AF Williams Family Medicine Center at Stapleton
3055 Roslyn St #100
Denver, CO 80238
Teaching in an academic medical setting is both an honor and pleasure for me. Most of my learners are highly motivated. All have successfully completed an undergraduate curriculum, and the family medicine residents have completed medical school. Such a select group of learners have demonstrated their academic abilities and deserve to be treated as adult learners. Shared clinical care is the primary teaching model for my learners. I stimulate their innate curiosity, providing the framework and resources to further their knowledge and problem-solving skills.
Enthusiasm is essential to maximize both enjoyment and effectiveness in medicine. Learners are encouraged to find an aspect of medicine that excites them. Getting involved with the community as well as the work environment often perks interest. In addition, challenges in life often require us to apply ourselves more. This added effort may lead to enthusiasm. As an example, I share a personal experience from my early frustration caring for patients with diabetic foot ulcers. Poor results motivated me to learn more by attending conferences, wound care clinics, and consulting with colleagues. My care of patients with diabetic foot ulcers markedly improved and led to the reward of a publication! By working closely with my learners, each is acknowledged as a unique contributor to health care, and praised for his/her demonstrated abilities.
Early in my academic career, I studied geriatric medicine extensively and attended additional geriatric conferences. With this preparation, I was one of the first physicians to pass a rigorous examination to obtain Added Qualifications in Geriatrics. Several geriatric publications resulted when I partnered with my colleagues to further clarify geriatric issues. Examples include the following articles: "To Save or Not to Save: Treating Feet that Have Diabetic Ulcers," "Do Prolonged Hospital Stays Benefit Patients’ Lives?" "Start Seniors Toward Better Health with an Exercise Plan," and "Use of Comprehensive Geriatric Assessment Protocols by Community Practitioners."
In addition, I have been very interested in health care delivery, and led the Division of Community and Rural Medicine at the University of Mississippi. Our division did several health care delivery studies with publications such as, “Hospital Emergency Departments in Mississippi,” “Emergency Department Use and the Quality of Care,” “The Role of the Rural Hospital Emergency Department,” “Health Promotion and Disease Prevention: A Survey of Rural Family Physicians.”
After several successful publications, I decided to begin writing articles for the American Family Physician. It was enjoyable to partner with different colleagues and successfully publish several review articles including, "Heat Emergencies," "Delirium in the Elderly Patient," "Near-Drowning," and the "Diagnosis and Management of Gout." All of these articles were written after multiple experiences seeing and treating patients with these illnesses. My publications in American Family Physician were noted nationally and several additional offers followed. I was asked to write a chapter for Current Diagnosis 9 entitled, "Delirium and Dementia." Robert Taylor first asked me to write a chapter for the Manual of Family Practice entitled, "Heat-Related Syndromes." Later Dr. Taylor asked me to write a longer chapter for Family Medicine: Principles and Practice entitled, “Cerebrovascular Disease."
Grants enable the academic physician to expand the scope of activities and are often necessary to perform significant research. My initial grant was a small grant, but enabled me to expand a pilot project to improve teenage driver seatbelt use. A much larger W. K. Kellogg grant enabled our team to significantly expand health care opportunities to minority students in Mississippi. Recently I partnered with Drs. Soch and McLaughlin to write a successful grant to improve geriatric teaching for emergency medicine residents.
Providing care for many underserved patients, in several different settings, has made me acutely aware of the larger system issues that impair health care delivery in the United States. There is constant turmoil regarding how to best provide health care. The University of Colorado Family Medicine Residency Program is very active nationally, creating health care models and performing needed research to improve health care delivery systems. I decided to join the University of Colorado program to become a part of these important initiatives. In addition, I have accepted an offer to serve as the Director of the Family Medicine Inservice at the University of Colorado Hospital.
1979-present American Academy of Family Physicians
1990-present Society of Teachers of Family Medicine
2002-present American Diabetes Association
2005-present American Geriatrics Society
2009-present Colorado Academy of Family Physicians
PUBLICATIONS AND GREY LITERATURE
Bross MH. Heat Related Syndromes. In: Taylor RB, editor. Manual of Family Practice. Boston: Little Brown and Company, 1997:734-6.
Bross MH, Tatum NO. Delirium and Dementia. In: Conn RB, Borer WZ, Snyder JW, editors. Current Diagnosis 9. Philadelphia: Saunders, 1997:849-57.
Bross MH, Tryon AF. Preventive Care of the Older Adult. In: Rudy DR, Kurowski K.House Office Series Family Medicine. Baltimore: Williams & Wilkins, 1997:741-50.
Pittman, JR, Bross MH. Diagnosis and Management of Gout: AmericanFamily Physician 1999; 59(7): 1799-1806.
Bross MH. Heat-Related Syndromes. In: Taylor RB, editor. Manual of Family Practice, Philadelphia: Lippincott Williams and Wilkins, 2002:661-3.
Bross MH, Campbell DM. Cerebrovascular Diseases. In:Taylor RB, editor. Family Medicine: Principles and Practice, 6th ed. New York: Springer-Verlag, 2003:549-56.
Bross MH, Campbell DM. Cerebrovascular Disease. In:Taylor RB, editor, Taylor’s Cardiovascular Diseases. New York: Springer Science Business Media, 2005:185-204.
Bross MH, Soch K, Morales R, Mitchell RB. Vibrio vulnificus Infection:Diagnosis and Treatment: American Family Physician 2007;76(4):539-544.