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Match Day Event Held for Medical Students
The
Office of Student Affairs held
their annual Match Day celebration at UT's Neyland
Stadium with a "Run for the Envelopes," on March
18. Ten medical students and their families took part in
the event along with Student Affairs' Director, Susan Watson.
"Students run the length of the football field to collect
their envelopes and find out where they have been accepted to
a Residency Program," said Watson. Students "matched"
in several locations including programs in Utah, Texas and Florida,
as well as here at UTGSM.
Medical
Students from UT
Memphis College of Medicine can participate in Third-Year
Clerkships and Fourth-Year Electives at UTGSM. Registration
for next year has been completed. Forty third-year students
and 25 fourth-year students plan to complete rotations at UTGSM.
Medical
Library Doctor's Day Celebration
The UTGSM's Preston Medical
Library sponsored a celebration in honor of our physicians,
clinicians, researchers, and residents to celebrate the national
observance of Doctor's Day on March 30. Over 300 visitors
came to the library for the event, which included a drawing for
several new books and informational sessions presented by the
librarians. Thank you for showing your appreciation to the
outstanding group of doctors here at UTGSM.
Chavez
Awarded Diplomate Status by National Board of Echocardiography
 The
National
Board of Echocardiography has conferred Diplomate status to
Jack J. Chavez, M.D., Assistant Professor, Department
of Anesthesiology, in Perioperative Transesophageal Echocardiography
(TEE). Currently there are only 18 anesthesiologists worldwide
who are board certified in TEE. The use of TEE by anesthesiologists
has dramatically altered intraoperative monitoring and the management
of cardiac patients by allowing for real time evaluation of myocardial
performance. In addition, there are multiple applications in the
evaluation of patients who have sustained thoracic trauma. At
UTGSM all anesthesiology residents are exposed to the intraoperative
use of TEE. In addition, a senior resident level rotation has
been developed by Chavez to provide additional experience in advanced
concepts of echocardiography.
Resident Appointed to TMA Board
W. Eric Cox, M.D., Resident in Anesthesiology
(UTGSM Class of 2004), has been recently appointed to the Tennessee
Medical Association (TMA) Board as the “Resident Representative.”
Cox will be attending the TMA Annual Meeting in Franklin, TN in
April. The theme of the meeting this year is “The TMA Medicine
Show.” Cox also serves in the same role on the board the
Knoxville Academy of Medicine.
Owers
Receives Organon Research Award
 Ricky
Owers, M.D., (UTGSM Class of 2004) Department
of Obstetrics & Gynecology , received the Organon
Resident Research Award recognizing his research in women's
health. His research paper is entitled "Lack of Thrombopoietin
Potentiation of Platelet Collagen Activation As An Early Predictor
of
Preeclampsia". Dr.
Robert Elder, Chairman of the Department of Ob/Gyn, presented
Owers with the plaque and $1,000 award from Organon Pharmaceuticals
Inc.
Students
in Comparative & Experimental Medicine Program Receive Recognition
Eight
UTGSM academic departments participate in the Comparative
and Experimental Medicine Graduate Program along with
the UT College
of Veterinary Medicine and the UT
Department of Microbiology offering both master’s and
doctoral degrees.
 Ben
Baker, M.S. student in the Comparative
and Experimental Medicine program presented a poster at the
annual meeting of the American Society of Hematology in San Diego,
CA, recently. His poster was entitled "Inhibition of the
Bcr-Abl gene in K-562 cells by Bcr-Abl-specific small interfering
RNA (siRNA)" and was authored by Benjamin E. Baker, Drs.
Daniel P. Kestler,
and Albert T. Ichiki. Baker's
Committee Chair is Dr. Albert Ichiki, Professor, Department
of Medical Genetics. The title of Baker's thesis is
“Combination of Bcr-Abl-specific RNA Interference with Imatinib
Treatment in the K-562 cell line.”
 Ingrid
Fernando, Comparative and Experimental Medicine Doctoral
Student in the Cancer and Cell
Biology Laboratory of Dr. Jay Wimalasena, recently received
the highly prestigious Inglenook Vineyard Scholar-in-Training
award from the American Association of Cancer Research (AACR).
Fernando was one of six finalists for the award among over
100 applicants. Her presentation was entitled "The
Role of Apoptotic Proteins in Breast Cancer." She and
Dr. Wimalasena recently attended the AACR annual conference in
Orlando, FL.
 InfoPOEMS
Funded by PMERF
The Physicians' Medical Education and Research Foundation (PMERF)
has approved the Preston Medical Library's request to purchase
a one year subscription to InfoPOEMs! (Patient-Oriented
Evidence that Matters TM)
InfoPOEMs®
provides current answers to clinical medicine questions at the
'point of care' and also identifies and summarizes the most valid
and clinically applicable new evidence. InfoPOEMS is available
from your desktop or your PDA. Ask a librarian for details.
UTGSM
Publications on PubMed
A list of recent publications
from the UTGSM has been updated. This list reflects
only journal articles indexed in PubMed (MEDLINE). If you are
interested in obtaining a copy of an article, please contact
the Preston Medical Library staff at 305-9525.
Kendrick
Publishes Book on Diabetes in Pregnancy
Jo M. Kendrick, MSN, publishes third edition of textbook,"
Diabetes in Pregnancy," 2004, a March of Dimes Nursing
Module.
"The module provides perinatal nurses with the information
to guide comprehensive nursing care and education of women with
pregestational diabetes before conception and during the perinatal
period, " says Kendrick. Kendrick serves as
a Clinical Instructor in the UTGSM, Department
of Obstetrics & Gynecology. A copy of the book is available
in Preston Medical Library.
Hanna
Publishes Chapter
Dr. Wahid Hanna, Professor, Department
of Medicine, has recently published a book chapter entitled
"Hemophilia" in the textbook "Tropical Surgery"
edited by R. Kaeml & J. Lumley, (2004).
Surgery Department Represented at Society of Surgical
Oncology
Dr. Chad M. Copper, Surgical Resident,(UTGSM Class of 2005)
and Dr. John L. Bell, Professor, Department
of Surgery, recently presented a poster at the 57th Annual
Cancer Symposium of the Society
of Surgical Oncology in New York, NY. The title of
the presentation was "Malignant Melanoma Metastatic to
the Abdominal Viscera: Analysis of Survival Factors."
Editor
Connie Littleton
Editorial Staff
Alison Lockett, Sherry Brewer, and James
Neutens, PhD
©2004
The University of Tennessee
Graduate School of Medicine
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UTGSM
Researchers First to Report New Egg Formation in Humans
Researchers in the UTGSM's Department
of Obstetrics and Gynecology have discovered evidence that the
human ovary can continue to make oocytes (eggs) throughout reproductive
life, contrary to belief held for most of the 20th century. Conventional
wisdom has held that new eggs are produced only in utero, and that
the number continuously decreases after birth. These discoveries
build upon on-going work initiated in 1995 by Dr. Antonin
Bukovsky and his colleagues published in the American
Journal of Reproductive Immunology. In abstracts submitted in
February 2004 to the Society
for the Study of Reproduction, as well as an article submitted
on March 3, 2004 to Reproductive
Biology and Endocrinology, UTGSM researchers present additional
evidence on human eggs which are transported through the ovary and
assemble with epithelial cells to form new primary follicles.
 This
photograph shows an example of follicular assembly underway with
the primitive granulosa cells indicated by the brown color (cytokeratin)
and the oocyte (zona pellucida) blue.
Although
other workers have recently reported a similar finding in mice (Nature,
March 11, 2004), and the phenomenon has been known in invertebrates
and nonmammalian vertebrates for some time, UTGSM researchers
were the first to report in 1995 new egg formation in humans.
Future work will focus on whether these findings can be applied
to areas of human reproduction, such as in vitro fertilization. The
results will be presented at UTGSM Ob/Gyn Grand Rounds, April 30,
2004.
Medical
Volunteer Mission to West Africa
 Dr.
David Stockton, Department
of Family Medicine, participated in a humanitarian trip to the
land locked country of Burkina Faso in West Africa this past February.
His medical team, which included his 19-year-old daughter and 16-year-old
son, was the second of three sequential medical teams to provided
medical care to several remote rural areas.
Burkina
Faso, known as the third poorest county in the world, has a population
of over 12 million. The medical teams saw a variety of illnesses,
including malaria, typhoid fever, and elephantiasis, in addition
to many common illnesses and severe skin wounds. Over 1,500 patients
were treated. Medications were provided through donations and medication
mission clearing houses. The medical teams hope to return in the
future for more work.
"Faculty
First Award" Goes to Family Medicine
 Drs.
Jon Parham, David Stockton and Lorraine Wallace, UTGSM Department
of Family Medicine, were recently awarded a "Faculty
First Award" from the Innovative Technology Center (ITC)
at the University of Tennessee for their project entitled, "Formatting
the American Society of Colposcopy & Cervical Pathology Consensus
Guidelines to Personal Digital Assistant (PDA) Platforms for 'Point
of Care' Clinical Use and Teaching."
W.
Bedford Waters,M.D., Professor, UTGSM Department of Surgery,
Division of Urology & Urologic
Oncology was the invited speaker at the Washington D.C. Urological
Society meeting in March. The topic of the dinner meeting was: "The
Multimodal Management and Follow Up of Stage I/IAB Testis Cancer."
Evaluation:
RIME and REASON
by Dr. James J. Neutens
Most evaluation techniques ask us to evaluate knowledge, attitudes,
and skills separately. As we all know, this can be problematic since
we often do all three simultaneously. An evaluation technique called
"RIME" avoids this distinction by using
a "developmental approach." The RIME
model integrates all three learning components and can be used with
medical students and all levels of residency training. RIME allows
the learner to move from one level to another in the model with
the requirement being mastering the previous level. Reliability
(consistency) has been found to exceed 80%.
The four developmental levels of RIME are:
Reporter Skills - Mastery of reporter skills includes
efficient and accurate history-taking and collection of physical
examination data such that the learner can recognize normal from
abnormal, identify and label new problems. Needless to say, they
must be able to communicate this information in writing and orally.
Third-year students should master this level.
Interpreter Skills - The master at this level prioritizes
problems, creates differential diagnoses in order of priority, interprets
and follows-up on physical findings and tests. This learner has
made the transition from observer to active participant in health
care. First-year residents should be functioning at least at this
level.
Manager Skills - Mastering this manager skill means
the resident knows when to take action versus patient observation
in the selection of the best diagnostic and therapeutic options
customizing care according to patient needs and costs. Junior and
senior residents meet these requirements.
Educator Skills - As the title implies, mastery
of this level requires the resident to ascertain knowledge gaps
on a regular basis and to develop plans addressing the gaps with
a sound educational approach. These learners share information and
comprehend the uses of evidence in patient care. All of this demands
maturity, insight, and drive not to mention patience and good interpersonal
skills. If our senior residents cannot master this level, "We've
got problems Houston."
RIME
can be a great way to meet the evaluation criteria demanded by the
ACGME outcomes project as well as for what is coming down the road
to evaluate students. Alguire has formatted the RIME evaluation
framework into a checklist for easy use. Of course, it can be modified
to fit your educational needs.
Reporter
- One who can efficiently and accurately collect patient data
- One who can recognize normal from abnormal
- One who can identify and label new problems
- One who can communicate collected data orally and in writing
Interpreter
- One who can prioritize problems
- One who can follow-up and interpret abnormal findings/tests
- One who can create a differential diagnosis
- One who can prioritize a differential diagnosis
Manager
- One
who can determine when action is necessary
- One
who can choose the most appropriate diagnostic test
- One
who can choose the most appropriate management strategy
- One
who can customize a plan according to patient circumstances
Educator
- One
who can identify knowledge gaps and develop plans to address them
- One who can share new knowledge with others
- One who can understand the use and limits of evidence in the care of patients
Pangaro
L. A new vocabulary and other innovations for improving descriptive
in-training evaluations. Academic
Medicine, 1999, 74:41-45.
Alguire P, DeWitt D, Pinsky LE, and Ferenchick GS. Teaching
in Your Office. Philadelphia: American College of Physicians,
pg. 111, (2001).
If
you have news or an event to announce via this newsletter and/or
the GSM Web site, please submit
your story.
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