The Scope E-Newsletter January 2009

I would like to take this opportunity to thank all who have contributed to this edition of The Scope with its new look. The Scope is now in its sixth year providing news and updates for all of us. This electronic communiqué in conjunction with the print edition of Frontiers provides news and events to a wide variety of people in and outside of Tennessee. Thanks again for a job well done!

I would imagine the principal news item on our minds today is the economy and, in particular, the status of the Graduate School of Medicine. As you know, our state-appropriated dollars will shrink significantly as of July 1, 2009. The Dean's Office is working with each of our Departmental Chairs as well as support office Directors to prepare for this change with as little impact on our mission as possible. As the State of Tennessee winds its way through upcoming months we know that a request for further reductions can be made.

While the process is difficult at times, you should know we are fortunate to have Chairs and support office Directors who not only provide superb leadership but operate in a very collegial fashion to meet the demands facing the Graduate School of Medicine. There is no doubt this attitude and cooperation will allow us to prevail during these difficult times.

James J. Neutens, PhD, FASHA
Dean

Scott Stevens, MD, professor of Surgery, was featured in the December 2008 edition of East Tennessee Medical News for performing two vascular surgeries Oct. 3, 2008, while up to 400 physicians watched via satellite from Phoenix, Ariz.

Dr. Stevens participated in a national conference, Below the Knee, allowing physicians to communicate with Stevens throughout the procedures. Dr. Stevens said the purpose of the exercise was to share information with other physicians to educate and ultimately improve patient care nationwide.

To read the article in East Tennessee Medical News online, go to http://easttennessee.medicalnewsinc.com/news.php?
viewStory=1377.

Boling Distinguished Visiting Professorship in Health Policy Forum Presents
"Achieving a Lifetime of Good Health while Lowering Healthcare Costs"
Dr. Kenneth Cooper, MD, MPH
"The Father of Aerobics"
Founder of the World-renowned Cooper Clinic in Dallas
2009 Boling Distinguished Visiting Professor
Thursday, Jan. 29, 2009
7:30 a.m.
Knoxville Convention Center

In 1968, Kenneth Cooper, MD, MPH, launched a new movement in America called aerobic exercise. Now, backed by years of research findings that confirm his message, Dr. Cooper continues his mission: to promote proper exercise, diet, and emotional balance for optimum health and longevity.

Dr. Cooper has been named the 2009 University of Tennessee Boling Distinguished Visiting Professor and will present "Achieving a Lifetime of Good Health while Lowering Healthcare Costs" on Jan. 29, at the Knoxville Convention Center. The forum will include Knoxville area business leaders who will present a panel discussion, "Executive Insights on Personal and Corporate Wellness," encouraging audience members' interaction.

The forum is sponsored by UT Medical Center, UT Graduate School of Medicine, UT College of Business Administration, Knoxville, and the Knoxville Chamber. A registration fee of $35 includes forum and breakfast. For information and to reserve a seat, contact UT Medical Center Office of Development, development@utmck.edu, 305-6611. For details about the event, visit http://gsm.utmck.edu/news/main.htm.

The Boling Distinguished Visiting Professorship in Health Policy Forum brings together industry experts and business leaders to discuss innovative approaches to healthcare policy and the impact they can have in the workplace, particularly on employee productivity.

In a UT The Daily Beacon newspaper article, "HPV proves common among young population," Anna Lisa Jones, MD, Chief Resident, Obstetrics and Gynecology, and Eric Carlson, MD, DMD, Chair, Oral and Maxillofacial Surgery, provided expert advice and opinions on the effects and prevention of human papillomavirus (HPV).

Currently, Carlson is conducting research on the prevalence of HPV in oral cancers, and OB/GYN has produced a brochure for patients and community members explaining Pap test results, including HPV prevention.

To read the full article published Nov. 20, 2008, online, go to http://dailybeacon.utk.edu/showarticle.php?articleid=54256.

For a copy of the OB/GYN brochure, contact OB/GYN at 305-8787.

Blaine L. Enderson, MD, Professor, Surgery, has been appointed by the Board of Regents of the American College of Surgeons to serve a three-year term on the National Committee on Trauma.

Radiology post-graduate year-four residents received high marks on the American Board of Radiology (ABR) Diagnostic Radiology exam, placing them among the top 20 percent of physicians nationwide. Passing the exam administered in September 2008 were Jacob Noe, MD; Cathryn Shaw, MD; Tony Divito, MD; David Rossow, MD; and Ryan Currier, MD.

The following residents passed the ABR General Radiologic Physics exam in September 2008: Cassy DiRuzzo, MD, PGY3; Rob Thurman, MD, PGY3; Monty Smith, MD, PGY3; Jason Hill, MD, PGY3; Nick Waddell, MD, PGY3; Chris Guglielmo, MD, PGY5.

Yitong Fu, MD, recently passed the American Board of Nuclear Medicine exam and completed his Nuclear Medicine fellowship.

George Kabalka, PhD, Professor, Robert H. Cole Neuroscience Chair, Radiology, was elected as a Fellow of the American Association for the Advancement of Science (AAAS).

AAAS is the world's largest general scientific society, undertaking programs and activities that promote science to the public and monitor issues that affect the scientific community.

Out with the old, in with the new Scope. In its sixth year of publication, The Scope e-newsletter now has a new layout and design for a fresher, faster read. Previously published bi-monthly, The Scope will now be sent via e-mail monthly and is always available online at http://gsm.utmck.edu/news/scope.htm. The next issue of The Scope is planned for release Feb. 3.

We want your feedback! Let us know what you think of the new design and any ideas you may have for The Scope by sending an e-mail to GSMNews@utmck.edu.

The UT Graduate School of Medicine and UT Medical Center together form the only academic medical center in the region, and as a regional resource, we have a responsibility to support the community in worthwhile and meaningful ways. Watch this spring for the fourth issue in a four-part series focusing on our mission of education, research, patient care and public service to learn more about how our physicians go beyond expectations to serve the community.

Frontiers is a quarterly publication for alumni and friends, produced by UT Medical Center and UT Graduate School of Medicine.

Want to receive Frontiers in the mail?

To join the Frontiers magazine mail list, visit http://gsm.utmck.edu/news/frontiers.cfm to complete the online form.

To request previous copies of Frontiers, contact Communications and Outreach at GSMNews@utmck.edu.

Pathology has purchased a DEXIS (Digital Electronic X-ray Imaging System) for use in the Regional Forensic Center and for mass disaster preparedness training.

DEXIS provides interactivity between the clinical dental office and forensic anthropologists or pathologists working in the field or laboratory. This software allows shared e-mail transport of full-mouth or bitewing series views for comparative dental examination used in the positive identification process.

The forensic application software was originally developed to expeditiously secure postmortem dental images for comparison in the positive identification process and to replace traditional oral autopsy procedures.

The Tennessee State Insurance Committee announced that the 4 percent group insurance premium increases set for the 2009 calendar year will not go into effect, and premiums will remain unchanged.

Effective Jan. 1, 2009, however, pharmacy copayments increased as follows:

30-34-day supply at retail pharmacies:
Tier 1 (generic drugs): $5 copayment
Tier 2 (preferred brand-name drugs): $25 copayment
Tier 3 (non-preferred brand-name drugs): $75 copayment (change from $50)

90-102-day supply by mail order or at participating "mail at retail" pharmacies:
Tier 1 (generic drugs): $10 copayment (change from $5)
Tier 2 (preferred brand-name drugs): $50 copayment (change from $25)
Tier 3 (non-preferred brand-name drugs): $100 copayment (change from $50).

If you have questions regarding your insurance premiums or these changes, contact Carol Houser at 305-6482.

"Business Survival Skills for Physicians," a series designed to assist physicians who plan to go into private practice, will continue Jan. 28, with "Contracting with Insurance Carriers." The session will be led by Greg Broyles, Anesthesia Medical Associates of East Tennessee, from 12-1 p.m. in Wood Auditorium.

On Feb. 4, Chad Schollaert and Laura Lyons with the Trust Company will lead "Wealth Management 101."

While senior residents are strongly encouraged to attend the entire annual series, all residents and fellows are welcome. For more information or for a complete schedule, contact the Graduate Medical and Dental Education office at 305-9339 or gme@utmck.edu. Series dates are subject to change.

Mark your calendars for these upcoming CME/CDE events, sponsored by the UT Graduate School of Medicine:

March 14, 2009: 5th Annual Diabetes Update, UT Conference Center

April 3, 2009: Faculty Development Workshop: Teaching, UT Visitors' Center

April 29, 2009: Sullivan Endowed Lecture, Wood Auditorium

Through invited presentations, Graduate School researchers and physicians share findings with their peers, making an impact on patient care worldwide.

Third-year Family Medicine resident Kevin Ache, DO, presented his poster, "Are End-of-Life Printed Patient Health Education Materials Readable?", co-authored by Lorraine Wallace, PhD, at the North American Primary Care Research Group 36th Annual Meeting, Rio Grande, Puerto Rico, in November 2008.

Lorraine Wallace, PhD, Professor, Family Medicine, and her colleagues from Oregon Health Science University were invited to present results of their study, "Uninsured Children with Insured Parents," at the National Press Club in Washington, D.C., Oct. 21, 2008. Their paper was published in the Journal of the American Medical Association's October 2008 "Health of the Nation" issue. Slides from the presentation are available at http://pubs.ama-
assn.org/homepage/media/health_of_nation/slides_devoe.pdf

George Kabalka, PhD, Professor, Robert H. Cole Neuroscience Chair, Radiology, traveled worldwide in November 2008 giving invited presentations.

International Workshop on PET in Boron Neutron Capture Therapy, Pisa, Italy, November 2008
"Preparation of F-18 Labeled para-Boronophenylalanine for Use in BNCT"

BASF Boron Conference, New Brunswick, NJ, November 2008
"Carbon-Carbon Bond Forming Reactions"

Southeast Regional ACS Meeting, Nashville, Tenn., November 2008
"Tandem Carbon-Oxygen Bond Cleavage Using Boron Halides"

W. Bedford Waters, MD, Professor of Surgery/Urology, was an invited speaker at the Societe Internationale d'Urologie's World Uro-Oncology Update meeting in Santiago, Chile, Nov. 19-22, 2008. He was the moderator and a speaker at a Surgical Tips Session on Bladder Cancer, "Radical Cystectomy and Urinary Diversion." There were 1400 registered physicians in attendance.

Presentations

North American Primary Care Research Group 36th Annual Meeting, Rio Grande, Puerto Rico, November 2008

Poster Presentations
Kevin Ache, DO, Lorraine Wallace, PhD
"Are End-of-Life Printed Patient Health Education Materials Readable?"

Amy Keenum, DO, Lorraine Wallace, PhD, Andrea Franks, PharmD, Shaunta Ray, PharmD, Barry Weiss, MD
"Do Medication Samples Jeopardize Patient Safety? A Review of Non-Tablet Dosage Forms"

Maricarmen Malagon-Rogers, MD, Lorraine Wallace, PhD, Jennifer DeVoe, MD, PhD, Edwin Rogers, PhD, George Fryer, PhD
"Digging Deeper: Perceptions of Health Care Providers' Communication Skills across Hispanic Subgroups"

Edwin Rogers, PhD, Lorraine Wallace, PhD, Jennifer DeVoe, MD, PhD, Maricarmen Malagon-Rogers, MD, George Fryer, PhD
"Language Preference and Perceptions of Healthcare Providers' Communication Behaviors among Hispanics"

Oral Presentations
Kevin Ache, DO, Lorraine Wallace, PhD
"Do Videoclips and Viewer-Posted Contents on YouTube Portray Cervical Cancer Vaccination in a Positive Light?"

Jennifer DeVoe, MD, PhD, Carrie Tillotson, MPH, Lorraine Wallace, PhD
"Uninsured Children in the United States with Covered Parents: Why are Children Getting Left Behind?"

Lorraine Wallace, PhD, Kevin Ache, DO
"Hear All About It: Nightly Television News Coverage of Cervical Cancer Vaccination in the US"

Forum
Jennifer Devoe, MD, PhD, Joanne Protheroe, PhD, Gillian Rowlands, MD, Lorraine Wallace, PhD
"Studying Health Literacy: Developing an International Collaboration"

Association of American Medical Colleges Annual Meeting, San Antonio, Texas, Nov. 2, 2008

William Metheny, PhD, Edward Moore, MD, Cortni Haralson, MPH, Lois Bready, MD, Robert Nolan, Jr., MD, Jennifer Peel, PhD
"Consumers Report: Conducting Resident Surveys to Assess the State of the Programs in the Institution"

13th International Conference on Neutron Capture Therapy, Florence, Italy, November 2008

Trent L. Nichols, MD, Laurence Miller, PhD, George Kabalka, PhD
"Implications for Clinical Treatment form the Microdosimetry of Boron Neutron Capture Therapy"

George W. Kabalka, PhD, Srinivasa R. Marepally, PhD, Min Liang Yao, PhD
"Biological Evaluation of Boronated Unnatural Amino Acids as New Boron Carriers"

60th Southeast Regional Meeting of the American Chemical Society, Nashville, Tenn., Nov. 12-15, 2008

Michael Quinn, Min Liang Yao, PhD, Travis Quick, George W. Kabalka, PhD
"Haloallylation of Aryl Aldehydes Using Boron Halides"

Kelly E. Hall, Min Liang Yao, PhD, Srinivasa R. Marepally, PhD, Wenbin Zeng, PhD, George W. Kabalka, PhD
"Mechanistic Investigation of the Boron Tribromide Mediated Propargyl Ether Cleavage"

Wenbin Zeng, PhD, Weimin Miao, PhD, George W. Kabalka, PhD, David Townsend, PhD
"Synthesis of (4-bromophenyl)-4-(5-(dimethylamino)Naphthalene-1-Sulfonamido)Butanoic Acid as An Imaging Agent for Apoptosis"

Annual Society of Skeletal Radiology Meeting, Isle of Palms, South Carolina, March 8-11, 2009

Invited Presentation
Aaron Stevenson, MD, Anton Allen, MD
"Optimal Technique for Fluoroscopic-Guided Bone Marrow Aspiration: A CT Based Analysis"

Association of Oral and Maxillofacial Surgeons Dental Implant Conference Chicago, Ill., Dec. 4-7, 2008

Invited Presentation
John Hudson, DDS
"FDA Approved and Off-Label Utilization of rhBMP-2 in the Treatment of Oral and Maxillofacial Osseous Defects"

45th Annual Meeting of the American Society of Dermatophathology, San Francisco, Calif., October 2008

Poster Presentation
Amber Patton, DO, Robert Page, MD, Paul George, MD, Roy King, MD
"Myxoid Atypical Fibroxanthoma: A Previously Undescribed Variant"

Wallace, LS, DeVoe, JE, Rogers, ES, McCann, J, & Parham, JS
"Health Communication Difficulties and Unmet Medical Needs." Journal of Communication in Healthcare. 2008; 4(1), 397-407.

Ache, KA, & Wallace, LS
"Cervical Cancer Vaccination Coverage on YouTube." American Journal of Preventive Medicine. 2008; 35, 389-392.

DeVoe, JE, Wallace, LS, Pandhi, N, Solotaroff, R, & Fryer, GE
Comprehending Care in a Medical Home: A Usual Source of Care and "Patient Perceptions about Healthcare Communication." Journal of the American Board of Family Medicine. 2008; 21, 441-450.

DeVoe, JE, Tillotson, CJ, & Wallace, LS
"Uninsured Children and Adolescents with Insured Parents." JAMA. 2008; 300(16), 1904-1913.

Ross, LH and Mihelic, FM
"Healthcare Vulnerabilities to Electromagnetic Pulse." American Journal of Disaster Medicine. 2008 November/December; 3(6).
http://pnpcsw.pnpco.com/cadmus/testvol.asp?year=2008&journal=ajdm

Erickson S, Metheny WP, Cox S, Bienstock J, Espey E, Goepfert A, Hammoud M, Hartmann D, Katz N, Krueger P, Neutens J, Peskin E, Puscheck E
"A Comprehensive Review to Establish Priority Learning Objectives for Medical Students in the Obstetrics and Gynecology Clerkship." American Journal of Obstetrics and Gynecology 2008;199:563.e1-563.e9.

Das, B C, Kabalka, GW
"Design and Synthesis of (E)-4-((3-ethyl-2,4,4-trimethylcyclohex-2-enylidene)methyl)Benzoic Acid." Tetrahedron Lett., 2008; 49, 4695-4696.

Kabalka, GW, Wu, Z, Yao, ML
"Synthesis of a Series of Boronated Unnatural Cyclic Amino Acids as Potential Boron Neutron Capture Therapy Agents." Appl. Organomet. Chem., 2008; 22, 516-522.

Zeng, W, Miao, W, Kabalka, GW, Le Puil, Ml, Biggerstaff, J, Townsend, D
"Design, Synthesis, and Biological Evaluation of a Dansyled Amino Acid Derivative as an Imaging Agent for Apoptosis." Tetrahedron Lett. 2008; 49, 6429-6432.

White WM, Klein FA, Waters WB
"Nephron Sparing Surgery Using a Bipolar Radio Frequency Device." J Urology, 2008; 180 (6): 2343-2347.

White WM, Sadetsky N, Waters WB, Carroll PR, Litwin MS
"Quality of Life in Men with Locally Advanced Adenocarcinoma of the Prostate: An Exploratory Analysis Using Data from the CAPSURE Database." J Urology, 2008; 180 (6): 2409-2414.

Pinzon, EG
"Orthopedic Management of Pain and Pain Syndromes (from a Physical Medicine & Rehabilitation Perspective)." Fundamental Orthopedic Management for the PTA, 3rd Edition, 2009.

Mallat AF, Mancini ML, Daley BJ, Enderson BL
"The Role of Laparoscopy in Trauma: A Ten-Year Review of Diagnostics and Therapeutics." Am Surg, 2008; 74:1166 – 1170.

Patton A, Duncan L, Bloom L, Phaneuf G, Zafar N
"Atypical Squamous Cells, Cannot Exclude a High-Grade Intraepithelial Lesion and Its Clinical Significance in Postmenopausal, Pregnant, Postpartum, and Contraceptive-Use Patients." Cancer Cytopathology online, 2008 Nov 3.

Solomon A, Macy SD, Wooliver C, Weiss DT, Westermark P
Splenic plasma cells can serve as a source of amyloidogenic light chains.
Blood. 2008 Dec 2. [Epub ahead of print]
PMID: 19050307 [PubMed - as supplied by publisher]

Bukovsky A, Caudle MR, Svetlikova M
Steroid-mediated differentiation of neural/neuronal cells from epithelial ovarian precursors in vitro.
Cell Cycle. 2008 Nov 15;7(22):3577-83. Epub 2008 Nov 1.
PMID: 19001872 [PubMed - in process]

Mancini GJ, Petroski GF, Lin WC, Sporn E, Miedema BW, Thaler K
Nationwide impact of laparoscopic lysis of adhesions in the management of intestinal obstruction in the US.
J Am Coll Surg. 2008 Oct;207(4):520-6. Epub 2008 Jun 24.
PMID: 18926453 [PubMed - indexed for MEDLINE]

Davern S, Tang LX, Williams TK, Macy SD, Wall JS, Weiss DT, Solomon A
Immunodiagnostic capabilities of anti-free immunoglobulin light chain monoclonal antibodies.
Am J Clin Pathol. 2008 Nov;130(5):702-11.
PMID: 18854262 [PubMed - indexed for MEDLINE]

White WH, Doggweiler R, Klein FA
Surgical management of non-obstructive urinary retention.
Minerva Urol Nefrol. 2008 Jun;60(2):85-92. Review.
PMID: 18500223 [PubMed - indexed for MEDLINE]

Keenan J, Finger R, Check JH, Daly D, Dodds W, Stoddart R
Favorable pregnancy, delivery, and implantation rates experienced in embryo donation programs in the United States.
Fertil Steril. 2008 Oct;90(4):1077-80. Epub 2007 Nov 14.
PMID: 18001717 [PubMed - indexed for MEDLINE]

Harolds JA, Smith GT, Baker SR
Trends and different educational pathways for training physicians in nuclear medicine.
Acad Radiol. 2008 Dec;15(12):1596-603.
PMID: 19000877 [PubMed - in process]

White WM, Sadetsky N, Waters WB, Carroll PR, Litwin MS
Quality of life in men with locally advanced adenocarcinoma of the prostate: an exploratory analysis using data from the CaPSURE database.
J Urol. 2008 Dec;180(6):2409-13; discussion 2414. Epub 2008 Oct 18.
PMID: 18930270 [PubMed - in process]

Christian BA
The great internal threat to our specialty: the lack of a standardized board-certifying examination in radiology.
J Am Coll Radiol. 2008 Oct;5(10):1029-31. No abstract available.
PMID: 18812144 [PubMed - in process]