COMmunicator - University of Tennessee: College of Medicine

COMmunicator
Blending the
Art and Science
of Medicine
Volume 10, Issue 3
May/June 2009
27th Annual
Research Week
Awards
Carr Named
EMSC Hero
Congratulations
Dr. Arant to Retire
4th Annual Bench
Press Fundraiser
Presentations
Publications
Note to PI
2009 UTCOMC
Incoming Residents
and Fellows
Internal Medicine
News
UTCOMC
“Cans” Hunger
Continuing Medical
Education
SAVE THE DATE
Nuts and Bolts
Sept. 11, 2009
27th Annual Research Awards
The UTCOMC and Erlanger Health System presented this year’s residents
research awards at dinner at the Pier 2 at the Landing Riverboat, April 24,
2009. Twenty-five residents presented the results of sixteen research and
unique case study projects throughout the day. The dinner and awards highlighted the week’s display of posters in the Erlanger Medical Mall Atrium.
Posters were judged in the morning and the three best research projects were
presented and judged at a session open to the
University community and public in the afternoon.
Awards were presented by the UTCOMC
Dean, David C. Seaberg, MD, and Mr. Jim
Brexler, Erlanger President and CEO. The top
research award was presented to Sandy Varghese, MD (PGY 3, Department of Pediatrics) L-R: Dr. Seaberg, Dr. Varghese, Dr.
by Robert C. Coddington, MD, the first Asso- Coddington, Mr. Brexler
ciate Dean for the Chattanooga campus who
founded the annual recognition of research.
This event is open to all resident and medical students visiting the UT COMC campus.
Dr. Varghese’s research was titled, “Demographic, metabolic, and genomic description
of neonates with severe hyperbilirubinemia.”
Christy Lusk, MD, also from the Pediatrics
Department (PGY 3), was second author on
the project.
L-R: Dr. Fore, Dr. Van de Water,
Dr. Choby, Dr. Schwab, Dr. Heath,
Dr. Seaberg
Judges for the event were Beth A. Choby,
MD (Clerkship Director, Department of Family Medicine, UTCOMC), Steve J. Schwab,
MD (Executive Dean, UT HSC College of Medicine, Memphis), and Joseph
M. Van de Water, MD (Professor, Department of Surgery and Assistant Dean
for Research, Mercer University School of Medicine, Macon, GA). Robert
Fore, PhD, UTCOMC Associate Dean, Greg Heath, DHSc, MPH, UTCOMC
Director of Research, and Pamela Scott, UTCOMC Director of Graduate Education were also instrumental in the day’s events.
Congratulations to all who participated in this notable College of Medicine
event.
Please see page two for a complete listing of the award winners.
1
2009 Resident Research Awardees
Author(s)
Sandy Varghese, MD
Christy Lusk, MD
Chasen Croft, MD
Award
Coddington Award
Best Research Presentation
2nd Place Oral Research Presentation
Paul Papillon, MD
3rd Place Oral Research Presentation
B. Shane Asbury, MD
1st Place Research
Poster
Tatiana Jaconbson, MD
Brindusa Mocanu, MD
Arshdeep Tindni, MD
Collins Chijioke, MD
Seth Means, MD
Kurt Scherer, MD
2nd Place Research
Poster
Philip Ramsay, MD
Melissa Radar, MD
1st Place Case Report
Poster
Susanna Carter, MD
2nd Place Case Report
Poster
3rd Place Case Report
Poster
Brett Krummert, MD
Kurt Scherer, MD
Gautam Dutta, MD
3rd Place Research
Poster
Title
Demographic, metabolic, and genomic
description of neonates with severe hyperbilirubinemia
Methicillin-resistant staphylococcus
aureus in a trauma population: Does
colonization predict infection?
Infrared surface temperature monitoring
in the post-op management of free tissue
transfers
Comparison of square vs half hitch knots
in a running suture model
Rapid Response Teams: The impact on
the rate of cardiac arrests at the Baroness
Erlanger Hospital of the UTCOMC
The frequency and significance of incidental thyroid nodules on CT of the chest
performed for reasons other than Thyroid
Disease: A retrospective study
Internal carotid artery thrombosis after
blunt trauma--salvage therapy with the
penumbra thrombectomy system
Robotic assisted laparoscopic ovarian
cystectomy during pregnancy
A rare cause of acute seizure in a young
male
Dept.
Pediatrics
Surgery
Surgery
Orthopaedic
Surgery
Internal
Medicine
Transitional Year
Surgery
OB/GYN
Internal
Medicine
and Transitional
Year
Michael Carr, MD, Named EMSC National Hero
The Emergency Medical Services for Children (EMSC), honored Michael Carr, MD, as a National Hero at their 25th EMSC Anniversary Luncheon in Alexandria, VA. Dr. Carr completed his pediatric surgery fellowship at LeBonheur Children’s Medical Center in 1983 and then
launched his academic career at UTCOMC and his clinical career at T.C. Thompson Children’s
Hospital. His nominators cite many accomplishments which qualified him for this award, which
include:
•
•
•
His leadership that led T.C. Thompson to become the first children’s hospital in Tennessee to be accredited by the American College of Surgeons as a Level I trauma center.
He is a champion of the EMSC continuum of care in his local community and statewide. His visits to the
federal legislative body garner resources to effectively deliver care to critically ill and injured children.
He has traveled throughout the state building support for an accredited poison control center.
Dr. Carr has balanced the tremendous medical needs of children both throughout his clinical work and in his
role with the EMSC council.
2
Congratulations
Faculty Promotions
Richard Alvarez, MD, full time faculty member in Orthopaedic Surgery has been promoted to
Professor.
Marco Chavarria-Aguilar, MD, full time faculty member in the Department of Surgery, has been
promoted to Assistant Professor.
Stephen DePasquale, MD, full time faculty member in the Department of Obstetrics
and Gynecology has been promoted to Associate Professor.
Mark Freeman, MD, with the Department of Orthopaedic Surgery, has been promoted to Clinical
Assistant Professor.
Joseph Kipikasa, MD, serving as Program Director of Obstetrics and Gynecology and
full-time faculty member, has been promoted to Associate Professor.
Billy S. Arant, Jr., MD to Retire
Billy Arant, MD, pediatric nephrologist and hypertension specialist, has announced his decision
to retire from the UTCOMC and his pediatric practice. Dr. Arant has made enormous contributions to the university and to the community as Professor of Pediatrics. He served as Chairman
of the Department of Pediatrics and Program Director for General Pediatrics for ten years, was
Medical Director of the Erlanger Hypertension Medical Center, and served on the medical staff
at Siskin Rehabilitation Hospital. He has contributed to countless committees nationally and locally, including the Institutional Review Board, the Scientific Review Committee, and the Tenure
and Promotions Committee. He is widely published, serving both as principal investigator and co-investigator on multi-site clinical trials. He has been listed in The Best Doctors in America and The Guide to America’s
Top Pediatricians, Consumer’s Research Council. In additional to his professional career, he has also avidly
pursued his interests in historic preservation of American architecture and conservation of 18-19th century
American arts and crafts. His leadership and expertise will missed by our faculty, residents, and staff.
The UTCOMC and Erlanger communities are invited to attend a reception in Dr. Arant’s honor, Monday,
July 13, 2:00 - 4:00 pm, in the POB dining room. Please join us in recognizing Dr. Arant for his dedicaiton
to teaching and the UTCOMC over the past seventeen years.
Pediatric Resident Award Recipients
The first annual Dr. Cathy Stevens Award was presented to Brandy Merritt, MD, the resident
“you would most like to practice with.” This award is funded by Tim Thomas, MD, a former
UTCOMC resident who is now practicing as a pediatric cardiologist.
Other awards included Best Pediatric Rookie to Spencer Rodgers, MD, and the Best Teacher to
Will Sepp, MD.
B Merritt, MD
In addition, Jennifer Williams, MD, has been accepted for a pediatric hematology/oncology fellowship at
Cincinnati Children’s Hospital Medical Center.
3
The Transitional Year Program Hosts the
Fourth Annual “Press Out Domestic Violence” Fundraiser
On May 21, 2009, the Transitional Year Program held their Fourth Annual Press Out Domestic Violence
fundraiser under the leadership of Amir Paydar, MD, his fellow colleagues, and Mukta Panda, MD. This
weight lifting competition was held in the Erlanger Medical Mall and raised $2,015 for the Partnership for
Families, Children and Adults of Chattanooga. In addition to the weight lifting, there was a blood drive
through Blood Assurance, and a Funky Shoe Contest in which women benched in the “interesting” shoes
of their choosing. There was very healthy competition between all of the departments with the real winner
clearly being the Partnership for Families, Children and Adults of Chattanooga.
Battle of the Titans
185 pounds
James Brexler
EHS President and CEO
150 pounds
Cy Huffman, MD
EHS Chief Medical Officer
David Seaberg, MD
UTCOMC Dean
Robert Fore, PhD
UTCOMC Assoc. Dean
Individual Winners
Chad Corrigan, MD
Alexandra Martin, MD
Residency
Emergency Medicine
Family Medicine
General Surgery
Internal Medicine
OB/GYN
Orthopaedic Surgery
Pediatrics
Plastic Surgery
Transitional
Weight Lifted (lbs)
325
100
Combined Weight Lifted
Males
Females
275
500
95
1075
370
225
240
935
1295
100 (75 reps)
90 (50 reps)
1470
Jason Croft, MD, Kurt Scherer, MD
135 pounds
150 pounds
Award
Most Weight Lifted by Individual Male
Most Weight Lifted by Individual Female
Award
435
-
Most Brave Male
Most Brave Female
Most Competitive Attending/Resident Combo
Most Competitive Attending Match-up
Most Determined Females
Largest Weight Lifted Per Number Competing
(312 lbs avg/individual)
Most Weight Lifted by Females of Residency
Most Repetitions Lifted
85
Most Weight Lifted by Residency Males
David Seaberg, MD, Jim Brexler, CEO
Cy Huffman, MD, Robert Fore, PhD
4
Publications
Adair CD, Buckalew VM, Kipikasa J, Torres C, Stallings SP, Briery CM. Repeated dosing of digoxinifragmented antibody in preterm eclampsia. J Perinatol. 2009 Feb;29(23):163-5.
Adair CD, Haupert GT Jr, Koh HP, Wang Y, Veille JC, Buckalew V. Erythrocyte sodium/potassium ATPase
activity in severe preeclampsia. J Perinatol. 2009 Apr;29(4):280-3. Epub 2009 Jan 22.
Adair CD, Luper A, Rose JC, Russell G, Veille JC, Buckalew VM. The hemodynamic effects of intravenous
digoxin-binding fab immunoglobulin in severe preeclampsia: a double-blind, randomized, clinical trial. J
Perinatol. 2009 Apr; 29(4):284-9. Epub 2009 Jan 15.
Adams SM, Good MW, Defranco GM. Sudden infant death syndrome. Am Fam Physician. 2009 May
15;79(10):870-4.
Bell RH Jr, Biester TW, Tabuenca A, Rhodes RS, Cofer JB, Britt LD, Lewis FR Jr. Operative experience
of residents in US general surgery programs: a gap between expectation and experience. Ann Surg. 2009
May;249(5):719-24.
Brzezienski MA. Surgical workforce shortage. Bull Am Coll Surg. 2008 Dec;93(12):45.
Choby BA. Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician. 2009 Mar 1;79(5):38390.
Connor C, Paydar, A. Intradural extramedullary arachnoid cyst presenting as arteriovenous malformation in
the thoracic spinal cord. Radiology Case Reports 2009;4:263.
Croft CA, Mejia VA, Barker DE, Maxwell RA, Dart BW, Smith PW, Burns RP. Methicillin-resistant
Staphylococcus aureus in a trauma population: does colonization predict infection? Am Surg. 2009
Jun;75(6):458-61; discussion 461-2.
Fesmire FM et al. ACC/AHA 2008 performance measures for adults with ST-elevation and non-ST-elevation
myocardial infarction. J Am Coll Cardiol. 2008 Dec 9;52(24):2046-99.
Fesmire FM et al. Clinical policy: critical issues in the evaluation and management of adult patients presenting
to the emergency dept with acute headache. Ann Emerg Med. 2008 Oct;52(4):407-36.
Garite TJ, Kurtzman J, Maurel K, Clark R [Adair CD] Obstetrix Collaborative Research Network. Impact of
a ‘rescue course’ of antenatal corticosteroids: a multicenter randomized placebo-controlled trial. Am J Obstet
Gynecol. 2009 Mar;200(3):248. e1-9.
Huffman DM, McLean GW, Seagrove MA. Continuous subcutaneous pramlintide infusion (CSPI) therapy in
patients with type I diabetes: Observations from a pilot study. Endocr Pract. 2009 June 22:1-20.
Jenkinson DM, Harbert AJ. Supplements and Sports. Am Fam Physician. 2008 Nov 1;78(9):1039-46.
Li HY, Grubb M, Panda M, Jones R. A sore throat--potentially life-threatening? J Gen Intern Med. May
10, 2009.
Lowe MP, Chamberlain DH, Kamelle SA, Johnson PR, Tillmanns TD. A multi-institutional experience with
robotic-assisted radical hysterectomy for early stage cervical cancer. Gynecol Oncol. 2009 May;113(2):191-4.
Epub 2009 Feb 26.
5
Publications (cont)
Mathis R. Book Reviews: Cause and coincidence in autism. Health Affairs. May/June 2009, 916-917.
Navaid M. Perception of hospice/palliative medicine: a fellow’s narrative. J Palliative Med. April 2009
12(4):385-6.
Pearce CF, Wolfe LM, DePasquale SE, Breen JM. Physician knowledge and opinions about sexually
transmitted infections and the human papilloma virus vaccine: a community based survey. Tenn Med. 2009
Mar;102(3):33-5, 42.
Stevens CA, Pearce RG, Burton EM.
2009;149A(6):1290-2.
Familial odontoid hypoplasia.
Am J Med Genet A
Wang Y, Lewis DF, Adair CD, Gu Y, Mason L, Kipikasa JH. Digibind attenuates cytokine TNF alphainduced endothelial inflammatory response: potential benefit role of digibind in preeclampsia. J Perinatol.
2009 Mar;29(3):195-200. Epub 2009 Jan 15.
Presentations
Finch T, Brit M, Panda M. A case of leukocytoclastic vasculitis with rare complications. Oral presentation
at the 32nd Annual Meeting of the Society of General Internal Medicine, May 13-16, 2009, Miami, FL.
Kaako A, Stansell K, Kolade VO. Late onset asthma and stridor: Think about adenoid cystic carcinoma!
Poster presented at the 32nd Annual Meeting of the Society of General Internal Medicine, May 13-16, 2009,
Miami, FL.
Kafle P, Dutta G, Yium J. When a piece of heart hurts the brain. Poster presented at the 32nd Annual
Meeting of the Society of General Internal Medicine, May 13-16, 2009, Miami, FL.
Makdesi F, Kadrie H. Numbness in a 39-year-old man. Poster presented at the 32nd Annual Meeting of the
Society of General Internal Medicine, May 13-16, 2009, Miami, FL.
Miller LG, Catanzaro J. Emerging educational technologies: a whole new world of teaching and learning.
Presented at the International Conference on Teaching and Leadership Excellence, May 24, 2009, Austin
TX.
Mocanu B, Obaid B, Kolade VO. Painful ophthalmoplegia as the first manifestation of lung carcinoma.
Poster presented at the 32nd Annual Meeting of the Society of General Internal Medicine, May 13-16, 2009,
Miami, FL.
Panda M. Getting your vignette published: a stepwise approach. Workshop presented at the 32nd Annual
Meeting of the Society of General Internal Medicine, May 13-16, 2009, Miami, FL.
Rahman A, Kolade VO. An uncommon cause of shortness of breath. Poster presented at the 32nd Annual
Meeting of the Society of General Internal Medicine, May 13-16, 2009, Miami, FL.
Scherer K, Gupta N, Caine W, Panda M. The persistent parasite, patient and physician. Presented at the
Associates Vignette Poster Competition ad the Annual Meeting of the American Collegeof Physicians, April
23-25, 2009, Philadelphia, PA.
6
Note to PI
The following is taken from the Office of Human Research Protections (Dept. of Health and
Human Services), Frequently Asked Questions
What are investigators’ responsibilities once a study is completed?
If all research related interventions or interactions with human subjects have been completed. and all data
collection and analysis of identifiable private information described in the IRB-approved research plan have
been finished, then the human subjects research study has been completed. When the study has been completed, the investigators no longer are required to obtain continuing review and approval of that study by the
IRB. Investigators should follow any applicable institutional policies and procedures for notifying the IRB
of the study’s completed.
[UTCOMC IRB Policy requires submission of Form F Report of Termination of Project, available at the IRB
website, http://www.utcomchatt.org/subpage.php?pageId=833.]
Once a study has been completed, investigators may keep the data they collected, including identifiable
private data, if consistent with the IRB-approved research plan. Investigators should continue to honor any
confidentiality protections of the data.
Investigators should also honor any other commitments that were agreed to as part of the approved research,
for example, providing information about the study results to research subjects, or honoring commitments for
compensation to research subjects for research participation.
The HHS protection of human subjects regulations require institutions to retain records of IRB activities and
certain other records frequently held by investigators for at least three years after completion of the research
(45 CFR 46.115(b)). In addition, other regulations may apply and require retention of these records for a
longer period of time (HIPPA regulations require that records be available to patients for up to six years).
Documentation of the informed consent of the subjects-either the signed form or the short form and the written
research summary-- are records related to conducted research that are typically held by investigators and must
be retained for at least three years after completion of
research, unless the IRB waived the requirement for informed consent.
Some records may be preserved in hardcopy, electronic
or other media form and must be accessible for inspection
and copying by authorized representatives at reasonable
times and in a reasonable manner. Multiple copies of each
record is not required.
Used with permission of author
If investigators who have been designated to retain records on behalf of the institution leave that institution, the investigators and the institution should identify the
successor responsible for maintaining those institutional records for the period of time required under regulations at 45 CFR 46.115(b).
7
2009 UTCOMC Incoming Residents and Fellows
Program
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Emergency Medicine
Name
Baker, Ben
Limaye, Milinda
Martin, Amy
Martin, Erik
Nicely, Jason
Parker, Hal
Medical School
UT
Des Moines Univ of Osteopathic Med
Vanderbilt University
University of Oklahoma
UT
Medical College of Georgia
PGY Level
1
1
1
1
1
1
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Blankenship, Holly
Boerema, Paul
Dunn, Terence
Petersen, Anders
Maxwell, Joshua Shane
Martinez, Alberto
Foote, Steven
Tolhurst, Katherine
Philadelphia College of Osteopathic Med
UT
Emory University
Loma Linda University (California)
Lake Erie College of Osteopathic Med
University of Havana (Cuba)
Kansas City Univ of Med and Biosciences
Loma Linda University (California)
1
1
1
1
1
1
2
2
Geriatrics Fellow
Beri, Monica
University of Delhi (India)
4
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Bludsworth, Jaimie
Brown, Angel
Keel, Brad
Lansing, Christian
Love, Tiundra
1
1
1
1
1
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Salim, Howiada
Smith, Brandon
Sutton, Gregory
Wagner, Seth
Internal Medicine
Youngblood, Laura
Kansas City Univ of Med and Biosciences
University of Mississippi
NOVA Southeastern University
Ross University
Edward Via Virginia College of Osteopathic Medicine
University of Khartoum
Mercer University
UT
Edward Via Virginia College of Osteopathic Medicine
UT
Hospice Fellow
Akhtar, Afaque
Dow Medical College (Pakistan)
4
OB/GYN
OB/GYN
OB/GYN
OB/GYN
Bradbury, Kristin
Bryant, Joseph
Moyer, Stacia
Mitchell, Eric
East Tennessee State University
Mercer University
University of Florida
The Brody School of Medicine at East
Carolina University
1
1
1
1
1
1
1
1
1
8
2009 UTCOMC Incoming Residents and Fellows--Continued
Program
Orthopaedic Surgery
Orthopaedic Surgery
Orthopaedic Surgery
Name
Dunn, Justin
Higgins, Matthew
Howell, Robert
Medical School
Medical College of Georgia
Loma Linda University
University of Alabama
PGY Level
1
1
1
Orthopaedic Trauma
Barwick, Jeff
The Brody School of Medicine at East
Carolina University
6
Pediatrics
Peditrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Aora, Sumeet
Beckman, Jennifer
Ismail, Heeba
Khan, Samreen
Klingborg, Paige
Sood, Richa
Windemuller, Fernando
Kasturba Medical College (Mangalore)
UT
University of Cairo
Saba University School of Medicine
Ross University
Kasturba Medical College (Mangalore)
University of Illinois (Champaign)
1
1
1
1
1
1
1
Plastic Surgery
Plastic Surgery
Fernandez, John
Sutphin, Daniel
Temple University (Pennsylvania)
UT
1
1
Surgery--Categorical
Surgery--Categorical
Surgery--Categorical
Surgery--Categorical
Surgery--Categorical
Cunningham, Kyle
Fernandez, Carlos*
Figh, Matthew
Whittaker, Robert
Worthington, Joshua
University of Cincinnati
Univ Nac de Columbia
Univerity of Alabama
UT
UT
1
3
1
1
1
Surgery--Prelim
Surgery--Prelim
Surgery--Prelim
Surgery--Prelim
Surgery--Prelim
Blackledge, Camille
Howse, Sean
Jean, Robert
McGoldrick, Rebecca
Palmer, Richard
University of Alabama
Wake Forest
Univeristy of south Alabama
University of Alabama
University of Alabama
1
1
1
1
1
Transitional Year
Transitional Year
Transitional Year
Transitional Year
Transitional Year
Transitional Year
Arce, Dominique
Gray, Ernie
Johnson, Philip
Laing, Ashley
Middlebrooks, Erik
Singh, Vinita
Meharry Medical College
UT
University of Alabama
UT
University of Alabama
Armed Forces Medical College (India)
1
1
1
1
1
1
Vascular Surgery
Fellow
Collins, David
University of Louisville (KY)
6
*Dr. Fernandez was a Prelim Surgery resident here 2007-08 and returns as a Categorical resident this May. He will
promote to PGY-3 on 7/1/09.
9
Internal Medicine News
Gary Malakoff, MD, was recently named new Clerkship Director for the Department of Internal Medicine.
Dr. Malakoff joined the Internal Medicine Faculty in March, 2009. He completed medical school and residency at the George Washington School of Medicine in Washington, DC. He currently serves as Associate
Professor.
Catherine Payne, MD has been appointed Associate Program Director for Internal Medicine. She graduated
from the University of Tennessee at Chattanooga with a Bachelor of Science Degree Magna cum laude. She
completed medical school at Meharry in Nashville, TN.
Lorna Birch, MD, clinical instructor in geriatrics, has recently become a Fellow of the American College of
Physicians.
Mandy Grubb, MD, has been awarded a scholarship by the Mayo Clinic for its Internal Medicine Board Review, July 12-27, 2009, in Rochester, MN.
Molly Tveite, MD, received a scholarship from Boston University to attend “Addiction Medicine: Improving Clinical and Teaching Skills for Generalists--A Chief Resident Immersion Training Program,” May 6-9,
2009 in Cape Cod, MA.
Andrew Todd, MD, received a scholarship from the American Pain Society to attend its 28th Annual Scientific Meeting and pre-course entitled “Fundamentals of Pain Management: A Primer for Residents and Fellows,” May 5-9, in 2009, San Diego, CA.
UTCOMC “Cans” Hunger
The UTCOMC sponsored the Second Annual Canned Food Sculpture
Competition on May 22, 2009 in the Erlanger Medical Mall. UTCOMC residents, faculty and staff were encouraged to collect canned
food donations and then were given the opportunity to build a unique
display. More than a ton of food was donated to the Chattanooga
Area Food Bank.
Continuing Medical Education
Tools and Treatments
Heart, Lung, Vascular Update for Primary Care Providers
UT Graduate School of Medicine and Internal Medicine
September 11-12, 2009
Register at www.tennessee.edu/cme/HLV2009 or call 865-305-9190
Nuts and Bolts Research Symposium
September 11, 2009
UTC University Center
History of Medicine Symposium
October 1, 2009
Probasco Auditorium
www.UTCOMChatt.org/CME
10