zyzanski SJ, Drotar
D, Kodish E. improving parental participation and physicianparent
communication during informed consent in pediatric
leukemia. Pediatrics. 2011 Dec; 128: e1544-51.
Dorman JS, Valdez r, Liu t, Wang C, rubinstein WS, Acheson LS,
et al. Health beliefs among individuals at increased familial risk
for type 2 diabetes: implications for prevention. Diabetes Res
Clin Pract. 2012 Jan 16. [Epub ahead of print] PmiD: 22257420
Dzyublik i, Solovyov S, Rose J. Analysis of the predicted
effectiveness of rotavirus vaccine among children in ukraine.
Recipe - Article in russian. 2012; 1:66-77.
Farrell rm, Dolgin n, Flocke, SA, Winbush V, mercer, mB, Simon
C. risk and uncertainty: shifting decision making for aneuploidy
screening to the first trimester of pregnancy. Genet med. 2011
may;13(5):429-36.
Flocke SA, Antognoli E, Step MM, marsh S, Parran t, mason
mJ. A teachable moment communication process for smoking
cessation talk: description of a group randomized clinicianfocused
intervention. BMC Health Services Research 2012,
may 3; 12 (1):109. [Epub ahead of print]
Flocke SA, Stange KC, Cooper GS, Wunderlich tL, Oja-tebbe n,
Divine G, Lafata JE. Patient-rated importance and receipt of
information for colorectal cancer screening. Cancer Epidemiol
Biomarkers Prev. 2011 Oct; 20(10):2168-73. Epub 2011 Aug 3.
PmiD: 21813727
Gotler rS, Stange KC. in this issue: from apprehension to
action. Ann Fam med. 2011; 9(5): 386-387.
Stange KC. in this issue: health care policy affects the lives of
real people. Ann Fam Med. 2011 9(6): 482-483.
Greer KB, Thompson CL, Brenner L, Bednarchik B, Dawson D,
Willis J, Grady Wm, Falk GW, Cooper GS, Li L, Chak A.
Association of insulin and insulin-like growth factors with
Barrett’s oesophagus. Gut. 2012 may; 61(5):665-72. Epub 2011
Sep 19. PmiD: 21930730
Hamilton mD, Cola PA, terchek JJ, Werner JJ, Stange KC. A
novel protocol for streamlined irB review of PBrn Card studies.
J Am Board Fam Med. 2011; Sep-Oct; 24(5):605-9.
Hanahan madden m, tomsik P, terchek J, Navracruz L,
reichsman A, Werner JJ, et al. Keys to successful diabetes
self-management for uninsured patients: social support,
observational learning, and turning points. Journal of the
National Medical Association. 2011 mar; 103(3):257-264.
Harris-Haywood S, Goode t, Gao y, Smith K, Bronheim S,
Flocke SA, Zyzanski S. Psychometric Evaluation of a Cultural
Competency Assessment instrument for Health Professionals.
Med Care. 2012 mar 20. [Epub ahead of print] PmiD: 22437625
Harth KC, Rose J, Delaney CP, Blatnik JA, Halaweish i, rosen
mJ. Open versus endoscopic component separation: a cost
comparison. SurgEndosc. 2011 Sep; 25(9):2865-70.
Hekelman F, Werner JJ, Zyzanski SJ. implications of
demographic shifts for the future of family medicine education.
Fam Med. 2012 Jul;44(7):501-3.
Johnson n, Shelton BJ, Hopenhayn C, tucker tC, unrine Jm,
Huang B, Christian W, Zhang Z, Shi X, Li L. Concentrations
of arsenic, chromium, and nickel in toenail samples from
Appalachian Kentucky residents. J Environ Pathol Toxicol
Oncol. 2011; 30(3):213-23. PmiD: 22126614.
Karakurt G. Cumbie t. relationship among egalitarianism,
dominance and relationship aggression in intimate relationships.
Journal of Family Violence. 2012; 27: 115-122.
Karakurt, G. the interplay between self esteem, feeling of
inadequacy, dependency, and romantic jealousy as a function of
attachment processes. Journal of Contemporary Family
Therapy. 2012
Karakurt G. Puppet Play With a turkish Family. Journal of
Family Psychotherapy. 2012; 23: 69-78.
Karakurt, G. relationship stability through the lenses of
complexity. American Journal of Family Therapy. 2012;
40: 126-140.
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
19

20
faculty Publications (continued)
Krikorian A, Kikano GE. “thyroid nodules: When is an
aggressive evaluation warranted?” The Journal of Family
Practice. April 2012; 61(4):205-8.
Krpata Dm, Schmotzer BJ, Flocke SF, Jin J, Blatnik B, Ermlich E,
novitsky yW, rosen mJ. Design and initial implementation of
HerQLes: A hernia related quality-of-life survey to assess
abdominal wall function. J Am Col Surgeons 2012.
Lafata JE, Cooper GS, Divine G, Flocke SA, Oja-tebbe n,
Stange KC, et al. Patient-physician colorectal cancer screening
discussions: delivery of the 5A’s in practice. Am J Prev Med.
2011 nov; 41(5):480-6. PmiD: 22011418
mason C, Xiao L, imayama i, Duggan Cr, Bain C, Li L, et al.
Effects of weight loss on serum vitamin D in postmenopausal
women. Am J Clin Nutr. 2011 Jul; 94(1):95-103. PmiD: 21613554.
nock nL*, Plummer SJ, Thompson CL, Casey G, Li Li.* FtO
polymorphisms are associated with adult body mass index (Bmi)
and colorectal adenomas in African-Americans. Carcinogenesis.
2011 may; 32:748-756. Epub 2011 Feb 11.
Ortiz AP, Thompson CL, Chak A, Berger nA, Li L. insulin
resistance, central obesity, and risk of colorectal adenomas.
Cancer. 2012 Apr 1; 118(7):1774-81. Epub 2011 Aug 25. PmiD:
22009143
rood mn, Cruz-Knight W, Zyzanski SJ, Werner JJ, Stange
KC, Flocke SA. insurance-driven medication changes: What
are its effects on patient care? Journal of Family Practice.
2012, 61(7): E1-E7.
rubinstein WS, Acheson LS, O’neill Sm, ruffin mt 4th, Wang
C, Beaumont JL, rothrock n; Family Healthware impact trial
(FHitr) Group. Clinical utility of family history for cancer
screening and referral in primary care: a report from the Family
Healthware impact trial. Genet Med. 2011 nov; 13(11):956-65.
PmiD: 22075527
ruffin mt 4th, nease DE Jr, Sen A, Pace WD, Wang C, Acheson
LS, rubinstein WS, O’neill S, Gramling r; Family History impact
trial (FHitr) Group.* Effect of preventive messages tailored to
family history on health behaviors: the Family Healthware
impact trial. Ann Fam Med. 2011 Jan-Feb; 9(1):3-11. (*member
of the investigative team cited in the appendix of the manuscript).
ruhe mC, Bobiak Sn, Litaker D, Carter CA, Wu L, Schroeder C,
Zyzanski SJ, Weyer Sm, Werner JJ, Fry rE, Stange KC.
Appreciative inquiry for quality improvement in primary care
practices. Qual Manag Health Care. 2011 Jan-mar; 20(1):37-48.
Shay LA, Dumenci L, Siminoff LA, Flocke SA, Lafata JE. Factors
associated with patient reports of positive physician relational
communication. Patient Ed. Counseling. 2012
Siminoff LA, rogers HL, thomson mD, Dumenci L, Harris-Haywood
S. Doctor, what’s wrong with me? Factors that delay the
diagnosis of colorectal cancer. Patient Educ Couns. 2011 Sep;
84(3):352-8. Epub 2011 may 31. PmiD: 21621950
casemed.case.edu/fammed
Spain SL, Carvajal-Carmona LG, Howarth Km, Jones Am, Su Z,
Cazier JB, Li L. refinement of the associations between risk of
colorectal cancer and polymorphisms on chromosomes 1q41
and 12q13.13. Hum Mol Genet. 2011 nov 25 [Epub ahead of
print]. PmiD: 22076443.
Sprague BL, Thompson CL, Ganz PA, Kanetsky PA, Kushi LH,
nebeling L. the business of research: budgets, personnel,
planning, and pitfalls--a report from the American Society of
Preventive Oncology’s Junior members interest Group. Cancer
Epidemiol Biomarkers Prev. 2011 Aug; 20(8):1802-4. Epub 2011
Jul 22. PmiD: 21784957
Stange KC. Barbara Starfield: Passage of the pathfinder of
primary care. Ann Fam Med. 2011; 9(4): 292-296.
Stange KC. in this issue: Challenges of managing multimorbidity.
Ann Fam Med. 2012; 10(1): 2-3.
Stange KC. in this issue: Assessing and acting on complexity.
Ann Fam Med. 2012; 10(2): 98-99.
tarn D, Flocke SA. new Prescriptions: How well do patients
remember important information? Fam med. 2011 Apr;43(4):254-
9. Pubmed PmiD: 21499998; Pubmed Central. PmCiD:
PmC3099139.
Thompson CL, Berger nA, Chak A, Li L*. racial differences in
measures of obesity and risk of colon adenoma. Obesity. (Silver
Spring) 2011 Oct 13 [Epub ahead of print]. PmiD: 21996657.
tuupanen S, yan J, turunen m, Gylfe A, Kaasinen E, Li L.
Characterization of the colorectal cancer-associated enhancer
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faculty recognition & community outreach
Dr. Louise Acheson
Chair
Professional Advisory Board,
middlefield Care Center
(Amish freestanding childbirth center),
Geauga Amish Settlement,
middlefield, Ohio.
Dr. Jason Chao
Volunteer Physician
Cleveland Free medical Clinic Staff
Dr. Wanda Cruz-Knight
Board Member
Diabetic Association of Greater Cleveland
Mentor
Esperanza mentorship network
Scholars in teaching Award recognizing
Faculty Educators 2011-2012
the national Society of Hispanic mBAs
December 2011 – Keynote Speaker ~
Hispanics in America Finding a Niche in
HealthCare
Dr. Heidi Gullet
Volunteer Physician
Salvation Army Harbor Light
Member Advisory Council
Chagrin Falls Park Community Center
Dr. Sonja Harris-Haywood
Board Member
the Free medical Clinic of
Greater Cleveland
Board Member
Siedman Cancer Center
Community Advisory Board
Physician Consultant
minority Women with Breast
Cancer united
Coordinator
Breast Cancer Support Group Olivet
institutional Baptist Church
Dr. Darrell Hulisz
Volunteer
Hunger network of Greater Cleveland,
Stay Well Program
Volunteer Physician
Salvation Army Harbor Light
Volunteer
urban Vision (Akron)
Dr. George Kikano
Board of Trustees
Academy of medicine of Cleveland
and northern Ohio
Board Member Board of Directors
American red Cross of Greater Cleveland
Dr. Li Li
Board Member
Cleveland Professionals and
Entrepreneur Association
Dr. Sybil Marsh
Board Member
Orca House, Cleveland
Dr. Masahiro Morikawa
Medical Advisor
Kinderberg international
Dr. Lee Resnick
Editor in Chief
the Journal of urgent Care medicine
Dr. Johnie Rose
2011 Winner
Pediatric innovation Day idea Competition
2011 Poster Finalist Award
international Society for
Pharmacoeconomics and Outcomes
research (iSPOr) European Congress,
madrid, Spain
2012 Competitively Selected Attendee
institute on Systems Science and Health
(iSSH), Washington university,
St. Louis, mO.
Dr. Robert Truax
Volunteer Medical Staff
Susan G. Komen 3-Day for the Cure
Kurt Stange
2007-2012 American Cancer Society
Clinical research Professorship
Lynda Montgomery
Scholarship in Teaching Award 2012
Case Western reserve university
School of medicine
Justin Lappen
2011 Excellence in Teaching Award
university Hospitals Case medical
Center – Association of Professors of
Gynecology and Obstetrics
2011 Golden Apple Teaching Award
resident Education, Department of
Family medicine and Community Health
2012 Golden Apple Teaching Award
resident Education, Department of
Family medicine and Community Health
2012 Charles H. Hendricks
Teaching Award
resident Education, Department of
Obstetrics and Gynecology
2011–2012 Department of Family Medicine and Community Health Annual Report
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center
21

Department of family Medicine and community Health
Mission Statement
integrating patient care, teaching and research to prevent disease and
promote the health of individuals, families and communities.
Department of Family Medicine and Community Health
Case Western reserve university
School of medicine
11100 Euclid Avenue
Cleveland, OH 44106
Phone: 216-844-3791
Fax: 216-844-3799
casemed.case.edu/fammed
© 2012 Case Western reserve university School of medicine