Neuroscience Institute Benchmark Newsletter, Winter 2016
Transcription
Neuroscience Institute Benchmark Newsletter, Winter 2016
University of Cincinnati Neuroscience Institute B E N C H M A R K WINTER 2016 New home planned for UC Neuroscience Institute The University of Cincinnati Neuroscience Institute has launched a $123 million fundraising campaign that will fund a new world-class outpatient facility for people with neurologic and psychiatric diseases. The campaign also will expand existing research programs, create new research programs, spark recruitment of additional physicians and researchers, support new training fellowships, and expand community-wide programming. More than $30 million of the $54.5 million philanthropic goal for the project already has been raised. Joseph Broderick, MD Director, UC Neuroscience Institute CENTERS & PROGRAMS ¾ Brain Tumor Center The new facility will be a signature landmark on the main thoroughfare to the medical campus. Centrally located at 223 Piedmont Ave., the current site of the Piedmont Mews apartment complex, the building will be designed around a holistic and integrated patient-care model. It will help expand services, enhance coordination of clinical care, seamlessly incorporate clinical research and innovative treatments, and include supportive services such as rehabilitation therapies and integrative medicine. continued on page 2 Mood Disorders Center leads landmark MOBILITY trial Researchers at the UC Mood Disorders Center and their New York colleagues have begun enrolling patients in a landmark study that could become the largest controlled psychiatric clinical trial ever for children and adolescents. The $12.9 million study, called MOBILITY, will assess the effectiveness of the drug metformin as a treatment for adolescents with bipolar spectrum disorders who are taking secondgeneration antipsychotic (SGA) medications. ¾ Comprehensive Stroke Center ¾ Epilepsy Center ¾ Gardner Family Center for Parkinson’s Disease and Movement Disorders ¾ Memory Disorders Center ¾ Mood Disorders Center ¾ Neurobiology Research Center ¾ Neuromuscular Center ¾ Neurosensory Disorders Center ¾ Neurotrauma Center ¾ Waddell Center for Multiple Sclerosis ¾ Headache and Facial Pain Program ¾ Neurocritical Care Program ¾ Neurorestorative Program The researchers, led by Mood Disorders Center CoDirector Melissa DelBello, MD, MS, the Dr. Stanley and Mickey Kaplan Professor and Chair of the Department of Psychiatry and Behavioral Neuroscience, will assess whether metformin when added to a healthy lifestyle intervention is better than lifestyle intervention alone. Specifically, the researchers will assess whether metformin plus lifestyle intervention can inhibit unwanted side effects (e.g., weight gain, cholesterol spikes, type 2 diabetes) in adolescents taking SGA’s. The researchers plan to enroll 1,800 youth from 20 sites. Continued on page 5 Melissa DelBello, MD 1 HEALING New home planned for UC Neuroscience Institute (continued from page 1) “We envision a new hub for the UC Neuroscience Institute that will provide leading-edge, comprehensive care in a single location,” says Joseph Broderick, MD, Director of the UC Neuroscience Institute. “The design and infrastructure will enhance our processes to more efficiently integrate research and education with clinical care and to improve the patient experience. In addition, it will provide space for educational workshops and seminars to benefit the entire community.” About one in seven people will be affected by neurologic or psychiatric disease or injury in their lifetime. The UC Neuroscience Institute was established in 1998 through a partnership between the UC College of Medicine and UC Health. A leading treatment, research and teaching center for complex neurological conditions, it includes more than 100 faculty members from 15 clinical specialties working collaboratively. The institute also runs more than 100 active clinical trials at any given time and has received more than $120 million in grant funding over the past five years. “The UC Neuroscience Institute is a model teaching, research and treatment center, where the best and the brightest are pioneering new treatments and saving lives,” says UC President Santa Ono. “Its success, and the success of the University of Cincinnati, would not be possible without the support of the Greater Cincinnati community.” Since its founding, the UC Neuroscience Institute has created national models for evidence-based treatment and research of complex neurologic conditions. It is a founding member of three elite NIH-funded clinical trial networks: StrokeNet, NeuroNext, and the Neurological Emergency Treatment Trials (NETT). In addition, it is the national coordinating center for StrokeNet, which directs all of the NIH-funded stroke trials in the United States. Local philanthropists and foundations have already made significant investments in the campaign. Lead donors include: ¾ James J. and Joan A. Gardner Family Foundation ¾ Farmer Family Foundation ¾ Anna & Harold W. Huffman Foundation ¾ Mr. George J. Wile ¾ Mr. Harry C. Brown ¾ Marge and Charles J. Schott Foundation ¾ Neurosciences Foundation ¾ The Charles L. Shor Foundation ¾ Mrs. Miriam R. Lurie ¾ Mrs. Dorothy W. Whitaker 2 Paula’s Story: New treatment for large-vessel strokes No one ever wants to suffer a stroke. But when Paula suffered a major, life-threatening stroke in September 2013 while working at a local deli, one might say that her timing was perfect. First and foremost, Paula got to the University of Cincinnati Medical Center quickly and in time for effective treatment. Paula’s manager realized that Paula couldn’t speak and that her mouth was drooping – classic signs of a stroke caused by a blockage. The manager called 9-1-1, ensuring that Paula could be evaluated, diagnosed and treated within the 3- to 4 ½-hour window for acute stroke care. Then, in a turn of fate, Paula’s arrival at the emergency room also coincided with a pivotal moment in stroke care: the arrival of the successful clot-retrieving device. For years, stroke researchers around the world had been trying to prove that in a case like Paula’s, where oxygen to the brain is cut off by a large clot in a major blood vessel, it would be most effective to remove the clot rather than to simply try to dissolve it. But the doctors who wanted so desperately to retrieve those clots were unable to prove that this method was any better or safer than administering the clot-dissolving drug tPA, which for years was the only FDA-approved therapy for acute ischemic stroke. By the time Paula received her diagnosis of an intracranial left carotid occlusion – a major stroke on the left side of her brain – some of those same stroke specialists at the UC Comprehensive Stroke Center were poised with new clot-retrieval technologies and were prepared to begin testing one of those technologies as part of an international study called THERAPY. Paula’s husband recognized the value of clinical trials and made the decision to have her participate. By enrolling in the study, Paula had a 50-50 chance of being treated in the conventional way – with rtPA alone – and a 50-50 chance of being treated with both rtPA and the promising new clot retrieval device. With a flip of a coin, Paula was assigned to receive the newer treatment. Paula’s outcome was dramatic. Despite the severity of her stroke, she went home a few days later and recovered without major deficits. “The stroke has caused lingering effects,” Paula acknowledges. “I don’t have the strength in my right leg or right arm, and I walk with a limp. But I’m walking. My voice is raspy, and I can’t talk any louder than I am right now. But I’m talking. Waddell Center strengthens service to Ohio Valley region The Waddell Center for Multiple Sclerosis has undergone a major expansion with the hiring of four new neurologists, a nurse practitioner, a social worker and two medical assistants. Never more robust than it is today, the Waddell Center can now offer clinical services at the highest level to patients in the tristate and beyond. Aram Zabeti MD In addition, the Waddell Center is also greatly expanding the number of clinical trials it offers patients. UC Health recently purchased a Dayton, Ohio, clinical trials practice that includes three clinical trials coordinators and more than a dozen ongoing clinical trials in MS. “Clinical research brings future therapies to people who are suffering today,” says Aram Zabeti, MD, Medical Director of the Waddell Center. “With our new additions to clinical research, we are in a better position than ever to do that.” The Waddell Center’s new MS specialists are: ¾ Michelle Bowman, MD, who sees patients at the UC Health Physicians Office North in West Chester, Ohio ¾ Allen DeSena, MD, PhD, who sees patients at the UC Health Physicians Office Clifton and at Cincinnati Children’s Hospital Medical Center ¾ Elizabeth Dragan, MD, who sees patients in Clifton, in West Chester and at the Hoxworth Building ¾ Lawrence Goldstick, MD, who practices at the UC Neurology Clinic in Dayton, Ohio ¾ Sandy Parawira, MSN, a nurse practitioner who sees patients in Clifton and West Chester The Waddell Center’s multidisciplinary team also includes specialists in urology, neuro-ophthalmology, neuropsychology, and physical medicine and rehabilitation. Because rehabilitation is important for people at all stages of MS, the Waddell Center has re-energized its rehabilitation programs, including restorative yoga and aqua therapy for MS. Can marijuana help reduce seizures? What we know and what we don’t Michael Privitera, MD Despite the abundance of media hype, there is much we don’t know about medical marijuana’s potential to help people with hard-to-treat epilepsy and seizure disorders. That was one of the messages delivered by Michael Privitera, MD, Director of the UC Epilepsy Center, at a sold-out symposium, “Strategies for Managing Epilepsy,” at the Daniel Drake Center for Post-Acute Care in November. “Much important information is still missing,” Dr. Privitera said. “We still don’t have much evidence. Does cannabis truly help seizures? And if so, which types? Or can it make seizures worse?” Dr. Privitera said that a small series of patients and single-patient reports of children with Dravet’s syndrome and other difficult seizure syndromes suggest that some children were helped by extracts that contained high levels of cannabidiol, or CBD, a component of marijuana that does not produce euphoria. But he cautioned that “a recent series of cases from Denver Children’s Hospital indicates that many children do not respond, and some get worse.” Medical marijuana, unlike marijuana sold on the street, is consistent in its formula, purity and shelf-life. In street marijuana, the product’s concentration, additives and age are unknown. The marijuana derivative THC is approved by the FDA to treat appetite loss and severe nausea in patients who have AIDS or are undergoing chemotherapy. Synthetic marijuana has been approved in Europe for spasticity in multiple sclerosis. Medical marijuana has some advantages over existing medications, Dr. Privitera said. It causes few drug interactions, for example. It also has known side effects, including the potential for addiction and abuse and, in children, the risk of cognitive impact. “Chronic abuse of cannabis is associated with a reduction in motivation, cognition and judgment,” he added. Research is critical but has been limited because the federal government classifies plant-based marijuana as a Schedule 1 drug. “The epilepsy community can help us discover the true value of medical marijuana by supporting legislation to re-classify marijuana to make research easier and by supporting clinical trials,” Dr. Privitera said. 3 DISCOVERING Glioma’s true nature lies in its DNA Christopher McPherson, MD In the diagnosis of a glioma brain tumor, looks can be deceiving. A glioma that looks relatively unaggressive under a microscope may still have lethal potential. That is a key finding of research recently published by the Cancer Genome Atlas Research Network, a national consortium that includes researchers from the Brain Tumor Center at the UC Neuroscience Institute and UC Cancer Institute. The researchers discovered that some glioma tumors that appeared to be “lower grade” contained a genetic characteristic that caused them to behave like the most aggressive, high-grade gliomas, also known as glioblastoma multiforme. The study, funded by the National Institutes of Health, was published in the New England Journal of Medicine. “This suggests that molecular diagnosis is and will become more important than the pathologic grades we currently use,” says Christopher McPherson, MD, a neurosurgeon and principal investigator of Cincinnati’s portion of the study. “As a result, we are changing how we treat gliomas today, and our knowledge will usher in more dramatic changes in the future.” The study represents “a landmark,” says Ronald Warnick, MD, Director of the UC Brain Tumor Center and the John M. Tew, Jr., MD, Chair in Neurosurgical Oncology. “These findings open the door to the development of targeted treatments for variants of the glioma tumor and for subsequent clinical trials.” The Cancer Genome Atlas study reaffirmed previous findings that grades II and III gliomas could be divided into three distinct subtypes. Researchers also discovered that gliomas without a certain mutation resembled that of a grade IV glioma—or glioblastoma. The findings reinforce standard diagnostic and treatment protocols at the UC Brain Tumor Center, says Neuro-Oncologist Rekha Chaudhary, MD. “We automatically determine the genetic profile of glioma tumors that have been removed from our patients,” Dr. Chaudhary says. “Then we offer patients the opportunity to know what we found.” Dr. Chaudhary cautions that a glioma’s genetic profile does not always predict outcome. “It is a better predictor of survival, but is not perfect,” she says. “We have had patients who had a good genetic profile but whose cancer progressed rapidly. We also have had patients with an unfavorable genetic profile who did well. For this reason, patients should never abandon hope.” UC Department of Neurosurgery seeks public input regarding investigational hypothermia treatment for blood clot on the brain due to trauma New investigational research treatment for traumatic brain injury We are seeking public input before launching a research study aimed at improving the odds that patients who suffer severe traumatic brain injury with a subdural hematoma (blood clot on the brain) will go on to live a normal life. The randomized clinical trial will assess whether maintaining a moderately low body temperature, known as hypothermia, will improve the mental and physical outcomes in these patients. Waiver of consent Patients suffering severe head injuries are unconscious and unable to provide their consent to participate in a research therapy trial. Federal law requires us to gather public comment before the study begins because physicians in some cases need to proceed with emergency treatment before the opportunity to obtain consent. Federal law established the “waiver of consent” in 1996 so that physicians could begin emergency experimental treatment after injury before obtaining consent from the patient 4 or from a legal guardian or family member. Under terms of the hypothermia study, patients with a blood clot on the brain due to severe head injury will be evaluated by a neurosurgeon in the emergency room to determine if the patient meets criteria for inclusion in the study. If so, the patient would be randomized to body temperature management at either normal temperature or hypothermia. How you can help To qualify for the waiver of consent, our researchers are informing the public about this new research treatment through the news media, press releases, and lectures to local community groups. You can help by first understanding how the research treatment is conducted (learn about hypothermia), then please take a moment to complete a short accompanying survey. For more information, please call (513) 558-3546 or e-mail [email protected] Mobility (continued from page 1) Michael Sorter, MD, will lead the efforts at Cincinnati Children’s Hospital Medical Center, and Christoph Correll, MD, will lead efforts at Long Island Jewish Medical Center in New York. The $12.9 million contract is part of the Patient-Centered Outcomes Research Institute (PCORI), an independent nonprofit, nongovernmental organization that was established and funded by the Affordable Care Act of 2010. PCORI’s mission is to fund research that will provide clinicians and patients with the evidence-based information they need to make better health care decisions. Studies have shown that patients with bipolar disorder are at greater risk than the general population for being overweight and obese, partly because of treatment with medications associated with weight gain. “These treatments work, but unfortunately the side effects can include weight gain and we need to find a way to mitigate the high rates of obesity and improve treatment adherence,” Dr. DelBello says. Designing the study was a group effort that included partnerships with regional and national mental health facilities as well as families impacted by bipolar disorder. UC joins Northeast ALS Research Consortium Robert Neel, MD The University of Cincinnati has been admitted into the Northeast Amyotrophic Lateral Sclerosis Consortium, an international research collaborative based in Boston that includes more than 100 members. Membership in the consortium, also known as NEALS, positions the UC Health ALS Clinic for acceptance into ALS clinical trials and will enable the clinic to bring the most current clinical ALS research to the region. “This will allow the UC team to be able to offer not only the most current clinical treatments, but also innovative ways for the ALS community here in our region to be able to contribute to the fight against this disease,” says Robert Neel, MD, pictured above, a UC Health neurologist and Director of the ALS Clinic, which is part of the UC Neuromuscular Center. NIH renews landmark stroke study for $6.8 million The National Institutes of Health (NIH) has awarded a $6.8 million, 5-year renewal of the Greater Cincinnati/Northern Kentucky Stroke Study, which has identified 20,000 cases of stroke and transient ischemic attack in a racially diverse, five-county region since 1993. The study has shed light on stroke incidence and created widespread awareness. The study is led by co-principal investigators Dawn Kleindorfer, MD, Co-Director of the UC Comprehensive Stroke Center, and Brett Kissela, MD, Chairman of the Department of Neurology and Rehabilitation Medicine at the UC College of Medicine. “The study is a great resource for understanding stroke—how it applies in our community and therefore how we can generalize that to the rest of the country,” Dr. Kissela says. Says Dr. Kleindorfer: “Any new drug, any new therapy, any clinical trial that is going to be planned has to start with this question: How many people is it going to be relevant for? That’s where our study comes in ... Anytime you hear the national numbers for stroke, they come from our city.” The study has produced numerous major findings, including: ¾ African-Americans have higher rates of stroke than Caucasians, and they tend to have them at a younger age. ¾ The number of hemorrhages associated with blood thinners rose four-fold over a 10-year period because of the increased use of blood thinners to prevent stroke from atrial fibrillation. ¾ The incidence of ischemic stroke (caused by a blockage of blood flow to the brain) appears to be declining in whites while remaining stable among blacks, suggesting a possible racial disparity. Brett Kissela, MD and Dawn Kleindorfer, MD 5 LIVING A story worth singing about There were no headaches. There were no fainting spells. There was no dizziness. For months the problem was all in Billi’s right eye. Her ability to read road signs was diminishing, even with her glasses on. A visit to her optometrist in Dayton confirmed the problem: With her left eye closed and looking only with her right eye, she could not read the top line of the eye chart. Billi, pictured above with her son, Trenton, sang the National Anthem at the 2015 Walk Ahead for a Brain Tumor Cure Billi’s optometrist gave her a new prescription, with a much stronger lens for the right eye. But a few months later, she began having vision problems again. Billi was referred to an ophthalmologist, who ordered an MRI and soon delivered the shocking news. “I don’t know any other way to say this, but you have a brain tumor,” he told her. “You have a mass growing somewhere in your brain, and it’s pressing on your optic nerve, and that’s why your vision has been blurry. I don’t know how fast it’s growing, or how long it has been growing, but if it keeps going, it will damage your optic nerve and you will become blind in that eye. I am going to refer you to the best surgeon I know, Dr. Mario Zuccarello, at the University of Cincinnati Brain Tumor Center.” Billi underwent surgery at the University of Cincinnati Medical Center on September 9, 2014. “Dr. Zuccarello was expecting to perform a 6-hour surgery, but it took 13 hours,” Billi recalls. “Apparently my face had grown extra bone; it was as if my body was trying to protect me from the tumor, almost push it away, not let it get to any area of brain where it could harm me. Dr. Zuccarello had to remove the bone first, then the tumor, then reconstruct the area with titanium mesh.” New spinal cord injury clinic at Drake Center Angela Stillwagon, DO People who suffer an injury to the spinal cord require a long series of treatments that may last months or even years. After discharge from the hospital or rehabilitation facility, they and their loved ones may confront a challenging “new normal” as they cope with ongoing health care needs. The newly launched UC Health Spinal Cord Injury Clinic is there to help. “Too often, the medical needs of people with spinal cord injuries fall through the cracks,” says Angela Stillwagon, DO, a physical medicine and rehabilitation specialist. “Family doctors don’t offer specialized services, yet patients no longer need to see a neurologist or surgeon. The new UC Health Spinal Cord Injury Clinic fills this gap. We offer the understanding and TLC that survivors of spinal cord injury deserve. We provide medical interventions that can truly improve their quality of life.” The Spinal Cord Injury Clinic enables patients and loved ones to see physicians and therapists during the course of a single visit to the Daniel Drake Center for Post-Acute Care. Services include physical and occupational therapy, skin and wound care, urology services, custom wheelchair seating and positioning, and warmwater pool therapy. A biopsy showed that the tumor was an atypical meningioma. It was benign, but the cells were aggressive. As a result, Dr. Luke Pater, a radiation oncologist who is affiliated with the UC Brain Tumor Center, recommended that Billi undergo TomoTherapy at the Precision Radiotherapy Center to better the odds that the tumor would never grow back. Today, Billi’s face looks normal and the stiffness in her jaw has almost completely subsided. Best of all, she is back doing all the things she loves: taking care of her children, running her beauty business and performing neo-soul favorites with her beautiful voice. She is also fulfilling a promise she made to herself – and to God -- if her eye and jaw and face were restored: she is sharing her story for the benefit of others and raising money for research through Walk Ahead for a Brain Tumor Cure. 6 Lisa Newport, an aquatic specialist at the Daniel Drake Center for PostAcute Care for nearly 20 years, teaches warm-water exercise classes for people impacted by many neurological conditions, including multiple sclerosis, Parkinson’s disease, stroke, fibromyalgia, chronic pain, and brain and spinal cord injury. COMMUNITY Tom Mueller honored with Sunflower Victory Award A heartfelt thank you The physicians, researchers, managers and associates of the UC Neuroscience Institute gratefully acknowledge these recent major gifts from our donors, supporters and friends: ¾ A $100,000 gift from Dorothy “Bunny” Whitaker has enabled UC Health to add a nurse practitioner and a social worker to the multidisciplinary team at the UC Memory Disorders Center. Dorothy Whitaker ¾ The 6th annual Walk Ahead for a Brain Tom Mueller, an integral member of the James J. and Joan A. Gardner Family Foundation, was honored with the Sunflower Victory Award at the September 12 Sunflower Revolution Symposium & Expo for inspiring, empowering and giving hope to others in the Parkinson’s disease community. He represents the “Move to Live, Live to Move” philosophy of the Sunflower Revolution. “Tom and his wife, Linda, have been community leaders in the generation of awareness, support groups and fundraising for Parkinson’s disease well-being and research,” says Andrew Duker, MD, Co-Director of the Gardner Family Center for Parkinson’s Disease and Movement Disorders. “They have carried on their family’s tradition of active involvement and wholehearted support of causes they believe in, and our community is the one to reap the rewards.” In November 2014 the Gardner Family Foundation announced a transformational, $14 million commitment to help provide the Institute with a new home. Educating our patients and families Educational outreach is part of the UC Neuroscience Institute’s core mission. In September, the Gardner Center’s annual Sunflower Revolution Parkinson’s Disease Symposium & Expo drew 650 patients, family members and caregivers to the Oasis Conference Center in Loveland, Ohio. In October, the Midwest Regional Brain Tumor Conference drew 117 attendees to the Sharonville Convention Center from Ohio, Kentucky, Indiana and Michigan. The November 21 symposium, "Strategies for Managing Epilepsy," filled quickly and was sold out. Presentations at the three symposia were videotaped and can be viewed online via www.uchealth.com/neuroscience. Click on the appropriate center; go to “For Patients”; and then click on “Educational Conferences” in the dropdown box. Tumor Cure, chaired by Brian Wiles and his brother, Joe Wiles, raised $340,000 for the UC Brain Tumor Center. Team Mama Deb, captained by Cindy Switzer, led all teams with $18,200 in funds raised. ¾ The $3 million gift from the Anna and Brian and Joe Wiles Harold W. Huffman Foundation, made in honor of The Reverend Dr. Larry Paul “LP” Jones, who is battling glioblastoma, is funding research into cancer cell signaling and cancer cell metabolism. ¾ The Forget-Me-Not Gala, chaired by Arden Steffen and her sister, Tara Steffen, netted a record $60,000 for Alzheimer’s disease research at the Memory Disorders Center. Platinum sponsors were the Alois Alzheimer Center and Superior Care Plus, Inc. ¾ Chipping Away at Parkinson’s, chaired by Paul Lake and Bob Dames, presented a check for $35,000 to the Gardner Center. ¾ Organizers for Putting for Parkinson's, chaired by Joy and Scott Layman, presented a check for $24,200 to the Gardner Center. S AV E T H E D AT E I N 2 0 1 6 ! April 21 Annual Brain Tumor Center WineTasting July 15 Putting for Parkinson’s August 13 Sunflower Rev It Up for Parkinson’s Symposium & Expo September 11 Sunflower Rev It Up for Parkinson’s Bike / Run / Walk September 30 Forget-Me-Not Gala for Alzheimer’s Research October 22 Midwest Regional Brain Tumor Conference October 23 Walk Ahead for a Brain Tumor Cure Visit UCHealth.com/neuro/events 7 Non Profit Org. US Postage PAID University of Cincinnati Medical Center UC Neuroscience Institute Cincinnati, OH Permit 1232 234 Goodman St. Cincinnati OH 45219 Editorial Board: Cindy Starr, MSJ, Editor Joseph Broderick, MD Allie Biggs Lori Uphaus, MHA Contacts: To schedule an appointment with a physician, call (513) 475-8730. To reach the Neuroscience Institute, call (513) 584-2214 or (866) 941-UCNI. UCHealth.com/neuro TRANSITIONS/APPOINTMENTS UC Medical Center recertified as Advanced Stroke Center The University of Cincinnati Medical Center has been recertified by the Joint Commission as an Advanced Comprehensive Stroke Center, a level of certification reserved for institutions with specific abilities to receive and treat the most complex stroke cases. The UC Medical Center, which is home to the UC Comprehensive Stroke Center, first received the Advanced Comprehensive Stroke Center designation in 2013, less than a year after it was launched by the Joint Commission in partnership with the American Heart Association/American Stroke Association and with the guidance of the Brain Attack Coalition. There is no higher stroke certification. UCNI Friends’ Blog 8 You Tube National honors Michael Privitera, MD Andrew Duker, MD Lee Zimmer, MD Michael Privitera, MD, Director of the comprehensive, Level 4 UC Epilepsy Center, became the new president of the American Epilepsy Society (AES) during the organization’s 69th annual meeting in Philadelphia in December. Dr. Privitera will lead the Board of Directors in advancing the AES’s strategic plan. The UC College of Medicine honored 13 faculty members for ranking in the top 10 percent of providers in the Press Ganey national database for patient experience with clinic visits. They included Andrew Duker, MD, a neurologist with the James J. and Joan A. Gardner Family Center for Parkinson’s Disease and Movement Disorders, and Lee Zimmer, MD, PhD, a skull base and sinus surgeon with the Neurosensory Disorders Center and Brain Tumor Center.