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COMmunicator
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Plastic Surgery Present.’s
Clinical Research
Published in Journals
Cofer inducted, GHHS
Surenderanath PREP
ANNOUNCEMENTS
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Baxter Radiology
HUMANISM
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GHHS Reflections
RESEARCH CORNER
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2015 Research Week Info
P R O F E S S I O N A L D V L P M N T.
Medical
10 Continuing
Education Opportun.
PUBLICATIONS
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Articles
Presentations
Upcoming
Holidays:
MLK, Jr. Day January 19, 2015
Spring Holiday
April 3, 2015
Memorial Day
May 25, 2015
“The C-HEAL Center has two key components,” said Children’s Hospital
at Erlanger CEO, Dr. Alan Kohrt. “The first is early intervention which
involves working with regional pediatricians and community organizations to
recognize the warning signs for overweight/obesity in children and providing
steps to prevent further complications. The second involves multi-disciplinary
treatment by establishing the new center at Children’s Hospital.”
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The center, which will open January 2015, will be staffed by a pediatrician
with expertise in childhood obesity management, registered dietician, and
care coordinator/community health navigator for children who have not
responded to early intervention efforts and/or have co-morbidities. The team
will focus on modifying behavior related to eating habits, activity level, and
family involvement. Pediatric subspecialists in hypertension, nephrology,
endocrinology, cardiology and other specialties will also be associated with the
center for ease in making referrals and coordinating care.
“We are extremely pleased to have this latest partnership with BlueCross
BlueShield,” said Erlanger Health System President and CEO Kevin M. Spiegel,
FACHE. “By providing this service to the children in our region, we believe
the involvement of area pediatricians and the center will have a positive impact
not only on the children but also residents in the surrounding communities.”
“Our review committee unanimously approved the proposal to assist with
funding to develop a healthy eating and active living center at Children’s
Hospital,” said Manager of Community Relations and Foundations Dawn Weber.
“It supports our Shape the State initiatives to tackle obesity in Tennessee’s youth,
and we’re excited to see its positive impact on the Chattanooga community.”
Events on Next Page >>
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SPOTLIGHT
Pictured (left to right) are Julie Taylor, Ashley
Williams, Chelsea Johnson, Jaime Lacey, Dr.
Joani Jack, and Dr. Alan Kohrt.
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TCEP Annual Meeting
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Nuts & Bolts Symposium
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Firehouse Subs Donation
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Internal Medicine Update
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EVENTS
The BlueCross BlueShield of
Tennessee Health Foundation has
awarded Erlanger Health System
Foundations a $375,000 grant for
the development and operation
of the T.C. Thompson Children’s
Hospital Childhood Healthy Eating
and Active Living (C-HEAL) Center
in partnership with the University
of Tennessee College of Medicine
Department of Pediatrics.
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BCBS Grant for $375K
BlueCross Grant for $375,000
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Volume 15, Issue 3 • July-December 2014
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DEPARTMENT NEWS
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THIS ISSUE AT A GLANCE
• The University of Tennessee College of Medicine Chattanooga
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Blending the Art & Science of Medicine
Internal Medicine Update
On October 1-4, 2014, the Department of Internal Medicine and the Office of Continuing Medical Education
hosted the first annual Internal Medicine Update at the Chattanoogan Hotel. The meeting began with a kick-off
dinner and was followed by one full-day and two half-days of education on various internal medicine topics from
an all-star line-up of speakers.
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The kick-off dinner began with talks from former Tennessee Governor Phil Bredesen and David Merritt from the
Center for Health Transformation and was followed by a panel discussion that also included Steve Schwab, MD
and Kevin Spiegel, MBA. The meeting included 28 speakers from various institutions & organizations across the
country such as UCLA, University of Chicago, the University of Ohio, Vanderbilt, and many others.
The meeting was a great success, and included 28 speakers from various
organizations across the country including:
• Phil Bredesen – former Governor of the State of Tennessee and author of Fresh Medicine
• Steve Schwab, MD – University of Tennessee Health Science Center
• Kevin Spiegel, MBA – Erlanger Health System
• David Merritt – Center for Health Transformation
• Brad Rovin, MD - Ohio State University
• George Bakris, MD - University of Chicago
• Richard Glassock MD - UCLA
• Janice Lea, MD - Emory University
• Arthur Wheeler, MD - Vanderbilt University
• Laura Mulloy, DO - Georgia Health Science Medical Center
• Juan Velez, MD - Medical University of South Carolina
• Tom Devlin, MD - Erlanger Medical Center
• and 18 others!
Attendees mingle with the Exhibitors.
The 2nd annual Internal Medicine Update will be held September 10-12, 2015 Visit www.utcomchatt.org/imu in
the coming weeks for more info about the 2015 meeting.
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Events Continued on the Next Page >>
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Firehouse Subs Donates $17,190 in Life-Saving Tools to EMS
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As announced previously, the University of Tennessee College of Medicine Chattanooga (UTCOMC) was the
recipient of a Firehouse Subs Public Safety Foundation grant. The Foundation’s Board of Directors approved Dr.
Ron Buchheit’s request for $17,190 to purchase advanced airway equipment, a portable ultrasound, and additional
advanced equipment for use in the pre-hospital setting for the new Emergency Medical Services Fellowship.
On Thursday, September 25, representatives from the Firehouse Subs Public Safety Foundation met with
representatives from the Erlanger Health System and the UTCOMC for a dedication event. A press release
prepared by Bruce Garner, Public Information Director for the Chattanooga Fire Department, follows:
The University of Tennessee’s
College of Medicine at Erlanger
received a donation of high-tech
medical equipment worth $17,100
today that will be of great benefit
to local emergency responders.
At the Firehouse Subs restaurant
on Gunbarrel Road this afternoon,
Dr. James Creel, chief medical
officer at Erlanger Health System,
thanked the Firehouse Subs Public
Safety Foundation for the donation
of equipment, which includes two
laryngoscopes,
two
automated
external defibrillators (AEDs), two
tactical response bags and a portable, hand-held ultrasound device. Dr. Creel said the equipment will be stored on
a new emergency response vehicle operated out of the University of Tennessee’s College of Medicine at Erlanger.
Battalion Chief Rick Boatwright with the Chattanooga Fire
Department said a doctor trained in pre-hospital care will
be responding to emergency calls with area fire and police
departments, area ambulance services, and Erlanger’s Life
Force Air Medical. Dr. Creel believes this response unit, with
the high-tech equipment, is unique to this region and a great
asset for emergency medical care.
In the photo: With Dr. Creel and Firehouse Subs employees
looking on, Dr. Reuhland, emergency medical resident at
Erlanger, demonstrates the new hand-held ultrasound device,
which can be used to facilitate a quick diagnosis in the field at
car wrecks and other medical emergencies.
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Dr. Reuhland, emergency medical resident at Erlanger,
demonstrates the new hand-held ultrasound device.
Events Continued on the Next Page >>
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Nuts & Bolts Annual Research Symposium
This year’s Nuts & Bolts annual research methods symposium
was held on August 15, 2014 at UTC. The objective of the
symposium was to establish the ability to create, refine, and
formulate valid research questions using different approaches
systems to select research designs to answer the specified
research question, to improve the ability to choose valid
variables, conduct a priori power analyses, structure databases
& codebooks, to choose the correct statistic, and to answer a
research question knowledgably.
This symposium typically has several speakers talk on the various research issues, but this
year Eric Heidel, PhD taught the whole symposium. Dr. Heidel is an Assistant Professor of
Biostatistics for the Department of Surgery at the University of Tennessee Graduate School
fo Medicine in Knoxville.
Dr. Heidel started the day with a paper on Research Foundations, which covered the
research question, research design, variables, satistical power and database structure. This
was followed by a segment on Applied Statistics which included descriptive statistics,
between-subject comparisons, within-subject comparisons, correlations, mixed and multivariable analysis, 2x2 tables and epidemiological measures.
During lunch, Case Sanders, MD presented his award-winning
presentation titled “The Reamer Irrigator Aspirator as a Device for
Harvesting Bone Graft: Union Rates and Complications”.
After lunch, Dr. Heidel continued with a presentation on EvidenceBased Medicine covering topics such as asking, acquiring, appraising
applying and assessing.
The day concluded with a paper on on Research within the UT
College of Medicine Chattanooga & Erlanger presented by Manoo
Bhakta, MD.
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Events Continued on the Next Page >>
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Tennessee American College of Physicians meeting
The Department of Internal Medicine was well represented at
the TNACP by students, residents and faculty.
Medical Students
Kristin Burkholder MS4 received the student award for her
case presentation: Case of the unrelenting runny nose! Kristine
Burkholder, Nanette Bentley MD and Mukta Panda MD FACP
(picture of Kristin with TNACP governor Dr Richard lane, and
Chair of scientific planning meeting Dr Steve Hegedus)
Upper Gastrointestinal Bleeding in a Cirrhotic Patient: Not
What You Think, Whitney Black, MD, Austin Woolard, MS3,
and Maria Tudor, DO
Residents
Dr Hussein Mohamed PGY2 was 1 of 3 residents statewide selected to present oral presentations. He presented:
The Enigma - Case of the Silent Patient, Mohamed Hussein MD, B Sapkota MD, and Dr. Mukta Panda MD FACP
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Other posters presented were
Respiratory Failure in Brugada Syndrome, Nathan Claydon, MD, Brian Cooper, MD, Laura Youngblood, MD and
Shavonda Thomas, MD
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The other student poster presented was Recurring Numbness
and Weakness in a Young Female, Austin Woolard MS3,
Whitney Black, Dr. Mukta Panda MD FACP
Upper Gastrointestinal Bleeding in a Cirrhotic Patient: Not What You Think, Whitney Black, MD, Austin Woolard,
MS3, and Maria Tudor, DO
A Case of Metapneumovirus-induced ARDS in a Young Adult, Jensen Hyde, MD and S. Shome, MD
Dr Mindy Smith PGY3 facilitated a very interactive Internal medicine jeopardy session for 7 statewide teams
The jeopardy team members comprised of the following residents: Orlando Turner, Nathan Claydon, Sana Akbar,
Mohamed Hussein, Jensen Hyde. They came in second place in a tight head to head competition.
Faculty
Dr Tudor and Dr Panda served on the scientific planning committee
Dr Panda serves on the TNACP council and co chaired the Associates session
Dr Tudor was nominated as chair of the scientific session for the TNACP meeting in 2015
Congratulations to all!
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Spotlights on the Next Page >>
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Plastic Surgery Presentations
The following presentations were given at the American Society of Plastic Surgeons Resident Abstract Session on
October 10, 2014 in Chicago, Illinois:
• Landis L (faculty Brzezienski M): “The Effect of Progressive-Tension Closure on Donor Site Seroma Formation
in Delayed Latissimus Dorsi Flaps for Breast Reconstruction”
• Domingo F, Dale E (faculty Waldrop J): “A Single-Center Retrospective Review of Post-Operative Infectious
Complications in the Surgical Management of Mandibular Fractures: An Outcomes Analysis”
The following presentations will be given at the American Association for Hand Surgery Annual Meeting on
January 21-24, 2015 in Paradise Island, Bahamas:
• Dale E, Cowart J (faculty Rehm J, Brzezienski M, Jemison M, Kennedy W): “Bupivicaine Extended-Release
Liposome vs. Marcaine for Early Post-Operative Pain Control Following Wrist Operations: A Prospective
Randomized Double-Blind Controlled Trial”
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• Phillips P (faculty Kennedy W, associate Lee T): “Cost Effective Analysis of Simultaneous Versus Staged
Bilateral Carpal Tunnel Release”
Clinical Research showcased in Medical Journal
Clinical research conducted at Erlanger Health System has been highlighted in two national
medical journals and featured prominently in an article authored by Harry W. Severance, MD,
FACEP, Medical Director for the Erlanger Institute for Clinical Research, and emergency
medicine physician for Erlanger Health System.
“Developing New Pathways for Clinical Research Through the Changing Environment of
21st Century Healthcare,” written by Dr. Severance, was recently published in the Journal of
Technology & Innovation.
Dr. Severance and research at Erlanger were also featured prominently in a second article, “Advancing Clinical
Research in a Gray-Hatted World: Prospects for Clinical Trial Economics,” in the September 2014 issue of the
Annals of Emergency Medicine. “Erlanger is mentioned several times as being more advanced in some types of
clinical research than other areas of the country,” Dr. Severance said.
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Dr. Cofer inducted into the Gold Humanism Honor Society
Dr. Cofer has been inducted into the Gold Humanism Honor Society at the biennial
Advancing Humanism in the Age of Technology conference in Atlanta, Georgia, October
9-11, 2014. He is becoming a member since he is a 2014 receipient of the national ACGME
Parker Palmer Courage to Teach Award, recognizing ten outstanding Program Directors
across the country each year. For more info about the GHHS conference, click here or visit
http://humanism-in-medicine.org/ghhs/national-conferences-events/ghhs-biennial-nationalconference-on-humanism/
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Spotlight Continued on the Next Page >>
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Nisha Surenderanath MD has been appointed to the PREP Cardiology Advisory Board by
American Academy of Pediatrics.
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A N N O U N C E M E N T S
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Surenderanath appointed to PREP Board
Department of Radiology
Dr. Blaise Baxter has been appointed as the new Chair of the Department of
Radiology effective July 3, 2014.
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Humanism in Medicine on the Next Page >>
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Gold Humanism Honor Society Reflections 2014
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Corinne Davis said, “The Gold Humanism Honor Society emphasizes compassion, integrity, and excellence in
patient care. I have always tried to uphold these ideals as I have met with patients, and I am so grateful for the
volumes I have learned from them in return. It is an honor to be invited to join a fellowship of like-minded, caring
individuals, and will be a constant reminder of the values that are fundamental to our profession.”
Jaron Densky (2014 Inductee): “I am honored to be selected into the Gold Humanism Honor Society. It
recognizes future physicians that know patients are individuals best served by medical care that incorporates their
circumstances, values, and opinions. This achievement will serve as my reminder to provide medical assistance to
those with the greatest needs and to continue developing patient-centered professional relationships. Thank you for
this recognition.”
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George Cibulas said, "[...] In preserving these values, we can continue to efficiently practice compassionate care in
an ever evolving field of modern medicine. [...] Alterum alterius auxilio eget (Each needs the help of the other)."
Henry Dodd said, "[...] Being nominated and recognized by your peers for compassionate patient care is greater
than any grade I have earned: it is the highest praise."
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Taylor Lara said, “[...] Being selected [...] will be a constant reminder to me that excellent patient care leaves no
room for resting on laurels and that it requires renewed dedication every day.”
Neena Malik said, “[...] This honor will serve as a reminder in the years to come of a lifelong commitment to
humanistic patient care.”
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Omer Kineish said, “[...] Having compassion for humankind is something that my parents instilled in me at an
early age. [...] Today, I am proud to show them that their valuable life lessons have stuck with me all this time. [...]”
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Niyomi Gandhi said, "The Gold Humanism Honor Society embodies what I believe are the most important
qualities a physician can possess in practicing patient-centered care. Medicine is not only a career, but more
importantly the privilege and commitment to serve others. [...]”
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Rohith Arcot said, “[...] It reminds me that the art of medicine starts with a desire to care for the patient and not
just the ailment. As a future physician I will strive to learn the scientific skills to treat, but also hope to provide
patient care with empathy and compassion. [...]”
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More reflections on being inducted...
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Reflections on what the GHHS stands for...
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Reflections from the 2014 Inductees into the Gold Humanism Honor Society...
Michele Miller said, “[...] The ideals of integrity, excellence, compassion, altruism, respect, empathy, and service
that the society upholds are what I strive to embody [...]. They are an excellent reminder of how we can serve others
and make a difference in the lives of our patients. [...]”
Patricia Ojeda said, “Gold. Humanism. Honor. Society. Every word carries with it a deep significance in and of
itself reminding me of the true meaning behind this award. [...]”
Steve Otieno said, “[...] I will forever be grateful for this special honor.”
Nikhil Panda said, “This is a great honor [...]. I am humbled by the thoughts of my peers and to be included in
such an outstanding group of individuals. [...]”
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Research Corner on the Next Page >>
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Information about the 2015 Research Week—to be held Monday, April 13, through Friday, April 17—has
been posted at www.utcomchatt.org/researchweek. Please see the “2014-2015 Timeline” link for important information about Fall 2014 deadlines for Scientific Review Committee and Institutional Review Board approval
of projects.
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Nuts and Bolts Research Methods Symposium
The 15th annual Nuts and Bolts Research Methods Symposium was held on Friday, August 15, 2014 and went very
well. Eric Heidel, PhD from the department of Surgery at the University of Tennessee Graduate School of Medicine
in Knoxville taught the symposium with a closing session from Manoo Bhakta, MD.
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Information now available about the 2015 Research Week
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Continuing Education Opportunities on the Next Page >>
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Continuing Medical Education
Opportunities Upcoming Opportunities to earn Continuing Education credits
AMA Credit Designation: The University of Tennessee College of Medicine designates these live activities for a maximum of the number of AMA PRA
Category 1 CreditsTM indicated. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Annual Conferences
(one-time offerings)
Tennessee Radiology Society annual meeting
February 21-22, 2015 • Franklin Marriott Cool Springs (Franklin, TN)
12.50 AMA Category 1 Credits™ • Franklin Marriott Cool Springs, Franklin, TN
Click here for more info and to register
TCEP annual Scientific Assembly (19th annual)
March 2-3, 2015 • The Chattanoogan Hotel (Chattanooga, TN)
14.50 AMA Category 1 Credits™ • The Chattanoogan Hotel, Chattanooga, TN
Click here for more info and to register or visit www.tncep.org/
Wildwood Medical Seminar (40th annual): Effective Diabetic Therapies
March 25-27, 2015 • Read House (Chattanooga, TN)
24 AMA Category 1 Credits™ • Read House, Chattanooga, TN
Click here for more info and to register or visit http://www.wildwoodhealth.org/seminars/home/seminars/medicalseminar/
Family Medicine Update (30th annual)
June 10-13, 2015 • The Chattanoogan Hotel (Chattanooga, TN)
25 AMA Category 1 Credits™ • The Chattanoogan Hotel, Chattanooga, TN
Click here for more info and to register or visit www.utcomchatt.org/fmu
Save the Date: Internal Medicine Update (2nd annual)
September 10-12, 2015 • The Chattanoogan Hotel (Chattanooga, TN)
Click here or visit www.utcomchatt.org/imu in the coming weeks for more info and to register
Featured Sessions from our regularly-scheduled series
Healthcare Principles in Practice (Dean’s Office Faculty & Resident Developmental Series)
February 9, 2014 • Recognizing and Addressing Physician Impairment • Roland Gray, MD
1 AMA Category 1 Credit™ • 12:00-1:00pm • Probasco Auditorium, Erlanger, Chattanooga, TN
Click Here for more info about the series
Continuing Education Opportunities Continued on the Next Page >>
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Continuing Medical Education - Continued
Private/Internal CME Courses
(for the professional development of your employees)
Leadership Development Institute
11.5 AMA Category 1 Credits™ • Host Organization: LifeWings Partners, LLC
Click here for More Info and to Register
Teamwork Skills Workshop
3.75 AMA Category 1 Credits™ • Host Organization: LifeWings Partners, LLC
Click here for More Info and to Register
Regularly-Scheduled Series
(offered the same days & times each month)
All RSS meetings below have been approved for 1 AMA Category 1 Credit™
**Contact the coordinator for each series about their attendance policy before attending**
Healthcare Principles in Practice (Dean’s Office series)
Internal Medicine Grand Rounds
OB/GYN Friday Morning Conferences
Orthopaedic Surgery Grand Rounds
Orthopaedic Surgery Journal Club
Orthopaedic Surgery M&M Conference
Surgery Grand Rounds
Surgery Morbidity & Mortality Grand Rounds
Erlanger Pediatrics Grand Rounds
Erlanger Tumor Board Conferences
Hutcheson Tumor Board Conferences
Redmond Hospital Weekly Cardiology Series
Click here for more info about UTCOM Regularly-Scheduled Series, to attend, etc.
Accreditation: The University of Tennessee College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Click here to browse CME Opportunities at the Knoxville campus Office of CME
Click here to browse CME Opportunities at the Memphis campus Office of CME
Subscribe
Click here or visit www.utcomchatt.org/cme
to Sign up for the bi-weekly CME E-Newsletter
Back to Index ↑
Publications on the Next Page >>
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P U B L I C A T I O N S
Articles Published by UT Faculty & Associates
Kolade VO. Commentary on “comparison of traditional and nontraditional weight loss methods: an analysis of the national
health and nutrition examination survey”. South Med J. 2014;107(7):416-7. doi: 10.14423/SMJ.0000000000000128. PubMed
PMID: 25010581.
Kolade VO. Ending the sale of cigarettes at US pharmacies. JAMA. 2014;312(5):559-60. doi: 10.1001/jama.2014.7566.
PubMed PMID: 25096704.
Kolade, V. O.; Salim, H. H.; Siddiqui, M., A survey of primary care resident attitudes toward continuity clinic patient
handover. J Community Hosp Intern Med Perspect 2014, 4 (5), 25087.
Kolade VO, Staton LJ, Jayarajan R, Bentley NK, Huang X. Feasibility of an innovative third-year chief resident system:
an internal medicine residency leadership study. J Community Hosp Intern Med Perspect. 2014;4. doi: 10.3402/jchimp.
v4.24511. PubMed PMID: 25147630.
Lavie CJ, Patel DA, Milani RV, Ventura HO, Shah S, Gilliland Y. Impact of echocardiographic left ventricular geometry on
clinical prognosis. Prog Cardiovasc Dis. 2014;57(1):3-9. doi: 10.1016/j.pcad.2014.05.003. PubMed PMID: 25081397.
Peter Nowotarski, MD; John Dawson, MD; Warren Gardner, MD; Rachel Swafford, MPH; Dirk Kiner, MD. “The Reamer
Irrigator Aspirator (RIA) as a Device for Harvesting Bone Graft Compared with Iliac Crest Bone Graft (ICBG): Union Rates
and Complications,” (Paper Presentation) Orthopaedic Trauma Association 29th Annual Meeting, Phoenix, Arizona, October
2013 [Nominated for the 2013 Bovill Award]
P R E S E N T A T I O N S
Shi ZS, Liebeskind DS, Xiang B, Ge SG, Feng L, Albers GW, et al. Predictors of functional dependence despite successful
revascularization in large-vessel occlusion strokes. Stroke. 2014;45(7):1977-84. doi: 10.1161/STROKEAHA.114.005603.
PubMed PMID: 24876082. Back to Index ↑
Presentations by UT Faculty, Residents & Associates:
The following presentations will be given at the American Society of Plastic Surgeons Resident Abstract Session on October
10, 2014 in Chicago, Illinois:
• Landis L (faculty Brzezienski M): “The Effect of Progressive-Tension Closure on Donor Site Seroma Formation in
Delayed Latissimus Dorsi Flaps for Breast Reconstruction”
• Domingo F, Dale E (faculty Waldrop J): “A Single-Center Retrospective Review of Post-Operative Infectious Complications
in the Surgical Management of Mandibular Fractures: An Outcomes Analysis”
The following presentations will be given at the American Association for Hand Surgery Annual Meeting on January 21-24,
2015 in Paradise Island, Bahamas:
• Phillips P (faculty Kennedy W, associate Lee T): “Cost Effective Analysis of Simultaneous Versus Staged Bilateral Carpal
Tunnel Release”
• Dale E, Cowart J (faculty Rehm J, Brzezienski M, Jemison M, Kennedy W): “Bupivicaine Extended-Release Liposome
vs. Marcaine for Early Post-Operative Pain Control Following Wrist Operations: A Prospective Randomized DoubleBlind Controlled Trial”
Back to Index ↑
12
Click here or visit www.utcomchatt.org/communicator
to view past issues of the COMmunicator Newsletter
Content submissions must be received by the last day of every third month
Comments, articles and announcements for the COMmunicator
can be submitted in a publishable format to [email protected]
960 East Third Street, suite 100 ∙ Chattanooga, TN 37403
Phone: (423) 778-6956 ∙ Fax: (423) 778-3673
www.utcomchatt.org
Layout & Editing: Kayla Moore - CME Coordinator
[email protected]
Editing & Graphic Design: Bill Reynolds, MBA - Director, Office of Continuing Medical Education
[email protected]