July 2013

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July 2013

Welcome to the July 2013 edition of the Round Table.

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This is my last Round Table message as Vice President and Dean of the School of Medicine, after five years of the honor of being the leader of the SOM. My message is predominantly one of thanks and gratitude, along with a call for you all to remain vigilant about, and open to, the challenges ahead. These include changes in funding streams for research (especially the National Institutes of Health), the necessity to grow our clinical outreach and provide high-quality, easily accessible, and excellent patient services, and continue the development of our Next Generation Curriculum, which has become a national model.

Thanks for your leadership and dedication. I would like to say thank you to all of the faculty and staff in the School of Medicine: to our teachers for your continued dedication to our students and in training the next generation of healthcare professionals, even as we change our curriculum and the way we teach; to our physicians for the excellence you bring to the bedside and in caring for our patients; to our innovative researchers, who advance the field of medical research on a daily basis and teach the next generation of scientists; and to all of our support staff for helping bring it all together. I cannot say it enough: thank you. Special thanks to the Chairs of our Clinical and Basic Science Departments, and our Center Directors, who have led us through these changes, been supportive of the institutional efforts, and have had the courage and commitment to speak up if they felt we could improve our efforts and either change direction or "stay the course."

The past five years have seen incredible changes in healthcare, research, and medical education. I have no doubt that the next five years will be equally fluid and dynamic. The School of Medicine has risen and will rise to these challenges, and will continue to meet or exceed the University of Virginia's expectations. I would like to remind you of the immense amount of work, and of your accomplishments, during these past few years. Your accomplishments would be commendable during "normal" times — but your focus, determination, and successes are truly exceptional given the recent period of administrative, economic, and political landscape-shifting.

The School of Medicine is not the same place it was five years ago — it's better. And it was only made better through your efforts and successes. On any given day, there are hundreds (if not thousands) of initiatives, programs, projects, and assessments being performed. All of these are designed to make the School of Medicine and Health System a home for consistent excellence. And, while I take caution that any attempt to list our victories and accomplishments and credit to named individuals would immediately become exclusionary, I would like to mention a few things. I applaud you for building and launching our NextGen curriculum. This was a herculean effort and it was executed wonderfully. It was preceded by the complexity of moving the medical school classes into the new Claude Moore Medical Education Building, and assuring that "everything worked" prior to the students entering. The revamping of the admissions process and curriculum for our Biomedical Sciences (BIMS) program was a big advance for our program, along with renovating the new home for BIMS in the former Mulholland Lounge in McKim Hall. Our basic research programs have been heroic and focused on maintaining excellence in the face of the downturn and the NIH sequestration, and I hope these efforts will enable us to continue their excellence.

You have increased access for our patients and have an unprecedented focus on quality and safety — a journey, for sure, not a destination. But your daily commitment to our patients is a wonderful thing to witness. And your efforts in maintaining and growing our research in the face of decreasing funding and other environmental pressures is evidence of your dedication and the quest for knowledge that has led us down all of our common career paths. National awards, leadership, adaptability, more teaching awards, increased numbers of Best Doctors, renewals of training grants, major grants, increased focus on biotech and pharma research grants as the NIH funding decreased, expansion of our international programs for both medical students and residents — all attest to the growth and development of the faculty, students, trainees, staff, and hospital staff, even in a time of resources constraints.

Five years ago we endured the stock market decline that diminished our endowment, donor contributions, and state allocations to the SOM. The NIH began a budget decline that has accelerated with the sequestration. There were significant tensions among the leadership of the SOM, the practice plan (formerly HSF, now reinvented and reinvigorated as UPG), and the Medical Center. Now our endowment has returned, we have engaged and enacted a clinical strategy plan that has brought new support for our physicians and for clinical research in our Centers of Excellence, and the leadership of the SOM, UPG, and MC have built lasting, collaborative, and constructive relationships.

Establishment of a Clinical Strategy Group resulted from engagement and collaboration among the MC, UPG, and SOM, and has enabled us to move forward in unprecedented ways, just as the national conversation about healthcare, quality, and accessibility requires such collaborations as never before. "Move as one" is a phrase that bespeaks what any successful complex organization such as ours must have to excel. We are stronger together, and that has been proven.

We are now embarking on a strategic plan for research. This will allow us to sustain our superb basic sciences and extend into translational research, highlighted by the purchase of what will be the Ivy Translational Research Center at the Fontaine Grounds — what I hope will become the UVA Center for Translational Sciences, our CTSI. We built a new Cancer Center, a new research building (MR6), and relieved the serious need for lab space. We installed a cyclotron that enables translational imaging research. We also invigorated our institutional Research Cores, enabling our researchers to utilize highly sophisticated instrumentation that would not be available without cost sharing. We now add state-of-the-art electron microscopy to those services, thanks to your efforts.

During these last five years, in times of uncertainty, I have asked a great deal of you all. You have responded brilliantly, and for that I thank you. The facts above bespeak your success. As we initiate a new administrative structure in the Health System and welcome a new set of leaders, I hope you will take great pride in all of these accomplishments — and prepare for the next set of changes, discoveries, and triumphs that will continue to define our legacy.


Steven T. DeKosky, MD, FAAN, FACP


UVA Visits Dalian Medical University

On May 13-15, faculty from the University of Virginia visited Dalian Medical University (DMU) in Dalian, Liaoning, China, to meet colleagues and to sign an Agreement for Academic Exchange and Cooperation between the two universities. Those representing UVA were Zhen Yan, PhD, Associate Professor of Medicine; J. Michael Mangrum, MD, Associate Professor of Medicine; Brian H. Annex, MD, Professor of Medicine, Chief of the Division of Cardiovascular Medicine; and John S. Lazo, PhD, Professor of Pharmacology and Chemistry, Associate Dean for Basic Research.

This highly productive trip helped established a solid working relationship with selected clinicians, basic science faculty, and officials across DMU, including the leadership of the hospital, medical school, and some local political representatives. There were detailed discussions concerning potential programs for future interactions, and our delegates had the opportunity to visit several areas of the hospital, including the clinical electrophysiology laboratories and vascular surgery wards; several physician trainees delivered presentations to Dr. Mangrum and Dr. Annex. Our faculty was also introduced to several potential candidates to be considered for the Atrial Fibrillation Program. While visiting the DMU campus, which houses the Basic Sciences and their researchers and laboratories, we were shown some of their programs, many of which — like their Cancer Stem Cell Program — were quite impressive.

The enthusiasm for this collaboration was very evident — both for those representing UVA and for our colleagues at DMU. This venture, which will initially involve Cardiology and the Robert M. Berne Cardiovascular Research Center and will be led by Dr. Annex, represents an excellent opportunity that will begin with focused programs — but there is potential for widespread and meaningful collaboration between the two universities. In the coming months, we will be preparing to host a team from DMU who will be visiting the University to continue this important international exchange of ideas.

Thank you to Drs. Yan, Mangrum, Annex, and Lazo for representing the School of Medicine and the University of Virginia on this trip to China.

Promotion and Tenure List

Congratulations to our wonderful faculty, noted below, whose promotions and tenure were just voted on by the Board of Visitors.

Promotion to Associate Professor

  1. Barrett H. Barnes, MD, Associate Professor of Pediatrics
  2. Brian W. Behm, MD, Associate Professor of Medicine
  3. Bradford C. Bennett, PhD, Associate Professor Research in Orthopaedic Surgery
  4. Kenneth C. Bilchick, MD, Associate Professor of Medicine
  5. James F. Calland, MD, Associate Professor of Surgery
  6. Wei-Min Chen, PhD, Associate Professor of Public Health Sciences
  7. Angelo R. Dacus, MD, Associate Professor of Orthopaedic Surgery
  8. Ira M. Hall, PhD, Associate Professor of Biochemistry and Molecular Genetics
  9. Peter T. Hallowell, MD, Associate Professor of Surgery
  10. Ann L. Kellams, MD, Associate Professor of Pediatrics
  11. Pamela Mason, MD, Associate Professor of Medicine
  12. George M. McDaniel, MD, Associate Professor of Pediatrics
  13. Sachin H. Mehta, MD, Associate Professor of Anesthesiology
  14. Brandi T. Nicholson, MD, Associate Professor of Radiology
  15. Manoj K. Patel, PhD, Associate Professor of Anesthesiology
  16. Saher Sabri, MBBS, Associate Professor of Radiology
  17. David J. Schlesinger, PhD, Associate Professor of Radiation Oncology
  18. Yun (Michael) Shim, MD, Associate Professor of Medicine
  19. Christopher J. Stemland, MD, Associate Professor of Anesthesiology
  20. Brian S. Uthlaut, MD, Associate Professor of Medicine
  21. Andrew Y. Wang, MD, Associate Professor of Medicine
  22. Krishni Wijesooriya, PhD, Associate Professor of Radiation Oncology

Award of Tenure

  1. Abdullah M. Al-Osaimi, MBBS, Associate Professor of Medicine
  2. Talissa A. Altes, MD, Associate Professor of Radiology
  3. David R. Brenin, MD, Associate Professor of Surgery
  4. John D. Ferguson, MBBCH, Associate Professor of Medicine
  5. Christopher M. Gaskin, MD, Associate Professor of Radiology
  6. Thu H. Le, MD, Associate Professor of Medicine
  7. Margaret L. Plews-Ogan, MD, Associate Professor of Medicine
  8. Justin S. Smith, MD, PhD, Associate Professor of Neurosurgery

Promotion to Associate Professor and the Award of Tenure

  1. Jeffrey J. Saucerman, PhD, Associate Professor of Biomedical Engineering

Promotion to Full Professor

  1. David B. Drake, MD, Professor of Plastic Surgery
  2. J. Stephen Huff, MD, Professor of Emergency Medicine
  3. Jonathan Kipnis, PhD, Professor of Neuroscience
  4. Victor E. Laubach, PhD, Professor of Surgery
  5. Susan Modesitt, MD, Professor of Obstetrics and Gynecology
  6. George J. Stukenborg, PhD, Professor of Public Health Sciences
  7. Bradford B. Worrall, MD, Professor of Neurology


School of Medicine Staff and A&P Faculty Merit Increase Update

The University has adopted a merit increase philosophy for University staff and A&P faculty that strongly weighs market benchmarks and performance. As you know, sequestration, the Affordable Care Act, and other economic changes have provided some financial instability. However, the University and the School of Medicine have committed to a compensation plan that treats all staff consistently and fairly, regardless of their funding source. As a result of many discussions, I recommended to the Provost a methodology that follows the University’s market/merit-based approach and he has approved our request. Salary increases for eligible University staff and A&P faculty will vary based on where salaries fall in the competitive market range and performance as measured by 2012 performance reviews. The anticipated average is 2.4% across the School of Medicine. If you are eligible, your supervisor will notify you when a final raise amount is approved.

The SOM has always encouraged supervisors to use rewards to recognize extraordinary achievements and will continue to do so whenever limited, one-time funding is available. Last year, in addition to the mandated, across-the-board bonus, the School of Medicine awarded 67 percent of our staff population performance bonuses under the Rewards and Recognition plan as follows:

  • A total of 1,091 rewards were given in FY13, affecting 812 employees
  • Total cash awards were $430,565
  • Additional nonmonetary awards equaled $125,381


In addition, we are committed to paying competitive wages; 73 percent of our staff population is paid at, or above, market rates (in the "competitive range") for their positions. Merit increases will be effective July 15 for employees who are paid biweekly and July 25 for employees who are paid monthly. We are pleased to provide these increases to recognize the hard work and dedication of our excellent staff.

Employee of the Month: Wilda Davis

With more than 40 years at the University of Virginia, Wilda Davis, Grants Specialist for Biochemistry and Molecular Genetics, earned the May 2013 Employee of the Month award. Davis was recognized for providing continuity in times of great change, while at the same time embracing the necessary changes that have allowed the department to be more efficient and productive. Davis is known for her attention to detail and her colleagues have relied heavily on her subject-matter expertise and institutional knowledge over several decades.

As stated by Anindya Dutta, MD, Professor and Chair, Biochemistry and Molecular Genetics, "Since my arrival in 2004, Wilda has been invaluable in keeping accurate sponsored program records, ensuring the accounts do not go into deficient, and correcting expenditure types when necessary. Her historical knowledge and understanding of sponsored program accounts, both from the University's and Sponsor's perspective, is one that has been cultivated over several years of experience and is without a doubt a credit to her ability to manage sponsored program accounts."

Davis retired from UVA in June 2013 and I am so pleased to be able to provide this recognition to her for her many years of dedication to the University. Many thanks to Wilda Davis for her years of service!


The LCME Institutional Self-Study Begins!

On June 10, the Liaison Committee on Medical Education (LCME) reaccreditation self-study began with a visit from Dan Hunt, MD, MBA, LCME Co-Secretary and Senior Director of Accreditation Services at the Association of American Medical Colleges (AAMC). He met with the group of students leading the Independent Student Analysis as well as with the School of Medicine Accreditation Steering Committee and Dean-Designate Nancy Dunlap, MD, PhD, MBA. That evening, Dr. Hunt was the keynote speaker at the LCME Self-Study Kick-Off meeting.

The LCME self-study process is designed to both validate that UVA's School of Medicine meets accreditation standards and to foster further development of its program, Dr. Hunt advised. Over 100 participants of the self-study were in attendance, as Dr. Hunt emphasized the importance of broad representation of faculty and the need for careful reflection about the school’s strengths, as well as identification of areas in which the medical school program can improve.

Dr. Hunt cited two major areas about which he warned participants to be cautious and ensure they address in their analyses: compliance with the standards for which the school was cited in the 2006 review, and compliance in centralizing the management of clerkships in the medical school program (Standard ED-33).

After chatting with many self-study participants, Dr. Hunt commended Barnett Nathan, MD, Chair of the LCME Self-Study; Randolph Canterbury, MD, Chair of the Accreditation Steering Committee; and Lesley Thomas, JD, Faculty Accreditation Lead. Dr. Hunt said that, in all of the years in which he has been participating in and overseeing LCME visits, UVA was the most organized and prepared for the LCME process that he has ever seen.

I would like to acknowledge the 170 self-study participants and thank them in advance for the time they will spend in ensuring that the School of Medicine receives another eight-year accreditation from the LCME. The participants, listed by department and area are:

  • Biochemistry & Molecular Genetics: David Auble, PhD; Joel Hockensmith, PhD; Selina Noramly, PhD
  • Cell Biology: Robert Bloodgood, PhD; Melanie McCollum, PhD, MA; Judith White, PhD
  • Class of 2014: Suniah Ayub; Mary Grace Baker; Chelsea Becker; William Borch; Weldon Diana; Chadrick Lane; Alexander Monroe; Ann Shefferly; Mazvita Simoyi; Graham Taylor; Long Vinh
  • Class of 2015: Allison Bruff; Lauren Caldwell; Jennifer Cooper; Sumeet Gupta; Daniel Harris; Justin Kim; Gregory Kurkis; Maanasi Mistry; Berhan Nida; David Richards; Rafael Villareal-Calderon
  • Class of 2016: Adam Buckholz; Bryan Chun; Garrett Casle; Jingjing Cui; Patricia Doerr; Helena Frischtak; Katherine Hunold; Aileen Giordano; Connie Hsia; Alexander Lawson; Ian MacLean; Daniel O'Sullivan; Yassaman Pourkazemi; Eve Privman; Daniel Ryczek; Robert Solberg; Dibya Subedi; Christa Tabacaru
  • CME Office: Jann Balmer, PhD, MSN
  • Dean's Office: Richard Allen; Robin Fisher; Kellie Gildersleeve; Bradley Haws, MBA; Sharon Hostler, MD; Anne Kromkowski, MBA; Margaret Shupnik, PhD; Jonathon Truwit, MD; Steve Wasserman, PhD, MEd
  • Emergency Medicine: David Burt, MD; Chris Ghaemmaghami, MD; Chris Holstege, MD
  • Family Medicine: Andrea Ursulla Courtney, MD; Peter Ham, MD; Norman Oliver, MD; Susan Pollart, MD; Lisa Rollins, PhD, MEd
  • Health Sciences Library: Gretchen Arnold, MLS ; Ellen Ramsey, MEd
  • Medical Alumni Affairs: Barry Collins
  • Medical Education: Margaret Baxton, MEd; Elizabeth Bradley, PhD, MEd; Randolph Canterbury, MD; Mike Dawson; John Densmore, MD, PhD; Matt Dickerson; Elizabeth Graham; Allison Innes, PhD; John Jackson, MD; Jim Martindale, PhD, MEd; Sabrina Nunez, PhD; Eileen Oswald; Richard Pearson, MD; Christine Peterson, MD; Lesley Thomas, JD; Casey White, PhD
  • Medical Education/Neuroscience: Mary Kate Worden, PhD
  • Medicine: Rasheed Balogun, MD; Seki Balogun, MD; Daniel Becker, MD, MPH; Brian Behm, MD; Robert Gibson, MD; Thea Grover-Patrick, MBA; Dearing Johns, MD, PhD; Kambiz Kalantari, MD; Susan Kirk, MD; Jennifer Marks, MD; Coleen McNamara, MD; William Petri Jr., MD, PhD; Margaret Plews-Ogan, MD; P. Preston Reynolds, MD, PhD; Mitchell Rosner, MD; John Schorling, MD, MPH; Neeral Shah, MD; Greg Townsend, MD; Brian Wispelwey, MD
  • Microbiology, Immunology, and Cancer Biology: Jay Fox, PhD; Amy Bouton, PhD; David Brautigan, PhD, MS; Kodi Ravichandran, PhD
  • Molecular Physiology & Biological Physics: Gary Owens, PhD
  • Neurological Surgery: John Jane Jr., MD; Mark Shaffrey, MD
  • Neurology: Karen Johnston, MD; Barnett Nathan, MD
  • Neuroscience: Kevin Lee, PhD
  • Obstetrics & Gynecology: James Ferguson II, MD, MBA; Michael Moxley, MD; Yvonne Newberry, RN, NP
  • Orthopaedic Surgery: Eric Carson, MD; Abhinav (Bobby) Chhabra, MD; Angelo Dacus, MD
  • Otolaryngology: Brad Kesser, MD; Paul Levine, MD
  • Pathology: Donald Innes, MD; Beatriz Lopes, MD, PhD
  • Pediatrics: Stephen Borowitz, MD; Meg Keeley, MD; William Lennarz, MD; Nancy McDaniel, MD; Mark Mendelsohn, MD; James Nataro, MD, PhD, MBA; Karen Rheuban, MD; Ronald Turner, MD; Linda Waggoner-Fountain, MD; William Wilson, MD
  • Pharmacology: Douglas Bayliss, PhD, MS; John Lazo, PhD
  • Plastic Surgery: Thomas Gampper, MD
  • Psychiatry & Neurobehavioral Sciences: Roger Burket, MD; Pamila Herrington, PhD; Bankole Johnson, MD; Gabrielle Marzani-Nissen, MD
  • Public Health Sciences: Ruth Bernheim, JD, MPH; Donna Chen, MD, MPH
  • Radiology & Medical Imaging: Alan Matsumoto, MD; Juan Olazagasti, MD; James Stone, MD, PhD
  • SOM Alumni: Charles Henderson, MD, Radiology; George Hurt, MD, Neurosurgery; Mary Witt, MD, Pediatric Endocrinology
  • Surgery: Ray Costabile, MD; Charles Friel, MD; Benjamin Kozower, MD; Bruce Schirmer, MD; Anneke Schroen, MD, MPH; MPH; Michael Williams, MD; Jeff Young, MD
  • UVA: Richard Bonnie, LLB, School of Law; Dorrie Fontaine, RN, PhD, School of Nursing; Allen Groves, JD, Dean of Students; David Hudson, PhD, Office of the VP for Research; Marcus Martin, MD, Diversity and Equity Office; Darlene Scott-Scurry, JD, Equal Opportunity Programs; James Turner, MD, Elson Student Health
  • UVA Medical Center: Patricia (Trish) Cluff Halmark; Robert (Bo) Cofield, DrPH, MHA; Larry Fitzgerald; Thomas Harkins; R. Edward Howell; Michelle McCarthy, PharmD
  • UVA Office of the Executive Vice President and Provost: J. Milton Adams, PhD; Gertrude Fraser, PhD; John Simon, PhD

Stephen V. Early, MD, Honored with Robley Dunglison Award

Congratulations to Stephen V. Early, MD, Assistant Professor of Otolaryngology, for being honored with the 2013 Robley Dunglison Award. This award was established by a gift from the Class of 1964 in honor of the first faculty member of the School of Medicine. It is given to a member of the faculty by the graduating class in recognition of outstanding teaching efforts and personal contributions toward arousing interests and inspiring the endeavors of students. Dr. Early is the 50th recipient of this award.

Robley Dunglison was an English physician who came to America and was a professor of medicine and anatomy here at the University of Virginia. He was personal physician to Thomas Jefferson and considered the Father of American Physiology.

Congratulations, Dr. Early, on this outstanding recognition from our students!

Certificates of Commitment to Excellence in Medical Education Awarded

The first Certificates of Commitment to Excellence in Medical Education were presented last month to nine of our faculty members who completed a minimum of 10 sessions on developing advanced teaching and assessment skills in classroom, small group, and clinical settings.

These certificates are offered through the Excellence in Medical Education series, which is jointly sponsored by the Academy of Distinguished Educators (ADE) and the Office of Medical Education. Any faculty member who attends and participates in 10 sessions within a two-year period receives a certificate. This commitment may serve a faculty member who is applying for membership in the Academy of Distinguished Educators (ADE) and/or for evidence of excellence for promotion and tenure.

As we have now completed the first year of offerings, the first nine recipients are:

  • Maurice Apprey, PhD, Professor, Department of Psychiatry and Neurobehavioral Sciences
  • Marcia L. Buck, PharmD, Associate Professor, Department of Pediatrics
  • Roger C. Burket, MD, Associate Professor, Department of Psychiatry and Neurobehavioral Sciences
  • Randolph J. Canterbury, MD, MS, Professor, Department of Psychiatry and Neurobehavioral Sciences
  • Huai Yong Cheng, MD, Associate Professor, Department of Medicine
  • Pamela K. Mason, MD, Assistant Professor, Department of Medicine
  • Lynn M. McDaniel, MD, Assistant Professor, Department of Pediatrics
  • Christine M. Peterson, MD, Associate Professor, Department of Obstetrics and Gynecology
  • Linda A. Waggoner-Fountain, MD, MEd, Associate Professor, Department of Pediatrics

Congratulations to all for this dedication and commitment! While the Excellence in Medical Education series is on hiatus for the summer, it will begin again in the fall. Until then, if you would like more information, please visit www.medicine.virginia.edu/administration/faculty/faculty-dev/excellence-in-medical-education-faculty.html.

Deadline to Apply for 2013 Mini-Med School Approaches

For the 20th year, the Mini-Med School has brought an abridged version of medical school to those in our community who would like to learn more about the medical profession. Director Sean Reed, MD, Assistant Professor of Family Medicine, and his team, lead the participants in an active, hands-on learning environment, which mimics our own successful NextGen curriculum.

The main goal of Mini-Med School is to promote greater health literacy and an improved understanding of healthcare delivery. Last year's agenda included "Medical Reasoning: Thinking Like a Physician," "Faces of Anatomy," and "Research Lab Night," as well as sessions on infectious diseases, cancer, diabetes, and hypertension. There is even a faux "Match Day" for participants. An important part of the program's success is the many medical students and faculty who volunteer their time to participate and we are grateful for them generously giving their time.

Information and materials for applying to Mini-Med School is available on the program's website: www.medicine.virginia.edu/community-service/more/minimed/mini-medical-school-2011.html. The deadline for applying is August 16.

The program is free and open to the public and runs seven consecutive Wednesday evenings in September and October. For more information, please contact Darci Lieb at 924-2194 or lieb@virginia.edu or at minimed@virginia.edu.

Deadline: ADE Membership Application

The deadline for the Academy of Distinguished Educators (ADE) is on Friday, August 2, 2013. All School of Medicine faculty at the Assistant Professor level or higher are eligible for membership in the Academy, either through an application process or automatically as recipients of institutional teaching awards (these include the Dean's Award for Excellence in Teaching, the David A. Harrison Distinguished Educator Award, the Master Educator Award, the Robert J. Kadner Award for Outstanding Graduate Teaching, and the All-University Teaching Award.)

The application consists of a Reflective Statement, a Teaching Portfolio, and two letters of support. For the Teaching Portfolio, please use the ADE template, found at www.medicine.virginia.edu/administration/faculty/ade/teaching%20portfolio.pdf. The entire packet should not exceed 50 pages. Except in the case of exceptional prior accomplishments, the committee will focus on activities over the past five years or during your time at UVA (whichever is shorter).

Only electronic applications (a single PDF) will be accepted. Completed applications should be sent to Ashley Ayers at ala5t@virginia.edu no later than 5 p.m. on Friday, Aug. 2. New members will announced the week of Sept. 16.

For more information, please visit: www.medicine.virginia.edu/administration/faculty/ade/membership-page.


Board of Visitors Approves Purchase of Ivy Translational Research Building

I am pleased to announce that in May, the Board of Visitors approved the purchase of the Ivy Building located at 560 Ray C. Hunt Drive, off of Fontaine Avenue, formerly occupied by the CFA Institute. With the purchase of this building, we will be able to house many of our exciting research efforts, including the Virginia Center for Translational and Regulatory Sciences (VCTRS), which will advance research and teaching in the regulatory process and products from ideation to Food and Drug Administration (FDA) submission.

The Ivy Translational Research Building also will house computational, clinical, and translational research, as well as a clinical research outpatient facility. Currently, we plan to occupy the building by late 2014. Thank you to all who helped with the planning that has led up to procuring this wonderful new space, and to those individuals who will help us to plan, renovate, and move into the new facility. Of course, I wish to thank the Ivy Foundation for its generous gift and its vision, which have allowed us to create this exciting new School of Medicine facility.

Edwin J. Harvie Cardiovascular Award for 2013

The Edwin J. Harvie, Jr., Cardiovascular Research Award recognizes excellence in cardiovascular research in the School of Medicine. I am happy to announce this year’s recipient, Gary K. Owens, PhD, Director of the Robert M. Berne Cardiovascular Research Center, Robert M. Berne Professor in the Department of Molecular Physiology and Biological Physics. His research program has had fundamental importance in defining mechanisms that regulate differentiation, the determination of cell fate, and the plasticity of somatic cells.

Among his accomplishments were pioneering studies of molecular and epigenetic mechanisms that control activation of smooth muscle cell (SMC) marker genes during development, and how these processes are altered during phenotypic switching of SMCs in response to vascular injury, or in disease states such as atherosclerosis. His lab was the first to demonstrate that pro-atherogenic oxidized phospholipids induce profound phenotypic switching of SMCs, and that this process is dependent on the embryonic stem cell pluripotency gene KLF4. Finally, his lab identified novel smooth muscle selective histone modifications that persist even when the cells de-differentiate, suggesting a possible mechanism for cell lineage memory. This award also honors the many collaborators, trainees, and laboratory personnel who helped realize this important research.

Dr. Owens will receive a $25,000 monetary award, which is intended to continue his future research efforts.

J. Randall Moorman, MD, Appointed Editor-in-Chief of Physiological Measurement

Congratulations to J. Randall Moorman, MD, Professor of Medicine, Biomedical Engineering, and Molecular Physiology and Biological Physics, on being appointed the new editor-in-chief of Physiological Measurement. A journal for systems in physiology and medicine, Physiological Measurement bridges the gap between the laboratory and the clinic.

Dr. Moorman said about the journal: “The twin revolutions of big data and open access are underway, and Physiological Measurement is ideally positioned to lead the clinical and engineering community into an age where monitoring data are used to improve outcomes of patients. It is the ideal organ for dissemination of new results, and for collective consideration of new ideas and directions.”

Dr. Moorman starts his role as editor-in-chief in January 2014, for an initial three-year term. Once again, congratulations!

School of Medicine Research Cores Handbook 2013

The Office of Research Core Administration and core directors have developed the 2013 Research Cores Handbook ( http://www.medicine.virginia.edu/research/offices/research/research-forms-and-documents/Research%20Cores%20Handbook%202013.pdf), describing the various services, instrumentation, reagents and expertise available in the SOM cores. Hard copies have been sent to departmental chairs and division chiefs. If you also would like a hard copy, please contact Julie Burns ( jb9v@virginia.edu). We expect to create a new handbook annually, with online versions updated quarterly.


Next Month: Zion Crossroads Multispecialty Facility Opens

I am pleased to announce that next month our new multispecialty facility at Zion Crossroads will make its grand opening. The 46,000 square-foot building will increase patients' access to primary and specialty care, and will offer services such as breast care, cardiology, dermatology, endocrinology, gastroenterology, nephrology, neurology, orthopedics, physical medicine & rehabilitation, pulmonary, spine care, sports medicine, urology, vascular, and others. UVA Imaging will offer MRI, CT, digital X-ray, mammography (including Tomosynthesis), and ultrasound. Support services will include retail pharmacy and medical labs. This is incredibly exciting as it offers us a new way to care for patients, within their own community, in a distinct facility.

The primary and specialty care clinics will see their first patients on Aug. 26. If you would like a first-hand look at the new space, I encourage you to attend one of the open houses on Aug. 22 (10a.m.–2p.m.), Aug. 24 (10a.m.–2p.m.), and Aug. 28 (4p.m.–7p.m.). If you would like to make an appointment at Zion Crossroads, employees can start scheduling visits through Care Connection as of Aug. 1 for appointments after Aug. 26.

Expanding the clinical enterprise is a critical element of our strategy as a Health System. Providing these services in Zion Crossroads links our Outreach efforts with our expansion strategy and gives us the opportunity to serve a greater number of patients closer to their homes. Thank you to all who helped in planning and operationalizing this beautiful new facility.

UVAHS, Swinfen Charitable Trust, and Verizon Foundation Join to Accelerate and Expand Global Telemedicine Program

The Verizon Foundation, Swinfen Charitable Trust, and the University of Virginia Health System announced at the recent Social Innovation Summit the expansion of an innovative telemedicine program into rural communities in India and the Philippines. This program will utilize mobile- and cloud-based technology that will connect renowned physicians around the world to doctors in these communities to assist them with patient diagnoses and care.

The program’s expansion will extend the reach of the U.K.-based Swinfen Charitable Trust, which currently uses telemedicine to connect clinicians at 260 hospitals in 68 developing countries, with more than 550 medical specialists around the world, including 68 at the University of Virginia.

Verizon’s investment of more than $208,000 includes a Verizon Foundation grant and Verizon Cloud services. Verizon’s support will enable the telemedicine program to be used on mobile devices, making it easier and faster for doctors to share mission-critical information with specialists. Once mobility is implemented, information transfer will accelerate to less than two days; it would traditionally take more than a week.

For the first time, healthcare providers in resource-limited environments will be able to access the telemedicine system from mobile devices to communicate with specialists around the world. These highly secure and reliable solutions will enable fast transfer of information; the ability to accommodate multiple, simultaneous users; GIS (geographic information systems) mapping; and other capabilities that will enhance the Swinfen Charitable Trust’s current telemedicine program.

Healthcare workers in developing countries who participate in the program will be able to send to expert medical specialists secure patient information — including medical images, X-rays and medical histories — through Verizon’s cloud-based service.

With the Verizon Foundation’s support, the Trust plans to expand its services to providers and healthcare systems caring for patients in:

  • A community clinic in Garhwal, Uttarakhand, India
  • A pediatric plastic surgery outreach program in Giridih, India, led by Dr. Thomas Gampper, vice chair of plastic surgery at the University of Virginia
  • A small burns clinic in Zambales, Philippines

The expansion of the telemedicine program began in June. More than 1,075 medical providers in the Swinfen network, serving thousands of patients, have improved access to specialty consultative services.

Dr. Karen S. Rheuban, director of the UVA Health System’s Center for Telehealth and a trustee of the Swinfen Charitable Trust, said: "Telemedicine has the power to connect medical providers around the world, enabling their patients to receive the best possible treatment, regardless of where they live.  We’re looking forward to working with our partners in India and the Philippines as well as others across the Swinfen network to aid them in caring for their patients."

Expanded Patient Access to MyChart is Live!

Since April 9, patients using MyChart have had greatly expanded access to their own lab and cardiology procedure results, radiology and procedure reports, and pathology reports. Since its launch, we have experienced wonderful patient responses to this added MyChart capability. In addition, those staffing front desks have experienced a reduced call volume — many of these calls are about follow-up questions of lab results. The call center has experienced a 75 percent reduction in patient calls regarding their lab results. Thank you to all who made MyChart an effective, patient-centered engagement and access tool.

Care-Based GME Orientation Training

The newest cohort of Graduate Medical Education (GME) trainees received orientation through a case-based teaching method. Under this teaching model, a physician, nurse, and pharmacist are in each group, often with a fourth individual representing patient safety/risk management or medical education.

The hope is that this style of learning is easier for our new trainees to process and implement. Highlights included emphasis on the GME Escalation of Care Policy (GME Policy 12: Protocol, found here: www.medicine.virginia.edu/education/graduate-md/GME/for-program-coordinators/resolveuid/c23853dad5787ce0091740b7cd4b70c9) and the IDEAL handoff of care.

The mnemonic IDEAL stands for:

Identify patient name and medical record number or date of birth; and physician name

Diagnosis and current condition

Events/changes in condition or treatment

Anticipated changes in condition/treatment, what to watch for in next interval of care, contingency plans

Leave time for the opportunity to ask questions and clarify information

Using these tools, we are hopeful that policies and procedures will be clearly understood, remembered, and used by our trainees.

ABCD Patient Progression Level

The Patient Progression Level was developed to provide a platform for focused, critical thinking about the acuity status of our patients in a way that can perpetuate proper patient progression. The collaboration between the physicians, nurses, and Advanced Practice Providers with patient progression and their "huddles" will allow us to more safely manage our resources and create excellent communication and teamwork. It will also provide an educational opportunity for our trainees.

The designation will be available in Epic and there we will create a shared list that will allow our case managers to have the information they require in order to be effective and efficient. Our in-house physicians will also use this shared list so that they, too, are aware of those patients who are most critical, and respond by providing them with an increased vigilance.

The ABCD Patient Progression Level is as follows:

A — Extra attention/escalation of treatment; require evaluation every 4 hours.

B — Responding to treatment; require evaluation every 8 hours.

C — De-escalation of treatment; transition within 48 hours/case management; require evaluation every 12 hours.

D — Disposition; impending disposition/discharge/transfer/case management; require evaluation every 12 hours.

Registration Open: Quality & Patient Safety Conference

Mark Friday and Saturday, Sept. 27-28, on your calendars for the UVA Quality & Patient Safety: Core Competencies for Healthcare Improvement conference. Change is all around us as the healthcare environment evolves with new models for care. Healthcare professionals on the frontlines need core knowledge and competency in the skills required to analyze and improve the complex processes that comprise healthcare service delivery. This program is designed to prepare healthcare professionals to be active participants and leaders in quality improvement and patient safety efforts at the individual and organizational levels.

Presenters include faculty and staff from the Departments of Medicine and Pediatrics, the Medical Center Office of Quality & Performance Improvement, and the UVA Center for Appreciative Practice. Topics to be covered include the Triple Aim framework and other models for optimizing health system performance; application of human factors, systems thinking, and appreciative practices; success factors for leading change; and integration of quality improvement into continuing professional education and certification. The course format includes interactive skill-building sessions and the opportunity to explore an individual interest, such as project and team management, quality benchmarking data, or developing a medical error disclosure and peer support program.

This program is open to all healthcare professionals — clinicians, administrators and educators — engaged in quality improvement and patient safety at the individual patient or population management levels. For questions regarding this conference, please contact Katharine Schlag, Program Manager, Office of Continuing Medical Education, at 924-9387 or kas3b@virginia.edu. Details and brochure can be found at www.cmevillage.com by clicking on "Conferences and Symposia."

July: Schwartz Center Rounds

I urge you to participate in our next installment of Schwartz Center Rounds on Thursday, July 25. These free rounds are open to everyone — faculty, staff, students, caregivers, and noncaregivers — and offer a safe forum for the discussion of difficult psychological, social, and emotional aspects of providing care. This title of this month's topic is "Frequent Flyers" and the open-forum format is case-based, exploring real UVA cases.

Rounds take place every other month; this month’s session will be held in Jordan Hall. Lunch is provided starting at noon. The Rounds run from 12:30–1:30 p.m. Prior registration is encouraged for CME/CEU credit, though walk-ins are welcome to attend. Please watch your email for upcoming information on how to register for the July Schwartz Rounds. Thank you to all who participate.