{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/xd0qr4q93r/manifest","type":"Manifest","label":{"en":["Dr. Selim Sheikh"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Date"]},"value":{"en":["2020-10-15 (created)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}},{"label":{"en":["Format"]},"value":{"en":["video"]}},{"label":{"en":["Subject"]},"value":{"en":["Covid-19 (topical term)"]}},{"label":{"en":["Keyword"]},"value":{"en":["family medicine","Ohio","osteopath","pandemic","telemedicine"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/204/683/small/SeilimSheikh%2810-15-2020%29.mp4_1691688261.jpg?1691688263","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683","type":"Canvas","label":{"en":["Media File 1 of 1 - Seilim_Sheikh_(10-15-2020).mp4"]},"duration":1254.221,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/204/683/small/SeilimSheikh%2810-15-2020%29.mp4_1691688261.jpg?1691688263","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/204/683/original/Seilim_Sheikh_%2810-15-2020%29.mp4?1691688261","type":"Video","format":"video/mp4","duration":1254.221,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683/transcript/48793","type":"AnnotationPage","label":{"en":["Transcript of Dr. Selim Sheikh [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683/transcript/48793/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Crystal Bauer: Good morning, Dr. Sheikh. Today is October 15th, 2020. Please confirm for the record that you are aware that this is being recorded and that you are giving your permission to do the interview.\n\nDr. Selim Sheikh: Yes.\n\nCrystal Bauer: Would you please give your name in full?\n\nDr. Selim Sheikh: Selim Wahhab Sheikh.\n\nCrystal Bauer: And what is your present title?\n\nDr. Selim Sheikh: Assistant Professor-Clinical.\n\nCrystal Bauer: And where did you go to medical school?\n\nDr. Selim Sheikh: William Carey University College of Osteopathic Medicine.\n\nCrystal Bauer: And where did you complete your residency?\n\nDr. Selim Sheikh: The Ohio State University Wexner Medical Center.\n\nCrystal Bauer: And could you give the name of the current program you're associated with?\n\nDr. Selim Sheikh: The Ohio State University Wexner Medical Center.\n\nCrystal Bauer: Okay. Could you speak a little about your current position and what you do on a daily basis?\n\nDr. Selim Sheikh: I am faculty in the Department of Family Medicine, as well as in the Division of Integrative Medicine. I see patients at Ohio State Integrative Medicine, where I mostly practice osteopathic manipulative medicine, as well as some acupuncture. When I'm not doing procedures, I practice mind-body medicine and lifestyle medicine there as well. I see mostly referrals from various departments around the medical center and from external health entities, as well as intermittent self-referrals.\n\nDr. Selim Sheikh: One day a week, I practice primary care outpatient family medicine at OSU Family Medicine at Upper Arlington. Half a day a week I staff an OMM clinic or osteopathic manipulative medicine clinic at OSU Rardin Family Medicine, which is the core outpatient site of our family medicine residency program. In that capacity, I serve as faculty for the family medicine residency program for the musculoskeletal rotations.\n\nDr. Selim Sheikh: On most days, I teach resident physicians and medical students who work with me in the clinics. I'm also faculty of the OSU Integrative Medicine Fellowship and work with the current fellow during their manual medicine rotations. Finally, I am lead physician for medical student education for OSU Family Medicine at Upper Arlington. In that position, I coordinate the medical student experiences in my practice throughout the year.\n\nCrystal Bauer: Wonderful. Thank you. Could you tell us a little bit more about the types of patients you treat in your program, who they are and where they come from?\n\nDr. Selim Sheikh: Yes, the patient demographic for each clinic site is different. For Ohio State Integrative Medicine, the clinic is probably the most diverse in terms of getting patients over Columbus, as well as all over the state. There are at times some from out of state as well, who drive two, three hours to come see us. I think primarily that's just because there aren't many centers of integrative medicine in the area, as well as patients being limited by insurance.\n\nDr. Selim Sheikh: As far as the primary care site for Upper Arlington Family Medicine, that demographic though it's an affluent area, I still get a lot of patients from around Columbus, again, limited by insurance through CMS, Medicare, Medicaid. For Rardin Family Practice, that site is probably the least socioeconomically diverse in terms of getting a lot of patients with transportation issues, and access issues in general, and so it's almost more of a service site in that respect.\n\nCrystal Bauer: Sure. Okay. Thank you. What are the unique challenges that you and your program face with COVID-19? What are some of the barriers and obstacles that you've had to come across?\n\nDr. Selim Sheikh: One challenge that is probably unique to my practice in the sense that most of what I do at integrative medicine is hands-on with patients. There's always a physical contact and so because of that, in March, when things started to truly close down, our clinic was the first within the medical center to shut down just because we're always up close with patients. And so that was a big challenge just because it's hard to do what we do virtually, which I would say is the second challenge of adapting to telemedicine. But the physical aspect of the visits, that went to close to nothing for about 2 months. We did do some telemedicine in integrative medicine, but it was mostly with patients whom I've seen before so I could show them different techniques they can do on themselves through video, but it was very difficult to do patient visits that way. As far as the telemedicine aspect, businesses really capitalized on this new market with all these different video platforms, and so there were a lot of speed bumps in the road for OSU selecting what to use. So that was kind of frustrating going from one platform to another.\n\nCrystal Bauer: Sure, sure. Okay. How do you see COVID-19 impacting the learning of students and residents in family medicine? And do you think any of these changes will be permanent?\n\nDr. Selim Sheikh: Initially at least for our medical center and with the OSU College of Medicine, the decision was made to pull all learners and included for a lot of outpatient rotations, resident physicians, as well during I would say at the heat of the beginning of the pandemic. So probably from March to May even stretching to June and July.\n\nDr. Selim Sheikh: And so basically there was nothing in terms of actual in- person learning for these medical students and also for a lot of residents. So in that aspect it was difficult. Pretty much everything was self-directed in terms of reading and lectures and trying to get as much clinical experience through not actually seeing patients.\n\nDr. Selim Sheikh: So that was a big challenge. The other thing was, of course, I would say the physician side. It was difficult in adapting to virtual health or telemedicine. And there's also that hiccup for students as well, because once we brought them back into the clinic, of course, a lot of physician templates are filled with virtual health.\n\nDr. Selim Sheikh: And so we had to teach that way as well and have the students participate in that respect. I think as far as permanent changes, at least our department and I think a lot of our peer departments are shooting for a goal of probably like 20 to 30% of telemedicine indefinitely. And I think that's something that's going to be there for medical student education.\n\nCrystal Bauer: I see, what skills do family doctors need to fight this pandemic. And how do you think medical and residency programs are adapting to help their students and residents meet these demands?\n\nDr. Selim Sheikh: So I actually think that Family Medicine physicians are probably the best in terms of adapting to whatever healthcare needs there are. I completed residency in 2019, and so I still feel totally comfortable managing prenatal care, inpatient medicine, emergency medicine, even critical care in certain aspects. And in that respect, I feel like we could answer the call to help out wherever is needed. And so for our COVID-19 surge plan, I was on call for a couple months, basically just in case we had physicians get sick who normally do inpatient medicine or emergency medicine, then I would get called up.\n\nDr. Selim Sheikh: As far as the medical schools and residency programs adapting to help students and residents, I think there's been a revival in terms of wellness programming. That's can be good or bad. And by bad, I mean, adding more required programming is not necessarily a good thing. And so I think that discussion has definitely come up especially with a lot of the residents serving on the front lines in terms of caring for COVID-19 positive patients. And so a lot has been focused in terms of their mental health and just in general balance of wellbeing.\n\nCrystal Bauer: Makes sense. What have you learned through this pandemic overall?\n\nDr. Selim Sheikh: I think it sort of what I had also previously said, in that family physicians are best equipped in handling a situation like this. When I was on call I went through and continued medical education in terms of critical care, inpatient care, emergency, and I still felt really comfortable reviewing all those things that I did during my residency program. And so I think just understanding that if things like this happen or when these things happen, you brush up and just jump right back in.\n\nCrystal Bauer: What do you think your students and residents have learned through the pandemic?\n\nDr. Selim Sheikh: A lot of the students have been able to appreciate, again, the breadth of skill and practice. And also of course, I mentioned that they're having to work with telemedicine as well. And so I think the healthcare technology piece is boosted in terms of their education during medical school. And also, I think sensitivity in doing physical exam and balance In ordering tests in terms of laboratory tests and also imaging in situations where you might not always be able to touch a patient.\n\nCrystal Bauer: That makes sense. If you could start this year over again and do things differently regarding COVID-19 care, what would you change?\n\nDr. Selim Sheikh: I think one is specific to what I practice with Osteopathic Manipulative Medicine and needling practices in Integrative Medicine. I think that was largely ignored in terms of our medical center. And this isn't necessarily a criticism, it's more so just the state of how these practices are viewed. It was basically just said that this is not considered a necessary aspect of treatment or health care during a time like this, where I would argue that at least I have a lot of patients who ended up being hospitalized because they were in pain crises when normally they're able to manage without much medication management because they get these manual therapies which they weren't able to get during this period of time.\n\nDr. Selim Sheikh: And so they ended up having to go to the emergency room for pain management and then ended up being hospitalized which, of course exposes risk on both sides. So I think a better balance would have been beneficial for our patient population in that respect. There have been a lot of osteopathic physicians around the country who were able to treat COVID positive patients in hospital at the peak of the pandemic and achieved some good outcomes. And so I think that's something I know I would've been able to do anything differently about just because of the red tape and bureaucracy of a large medical center. But if I could have garnered some support with some local colleagues, it may have helped.\n\nCrystal Bauer: Sure. During the pandemic, what do you feel you've done right? And why?\n\nDr. Selim Sheikh: I think adapting to how to best serve patients during this time was a big piece of it. And I think the digital health efforts I mentioned that I was able to take some patients through telemedicine in terms of treating themselves. Also I spent a decent amount of time coming up with material in terms of being able to share with patients digitally to be able to manage without me being able to treat them. And these are primarily for patients that I would see on a relatively regular basis in terms of managing their pain crises. And so I think in that respect, I feel that I can continue to use.\n\nCrystal Bauer: You mentioned earlier at one of the sites you see the demographics. Sounded like lower income and limited resources. In using technology was that a barrier for certain populations? Telemedicine? Or did you not notice that as being an issue?\n\nDr. Selim Sheikh: No, absolutely. That was definitely a barrier. And so one of the ways that our department has tried to mitigate that is by setting up mobile units to go out to certain neighborhoods, to basically have a clinic in a truck. And so one way that we've addressed it. I know of some local medical groups that are not OSU, that came up with ways of, for example, they would send out some of their staff with tablets to go to these patients' houses so that they're able to actually do a virtual visit with their physician. But for ideas and funding and above-my pay grade reasons, we weren't able to do that.\n\nCrystal Bauer: Sure.\n\nDr. Selim Sheikh: And I think those are some ways that we've adapted.\n\nCrystal Bauer: Who are the people you've worked with most closely during this pandemic? And who impressed you during this time? And were these established professional relationships or new relationships?\n\nDr. Selim Sheikh: I think for the most part, I worked with small number of people through the pandemic, at least in the early part. And that's just essentially who you have to work with in terms of clinic staff and your physician partners and not feel like that's just a natural way that everyone has become isolated since we didn't nearly go into the office as much as we used to. In terms of working with individuals who impressed me I think was our resident physicians.\n\nDr. Selim Sheikh: They were able to learn and excel in what they did. Unfortunately, several residents did end up getting COVID. I don't think it was actually from patient care. But in that respect, still with the support of the program and their colleagues have done really well. As far as new relationships during the pandemic, I have been placed on a couple work groups throughout the medical center.\n\nDr. Selim Sheikh: One is a post COVID-19 surge population health recovery work group, in which I work with the leaders of the OSU University Health Plan, and also medical center leaders in a move towards value-based care systems in the context of how the pandemic has affected our various patient populations. So working with those individuals has been a great learning experience for me. And it's exciting to basically make lemonade from lemons.\n\nCrystal Bauer: That's good. What is your sense of where family medicine is going in the future?\n\nDr. Selim Sheikh: I think in a lot of ways, the pandemic has renewed a spotlight on family medicine and family physicians within the U.S healthcare system. I think that a lot of local and regional government officials have taken note of what we can do and that, even though we've always been able to do these things, that a lot of family physicians have really stepped up.\n\nDr. Selim Sheikh: So I think that definitely strengthens the profession moving forward. I would also hope that our leaders in organized medicine will use this platform to continue to work towards securing increases in graduate medical education funding to fill the growing need of primary care physicians in particular, in order to ensure the highest quality of care for Americans.\n\nCrystal Bauer: Any views on important issues in the specialty related to COVID 19 that we have not addressed here that you would like to share with us?\n\nDr. Selim Sheikh: No.\n\nCrystal Bauer: Are there any last thoughts you would like to add? This is your opportunity to share your thoughts for future generations listening to this recording or you set the record straight on anything you feel might be important to address.\n\nDr. Selim Sheikh: No, thank you.\n\nCrystal Bauer: Well, thank you so much. If you have nothing else to add, this will conclude our interview and I'd like to thank you so much for taking the time to do this interview.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2334/collection_resources/104642/file/204683#t=0.0,1254.221"}]}]}]}