People Profile – Dr. Flavia Tejada Frisancho

Flavia Tejada Frisancho, MD, (PGY 2; Internal Medicine)

For Flavia Tejada Frisancho, MD, (PGY 2; Internal Medicine), leaving her home country of Peru to pursue her dreams may not have been easy. But every challenge has made her stronger, she says, and she hopes to inspire others—especially women and minorities in medicine—to chase their goals fearlessly.

Medicine has always been a part of Dr. Tejada Frisancho’s life and her family’s story. Her grandfather, a surgeon, met her grandmother, a scrub nurse, right in the operating room. And Dr. Tejada Frisancho was born during her parents own medical residencies—her mom’s in ophthalmology and her dad’s in oncology/head and neck surgery. (“Honestly, I have no idea how they managed—shoutout to all the parents going through residency!” she adds.)

Seeing firsthand the impact her parents had on their patients, Dr. Tejada Frisancho knew she wanted to dedicate her life to something just as meaningful. She says the cherry on top was getting to apply science—her favorite subject—to real life in the most impactful way.

“I always thought I would follow in my family’s footsteps and pursue a surgical specialty. After all, surgery is practically in my DNA,” she says. “But during medical school, everything changed when I rotated through internal medicine, especially critical care and cardiology.”

Dr. Tejada Frisancho loved the critical thinking required in internal medicine and, sometimes, the opportunity to play detective. She also liked the chance to build long-term relationships with her patients and advocate for them throughout their journey.

Dr. Tejada Frisancho says the unwavering support from her program, mentors, and colleagues has helped her succeed at MedStar Washington Hospital Center. She appreciates that MedStar Health encourages growth and innovation, whether through hands-on learning, participating in committees, or engaging with diverse patient populations, and she’s eager to pursue opportunities to be more involved this year.

“I believe that leadership and advocacy are essential in medicine, and I Iook forward to finding ways to contribute beyond clinical care,” she says.

Along with her residency program’s book club, Dr. Tejada Frisancho is currently reading “The Picture of Dorian Gray” by Oscar Wilde. “It explores vanity and the consequences of unchecked ambition—something that can even resonate in medicine at times!” she says. When she’s away from the hospital, Dr. Tejada Frisancho also enjoys painting and loves to explore art galleries and discover local artists.

People Profile – Dr. Olivia Perez de Acha

Olivia Perez de Acha, MD, (PGY 4; Internal Medicine)

Olivia Perez de Acha, MD, (PGY 4; Internal Medicine) says it was the TV medical drama “House” and a desire to help others that inspired her to pursue a career in medicine. (Luckily, she also discovered a love for anatomy and biology.)

Real life in the hospital may not play out exactly like it does on screen, but Dr. Perez de Acha likes that internal medicine is never repetitive and allows her to encounter cases—from cellulitis in the foot to heart failure to leukemias and glomerulonephritis—that touch every subspecialty in medicine.

Dr. Perez de Acha was born in Madrid, Spain, but she’s a Coloradan by marriage (Go, Broncos!). And, after four years in D.C., she also considers the District home. This summer, she’ll complete her residency, but she won’t be going far. In July, Dr. Perez de Acha will begin a fellowship in hematology oncology at Johns Hopkins Medicine. As she continues her studies, she’s hopeful about the future of this field.

“I am particularly excited about the new possibilities of chimeric antigen receptor (CAR) T-cell therapy being applied not only in malignant hematology but also in solid oncology and even in non-malignant diseases like Myasthenia Gravis or systemic lupus erythematosus (SLE),” she says.

Dr. Perez de Acha is one of four chief residents for internal medicine at MedStar Health Georgetown—Washington Hospital Center, and she also serves on the House Staff Diversity Council Committee.

Reflecting on her time at MedStar Health GME, Dr. Perez de Acha acknowledges how important her relationships with mentors and friends have been during her residency. “Enjoy your training years,” she tells colleagues. “They allow you to build relationships that last forever.”

As the founder of the MedStar Health GME Running Club, her close colleagues likely know about her love for the outdoors and her dedication to “crazy outdoor adventures,” as she describes them. They may not know that she also loves spending time indoors scrapbooking and has been building an album of treasured Polaroids for more than 15 years.

Medical Educator Minute | Using a framework to design curriculum

As a faculty member or senior resident/fellow, you may be responsible for teaching a new topic to trainees or colleagues. Those new to medical education often begin by developing a lecture or learning exercise on the topic. However, research in medical education demonstrates that there is much more to teaching and learning than content. Using a framework for curriculum design can ensure you are using best practices when developing new teaching materials. There are many frameworks in the literature for curriculum design, including Kern’s Six Steps to Curriculum Development, the 4-D’s Framework, Universal Design for Learning (UDL), and curriculum mapping among others. Each of these frameworks have the following concepts in common:

  • Establishing an explicit and clear learning purpose – this is not just about writing the learning objectives, but understanding the goal, what should your learners know or do?
  • Needs Assessment – understanding your learners, what do they already know or do, and understanding the scope of the gap between the ideal and current state.
  • Designing curriculum by selecting an educational strategy that aligns with the gap – what prevents your learners from reaching the ideal state? Is it a knowledge gap? Skills gap? Confidence gap? Design a curriculum that aligns with the specific needs of your learners.
  • Implementation – thinking about available resources, barriers, and culture in your setting, implement the curriculum in a way that is feasible for your learning environment.
  • Evaluation – it’s important to measure outcome goals that align with your learning purpose, whether that is an increase in knowledge or skills, or a change in practice behavior.

Using an established framework to guide the development of your educational sessions helps ensure your efforts accomplish your intended outcomes. For more specific information and guidance, check out these resources:

 

People Profile – Dr. Abigail Solorio

Abigail Solorio, MD, (PGY 2; Family Medicine)

Abigail Solorio, MD, (PGY 2; Family Medicine) encourages her fellow residents to embrace the learning process and to remember that the experiences that may feel like setbacks are often the ones that propel you forward.

She also stresses the importance of keeping patients at the center of everything you do.

“A lot of the learning comes not only from our attendings but our patients as well. It’s not just about the medical knowledge, but rather about understanding your patients’ stories—connecting with them and helping them navigate a healthcare system that can sometimes feel impersonal and disconnected.”

Growing up in a Spanish-speaking household in Phoenix, Arizona, Dr. Solorio observed the language and cultural barriers that many people face when seeking medical care. She also came to understand the challenges faced by vulnerable populations, particularly those without access to quality medical care.

“These valuable insights fueled my desire to become a physician—someone who could be a voice for people like my family, my neighbors, and my community,” she explains.

Dr. Solorio enjoys building relationships with her patients, navigating their challenges together, and empowering them to take control of their health. As a bilingual family medicine physician, she’s thankful for her ability to communicate with patients in their native language, which she says fosters a level of trust and understanding that can be the difference between a successful treatment plan and a missed diagnosis.

In her role as education chief for the MedStar Health—Georgetown/Washington Hospital Center Residency Program in Family Medicine, Dr. Solorio organizes weekly didactic sessions for residents and medical students. She also works closely with faculty to promote wellness and create a learning environment where residents feel comfortable sharing challenges and successes.

“Prioritizing mental health and well-being is something we must be intentional about,” she says. “Making space for rest, reflection, and open conversations about well-being allows us to stay connected to the passion that brought us into medicine.”

Dr. Solorio uses her time off to recharge and experience the world outside of work. Sometimes this means relaxing on a beach somewhere or traveling to a new city or country. Other times, it’s discovering a new workout studio in D.C., taking a Pilates or boxing class, or enjoying the peace and quiet of a museum like the National Portrait Gallery.

Shout Out! to Dr. David Muwanga

A heartfelt congratulations to Dr. Muwanga (PGY-1, D.C. General Surgery Program) for his unwavering dedication to our patients! A grateful family nominated him for a SPIRIT Award, recognizing his exceptional care and describing him as “kind, cheerful, professional, and incredibly polite.”

Moments like this reaffirm why we have dedicated our lives to serving others. We are beyond grateful for the compassion and commitment of our residents. Thank you, Dr. Muwanga, you exemplify the very best of us!

People Profile – Dr. Adam Hood

Adam Hood, MD, (PGY 2; Family Medicine)

Adam Hood, MD, (PGY 2; Family Medicine) says the beauty of family medicine is being able to make a significant impact in a patient’s life by taking an interest in who they are and attempting to understand and treat the person, not just the disease.

As a family medicine resident at MedStar Health–Georgetown/Washington Hospital Center, Dr. Hood describes his day-to-day as taking care of patients, in both inpatient and outpatient settings, across all walks of life and all demographics—everyone from pregnant patients and their babies to young children and the elderly. Being able to interact with and serve so many different types of people is what Dr. Hood loves most about his job.

This aspect of his work, however, has also helped shape his hope for the future of medicine in the United States—one where there is greater health equity. Dr. Hood acknowledges that a lot of good work has already been done on this front, but there is still significant progress to be made.

“I have patients who have to choose between paying for medications or paying for food or rent, or who would benefit from a certain medication but, because of their insurance or lack of insurance, aren’t able to afford it,” he says.

While Dr. Hood may have briefly considered careers outside of medicine—or even other specialties—where he landed may have, ultimately, been predestined. After all, both of his parents are primary care physicians in his hometown of Lubbock, Texas.

Prior to beginning his residency at MedStar Health, Dr. Hood says he had never lived outside of the state of Texas. But he emphasizes how fortunate he feels to have ended up in his program, where, he says, everyone is committed to helping each other become the best family medicine physicians they can be. He’s also thankful for his cohort of supportive residents, who help each other grow personally and professionally.

Dr. Hood says that his cohort regularly checks in with each other, whether through quick texts or more intense heart-to-hearts, and the advice he offers his fellow residents is to make sure they are prioritizing their health.

“Our jobs are to focus on the health of others, so our own health and well-being can get brushed to the side. You will be the best version of yourself as a doctor if you prioritize your own physical and mental health. As one of our attendings, Dr. Kirk, likes to say, ‘You can’t pour from an empty cup.’”

Outside of work, Dr. Hood “fills his cup” by staying active, exploring all of DC’s amazing parks and museums with his wife, and discovering new area restaurants.

Medical Educator Minute – Mentorship in Health Professions Education

In health care, mentorship is crucial for professional and personal growth. Mentors have a multifaceted role for trainees, including improving knowledge and skills, shaping attitudes, helping to achieve goals, developing professional networks, and promoting well-being.

Successful mentoring provides adequate support while also challenging the mentee, as this leads to a growth mindset. Mentorship aims to provide support in three domains:

  1. Canonical competence: a foundational knowledge base
  2. Contextual competence: ability to apply knowledge and skills
  3. Personal competence: focused on quality and satisfaction in practice

Considering the time constraints and diverse needs of mentees, modern mentorship models can significantly enhance their growth. Speed mentoring offers mentees the chance to connect with multiple experts in a short timeframe, receiving tailored advice about specific challenges while gaining diverse perspectives on a single issue or question. Meanwhile, peer and group mentoring fosters structured discussions around shared work-related topics, simultaneously building a professional network enriched by insights from individuals at varying career stages.

Practical strategies for mentors:

  • Promote psychological safety by getting to know the mentee as a person
  • Understand the mentees personal and professional goals
  • Set an agenda with goals and expectations for meetings
  • Allow for open reflection on challenges and debrief solutions
  • Keep track of mentee successes
  • Facilitate reflections and learning portfolios
  • Provide support with networking

Practical strategies for mentees:

  • Communicate your interest to potential mentors
  • Create specific long and short-term goals and think about a feasible timeline
  • Discuss personal strengths, weaknesses, and challenges
  • Be prepared to be challenged
  • Reflect on progress towards your goals
  • Set agendas and action plans to meet goals

Subha Ramani, Rashmi A. Kusurkar, Johnny Lyon-Maris, Eeva Pyörälä, GaryD. Rogers, Dujeepa D. Samarasekera, David C.M Taylor & Olle ten Cate (2024) Mentorship inhealth professions education – an AMEE guide for mentors and mentees: AMEE Guide No. 167, Medical Teacher, 46:8, 999-1011, DOI: 10.1080/0142159X.2023.2273217

People Profile – Dr. Hannah Gaynier

Hannah Gaynier, MD, (PGY 2; Pediatrics)

For Hannah Gaynier, MD, (PGY 2; Pediatrics) it was a passion for public health that led her to medicine. Fewer barriers and greater access to care, especially for the pediatric population, are on her wish list for the future. “Healthcare within all school systems is a dream of mine,” she says.

She also craved a career where she could develop personal relationships, like those physicians are able to establish with their patients. Now in her second year of residency at MedStar Georgetown, Dr. Gaynier appreciates the perspective that her patients provide.

“Even in the more difficult times, pediatric patients always seem to find ways—like a silly drawing they’re proud to show off—to remind providers of the all the joy that exists.”

Away from the hospital, Dr. Gaynier finds perspective by being outside, and she says nature is an important balance to the clinical setting.

“A walk in Rock Creek Park is all my mind needs sometimes to remember that a whole life exists outside of residency,” she says.

She likes to remind her colleagues to maintain perspective, too. Dr. Gaynier encourages her fellow residents at MedStar Health that no one expects them to be an expert on everything. “Give yourself permission to admit to yourself (and sometimes even to your patients) that you are uncertain. And use that uncertainty as a motivator to learn more,” she says.

Dr. Gaynier’s interest in learning doesn’t just apply to her day job. She also loves to bake and enjoys testing out new recipes from her favorite baking blogs on her (very lucky and, likely, very willing!) colleagues at least once a month. “Fortunately, my residency program has agreed to be my guinea pigs!”

People Profile – Dr. Sabrina Coaxum

Sabrina Coaxum, MD, MHS, (PGY 1; Pediatrics)

Sabrina Coaxum, MD, MHS, (PGY 1; Pediatrics) says that, especially on longer days, her young patients’ humor, honesty, and resilience serve as a positive reminder of the goodness in the world. Dr. Coaxum loves that pediatrics gives her the opportunity to interact with children of all ages—to watch them grow and to celebrate their developmental milestones with them.

Growing up in College Park, Maryland, Dr. Coaxum found herself asking questions and wanting to know more when attending her own or loved ones’ doctors’ appointments. She also noticed a lack of representation of BIPOC (Black, Indigenous, and people of color) in medicine, which further motivated her to pursue a career in the field and, hopefully, serve as a role model for future generations.

Having witnessed firsthand the inequities that exist in healthcare, Dr. Coaxum hopes that the future of medicine in the United States will mean more equitable care for individuals from all backgrounds, regardless of gender, socioeconomic status, or ethnicity. And she hopes to be able to promote this positive change through her own work as a pediatrician.

Dr. Coaxum acknowledges that working in healthcare is a collaborative effort, which is why her top piece of advice for her co-residents is to learn to be okay asking for help. She says that the guidance and teaching of the experienced and approachable attendings at MedStar Health have helped her succeed thus far. “Their support and understanding have helped instill a sense of direction and growing confidence as I progress through my training,” she says.

During her time away from MedStar Georgetown University Hospital, Dr. Coaxum says she makes sure to schedule time with friends and family, in advance, so she always has something to look forward to and is making sure to prioritize her own well-being. She also plans at-home spa days once in a while to unwind and pamper herself a bit. Other activities that give Dr. Coaxum a chance to recharge include traveling, puzzling, crocheting, and taking local classes, like cooking or candle-making.

Navigating grief during the holidays

Grief can feel especially heavy during the holidays, as traditions and gatherings may amplify feelings of loss. As a healthcare provider, you may also carry the emotional weight of patients and their families who are grieving. Here are a few strategies to help:

  • Acknowledge your feelings. It’s okay to feel sad or overwhelmed. Give yourself permission to grieve in your own way and time.
  • Honor loved ones. Engage in a meaningful tradition, such as lighting a candle, sharing a memory, or donating in their name.
  • Set boundaries. If certain gatherings or traditions feel too difficult, it’s okay to decline or modify them.

Managing stress amid the chaos

Between work responsibilities and personal obligations, the holidays can feel like a whirlwind. To manage stress effectively:

  • Prioritize self-care. Take short breaks, get adequate sleep, move your body, and fuel your body with nutritious meals. Even small acts of self-care can have a big impact.
  • Ask for help. Whether it’s delegating tasks at work or asking a friend to lend a hand, reaching out for support can lighten your load.
  • Practice mindfulness. Ground yourself with simple techniques like deep breathing or a short meditation.

Finding joy and meaning

While challenges may arise, the holidays can also be an opportunity to find moments of joy and connection.

  • Create new traditions. If your schedule or circumstances don’t allow for traditional celebrations, craft your own meaningful moments, such as sharing a meal with coworkers.
  • Connect with your community. Whether through your family, friends, colleagues, or local institutions, lean into relationships that uplift you. Sometimes, being present for others can be a source of healing.
  • Celebrate wins. Reflect on the impact you’ve made as a healthcare provider this year. Your work is meaningful and deeply appreciated.

Resources to support your journey

Remember, you don’t have to face these challenges alone. From programs that support individuals to education and training that creates a culture of wellbeing, MedStar offers resources designed to support you.

For more information, please check out our wellbeing initiatives and the MedStar Health Center for Wellbeing.

The holiday season can be a time of mixed emotions, but with the right tools and support, you can navigate this period with resilience and compassion for yourself. If you or a colleague are struggling, reach out – MedStar is committed to your wellbeing.

Wishing you peace, strength, and moments of joy this holiday season.