GMEFamily Medicine ResidencyTsveti Markova, MDFamily Practice Program DirectorResidency faculty physiciansTsveti Markova, MDResidency Program DirectorFrederick Rosin, MDAssociate Program DirectorNejla Israel, MDAssistant Program DirectorNehman Lauder, MDKodavayour Nirmal, MDPierre Morris, MDThomas Roe, MDBruce Deschere, MDContact information:Carol BartleyResidency Program Coordinator313-340-4325email: cbartley @<strong>med</strong>.<strong>wayne</strong>.<strong>edu</strong>Rochelle PriceAdministrative Assistant313-340-4322email: rprice@<strong>med</strong>.<strong>wayne</strong>.<strong>edu</strong>Michel Julian-SmithSecretary313-340-4320email: mjulian@<strong>med</strong>.<strong>wayne</strong>.<strong>edu</strong>For more information aboutthe Family Medicine Residencyprogram visit our web site at:<strong>http</strong>://www.<strong>med</strong>.<strong>wayne</strong>.<strong>edu</strong>/fam/residency/fm_residency/index.asp.The Family Medicine ResidencyProgram reached new heights in 2004.We received a full 5-year accreditationby the Accredited Council of theGraduate Medical Education. Theprogram continues to improve itslearning curriculum and providesa sound <strong>edu</strong>cational environmentfor residents and faculty physicians.“Achieving maximum length ofACGME accreditation,” says TsvetiMarkova, MD, Residency ProgramDirector, “is a testament to the qualityof the program and the commitment ofthe Department, residents, faculty andstaff. It is stimulating and challengingto work with such dedicated groupof people constantly striving forimprovement.”Robust Evaluation SystemUnder the direction of Tsveti Markova,MD, and Patrick Bridge, PhD, theResidency Program completelyreorganized its evaluation system in2004. In accordance with documentingthe residents’ progress with the ACGMEgeneral competencies, new evaluationforms were developed. The residentsreceive feedback from their faculty,peers, nurses in the clinic, and otherpreceptors. Faculty advisors haveevolved into mentors whose role is notsimply to communicate “pass” or “fail”on rotations, but to monitor residents’progress, document deficiencies in alearning contract, and discuss a planfor improvement.The new evaluation system wasdesigned to encourage and motivateany resident, regardless of skill level,and is conducted over time to discerngrowth. Overall performance isevaluated with baseline and end-ofyearthree-station Objective StructuredClinical Evaluations, in which residentsare videotaped interacting withstandardized “patients”. Residentsdiscuss results with their facultymentor and a behavioral science facultyto improve their patient-centeredapproach.We have also implemented mini-CEXevaluations, which involve evaluatinga single component of performance,like history-taking or physicalexamination skills, while workingin the clinic. These exercises assess“interpersonal skills” and “<strong>med</strong>icalknowledge” competencies. “Residentsare here to learn, and im<strong>med</strong>iateconstructive feedback is crucial for theirdevelopment,” says Dr. Markova.Integrated Family Medicine RotationThe new Integrated Family MedicineRotation, facilitated by JuliannBinienda, MA, adds to the depth ofthe curriculum. Residents learn ina longitudinal format about care forelderly patients, end-of-life issues,providing care to the homeboundpatients, attending sports events asteam physicians, accessing pointof-careevidence based resources,implementing practice managementprojects, billing and coding, and givingtalks to church members or high schoolstudents on common <strong>med</strong>ical topics.Residents integrate these activities intotheir continuity practice to becomewell-rounded family physicians.Several residents commented on their experiences inthe residency in 2004:“Wayne State University’s Family Medicine programis one of the best programs in Michigan. It is afriendly yet competitive and challenging program.”“Being in the WSU Family Medicine residencyprogram has been a fulfilling experience. It trainsresidents to be well rounded in all aspects of being agood physician and a friend to the patient.”“My residency experiences have allowed me to seejust how destructive certain diseases, especially selfinflicteddiseases such as smoking and obesity, canbe. I also see how essential follow up and patient<strong>edu</strong>cation are for these patients.”“I’m proud to be in this residency program. It hasadded a lot to my <strong>med</strong>ical information and skills.We have an excellent program director, staff, andlearning experience. I feel so confident to go out inpractice after being here for three years.”8 Department of Family Medicine 2004 Annual Report
Family Practice ResidentsGMEResearch Forum Winners1st place (tie). Francis Bayaca, MD.Emotional Abuse & Women’s Health:A Primary Care Study.Research Mentor: John Porcerelli, PhD.Also won second place at the Sinai-Grace Hospital Research Forum for oralpresentations.Residents and faculty turned out for the DFM resident researchday, April 2004.1st place (tie): Manhal Naoumi, MD.Characteristics of “Favorite” Patients.Research Mentors: John Porcerelli, PhD andJuliann Binienda, MA3rd place: Mary Santiago, MD. Casepresentation. “EmphysematousPyelonephritis”Faculty Advisor: Nehman Lauder, MD.Also won first place at the Sinai-GraceHospital Research Forum for posterpresentations.2004 Family Medicine ResidentsPGY 1 PGY 2 PGY 3Amin, Saima MD Banzhof, Rebecca MD Attallah, Simona MDNaqvi, Fatima MD Bariana, Sam MD Hirani, Sushma MDNecsutu, Simona MD Dhillon, Baldev (Dave) MD Jagadish, Haripriya MDOthayoth, Sunitha MD Gladson, Marina MD Katial, Vaishali MDRai, Sherapartap MD Mapili, John MD Klimkowski, Walter MDRaykova, Vania MD Mullah, Farah DO Mir, Taseen MDRegis, Louella MD Nwaizuzu, Peter MD Naoumi, Manhal MDSussman, Rachel DO Raja, Maheswari MD Raman, Arathi MDRosbolt, James DOSchramm, Danielle MDSuryadevara, Nagalakshmi MD2004 Residency GraduatesFrancis Bayaca, MDPrivate Practice Group, Watsonville, CAJira Coumarbatch, MD Detroit Public School SystemRajiv Dua, MDPrivate Practice Group, Ellicott City, MDVanessa Fernandes, MD Private Practice Group, Ann Arbor areaJayanthi Jambulingam, MD Private Practice Group, Philadelphia, PennsylvaniaThomas Mathew Jr., MD Private Practice Group Montgomery, ALDavid Mohan, MDInternal Medicine Residency, SGH, DetroitPierre Morris, MDFaculty of WSU/DMC Family Practice Residency ProgramMary Santiago, MDPrivate Practice Group, DMCMichael Simpson, MD Private Practice Group, Kankakee, Illinois<strong>http</strong>://<strong>family<strong>med</strong>icine</strong>.<strong>med</strong>.<strong>wayne</strong>.<strong>edu</strong>9