Departments & Divisions
Nehman M Andry , M.D.
Associate Professor/Clinical
Director of Medical Student Education
I am a native Texan and have called San Antonio home for over 25 years. I became interested in medicine at age 12 when my father passed away unexpectedly from a heart attack. I graduated from Douglas Mac Arthur High School and received a Bachelor of Science degree in Chemistry from St. Marys University. I completed medical school and Family Medicine residency at The University of Texas Health Science Center at San Antonio. I am a board certified family mediice physician. Teaching, mentoring, and service are my greatest passions. I teach and mentor students and residents at all stages of their training in the hospital, clinic, community, and classroom. I am the Family Medicine Clerkship Director, a Synthesis case facilitator for first year medical students, a longitudinal preceptor for pre-clinical medical students, Associate Director of the Residency Research Network of Texas (RRNeT) and student research mentor, a mentor to students in the Global Health elective, and a mentor to students in the Family Medicine Interest Group (FMIG) and those interested in pursuing a career in family medicine.
Since 2010, I have provided primary care to patients of all ages in the Family Health Center (FHC) at the University Health System Robert B. Green Campus. As an attending physician for the FHC Well Child Clinic, I provide check-ups and sports physicals, manage and coordinate care for children with chronic medical and mental health conditions, and address the acute needs of pediatric walk-ins. I am the main faculty member in the department who cares for adults with intellectual and developmental disabilities. In addition, I serve as an attending physician for the Family Medicine Inpatient Service at University Hospital periodically throughout the year. My professional home is the Society of Teachers of Family Medicine (STFM). I have presented scholarly work regularly at STFMs national meetings since 2013. In 2015, I completed STFMs Medical Student Educators Developmental Institute (MSEDI), a one year fellowship for medical student educators. In 2016, I was selected to a 3 year term (2016-2019) on the Steering Committee for STFMs Medical Student Education Collaborative to address educational needs of students and faculty throughout the country. In February 2018, I completed 2 years of service as Co-Editor for the STFM Messenger Education Column, a peer-reviewed monthly electronic publication sent to all STFM members.
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Professional Background
Education
- 2013 - Residency - Family Medicine (Chief Resident July 1, 2012 - June 30, 2013) - The University of Texas Health Science Center at San Antonio
- 2010 - MD - Medical Degree - The University of Texas Health Science Center at San Antonio
- 2005 - BS - Chemistry (Cum Laude) - St. Mary`s University
Appointments
- 9/2017 - Associate Professor/Clinical - UT Health Science Center at San Antonio, Family & Community Medicine, San Antonio
- 9/2016 - Clerkship Director - UT Health Science Center at San Antonio, Family & Community Medicine, San Antonio
- 7/2013 - Assistant Director of Medical Student Education and Other - UT Health Science Center at San AntonioSan Antonio
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Instruction & Training
- 9/2016 - Present, Family Practice Clerkship, The University of Texas Health Science Center
- 7/2015 - Present, Pre-Doctoral Student Supervision, UT Health Science Center at San Antonio School of Medicine
- 1/2015 - Present, Pre-Doctoral Student Supervision, UT Health Science Center at San Antonio School of Medicine
- 8/2014 - Present, Pre-Doctoral Student Supervision, UT Health Science Center at San Antonio School of Medicine
- 8/2014 - Present, Family Medicine Clerkship Didactics, UT Health Science Center at San Antonio School of Medicine
- 9/2013 - Present, Rotation Student Supervision, UT Health Science Center at San Antonio
- 8/2013 - Present, Rotation Student Supervision, UT Health Science Center at San Antonio
- 8/2013 - Present, Rotation Student Supervision, UT Health Science Center at San Antonio
- 7/2013 - Present, Sub-internship in Family Practice In-patient Serv Selective, The University of Texas Health Science Center
- 7/2013 - Present, Family Medicine Preceptorship with Clinical Faculty-Selective, The University of Texas Health Science Center
- 7/2013 - Present, Family Medicine Interest Group (FMIG), UT Health Science Center at San Antonio School of Medicine
- 7/2013 - Present, Rotation Student Supervision, UT Health Science Center at San Antonio
- 7/2013 - Present, Family Medicine Residency Didactics, UT Health Science Center at San Antonio
- 7/2013 - Present, Teaching Tips for Clinical Preceptors, UT Health Science Center at San Antonio School of Medicine
- 7/2013 - Present, Rotation Student Supervision, UT Health Science Center at San Antonio
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Research & Grants
Grants
Private
Funding Agency Texas Academy of Family Physicians Foundation Title Comfort with Uncertainty In Medical Students and Family Medicine Residents: an RRNET Study(20170157HU) Status Active Period 7/2017 - Present Role Principal Investigator Grant Detail Purpose/Objectives: The overall purpose of this study is to assess comfort with uncertainty in both medical students and family medicine residents and determine its association with career choices. Our study aims are: (1) To measure the comfort with uncertainty of a general population of U.S. medical students and determine if there is a correlation between that comfort and career choice for family medicine and primary care, adjusted for the many other known influences of that choice. (2) To measure the comfort with uncertainty in family medicine residents and to measure its change over time.
Research Design/Plan: This study will consist of two parts: 1) This will be a cross-sectional study of medical students? comfort with uncertainty correlated with their final career choice, 2) This will be a prospective cohort study of the comfort with uncertainty among family medicine residents over their 3-year training period.
Methods: 1) This is a study of 3rd-year medical students who are rotating on their regular 4- or 6-week family medicine clerkships. They will be surveyed at the beginning of their clerkship. The instrument will contain both standard scales measuring comfort with uncertainty and other features already known to correlate with the choice of family medicine or primary care as a career. After surveying all students rotating through our programs for one year, we will contact them late in their 4th year to determine in which specialty they matched. 2) This is a study of family medicine residents. They will be surveyed early in the academic year. The instrument will contain standard scales measuring comfort with uncertainty, basic demographics and career aspirations. Residents will be surveyed each year for 3 years. This will allow both a cross-sectional examination of comfort with uncertainty as it varies across residency training years and an examination of how this comfort may change in individual physicians over time.
Clinical Relevance: Knowledge
Funding Agency Texas Academy of Family Physicians Foundation Title Predictors of Family Physician Wellness and Burnout: An RRNet Study Status Active Period 8/2016 - 9/2018 Role Principal Investigator Grant Detail Predictors of Family Physician Wellness and Burnout: An RRNet Study
Study Purpose: The purpose of the study is to understand the demographic, psychological, environmental, and work-place characteristics that impact resilience and burnout among family medicine residents and physicians in Texas. Specifically, the study will attempt to understand factors related to the risk of burnout and investigate protective elements that can enhance physician resilience.
Subjects and Setting: Respondents will include approximately 120 family physician faculty and 300 family medicine residents across 11 residency programs associated with the Residency Research Network of Texas ( RRNeT). In addition, the study will seek approximately 20 family physicians in community practice in each of the 10 communities associated with our 11 RRNeT programs. Study Design. The researchers will develop an online survey using Survey Monkey. The surveys will be anonymous; no identifying information will be collected from the respondents. Surveys will be administered by the RRNeT champion at each Family Medicine Residency site. These RRNeT champions will also identify and survey 20 community-based physicians in their county.
Outcome Measures: The outcome measures of resilience, burnout, psychological flexibility and workplace stress will be measured using the Brief Resilience Scale, The Copenhagen Burnout Inventory, the Primary Care Provider Acceptance and Action Questionnaire (PCP-AAQ) and the Primary Care Provider Stress Checklist (PCP-SC) respectively. Respondents will also report personal characteristics such as age, gender, ethnicity, marital status, and household size.
Implications: The results of this study inform workplace policies and wellness programming for family medicine residents, faculty and community-based physicians. Results will be shared with each residency program and with the Texas Academy of Family Physicians to inform policies, programming, and support systems f
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Publications
Book Chapter
Andry NM, Jaen CR. Smoking and Tobacco Addiction. In: Usatine RP, Smith MA, Mayeaux EJ, Chumley HS. The Color Atlas and Synopsis of Family Medicine 3rd Edition. New York, New York: McGraw Hill Education; 2019. p. 1558-1570.
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Clinical
Board Certifications
- 2013 - American Board of Family Medicine