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December 2013 October-November 2014

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December 2013 October-November 2014
October-November
December 20132014
Family Medicine Chief Residents for 2014-15 are
Joel Bumol
Marcia Gervitz
Juan Robles
Patient Centered Outcomes Research Grant
H. Winter Griffith Scholarship Award 2014
In the News
Lifetime Achievement Award
3rd Wound Healing Teaching Day
People's Climate March
The 10 Most In-Demand Physician Specialties
Of Pot and Percocet
DFSM Baby News
Farewell Luncheon for Jacinta Esposito
Events—Tour De Bronx and NYC Marathon
DFSM Holiday Pot Luck Party
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Photo: http://www.vishwaamara.com
P9
P-7
P10-12
P-8-9
P13-14
P-10
P-11
P-15
Social Medicine
in the Kitchen
Publications
Publications&&
Presentations
Presentations
FutureDates
Dates
Future
Social
Social Medicine
Medicine
on
on the
the Web
Web
2
PATIENT CENTERED OUTCOMES RESEARCH GRANT
Diane McKee and Ben Kligler have been awarded a 2.5 million grant from the Patient Centered Outcomes Research Institute (PCORI) entitled “Acupuncture Approaches to Decrease Disparities in Outcomes of Pain Treatment: A Two Arm Comparative Effectiveness Study (AADDOPT-2). This 3 year project will compare outcomes important to patients- pain and quality of life- for patients randomly assigned to individual or group acupuncture treatment. Eligible patients must have chronic pain
(3months or longer) due to osteoarthritis, neck or back pain. Acupuncture will be offered in 6 MMG
centers through a collaboration with Pacific College of Oriental Medicine. Stakeholders, including patients, will be engaged throughout the planning, implementation, analysis and dissemination phases of
the study.
H. WINTER GRIFFITH SCHOLARSHIP AWARD 2014
Congratulations! Dr. Juan Robles, FM Chief Resident has been selected as the winner of the 2014
H. Winter Griffith Scholarship for Excellence in Practice Improvement and Patient-centered Care.
As the winner of this year’s award, Dr. Robles will be recognized at the Society of Teachers of Family
Medicine Conference on Practice Improvement on Friday, December 5 in Tampa,
KUDOS TO JUAN FOR THIS WELL DESERVED HONOR!!!
Submitted by Mary Duggan, M.D.
LIFETIME ACHIEVEMENT AWARD
Clyde Lanford (Lanny) Smith (left), HMS instructor in
medicine at Beth Israel Deaconess Medical Center, received this year’s Lifetime Achievement Award. Smith is a
longtime global community health organizer who founded Doctors for Global Health, a not-for-profit organization
with an emphasis on health, human rights and community empowerment.
http://hms.harvard.edu/news/health-care-policy/
prevention-incentives-6-27-14.
The HMS 2014 Dean's Community Service Award winners
3
3RD WOUND HEALING TEACHING DAY
Montefiore Wound Healing Program of the Department of Family
and Social Medicine(DFSM) and Burke Rehabilitation Hospital together, co-sponsored truly dynamic and well attended 3rd Wound
Healing Teaching Day on September 6th 2014, for the BronxWestchester Academy of Family Physicians (BWAFP). The conference was coordinated by Dr. Sudhir Vaidya, a Montefiore Associate
and Attending Physician at the Burke Rehabilitation Hospital and
President of the Bronx Westchester Academy of Family Physicians.
Speakers included Dr. Anna Flattau, Director of the Wound Healing
Program, Dr. Sharon Jacobs, Lead Physician Hyperbaric Medicine,
Cary Andrews PA-C Montefiore Associate in the Department of
Wound Healing, and Loraine Poiley RN Wound Care Nurse Manager
for Montefiore Home Care as well as the members of the interdisciplinary wound care team at The Burke rehabilitation Hospital.
The main conference objective was to update family physicians and
Sharon Jacobs, MD, Carolyn Andrews PA-C,
nurses about chronic wounds such as pressure ulcers, leg ulcers,
Anna Flattau, MD and Sudhir Vaidya, MD
and diabetic foot ulcers, which are commonly encountered outpatient and inpatient settings. Fifty-six attendees from a variety of professional disciplines took part in lively discussion about wound prevention, early recognition, comprehensive management, and teaching of patients and
families. Interest in wound care continues to be a hot topic among health care institutions and professionals.
Submitted by Anna Flattau, M.D.
PEOPLE'S CLIMATE MARCH
On September 21, many members of the RPSM community joined several hundred thousand in NYC marching for
action on climate change. The People's Climate March called for action from world leaders at the UN Climate
Summit 2 days later. Family Medicine folks at the
march included Amrita Seehra, Rafael Frias, Rachel
Millett-Berry, Lucy Manchester, Eugene Schiff, Hima
Ekanadham, Karen Becker, Dan O'Connell,
Ellen Tattelman, Paul Gross, Roona Ray, and Shuchin
Shukla, Peter Selwyn, Tanya White-Davis,
Vanessa Sinclair, Eleanor Bathory and Mark
polisar. Also marching with the Coalition of Babies
and their Families for Climate Change (CBFCC) were
the young ones of Asiya Tschannerl, Ernesto Guevara,
Lizzie Reed, Carol Mendez and Alice Teich. OK, maybe
that's not a real group, but it made sense that there
were a lot of young families and baby carriages, as this
a movement about the future.
My fave signs at the march: "There is no Planet
B"; hand made from a 10 year old "Leave some for us".
Submitted by Dan O’Connell, M.D.
4
THE 10 MOST IN-DEMAND PHYSICIAN SPECIALTIES
BY JARED KALTWASSER—SEPTEMBER 23, 2014 |
The need for more doctors continues to be one of the most pressing needs in the US healthcare system.
However, some types of specialists are more in-demand than others.
Each year the recruitment firm Merritt Hawkins releases a report on the number and type of physician
positions it has been asked to fill. The report also sheds light on the pay and incentives being offered in
order to fill those job openings.
The report found recruitment is not just a problem in rural areas anymore. Some 41% of the jobs the
firm was asked to fill were in communities of 100,000 or more.
Below is the rank in demand for RPSM specialties, according to Merritt Hawkins.
1. Family Medicine
The most in-demand field is family practice – by a wide margin. Merritt Hawkins saw nearly 3 times as
many requests for family doctors in 2013/2014 as it did internists. In fact, the number of family doctors requested is more than the next 3 specialties combined. According to the Association of American
Medical Colleges, there were 106,549 family practitioners in 2010. Those placed by Merritt Hawkins
made between $140,000 and $293,000.
2. Internal Medicine
Internal Medicine has been a consistent second-place finisher in Merritt Hawkins’ list. Some 109,048
internists work in the US, according to the Association of American Medical Colleges. They made between $145,000 and $360,000 in starting pay, according to Merritt Hawkins.
6. Pediatrics
The number of pediatricians practicing in the US was 55,509 in 2010, according to data from the Association of American Medical Colleges. However, that’s not enough to meet demand. Merritt Hawkins
has seen a demand increase in each of the past 3 years. Pediatricians made between $130,000 and
$240,000 in starting pay, according to the study.
For the full story and all top-ten specialties, see: Physician’s Money Digest
http://www.hcplive.com/physicians-money-digest/practice-management/the-10-most-in-demandphysician-specialties/P-1
Submitted by Hal Strelnick, M.D.
OF POT AND PERCOCET
Check out this recent article by our very own Marcus Bachhuber , Social Internal Medicine Graduate 2011.
Of Pot and Percocet - NYTimes.com
Is access to medical marijuana reducing painkiller overdoses? Read more...
http://www.nytimes.com/2014/08/31/opinion/sunday/of-pot-and-percocet.html?
_r=0
5
FAREWELL LUNCHEON FOR JACINTA
Family and Social Medicine bid farewell to Jacinta Esposito on Tuesday, October 7, 2014. Jacinta will
be starting her new role as the Financial Administrator for the Department of Medicine at Montefiore
on October 20, 2014. Jacinta was presented with a plaque for her dedication and excellent work for
the department for the past 26 years.
EVENTS
NYC MARATHON
Gisela Perez
The Montefiore DFSM Team Lucy Manchester, Jibril
Skaden, Peter Selwyn, Maki Sato, Bruce Soloway,
Andrew Telzak, Becca Mahn and Chen Wang rode the
20th Annual Tour de Bronx on Sunday October 26,
2014!
Dr. Lisa Lapman, Family Medicine Faculty and Gisela
Perez ran in the NYC Marathon on November 2, 2014.
Congratulations!
6
7
Social Medicine in the Kitchen...
Green and Yellow Beans With Wild Mushrooms
INGREDIENTS
1 pounds beans, green, trimmed
1 pounds beans, yellow wax, trimmed
3 tablespoon oil, olive, extra- virgin
2 clove(s) garlic, minced
8 ounce(s) mushrooms, assorted
wild, such as chanterelle, oyster or
porchini, trimmed and sliced
1/2 teaspoon salt, Kosher, divided
pepper, black ground, to taste
INSTRUCTIONS
1. Bring a large pot of water to a
boil. Add green beans and wax
beans and cook until tender-crisp,
about 4 minutes. (Cook for another
minute or two if you like your green
beans more tender.) Drain well.
2. Meanwhile, heat oil in a large
heavy skillet over medium heat. Add
garlic and cook, stirring, until fragrant, about 1 minute.
3. Stir in mushrooms and cook, stirring, until they release their juices
and most of the liquid has evaporated, about 5 minutes. Season with
1/4 teaspoon salt and pepper.
Recipe submitted by Starmanda Lyles
From www.everydayhealth.com
4. Reserve 1 tablespoon of the
mushrooms for garnish. Add the cooked beans to the mushrooms in the pan and
cook, stirring to combine, until heated through, 1 to 3 minutes. Season with the
remaining 1/4 teaspoon salt and pepper.
Black-Eyed Pea and Tomato Salsa
INGREDIENTS
1 cup chopped tomatoes
1/4 cup prechopped red onion
3 tablespoons chopped poblano chile
2 tablespoons chopped fresh cilantro
2 1/2 tablespoons fresh lime juice
1/4 teaspoon minced fresh garlic
1/8 teaspoon salt
1/8 teaspoon ground cumin
1/8 teaspoon freshly ground black pepper
1 (15.8-ounce) can black-eyed peas, rinsed and
drained
Recipe submitted by Wilma Burgos
From www.myrecipes.com
INSTRUCTIONS
Place all ingredients
in a large bowl, and
toss to combine.
Prep Time: 20 Minutes
8
Publications & Presentations...
Publications
tion, Not Hesitation"." Stroke 45, no. 6
Bachhuber, M. A., W. N. Southern and C. (2014): E106-E107.
O. Cunningham. "Profiting and Providing Less Care Comprehensive Services Eti, S., S. O'Mahony, M. McHugh, R. Guilat for-Profit, Nonprofit, and Public Opi- be, A. Blank and P. Selwyn. "Outcomes
oid Treatment Programs in the United of the Acute Palliative Care Unit in an
Academic Medical Center." American
States." Medical Care 52, no. 5 (2014):
Journal
of Hospice & Palliative Medicine
428-434.
31, no. 4 (2014): 380-384.
Lansdorp-Vogelaar, I., R. Gulati, A. B.
Mariotto, C. B. Schechter, T. M. de Carvalho, A. B. Knudsen, N. T. van
Ravesteyn, E. A. M. Heijnsdijk, C. Pabiniak, M. van Ballegooijen, C. M. Rutter, K.
M. Kuntz, E. J. Feuer, R. Etzioni, H. J. de
Koning, A. G. Zauber and J. S. Mandelblatt. "Personalizing Age of Cancer
Screening Cessation Based on Comorbid Conditions: Model Estimates of
Chambers, E. C. and E. Rosenbaum.
Fox, A., J. Maradiaga, L. Weiss, J. Starrels Harms and Benefits." Annals of Internal
"Cardiovascular Health Outcomes of
Medicine 161, no. 2 (2014): 104-+.
Latinos in the Affordable Housing as an and C. Cunningham. ""Programs, Doctors, and Drugs Can Only Do So Much":
Obesity Mediating Environment
(Ahome) Study: A Study of Rental Assis- Personal Responsibility and Prevention Lebensohn, P., S. Dodds, A. J. Brooks, P.
of Relapse to Heroin Use Following Re- Cook, M. Guerrera, V. Sierpina, R. Teets,
tance Use." Journal of Urban Healthlease from Correctional Facilities." Sub- J. Woytowicz and V. Maizes. "Increasing
Bulletin of the New York Academy of
stance
Abuse 35, no. 2 (2014): 196-197. Resident Recruitment into Family MedMedicine 91, no. 3 (2014): 489-498.
icine: Effect of a Unique Curriculum in
Integrative Medicine." Explore-the JourChuang, E., G. Shin and J. Fausto. "Effect Harris RA. "Chronic pain, social withnal of Science and Healing 10, no. 3
of Inpatient Palliative Care Consultation drawal, and depression." Journal of
(2014): 187-192.
Pain
Research.
2014;
7:
555-556.
on Cms-Based 30-Day Readmission
Rates: A Retrospective Cohort Study."
Kaushal, R., G. Hripcsak, D. D. Ascheim, Littman, L. L., A. Jacobs, R. Negron, T.
Journal of Pain and Symptom ManageT. Bloom, T. R. Campion, A. L. Caplan, B. Shochet, M. Gold and M. Cremer.
ment 47, no. 2 (2014): 439-440.
"Beliefs About Abortion Risks in WomP. Currie, T. Check, E. L. Deland, M. N.
en Returning to the Clinic after Their
Gourevitch,
R.
Hart,
C.
R.
Horowitz,
I.
Cunningham, C. O., J. Buck, F. M. Shaw,
Abortions: A Pilot Study." Contraception
Kastenbaum,
A.
A.
Levin,
A.
F.
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Low,
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L. S. Spiegel, M. Heo and B. D. Agins.
90, no. 1 (2014): 19-22.
Meissner,
P.
Mirhaji,
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A.
Pincus,
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"Factors Associated with Returning to
Scaglione,
D.
Shelley,
J.
N.
Tobin
and
Hiv Care after a Gap in Care in New
Cdrn Nyc. "Changing the Research
McEvoy, M., W. Burton and F. Milan.
York State." Jaids-Journal of Acquired
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The
New
York
City
Clinical
"Spiritual Versus Religious Identity: A
Immune Deficiency Syndromes 66, no. 4
Data
Research
Network."
Journal
of
the
Necessary Distinction in Understanding
(2014): 419-427.
American Medical Informatics AssociaClinicians' Behavior and Attitudes totion
21,
no.
4
(2014):
587-590.
ward Clinical Practice and Medical StuCunningham, C., N. L. Sohler, J. H. Arndent Teaching in This Realm." Journal of
sten, J. J. Jost, J. Maradiaga, M. Javaid
Religion & Health 53, no. 4 (2014): 1249
Katz
DL.,
Friedman
R
and
Lucan
SC.
and J. L. Starrels. "Prescription Opioid
rd Edi-1256.
Nutrition
in
Clinical
Practice,
3
Misuse among Patients Receiving Methtion.
Philadelphia,
PA.
Lippincott
Wiladone Maintenance Treatment." Substance Abuse 35, no. 2 (2014): 208-209. liams & Wilkins. Publication Date: Sep- Nahvi, S., O. Blackstock, N. L. Sohler, D.
tember 12, 2014 | ISBN-10: 145118664 Thompson and C. O. Cunningham.
"Smoking Cessation Treatment among
DiNicolantonio, J. J., S. C. Lucan, C. J.
Office-Based Buprenorphine Treatment
Liggett
A.,
M.
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Y.
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,
R.
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Patients." Journal of Substance Abuse
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Treatment 47, no. 2 (2014): 175-179.
Results
of
a
Voter
Registration
Project
Grains of Truth Reply." American Jourat
2
Family
Medicine
Residency
Clinics
nal of Medicine 127, no. 6 (2014): E16Prasad, R., F. D'Amico, S. A. Wilson, L.
in the Bronx, New York A federally
E16.
Hogan, J. A. Nusser, P. A. Selwyn and R.
qualified health center successfully
Clinch. "Training Family Medicine Resitrained
staff
and
outside
volunteers
to
DiNicolantonio, J. J., S. C. Lucan and J. H.
dents in Hiv Primary Care: A National
register
eligible
voters.
Annals
of
FamiO'Keefe. "Letter by Dinicolantonio Et Al
Survey of Program Directors." Family
ly
Medicine—Vol.
12
No.
5—
Regarding Article, "Reducing Sodium
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46, no. 7 (2014): 527-531.
September/October
2014.
Intake to Prevent Stroke: Time for Ac-
9
Publications & Presentations...
Fiori K, J. Schecter, S. Houndenou, and S.
Braganza. Global Health “Delivery Science: Applying the Care Delivery Value
Framework to a Community Based
HIV/AIDS Initiative in Togo, West Africa.” America Academy of Pediatrics, San
Diego, CA, 2014.
Rubin S, A. Jacobs. "The easiest way":
Decision-making process of urban adolescents choosing to use an IUD.” Accepted poster presentation at the North
American Forum on Family Planning
Oct 2014. Miami, FL, and NAPCRG Annual Meeting Nov 2014.
Flattau A. "Patient-Centered Care for
Sickle Cell Ulcers: Envisioning an Optimal Care Delivery System" on at the
Sickle Cell Ulcer Research Group Workshop, at the NIH Heart Lung and Blood
Institute in Bethesda, Maryland. SepStarrels, J. L., D. Peyser, A. Fox, J. Merlin, tember 17, 2014.
J. Arnsten and C. Cunningham. "HIV
Phelps K, H. Muncie, S. Rubin. “Personal
Treatment Providers' Perspectives on
Objection Regarding IUD Use: A Survey
Opioid Prescribing for Chronic Pain:
of Louisiana Family Physicians.” AcThe Overriding Concern Is to Retain
cepted oral presentation at the NAPCRG
Patients in Care." Substance Abuse 35,
Annual Meeting Nov 2014.
no. 2 (2014): 199-199.
She X. Poster Presentation at
the Annual American Academy of Pediatrics National Convention in San Diego. “Where Do We Start? a Baseline
Assessment for Establishing Health
Promoting Schools (HPS) in Rural China .” Oct 11-14, 2014.
Schonberg D, L.F. Wang, A.H. Bennett,
M. Gold and E. Jackson. The accuracy of
using last menstrual period to determine gestational age for first trimester
medication abortion: A Systematic Review. Contraception. 2014; in press.
Shaparin, N., R. White, M. Andreae, C.
Hall and A. Kaufmann. "A Longitudinal
Linear Model of Patient Characteristics
to Predict Failure to Attend an InnerCity Chronic Pain Clinic." Journal of Pain
15, no. 7 (2014): 704-711.
Potter, J., S. E. Rubin and P. Sherman.
"Fear of Intrauterine Contraception
among Adolescents in New York City."
Contraception 89, no. 5 (2014): 446-4
50.
Ravi A, L. Prine, G. deFiebre, N. Miller, S.
Rubin. “Beyond the Surface: Patient
post-insertion Implant experience in a
family-physician staffed Federally Qualified Health Center network.” Accepted
poster presentation at the North American Forum on Family Planning. Miami,
Wilson, K. E., A. L. Miller, K. Bonuck, J. C. FL, Oct 2014.
Lumeng and R. D. Chervin. "Evaluation
of a Sleep Education Program for Low- Ravi A, Prine L, deFiebre G, Miller N,
Rubin S. “Beyond the Surface: Patient
Income Preschool Children and Their
Families." Sleep 37, no. 6 (2014): 1117- experiences with implantable contraception in a family-physician staffed
1125.
Federally Qualified Health Center network.” Accepted oral presentation at
Presentations
Chambers EC, Wong BC, Riley RW, Hol- the NAPCRG Annual Meeting Nov 2014.
lingsworth N, Blank AE, Myers C, Bedell
J, Selwyn P. COPC-Community Oriented Rubin S, H. Muncie. “Louisiana family
physicians' contraception counseling
Primary Care from the Public Health
with adolescents and use of evidence
Perspective. (Abstract and Poster
based criteria for IUD eligibility.” AcPresentation) National Association of
cepted poster presentation at the North
Community Health Centers (NACHC)
American Forum on Family Planning.
annual conference, the Community
Miami, FL, Oct 2014
Health Institute, August 22 - 26, 2014,
San Diego.
Image from: www.lovethesepics.com
Steele, M., H. Steele, J. Bate, H. Knafo, M.
Kinsey, K. Bonuck, P. Meisner and A.
Murphy. "Looking from the Outside In:
The Use of Video in Attachment-Based
Interventions." Attachment & Human
Development 16, no. 4 (2014): 402-415.
10
Future Dates...
Healing Arts-Associate
Wellness: 5 Rhythms
Social Medicine Rounds
Every 2nd & 4th Tuesday of the Month—4:30-6:00PM
3544 Jerome Ave, 3rd floor
For more info go to: www.socialmedicine.info
Movement as Medicine Program
Sessions
(Third Tuesday of the month)
Grand Hall (Gunhill Entrance)
5:15 -6:30PM
Nov 25, 2014
Dec 9, 2014
Dec 23, 2014
Nov 18, 2014
Dec 16, 2014
Grand Rounds
Every 1st & 3rd Thursday of the Month—8:00-9AM
Internet Broadcast:
—Montefiore Family Health Center, 3rd fl. Conference Room
—Williamsbridge Family Practice-Precepting Room
—Moses Family Inpatient Unit- NW7 Conference Room
All members of the extended DFSM/RPSM community are
welcome to join Family Medicine Grand Rounds on the
Web.
Please contact Maria Pasa [email protected] for an
electronic invitation and instructions on how to
Effective July 2014, Family Medicine Grand Rounds will connect.
move to the 2nd and 4th Thursdays of each month
Nov 27, 2014
Dec 11, 2014
Dec 25, 2014
NO GRAND ROUNDS
TBA
NO GRAND ROUNDS
11
Social Medicine on the Web...
Pulse
Voices from the heart of medicine
Friday Is Pulse Day
Pulse--voices from the heart of medicine, the weekly online publication created by
DFSM, is celebrating its sixth birthday in 2014 and continues to attract new readers from around the world.
Every Friday, Pulse e-mails out a first-person story or poem about health care.
These personal, compelling and authentic pieces are written by patients,
healthcare professionals and students, providing a rare forum that welcomes
everyone involved in health care. Pulse stories have been featured in the Washington Post, in NPR's health blog Shots and in KevinMD.com.
Dr. Donald Berwick, founder of the Institute for Healthcare Improvement, spoke
for many when he said, "I not only read Pulse, I adore it... The supply of compelling, often poetic accounts is the best around."
Family medicine residents Masha Gervits and Sarah Stumbar have recently published stories in Pulse. To submit a story or to subscribe, visit pulsevoices.org.
Social Medicine/Medicina Social
Social Medicine Portal
Social Medicine is a bilingual, academic, open-access
journal published since 2006 by the Department of
Family and Social Medicine at Montefiore Medical Center/Albert Einstein College of Medicine and the Latin
American Social Medicine Association (ALAMES). Registration with the journal is not necessary to read the
content.
http://www.socialmedicine.info/index.php/
socialmedicine
Social Medicine Portal is a project developed by faculty
members of the Department of Family and Social Medicine
of the Albert Einstein College of Medicine. The portal contains links to websites, documents and presentations devoted to social medicine. Our goal in creating this site is to
link together the diverse international community of people working in social medicine and health activism. We
encourage visitors to e-mail us materials for inclusion.
http://www.socialmedicine.org/
Montefiore Health Opportunities Program (MONTE
HOP)
Helping Students Succeed in Health Careers
DFSM ENewsletter is produced by the Department of
Family and Social Medicine at Montefiore Medical
Center
Montefiore’s Health Opportunities Program (Monte
H.O.P.) is a summer enrichment program for students
from economically or educationally disadvantaged backgrounds and/or from groups typically considered underrepresented in the health care fields.
http://www.montefiore.org/montefiore-healthopportunities-program
Editor Wilma Burgos
(718) 920-4678
[email protected]
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