One day, tired of seeing patient after patient with large head and neck cancers that could have been treated if caught early, otolaryngologist Charles Moore, MD, hopped into his car. He didn’t drive away from the overwhelming need he saw or the frustration he felt; instead, he headed to the neighborhoods that were home to the people he saw in his office every day.
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October 2018“After saying to myself, over and over, ‘somebody needs to do something about this,’ I finally thought, maybe it should be me,” said Dr. Moore, chief of otolaryngology–head and neck surgery at Grady Hospital in Atlanta. “It was scary to do that, but I didn’t feel I could turn my back on it anymore.”
His first neighborhood expeditions were listening sessions. He talked with people at churches, community centers, homeless shelters, and on the street. “I didn’t tell them who I was, but people were very receptive to talking to me,” Dr. Moore said. “That’s how I learned.”
Soon, he was returning to the neighborhood on a regular basis, a one-man roving medical clinic operating out of the back of his car. What began simply as an effort to decrease suffering from head and neck cancer has since grown into the HEALing Community Center, a network of federally qualified health centers that provide primary and specialty healthcare to people in some of Atlanta’s most underserved neighborhoods.
Across the country, physicians with busy clinical practices and demanding academic careers are discovering the many benefits of community service. They’re using their medical skills, knowledge, and connections to improve public health and empower patients. They’re forging community connections, inspiring the next generation and finding a deep sense of personal satisfaction.
Here is how three otolaryngologists serve and strengthen their communities, and how you can make a difference in yours.
The students see someone who sat in the same classroom and learned some of the same things, and they see not only how I was able to apply that learning to get to where I am, but also how I use those concepts every day. —Lamont Jones, MD, MBA
The Community Ambassador: Dr. Lamont Jones
Before Lamont Jones, MD, MBA, was vice chair of otolaryngology at the Henry Ford Health System and an internationally respected keloid researcher, he was a public-school student in Detroit. He was considering a career in bioengineering when one of his high school teachers suggested medical school. “Growing up in Detroit, I didn’t have any examples of African-American doctors. But I was always taught that I could do whatever I wanted to do, and I worked at it and was given the opportunity,” Dr. Jones said.
After graduating from medical school, he returned to Detroit. “Where a lot of people saw Detroit as a desolate place, I saw opportunity. I saw fertile ground,” Dr. Jones said.
He now inspires students at the very same high school he once attended. While guest lecturing a physics class, for instance, Dr. Jones interweaves his work with facial trauma reconstruction to deliver a powerful lesson about the physics of car accidents. His presence is also a testimony to the importance of the very class he’s teaching. “The students see someone who sat in the same classroom and learned some of the same things, and they see not only how I was able to apply that learning to get to where I am, but also how I use those concepts every day,” Dr. Jones said.
Dr. Jones also serves as an informal mentor for many of his pediatric patients. “I frequently ask the kids what their plans are for the future and I talk to them and their parents about their grades,” said Dr. Jones, noting that he’s been invited to numerous graduation parties, and tries to attend as many as possible. “As a physician, you have a bigger stage and more opportunity to make a difference in your community,” Dr. Jones said. “I’m blessed to help others and to get compensated well for what I do. With that comes some responsibility to give back.”
After saying to myself, over and over, ‘somebody needs to do something about this,’ I finally thought, maybe it should be me. —Charles Moore, MD
The Public Servant: Dr. Charles Moore
When Dr. Moore accepted a position in the department of otolaryngology at Grady Memorial Hospital, a 1200-bed Level One trauma center that provides care for many of Atlanta’s indigent patients, he did so with an eye toward improving the health of a traditionally underserved population.
His initial community outreach efforts were small: one man, providing service to one person at a time, in some of Atlanta’s most under-resourced neighborhoods. “Gradually, I realized it would take more than one person to make a big impact,” Dr. Moore said, so he began inviting colleagues to join him. In time, and with great effort and collaboration, his outreach led to the development of the HEALing Community Center, a network of four federally qualified healthcare centers, including two school-based health centers.
Dr. Moore also serves as director of the Urban Health Initiative at Emory University, an initiative that is designed to address health disparities. “One of the places that we have worked is at an apartment complex where there’s about 90% unemployment and no access to transportation,” Dr. Moore said. Students in Emory’s Master of Public Health Program worked with residents and local churches to help tenants access local businesses. “We got two churches involved. One donated the use of their van; the other paid for gas and a driver. We came up with a route that would go to grocery stores, the laundromat and doctors’ offices, and some students also created an app so you could see where the van was in route,” Dr. Moore said.
Dr. Moore has also taught community grocery store workers how to read food labels, how to shop economically and how to prepare healthy meals, so workers can share that information with shoppers (and use it in their own homes). He regularly leads Saturday morning walking programs as well.
“If I’m in sweats, it’s a little bit easier for some folks to ask questions,” Dr. Moore said. “My goal is to create a layered way of providing support systems for folks to get access to care and learn more about health.”
Called by His Church: Dr. D. Bradley Welling
As an otolaryngologist, D. Bradley Welling, MD, PhD, chief of otolaryngology at Massachusetts Eye and Ear in Boston, and editor of the Triological Society journal Laryngoscope Investigative Otolaryngology, has won awards and acclaim for his research on the clinical manifestations of mutations in the neurofibromatosis type 2 (NF2) gene in vestibular schwannoma. As a member of the Church of Jesus Christ of Latter-Day Saints (LDS Church), Dr. Welling serves his community and mentors the next generation.
Dr. Welling is the president of the Cambridge Stake of the church’s Young Men’s Organization; he oversees and coordinates activities for eight regional groups that serve young men aged 12 to 18. Dr. Welling and his counselors, along with the Young Women’s leaders, plan and lead youth conferences and gatherings that emphasize community service. This summer’s youth conference, for instance, included opportunities for the youth to entertain the elderly at area nursing homes. They have also pulled weeds along the Charles River in an effort to preserve the area’s natural ecology. In fall and spring, youth help clean up and prepare a local youth camp.
Each of these activities is important, but Dr. Welling knows that the relationships he and the youth members are building are precious and important. “You have more opportunity to influence a young person, I think, between the ages of about 12 and 16 than at any other time,” Dr. Welling said. “By the time they’re 17 or 18, they’re pulled away from home and are focused on their friends. But in that 12-to-16-year-old-range, they’re still willing to listen to you. They are really a wonderful group of young people.”
Dr. Welling sums up why he thinks community service is important for otolaryngologists: “It isn’t only a benefit to those you serve. It really helps individuals be well-grounded. It helps us not get too carried away with our own importance.”
Jennifer Fink is a freelance medical writer based in Wisconsin.
Key Points
- Through local community service, otolaryngologists are using their medical skills, knowledge, and connections to improve public health and empower patients.
- Community service can help forge community connections, inspire the next generation, and help physicians find a deep sense of personal satisfaction.
Get Involved
Otolaryngologists involved in community out-reach offer these tips:
Look and listen. Don’t presume you know what your community needs. Talk to your patients and listen to what they have to say. Visit community gathering spots and engage the locals in conversation. “People know what they need,” Dr. Moore said. “You just have to listen to them.”
Block off time. All physicians are busy, and it’s easy to let medicine consume your life. However, scheduling time for community engagement isn’t only good for your community; it’s good for you too. “It’s an extremely enriching experience to work outside of medicine from time to time,” Dr. Welling said. “It also helps keep you in balance.” You can start small: Volunteer with a local charity once a month for an hour.
Embrace your unique position. All humans have unique gifts and talents. As an African-American man from Detroit, Dr. Jones is uniquely positioned to inspire African-American youth. As an active member of the LDS Church, Dr. Welling is connected with a community with a long history of service and built-in infrastructure. Dr. Moore’s interest in health disparities blossomed into a host of public health initiatives. Taking a mental inventory of your skills, interests and passions can help you direct your energy.
Connect human to human. “People really appreciate it when you step out of your white coat and roll up your sleeves and help with things that are common to humankind,” Dr. Welling said. Drop your professional pretenses; be willing to be a learner rather than a leader, especially at first. Ask questions as needed.
Amplify your outreach. Working alone, there’s no way Dr. Moore could have built the HEALing Community Center and expanded it to four different locations—while also maintaining a busy clinical schedule. “When you work with folks that have skillsets that compliment yours, together you can get a lot accomplished,” Dr. Moore said. Working with others also allows you to balance your professional responsibilities with your community work. “I have some flexibility in my church responsibilities because we have many dedicated youth leaders who serve together,” Dr. Welling said. “We plan ahead, so when schedules are crazy, we can usually keep things covered.”
Check your liability coverage. Liability concerns keep some doctors confined to their offices. But according to Dr. Moore, some states (including Georgia) will cover physicians’ medical liability insurance if the physicians are providing free medical care. Some universities and clinics will do so as well.
Keloid Research: Otolaryngologist Finds Unmet Need in His Community
Lamont R. Jones, MD, MBA, vice chair for the department of otolaryngology–head and neck surgery at Henry Ford Health System in Detroit and member of ENTtoday’s editorial advisory board, has received a five-year, $895,814 grant from the National Institutes of Health to fund research on the characterization of keloid specific exosomes and determination of exosomal critical signaling pathways in the keloid microenvironment.
To date, much of the research into keloid development has focused primarily on genetic mechanisms. This approach has yielded few tangible results, with large gaps in the understanding of keloid pathogenesis.
We sat down with Dr. Jones earlier this year to talk to him about his background, and how he came to the area of keloid research.
ENTtoday: Where did you grow up and where did you complete your training?
Dr. Jones: I’m a native Detroiter. I grew up in Detroit and did my undergrad at Xavier University in Louisiana. I did my medical school and residency training at University of Michigan at Ann Arbor. I did a facial plastic, craniofacial reconstructive fellowship in SUNY update in Syracuse and am currently in my 10th year on staff at Henry Ford Health System at the hospital in the department of otolaryngology.
I had plans to come back to Detroit after finishing [training] because I still have a lot of family and friends in the area. I saw Detroit as an opportunity. At the time, Detroit was making its slow ascent back to some of its former glory days.
Henry Ford has a good mix of community-based clinical operation and probably under-appreciated research infrastructure, so I thought it would give me what I was looking for as I started my career journey.
ENTtoday: How did you get started in keloid research?
Dr. Jones: One of the biggest things that I try to do is to look for a need and opportunity and, a lot of times, your work will be better if you find an unmet need that not everyone is focusing on. If there are a lot of people doing it, it can be difficult to blaze your own trail.
I had a few patients who started coming to me with keloids. The population around the hospital in Detroit is majority African American, and I noticed that 15% to 20% of patients were not presenting with keloids after having incisions in the head and neck.
I started off with a clinical question and was able to do a quick epidemiology search looking at the incidence of keloids after head and neck surgery.
Henry Ford researcher Maria Worsham, PhD, just happened to have some space and a methylation array. I asked her the essential clinician research question: What can we do to better understand this condition, and how can we use the bench to help us? She told me to give her as many samples as I could, and we would put them into the array and look at the condition from an epigenetic perspective.
After that, I developed a five-year plan, which included trying to get funding for research.
Currently, there are no published studies on keloid exosomes. Preliminary data from our research shows the potential contribution of exosomes in keloid development. We believe this data could eventually open the door to novel exosome-based keloid therapies.”
If you would like to make a gift to help support keloid research and patients who need treatment, please contact the Henry Ford West Bloomfield Hospital chief development officer at ksula1@hfhs.org.
Keloid Fast Facts:
- More than 11 million people in the world suffer from keloids.
- 425,000 clinic visits in the United States are associated with keloids.
- Clinical outcomes for the treatment of keloids are disappointing, with high recurrence rates.
- There are no FDA-approved therapies for keloids.