The Scope E-NewsletterJune 2010

This edition of The Scope provides excellent illustrations of GSM efforts on the international front in addition to our national and regional accomplishments. As a Fulbright Scholar, Dr. Lorraine Wallace (Family Medicine) highlights her experiences in Moldova, painting a picture of a struggling health care system. Dr. Matt Jones (Surgery) offers similar examples based on his five months in Ghana but as a medical resident used the opportunity to hone his surgical skills while providing excellent care to the people living in that area. In China Dr. Charles Bruker (Pathology) presented GSM recent findings from our ODAM (Odontogenic Ameloblast protein) research — these efforts continue with a grant from the Susan G. Komen Foundation. Dr. Ben England (Family Medicine) had a poster presentation in Mexico, and Dr. Lorraine Wallace had several oral presentations in Canada with one of her papers earning the Distinguished Research Paper award. Several other residents and faculty had national presentations at major meetings in the United States. Congratulations to all of the presenters, their colleagues, and of course, for the residents, their mentors. Through all of these efforts the GSM is gaining recognition well beyond our regional borders.

Recognition of our staff at the national level is demonstrated through Misty Long, who is well respected for her prowess in PET/CT (including internationally), and Paige Rinehart for her role as a residency program coordinator in Anesthesiology. Similarly, Dr. Christy Lawson (Surgery) has been asked to join the inaugural class of six fellows in the Enteral Nutrition Fellowship sponsored by Nestlé Nutrition Institute. Dr. Ben Helms (Internal Medicine) was recognized by the Health Science Center as an outstanding educator. Our educational outreach is exemplified by Dr. James Boyd (Radiology) and others through their interaction with Nashville high school students.

I want to publicly thank everyone for representing the GSM in such stellar fashion. Our culture is slowly changing from a local campus to a regional/national one with the beginnings of inroads at the international level. Working with our UHS partner in the new Heart Hospital should enhance our opportunities for education and research.

James J. Neutens, PhD, FASHA
Dean

As a Fulbright Scholar, Lorraine Wallace, PhD, Associate Professor, Family Medicine, immersed herself in a foreign culture, learning the effects of a healthcare system that has been based on reactive medicine and teaching its physicians ways to practice preventive health care. From August 2009 through January 2010, Dr. Wallace, with her husband Will Wallace, Compliance Officer, Dean's Office, and their daughter Muriel, lived in Moldova, a country located between Romania and Ukraine that was once part of the Soviet Union.

Dr. Wallace said the atmosphere in Moldova is best expressed by a billboard (shown right) that says, "Towards Europe, Towards a Decent Future." She explained that even though the Republic of Moldova became an independent state in 1991, the country is still rebuilding its economy and wants to westernize its culture, including the incorporation of more community health education.

"The experience was eye-opening," Dr. Wallace said. "I got to see another culture with another standard of care. The Soviet Union was hospital–based, so people only got treatment if they were sick. They didn't practice preventive care. After the collapse of the former Soviet Union, they were left with a subpar health system. The patient rooms and ambulances are not well-equipped."

As part of the Fulbright Program, Dr. Wallace taught classes in the Master Public Health program in community health and biostatistics. She also assisted practicing physicians in translating their master's theses from Romanian to English to help students publish their results in international journals. Dr. Wallace said there was not much of a language barrier because most people in Moldova younger than 40 years old speak English to some degree.

Dr. Wallace also completed two research studies in Moldova. Through her research, "Female Family Physicians' Scope of Practice and Personal Experiences in the Republic of Moldova," she discovered that 75 percent of family medicine practitioners are female, and while they find their work rewarding, they are limited through system-related factors and need to increase public health knowledge.

In another project, "Romanian or Russian: The Influence of Language on Knowledge and Attitudes towards Tuberculosis among Moldovan Adults," Dr. Wallace found that novel approaches are necessary to provide Moldovan adults with accurate, understandable messages in both languages to prevent the spread of this disease, which is an excessive public health concern throughout the region.

In addition to teaching and research, Dr. Wallace provided service work to the U.S. Embassy's English Language Center and the Peace Corps. For the Peace Corps, she trained volunteers on ways to promote health behavior changes in the communities where they lived.

Upon returning home, Dr. Wallace is staying connected to the Moldovan community. She has written some grants to work with physicians on community health projects, including tuberculosis and asthma management for children. She hopes to return to Moldova for a short period in 2011 under the Fulbright Program and also hopes that faculty she met there will apply for a Fulbright Scholarship to work in the U.S.

The opening of the University of Tennessee Medical Center's Heart Hospital is not only combating Tennessee's number one killer, cardiovascular disease, but it is also bolstering Graduate School of Medicine fellowship programs.

The Heart Hospital is designed to optimize patient outcomes by following evidence-based clinical pathways. The American College of Cardiology and American Heart Association found that dedicated heart hospitals following appropriate clinical guidelines saw improved outcomes in 20 percent of heart surgery cases and improved care processes in 90 percent of cases. This is the type of training Cardiovascular Disease, Pulmonary Disease and Vascular Surgery fellows are being exposed to at the UT Graduate School of Medicine and can carry forward to other institutions in the southeast region and beyond.

Program Directors Dale Wortham, MD, Cardiovascular Disease Fellowship; Tina Dudney, MD, Pulmonary Disease Fellowship; and Michael Freeman, MD, Vascular Surgery Fellowship, agree that the Heart Hospital provides further opportunities for fellows to meet the core competencies as outlined by the Accreditation Council for Graduate Medical Education, including patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

Dr. Wortham said, "The Heart Hospital cardiovascular critical care units have large individual rooms. Families sleep in these rooms with the patient. This is an excellent educational opportunity for the fellows to learn to interact with patients and families."

The Heart Hospital currently includes 24 private cardiovascular intensive care units equipped with computers and monitoring equipment on a movable track. The units are also connected to existing operating rooms and cardiac catheterization labs.

"The state-of-the-art facilities and technologies available in the Heart Hospital promote a patient-centered, multidisciplinary approach to health care that greatly enhances fellowship education in pulmonary and critical care medicine," Dr. Dudney said.

The facility, which will include an information desk, conference center, and an enlarged UT Graduate School of Medicine Preston Medical Library, is already gaining attention among prospective fellows.

Dr. Freeman said, "I don't think there's any question that an outstanding facility will have an effect on recruitment. Candidates want to work in a pleasant environment, one that is pleasing to the eye, and the Heart Hospital will be impressive to them."

A ribbon-cutting ceremony was held for the Heart Hospital April 22 with participants including James Neutens, PhD, Dean; John Mack, Jr., MD, Associate Professor, Surgery; Timothy Panella, MD, Associate Professor and Chair, Medicine; Paul Branca, MD, Clinical Associate Professor, Medicine; Dr. Freeman; and D. Russell Huntsinger, MD, Clinical Associate Professor, Medicine.

Benjamin Helms, DO, First-Year Internal Medicine Resident, was selected by the University of Tennessee Health Science Center College of Medicine Class of 2011 to receive an Arnold P. Gold Foundation Humanism and Excellence in Teaching Award. Recipients were selected by senior medical students based on residents' demonstrated commitment to teaching during medical students' rotations and residents' compassionate treatment of patients and families, students, and colleagues as outlined by the Arnold P. Gold Foundation, Inc.

In nominating Dr. Helms, student comments included,

"He has been a really great teacher and definitely took time out of his daily floor work to give mini teaching sessions to us. He was always very helpful with things and always gave us the credit when we contributed to the treatment plans for our patients."
-- UT College of Medicine Medical Student

"He went above and beyond for his patients and was always willing to teach. He was an excellent role model and an advocate for students. He has displayed the same level of professionalism to medical students as he did for his colleagues and patients."
-- UT College of Medicine Medical Student

Other recipients of the award are W. Heath Giles, MD, General Surgery, Chattanooga; Jaclyn Bergeron, MD, Medicine/Pediatrics, Memphis; Holly D. Corley, MD, Medicine/Pediatrics, Memphis; Miriah Denbo, MD, Obstetrics and Gynecology, Memphis; and Danielle L. Tate, MD, Obstetrics and Gynecology, Memphis.

In April, approximately 170 high school students from metropolitan Nashville schools gathered in Wood Auditorium to glimpse a day in the life of a radiologist, as presented by James Boyd, MD, Assistant Professor, Radiology. Through the AVID (Advancement Via Individual Determination) program, a college preparatory program, a diverse group of students visit college campuses in the Nashville area throughout the school year and then visit the University of Tennessee at the end of the year.

Wilson Boyd, Nashville area teacher, AVID chaperone, and son of Dr. Boyd, said AVID staff wanted to give the students an interactive, real medical experience, which is why the tour included the UT Graduate School of Medicine for the first time this year.

Welcomed by J. Mark McKinney, MD, Chair, Radiology, the students were asked to assist Dr. Boyd in diagnosing three cases with the help of participating Radiology Residents Jason Hill, MD, chief; Christine Ormsby, MD; Brian Dupree, MD; Nicholas Waddell, MD; Josh Medina, MD; Samuel Porter, MD; and Amanda Ingram, MD, and Medical Student Lindsay Luttrell. AVID students brainstormed a list of questions that radiologists should ask when introduced to a new case. Then, Dr. Boyd showed students images of three brain scans taken using CT and MRI equipment and explained how differential diagnosis was used to identify hyperdense mass foramen of Monro, brain abscess and glioblastoma multiforme in these three cases.

Dr. Boyd encouraged students to pursue the medical field, saying "take the challenging path" and "easy things don't allow you to grow."

Of the rewards of radiology, Dr. Boyd said, "Radiology is a super cool field. You work with computers all day, doctors send patients to you and say, 'I have this problem, how do I image it?' We help them. It's also rewarding for me to train young radiologists."

Students found Dr. Boyd's presentation inspiring, including LaTericka Hudson, 10th grade AVID participant, who said the event encouraged her and gave her the drive to continue her pursuit of a career in medicine.

Matt Jones, MD, Surgery Resident, recently spent five months working at Baptist Medical Centre, a mission hospital, in northern Ghana. Having visited Ghana, located in West Africa, twice before, Dr. Jones decided to take advantage of the study abroad opportunity offered with his elective research year so that he could spend a meaningful amount of time practicing medicine in a third-world environment.

The mission hospital is a 200-bed facility that had only three doctors to treat the patients it draws from not only the north but also across Ghana, as well as neighboring Togo and Burkina Faso. The general surgeon, who served the hospital for more than 20 years, retired in September 2009, leaving only an obstetrics and gynecology physician and Dr. Jones to provide the hospital's surgical care.

The third year surgery resident said that he was able to complete a significant number of cases in Ghana, as well as participate in procedures no longer common in the U.S.

"Healthcare in northern Ghana is about 30 years behind," he said. "They do all of their hernia repairs with suture. In the states, we implant mesh using open or laparoscopic procedures. Only in rare cases do we use a simple suture technique, but there, we repair them all using the classic method. You really learn and understand the disease better because the procedure shows the anatomy better."

Dr. Jones said he also got to experience more continuity of care with patients.

"I would see them in the clinic, do their surgery, see them post-operation, take their stitches out, and if there was a complication, I would take care of them until they got better," he said. "As a resident, I don't often see the same patients in clinic that I operate on, and I rarely get to see them one or two months down the road. With skin grafts, which are common at the mission hospital, I would see patients a couple of weeks after they went home. I actually got to see that they got better and not just hope that they got better."

Megan Jones

While Dr. Jones worked at the hospital, his wife, Megan, was learning the local language, Mampruli, and became involved with efforts to open a public library. Upon returning to the U.S., Megan organized a book drive, partnering with the UT Graduate School of Medicine Preston Medical Library and First Baptist Church, Knoxville. Through the drive, approximately 5,000 books were donated, including medical textbooks, children's books, and books of all other genres.

"We hope to go back to Ghana one day," Dr. Jones said. "They are very welcoming people. Because the hospital has been there a long time, they have a lot of respect for visiting doctors and Americans in general. The longer you stay, the more you get to be friends with people. They are not just patients. Even though their world seems different, they are more like you than you think."

A chronicle of the Jones's trip is available on Megan's blog.

Nestlé Nutrition Institute (NNI) is launching an Enteral Nutrition fellowship program, and Christy Lawson, MD, Surgery Resident, will be in the inaugural class of six fellows. These physicians will receive training in nutrition therapy as an integral part of trauma, surgery, gastroenterology, endocrinology and critical care specialties at some of the nation's leading medical centers.

Dr. Lawson said the fellowship affords a unique opportunity to study surgical nutrition from some of the nation's leading experts in the field, which she hopes to bring back to the University of Tennessee Graduate School of Medicine.

"The new fellows identified through the NNI's initiative represent the next generation of physician thought leaders," said David Yates, Regional Business Head of Nestlé HealthCare Nutrition. "Their dedication to using enteral nutrition as a key component in the critical care process will not only change the landscape of care, but it will ultimately save lives. We are proud to welcome these fine candidates to the program."

The one-year program will include a four-week clinical rotation where fellows will be exposed to an intense educational curriculum while participating in hospital rounds and learning tube-feeding related procedures. The fellowship also provides mentoring and professional support, enabling participants to publish, identify research interests, and participate in U.S. and international professional meetings, including the American Society for Parenteral and Enteral Nutrition Clinical Nutrition Week meeting.

For more than 60 years, Nestlé has contributed to the continuing nutrition education of health professionals. Founded in 2000, the Institute formalizes Nestlé's commitment to collaborate with health professionals in the area of infant, clinical and performance nutrition to actively participate in the exchange of knowledge and nutrition expertise. Primary activities under the Institute include the sponsorship of workshops, the development of publications and educational tools, and provide scholarships for postgraduate study or training in fields related to health and nutrition.

The Medical Simulation Center invited faculty, residents, fellows, medical students and staff to assess a Simbionix virtual reality simulation model designed to train physicians on endovascular interventions while providing visual and tactile feedback. Participants practiced cardiac rhythm management, cardiology, radiology, neuroradiology, vascular surgery, cardiac surgery and neurosurgery using the latest technology. In addition to offering more than 70 unique patient cases, the simulator offers a rehearsal studio, allowing physicians to simulate a live patient's anatomy by importing CT or MR data.

"Virtual reality simulation modules are newer technology and rapidly changing," said Leonard Hines, MD, Co-Director. "We are close to identifying the virtual reality technology that we believe will be most beneficial to the physicians and patients at the University of Tennessee Medical Center and Graduate School of Medicine."

In addition, Paul Huffstutter, MD, Co-Director, indicated that balancing the potential long-term impact on healthcare with the current capability and expense of a particular technology can be quite challenging, especially considering budgetary limitations.

The Medical Simulation Center opened its doors in 2008 and provides training opportunities on life-size human mannequins, laparoscopic simulators and other skills-building models. Under the co-direction of Dr. Hines and Dr. Huffstutter and with Melinda Klar, RN, Administrator; and Judy Roark, CST, Coordinator and Skills Coach, the Center is utilized by faculty, staff, residents, fellows and medical students for instruction, skills practice and simulation.

Paige Rinehart, Medical Administrative Coordinator, Anesthesiology, recently earned Training Administrators of Graduate Medical Education (TAGME) Certification in Anesthesiology and has been recognized as an outstanding coordinator in her specialty by the Accreditation Council for Graduate Medical Education (ACGME).

Rinehart joined with several other anesthesiology program coordinators to become the first class of administrators to earn certification in their specialty. Rinehart spearheaded the effort to establish the certification as chairperson.

"It was a personal goal of mine to see this accomplished," Rinehart said. "The other specialties were already ahead of Anesthesiology with having a certification program, and my goal was to get Anesthesiology in line with other specialties."

Rinehart's efforts did not go unnoticed. In July, she will speak at the ACGME workshop for new program coordinators to learn the basics of accreditation. Rinehart has been asked to discuss, "A Year in the Life of a Coordinator," and participate in a question and answer session. Rinehart said her presentation will cover deadlines faced by the coordinator and the requirements coordinators are challenged to follow by each regulatory body.

Rinehart has been a residency coordinator for the UT Graduate School of Medicine since 1991, serving the hospital since 1985, and is a member of TAGME.

Rhonda Carpenter, Medical Administrative Assistant I, Family Medicine
Kristi Roe, Administrative Specialist I, Dean's Office
Melanie Wolfenbarger, Coordinator, Graduate Medical and Dental Education

A new and expanded Resident Assistance Program is now available to UT Graduate School of Medicine residents and fellows provided through Employee Network Inc., a national company. This program, called Balance Works™, is the same resident support system now used on all three UT Health Science Center campuses and is designed to assist residents and fellows with balancing their academic and personal lives via professional support and a personal assistant. The program offers counseling services for areas including academic/work issues, relationship issues, stress, and the like. This support system is unique in that it also provides a personalized web portal with access to articles, self-help tools, and interactive videos for personal and academic development. The personal assistant can also help with referrals, research, trip planning, insurance information, dining and entertainment, and more. All services are available 24 hours a day, seven days a week.

The basic Balance Works™ program is provided as a part of the GSM benefit package for residents and fellows. To register and get started with this support program, call 800-327-2255 or sign up online at http://mybalanceworks.com.

The 2010 Torch Campaign co-chairs have been announced. Leading this year's campaign effort for the UT Graduate School of Medicine is Cortni Haralson, Data Manager, Office of Graduate Medical and Dental Education. University of Tennessee Medical Center chairs include Garlena Lee, Director, Sleep Disorders Clinic, and Mary Ellen Bond-Cox, Pharmacist.

This annual campaign is held in the fall and gives University of Tennessee Medical Center and Graduate School of Medicine employees the opportunity to pledge money, raising support and awareness for patient care, education and research programs.

With the passage of sweeping healthcare reform legislation over the past year, there is no doubt many faculty, residents, fellows and staff are wondering what it means and how it will affect operations in the Compliance Office. To ease the transition, Will Wallace, JD, Compliance Officer, has started a "Compliance Update" column to provide monthly updates.

Pursuant to §6402(d) of the Patient Protection and Affordable Care Act of 2010 (PPACA) and effective March 23, 2010, all identified overpayments are to be returned to Centers for Medicare and Medicaid Services within 60 days or the date any corresponding cost report is due. There is no minimum amount, and the refund is to be accompanied by a written explanation for the overpayment. Refunds should be made to Cahaba, which is the Medicare Area Contractor for our region. Cahaba staff have advised that overpayment refunds are to be accompanied by Cahaba's refund form, which includes a section for explaining the reason for the overpayment. If they change their view as to the written explanation, a notification will be made to GSM faculty and staff. Retention of overpayments past the 60 day period will bring exposure to civil and criminal False Claim Act liability.

Pursuant to §6404 of PPACA and effective January 1, 2010, the timely filing requirements for Medicare Fee for Service claims have been amended. Faculty and staff now have one calendar year after the date of service to file a claim. Claims with dates of service prior to October 1, 2009, will be subject to pre-PPACA timely filing rules and associated edits. Claims with dates of service October 1, 2009, through December 31, 2009, received after December 31, 2010, will be denied as being past the timely filing deadline. Claims with dates of service January 1, 2010, and later received more than one calendar year beyond the date of service will be denied as being past the timely filing deadline. This topic is specifically addressed in Medicare Learning Network Matters #MM6960 and can be found on the CMS website.

With the fast approaching deadlines for adoption of electronic medical records, significant changes have been made to the Health Insurance Portability and Accountability Act (HIPAA) via the Health Information Technology for Economic and Clinical Health (HITECH) Act. These changes pertain to notification of breaches of Protected Health Information (PHI). These changes have been outlined on the Office of Compliance HIPAA Privacy page on The Pulse under "Breach Notification." This policy defines a breach of PHI and the necessary steps to be taken to notify patients and the Secretary of Health and Human Services.

The HIPAA Privacy and Security provisions now apply directly to Business Associates (BA) that you contract with to perform functions or activities on your behalf where PHI is used or shared. In the past you were only required to get assurance from BAs that they would keep the PHI confidential. Now the BA agreement must reflect that the BA has HIPAA Privacy and Security policies in place. Many companies do not want to be considered a BA any longer and are balking at signing new BA agreements. However, if PHI is shared with them, then it is a requirement that they have the policies in place before you can use their services.

For questions and further information, contact Will Wallace, JD.

Mark your calendar for these CME-certified fall courses, sponsored by the UT Graduate School of Medicine.

September 17: East Tennessee Dermatology Society Meeting, Knoxville Dermatology Group, Suite 209, UT Medical Center, Knoxville. Call 865-342-5808 to register.

September 24-25: Heart, Lung, Vascular Update for the Primary Care Provider, UT Conference Center, Knoxville. Early registration ends September 10.

October 1: Third Annual Stroke Symposium, UT Conference Center, Knoxville. Registration and more information coming soon.

Visit CMDE Upcoming Courses or contact Communications and Outreach for a complete list of CMDE activities.

The September 17 meeting of the East Tennessee Dermatology Society will be CME-certified. Make plans to attend the meeting, 4-6 p.m., Knoxville Dermatology Group, Suite 209, University of Tennessee Medical Center. This interactive meeting allows dermatologists and their team members to observe patients and discuss unusual presentations of dermatologic disorders and diseases that are refractory to typical therapy. Case presentations highlight dermatologic disorders, their mimics, and treatment strategies.

This activity offers up to 2 CME credits through AMA and AAPA and up to .2 CEUs. To register and for more information, contact Charlsie Huffstetler, Knoxville Dermatology Group, 865-342-5808.

Charles Bruker, MD, Senior Pathology Resident, recently returned from Beijing, China, where he presented research findings on, "ODAM: A Novel Biomarker for Epithelial Carcinomas," at PepCon 2010, which is a conference focused on cutting-edge peptide and protein research. As the only resident among an international group of scientists and physicians, Dr. Bruker said he felt quite honored to be chosen to represent his research team and the UT Graduate School of Medicine.

Odontogenic Ameloblast associated protein (ODAM) was first detected by Alan Solomon, MD, Director, Human Immunology and Cancer Program and is currently being researched by a team including Daniel Kestler, PhD; Dr. Bruker; Sabina Siddiqui, MD; Keith Gray, MD; James Foster, MD; Sagar Gandhi, MD; John Bell, MD; and James Lewis, MD. Dr. Bruker said that with Dr. Solomon's encouragement, he had the confidence to make a successful presentation in the international arena, which is an uncommon step forward for the institution.

"I feel that I represented the University of Tennessee and the Graduate School of Medicine quite well," Dr. Bruker said. "If the momentum of our ODAM research persists and we continue to have promising results, then it has the potential to have international importance. This is the first step in that growth."

Dr. Kestler and Dr. Bruker recently received funding from the Susan G. Komen Foundation to continue their ODAM research, studying its expression in breast tumors as well as patients' humoral response to this protein.

Misty Long and Dr. David Townsend with a Siemens PET/CT scanner

The 3rd Annual Best Practices in PET/CT Symposium in Sonoma, California, brought together 21 of the U.S. and Canada's leading experts in PET/CT imaging and clinical oncology, and Misty Long, PET/CT Research Technologist, Molecular Imaging and Translational Research Program, was among them.

The conference, held April 8-9, invited imaging physicians, medical and radiation oncologists, physicists, and technologists from a variety of practice settings to discuss this year's topic, "PET/CT Imaging in Monitoring Response to Therapy." Long said the symposium provides a setting for roundtable discussions to provide useful insights regarding current and anticipated needs of the PET/CT community.

An important question discussed in nuclear medicine imaging is how often and when a patient should be scanned following oncology treatment. Long said that at the UT Graduate School of Medicine, research protocols are already in place, set in collaboration with Wahid Hanna, MD, Professor of Medicine and Chief of the Hematology/Oncology Division. In previous research studies, PET predicts the response to chemotherapy in non-small cell lung cancer patients as early as two weeks after the initiation of chemotherapy. Her team has previously published several papers in response to their research and methods for imaging, including, "Time Course of Early Response to Chemotherapy in Non–Small Cell Lung Cancer Patients with 18F-FDG PET/CT," published in the Journal of Nuclear Medicine, which shows that imaging at one and three weeks after the initiation of chemotherapy allowed prediction of the response to therapy.

"Many people do not realize that the previous director of the imaging program, my former boss, Dr. David Townsend, actually invented the PET/CT scanner," Long said. "I have been blessed to use the latest scanner and imaging technology here at the Graduate School of Medicine."

2010 Society of Vascular Surgery Annual Vascular Meeting, Boston, Massachusetts, June 10-13, 2010

Poster Presentation
Deidra Mountain, PhD
"Estrogen Stimulates the Cellular Processes of Intimal Hyperplasia Development Via ERK1/2 Dependent Signaling Cascades"
Contributors: Mike Tummers, MD; Stacy S. Kirkpatrick; David C. Cassada, MD; Scott L. Stevens, MD; Michael B. Freeman, MD; Mitchell H. Goldman, MD; Oscar Grandas, MD

Poster Presentation
Martha Earl, MSLS, and Cynthia Vaughn, MLS
"Changes Over Time in Number of Journal Articles Read, Use of Information Resources, and Confidence in Critical Appraisal Skills for Resident Physicians"

Oral Presentation
Martha Earl, MSLS
"Writing for Publication"

Martha Earl also chaired the Books Panel meeting and served as a Research Committee judge for research papers.

9th Annual Health Literacy Meeting of the Institute for Healthcare Advancement, Irvine, California, May 6-7, 2010

Poster Presentation
Lorraine Wallace, PhD
"First Year Residents' Ability to Identify Low Literacy as a Risk Factor in Patient Non-Compliance and Hospital Admission: A Pilot Study"
Contributors: Nikki Zite, MD; Kevin Ache, DO; Cynthia Vaughn; Edwin Rogers, PhD; William Metheny, PhD

Oral Presentation
Lorraine Wallace, PhD
"Improving Health Education Outcomes with the Right Learning Model"

43rd Annual Meeting of the Society of Teachers of Family Medicine, Vancouver, British Columbia, Canada, April 24-28, 2010

Oral Presentations
Lorraine Wallace, PhD
"Is a Public Insurance Option Worse Than a Private Option for Children?"
Contributors: Jennifer Devoe, MD, PhD; Carrie Tillotson, MPH

This paper won the Distinguished Research Paper Award.

Lorraine Wallace, PhD
"Family Medicine Faculty Development: Applying for a Fulbright Scholarship"

Amy Keenum, DO
"Simulation Laboratory: Developing Validated Assessment Tools for Lumbar Puncture, Suturing, Abscess I&D, and Intubation"
Contributors: Meredith Hale, MD; Matthew Holmes, MD; Lorraine Wallace, PhD

Poster Presentations
Lorraine Wallace, PhD
"Do Over-the-Counter (OTC) Vaginal pH Self-Test (VpHT) Instructions Meet Low Literacy Guidelines?"
Contributors: Sigrid Johnson, MD; Leonard Lamsen, MD; Amy Keenum, DO

Leonard Lamsen, MD
"The 'Wired' Medical Home: Teaching Vaginal Delivery Via YouTube"
Contributors: Lorraine Wallace, PhD; Sigrid Johnson, MD

Poster Presentation
Benjamin England, MD
"Not the Typical Ankle Sprain: A Case of Traumatic Pseudoaneurysm"
Contributor: Rebecca Morgan, MD

Kenneth Bielak, MD, Fellowship Director, helped organize the S.M.A.R.T. (Sideline Management Assessment Response Techniques) Workshop and taught a session on the evaluation of the lower extremity.

2010 American Heart Association Atherosclerosis Thrombosis and Vascular Biology Conference, San Francisco, California, April 8-11, 2010

Research Initiatives in Vascular Disease Conference, San Francisco, California, April 7, 2010

Oral Presentation
Deidra Mountain, PhD
"Estrogen Stimulates the Cellular Processes of Intimal Hyperplasia Development Via ERK1/2 Dependent Signaling Cascades"
Contributors: Mike Tummers, MD; Stacy S. Kirkpatrick; David C. Cassada, MD; Scott L. Stevens, MD; Michael B. Freeman, MD; Mitchell H. Goldman, MD; Oscar Grandas, MD

Association for Clinical Research Training and Society for Clinical and Translational Science Joint Annual Meeting, Washington, DC, April 5-7, 2010

Poster Presentation
Lorraine Wallace, PhD
"Measuring a State Children's Health Insurance Intervention: A Mixed-Methods Approach"
Contributor: Jennifer Devoe, MD, PhD

Special Care Dentistry Association Meeting, Chicago, Illinois, March 26-28, 2010

Poster Presentation
Clint Brodal, DMD
"Cleft Palate Impressions with Velopharyngeal Insufficiency: A Case Report"
Contributors: O. Lee Wilson, DMD; JW Hudson DDS; Murray K. Marks, PhD

Rackham DM, Ray SM, Franks AS, Bielak KM, Pinn TM
Community-associated methicillin-resistant Staphylococcus aureus nasal carriage in a college student athlete population.
Clin J Sport Med. 2010 May;20(3):185-8.
PMID: 20445358

Tummers AM, Mountain DJ, Mix JW, Kirkpatrick SS, Cassada DC, Stevens SL, Freeman MB, Goldman MH, Grandas OH
Serum levels of matrix metalloproteinase-2 as a marker of intimal hyperplasia.
J Surg Res. 2010 May 1;160(1):9-13. Epub 2009 May 13.
PMID: 19726059

Wall JS, Kennel SJ, Stuckey AC, Long MJ, Townsend DW, Smith GT, Wells KJ, Fu Y, Stabin MG, Weiss DT, Solomon A
Radioimmunodetection of amyloid deposits in patients with AL amyloidosis.
Blood. 2010 Jun 3. [Epub ahead of print]
PMID: 20522711

Yong L, Yao ML, Green JF, Kelly H, Kabalka GW
Syntheses and characterization of polymer-supported organotrifluoroborates: applications in radioiodination reactions.
Chem Commun (Camb). 2010 Apr 21;46(15):2623-5. Epub 2010 Feb 6.
PMID: 20449326

Ache KA, Wallace LS, Shannon RP
Evaluation of Limitation-of-Medical-Treatment Forms used in Emergency Medicine Residency Programs in the United States.
J Emerg Med. 2010 Apr 28. [Epub ahead of print]
PMID: 20434288

Kim ED, Eardley I, McCarthy BW, Sand M, Nelson C, Miner MM, Shindel AW, Lue TF, Glina S, Wang R, Vardi Y, Gruenwald I, Bella AJ, Shamloul R, Balon R
Comments on "Considerations for diagnostic criteria for erectile dysfunction in DSM-V".
J Sex Med. 2010 Feb;7(2 Pt 1):661-71. No abstract available.
PMID: 20492415