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March 20, 2015
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Institute for Simulation and Interprofessional Studies a major site for simulation and training
A rapidly changing healthcare environment requires ongoing training opportunities for health professionals to learn new skills and improve existing ones. The UW Medicine Institute for Simulation and Interprofessional Studies has been a major site for simulation and other training since its formation in 2005. The Institute released its annual report this month, and I urge you to read this excellent document.
During 2014, the Institute held 1,700 activities for 13,500 learners, totaling more than 73,000 hours. Training occurred at the Institute’s facilities: the Surgery Pavilion at UW Medical Center, Harborview Medical Center’s Ninth & Jefferson Building, Northwest Hospital & Medical Center’s Community Health Education and Simulation Center and satellite site at the Boise VA Medical Center.
Trainees using the Institute’s services ranged from second-year medical students to middle school students learning about health sciences and all kinds of students and physicians. Community leaders and global visitors also had the opportunity to participate in interactive simulation experiences at Harborview.
A vitally important part of the Institute for Simulation and Interprofessional Studies is its six years as a regional training center for the Agency for Healthcare Quality’s National Implementation of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). As of today, 500 master trainers from 90 local, national and international institutions have been trained. Building on this success, the Institute rolled out a new team training model, TeamCORE (Team Collaboration for Organizational Excellence). Developed in partnership with UW’s Organizational Development and Training (OD&T), this new initiative combines basic TeamSTEPPS skills with interprofessional collaborative practice, conflict management, and relational coordination with structured coaching and mentoring for training sites.
The Institute for Simulation and Interprofessional Training also has an outstanding research program spanning topics, such as simulator and software development, curriculum validation, and communication training between healthcare professionals.
I would like to thank and congratulate the Institute team led by Carlos Pellegrini, Brian Ross, Sara Kim, Brenda Zierler, Farrah Leland and others for outstanding contributions that advance all of our activities on behalf of improving health.
Paul G. Ramsey, M.D.
Researchers are calling the Conference on Retroviruses and Infections (CROI) in Seattle Feb. 23-26 a watershed event for reducing exposure to HIV. A number of new studies have shown the effectiveness of pre-exposure prophylaxis (PrEP) and suggested it could change the trajectory of the HIV epidemic. Some likened the conference to the 1996 AIDS Conference in Vancouver, which broadcast to the world that potent cocktails of antiretroviral drugs (ARVs) could treat the infection.
Reporter Jon Cohen for Science magazine writes about several of the new studies, including one at UW led by Jared Baeten, UW professor of global health and medicine. Baeten’s study with colleagues at the UW International Clinical Research Center identified a way to boost the effectiveness of PrEP in discordant couples. In 1013 discordant couples in Kenya and Uganda, the researchers are offering PrEP to all uninfected people to protect them for the first six months after their partners start ARVs. In couples where the partner does not start treatment, the PrEP “bridge” is extended for as long as necessary. To date, only two people have become infected in the study, compared with 40 predicted by modeling, and neither had Truvada in their blood when transmission occurred. For more on the studies, see the article in Science.
A collaboration of University of Washington specialists in trauma medicine and bioengineering has developed a synthetic substance that might help prevent some severely injured people from bleeding to death. The injectable polymer is designed to make blood clots stronger, forming a kind of bandage that can stem or stop bleeding, even from internal wounds. Blood loss is the second leading cause of death following a trauma, such as a crash or gunshot.
Nathan White, UW assistant professor of emergency medicine, who also treats trauma patients at Harborview Medical Center, said someday first responders could be injecting the polymer into patients out in the field. For more information, see the study in Science magazine, coverage on KPLU and on KIRO-TV CBS 7.
Breast biopsies are good at telling the difference between healthy tissue and cancer, but less reliable for identifying more subtle abnormalities, a new study in JAMA led Joann G. Elmore, UW professor of medicine in the Division of General Internal Medicine. Elmore and colleagues, including scientists at the Fred Hutchinson Cancer Research Center, compared the findings of 115 pathologists from eight states — Alaska, Maine, Minnesota, New Hampshire, New Mexico, Oregon, Vermont and Washington — with the results of an expert panel between November 2011 and May 2014.
Overall, the pathologists from across the country were very good at identifying invasive breast cancer the most serious diagnosis agreeing with the expert panel in about 96 percent of cases. But when it came to diagnosing ductal carcinoma in situ, or DCIS, a noninvasive condition, they were in line with the experts about 87 percent of the time. And with atypical ductal hyperplasia, in which abnormal cells are detected, the pathologists matched the experts 48 percent — less than half — of the time. For more on the story, see coverage in the New York Times and Seattle Times among others.
The University of Washington Medical Center is seeking approval to perform face transplants, hand transplants and other major surgeries. This would create the second such center on the West Coast.
"I think it’s very exciting," said Peter Neligan, UW professor of surgery and director of UW’s Center for Reconstructive Surgery at UW Medical Center, who is leading the effort. "Some of these patients are completely reclusive; they don’t go out in public; they basically have no life." If the UW’s application is approved, the first transplants could take place within a year, he said. Face transplants are very rare and are used for patietns who have no other options, according to UW Medicine officials. For more information, see the story in the Seattle Times.
LMN Architects is designing a new Pacific Street entrance for the University of Washington Medical Center that UW says will be "more welcoming and accessible" for patients and visitors.
According to the Daily Journal of Commerce, "The goal is to improve visibility from the street and give the center a lighter and more contemporary look that complements the new inpatient bed tower. Pedestrian and vehicle trafflic flow will also be improved." The construction budget is $14.7 million. Design is expected to wrap up in October and construction will begin in November and should end in March.
A Renton woman whose husband has been waiting for a kidney donation for two years took the search into her own hands by placing an ad on public buses in the Seattle area. The number goes to the UW Medicine organ transplant donor referral team, which received 25 calls in one day.
Esther Smith says the idea popped into her head after she and her husband, 27-year old Emmett Smith, attended a hospital seminar where the instructor told them to be proactive in their search for a new kidney for Emmett. “The instructor mentioned, ‘Don’t be ashamed to get the word out about Emmett needing a kidney,’” Esther, 30, told ABC News. “I started thinking of how I could reach the most people in the most creative way and the bus ad just popped into my mind.” Esther, who has a 9-month-old daughter, Arianna, with Emmett, was motivated to try the out-of-the box approach in hopes of keeping her husband of eight years alive and healthy for years to come. The average wait on the kidney donor list is about five years, Emmett said. For more on the story, see coverage on ABC News.
The University of Washington is the top-ranked medical school in the nation for primary care training, according to a list published March 9 by U.S. News & World Report. The UW also comes in first for its training in rural medicine and family medicine — all rankings it has held for two decades or more.
The U.S. News ranking takes into account a school’s reputation, as assessed by peer institutions. It also sizes up the school’s selectivity, including the median GPA and MCAT scores of entering undergraduates. The UW School of Medicine had an acceptance rate of 4.7 percent in 2014 — acceptance rates among all the schools ranged from a low of 1.6 to a high of 16.5. And 54 percent of its graduates from 2012 through 2014 entered the primary care field. Only 12 of the 57 schools in the U.S. News ranking had 50 percent or more of their graduates going into primary care.
In all, UW has 42 graduate schools and specialty programs among the nation’s top 10 in each area, according to U.S. News & World Report’s Graduate School Rankings. Among some other specialty programs, the UW came in fourth in nursing, fourth for AIDS, sixth for public health, eighth for internal medicine, eighth for pediatrics, ninth for biomedical\bioengineering, 10th for health care management, and 11th for physician assistants. For more information, see stories in Seattle Times and UW Today
For a closer look at rural healthcare, 24 medical students who participate in the Targeted Rural Underserved Track (TRUST) visited communities in Ellensburg and Yakima in late January. The trip included visiting Kittitas Valley Healthcare in Ellensburg, where the students heard from a panel of community members and leaders in medicine, public health and education. Physicians from multiple specialties discussed their experience working in Ellensburg. Kittitas Valley Healthcare CEO Paul Nurick finished the session talking about how the community is addressing physician recruitment.
In Yakima, the Central Washington Family Medicine Residency Program helped to arrange several interesting opportunities for the students. These included an evening with students in a citizenship class at La Casa Hogar to learn health access concerns, dinner with the residents and faculty of the Central Washington Family Medicine Residency Program, a morning visit to Extreme Winter Shelter, a local community homeless shelter, and visiting with a local physician about the highlights of working in Yakima. “I feel that I now have a much more accurate perspective of what a rural practice could be like,” said one student. “It was quite inspiring to see the real potential to make change here.”
John McCarthy, UW regional assistant dean for eastern and central Washington, and Ki Shin, UW regional assistant dean for western Washington, traveled with the students, along with Peter House, associate director of the WWAMI Area Health Education Center, and Tom Greer, co-director of TRUST.
Michael Katze, UW professor of microbiology, was elected as a fellow of the American Academy of Microbiology. Fellows of the Academy are elected annually through a highly selective, peer-review process, based on their records of scientific achievement and original contributions that have advanced microbiology. The Katze Lab is part of the UW Department of Microbiology and the Washington National Primate Center. The lab studies a wide range of viral pathogens, including influenza virus, SARS-coronavirus, Ebola virus, hepatitis C virus, and human and simian immunodeficiency viruses.
Blake Thomson, a post-bachelor fellow at the Institute for Health Metrics and Evaluation (IHME) at UW, has been selected as a Gates Cambridge Scholar. Starting this fall, he will pursue a master’s degree in epidemiology, focusing on diabetes and hypertension. Established by the Bill & Melinda Gates Foundation, the scholarship funds postgraduate degrees in any subject available at the University of Cambridge.
Irl B. Hirsch, UW professor of medicine and Diabetes Treatment and Teaching Chair at the School of Medicine, is receiving a special honor by the American College of Physicians (ACP) in April. Hirsch is being elected to the mastership level of ACP, which recognizes outstanding and extraordinary career accomplishments.
Jackie Ling Der, who served as director of medical policy affairs for the UW School of Medicine for 22 years, passed away March 2 from cancer. She was 61.
Der earned a law degree from George Washington University and dedicated her career to public service at the federal, state, city and university level. She also served on the Wing Luke Museum board of directors for 11 years. At UW, her job was to provide a liaison with state policy makers and private industry for the academic medical center, which includes the University of Washington Medical Center and Harborview Medical Center. She was a huge advocate for affordable healthcare and quality medical services.
From 1986 to 1993, Der was staff to local government officials in the City of Seattle. As a member of the Office of Intergovernmental Relations, she advised elected officials and staff on matters involving counties, metropolitan district governments and other cities. Prior to her local government experience, she served as legislative staff with the Office of Program Research for the State House of Representatives.
Der is survived by her husband of 42 years, Alan Painter; their daughter, Katie; her siblings Susie, Dennis, Margaret and Della; as well as extended family and friends. A celebration of Der's life will be held on Saturday, March 28 at 4 p.m. at the Mercer Island Community Center, 8236 S.E. 24th St. In lieu of flowers, Der’s family has requested contributions to the Wing Luke Asian Museum or Harborview Medical Center. For more on Der’s life, see the obituary in the Seattle Times.
John Brunzell, an internationally renowned lipidologist and endocrinologist, passed away peacefully on Feb. 21. He was 77.
“Generations of students, residents and fellows learned from John about the practical management of lipid disorders as well as their complications including cardiovascular diseases, pancreatitis and others,” said UW Department of Medicine Chair Bill Bremner.
Brunzell, a graduate of the UW School of Medicine, held many leadership positions over the years: program director of the UW General Clinical Research Center from 1996-2004; acting head of the Division of Metabolism, Endocrinology and Nutrition from 1994-1996; head of the division’s fellowship training program from 1997-2007; chair of the medical student endocrine course from 1986-1996; and head of the lipid clinics at UW Medical Center and Harborview Medical Center. In 2005, he received the Lifetime Achievement Award from the UW General Clinical Research Center, which he directed for eight years.
Brunzell’s research focused on genetic and acquired disorders of triglyceride and cholesterol metabolism, diabetes, obesity and cardiovascular disease, and rare genetic disorders of lipoprotein metabolism. His research resulted in over 300 papers. He was appointed professor emeritus in 2007 after 38 years at UW and continued to be very active clinically and in research.
He is survived by his wife, Patricia, their children Jeff, John Jr. and Julia Brunzell, John B. and James E. Frazier and 10 grandchildren. There will be a memorial service on Saturday, March 21, from 1 - 4 p.m. South Lake Union Admin Building C, 850 Republican St. The John D. Brunzell Fellowship Fund is being established in his honor to support fellows’ research and travel. Donations are payable to the UW Foundation at UW Medicine Advancement, Attn: Gift Processing, Box 358045, Seattle, WA 98195‐8045.
Cecilia Giachelli, who served as acting chair of the Department of Bioengineering since fall 2013, was appointed chair on Feb 1, 2015.
Giachelli is UW professor of bioengineering and leads the Giachelli Lab for Cellular Bioengineering. She has made important contributions to the Department of Bioengineering and to the School of Medicine, where she serves as adjunct professor in both pathology and in oral sciences. She was previously the deputy director of the University of Washington Engineered Biomaterials research center. Giachelli is internationally recognized for her work in the area of vascular calcification leading to the development of molecular and cellular therapies for chronic kidney disease and atherosclerosis. For more on Giachelli, see the article on the Department of Bioengineering website.
Paul Ramsey, CEO of UW Medicine and dean of the UW School of Medicine, will host a series of town hall meetings to give an overview of the progress and plans for UW Medicine and then answer questions. The remaining meetings are:
Please contact Julie Monteith with any questions at firstname.lastname@example.org.
Making cancer a priority in global health. A symposium at the Fred Hutchinson Cancer Research Center from 8 a.m.-6 p.m. For more information, see the website.
Speaker Mary T. Bassett, commisioner of the New York City Department of Health and Mental Hygience and a UW graduate in public health ('85), served on the medical faculty at the University of Zimbabwe for 17 years and developed a range of AIDS prevention interventions to address one of the world’s worst AIDS epidemics. She later served as the associate director of health equity at the Rockefeller Foundation’s Southern Africa office overseeing its Africa AIDS portfolio.The lecture is from 5 6:30 p.m. (reception to follow), Hogness Auditorium, and Health Sciences Center. See the announcement.
The Center for Leadership and Innovation in Medical Education (CLIME) is sponsoring this event with Dr. Regehr, who will be speaking on “The dangerous pursuit of independence: Implications for healthcare practice and education,” 12-1 p.m., Health Sciences Center, K-069. View the announcement.
Speakers include Adam Drewnowski, UW professor of epidemiology and medicine (April 14), Ellen Schur, UW assistant professor of medicine (May 13), former U.S. Surgeon General Regina Benjamin (April 30) and wellness celebrities Michael Pollan (April 8) and Kathy Najimy (May 19). All lectures are in Kane Hall, Room 130, 6:30 p.m.
Intracellular signal transduction events are precisely regulated in space and time. This is achieved in part by a-kinase anchoring proteins (AKAPs) that tether a variety of protein kinases and phosphatases in proximity to selected substrates. AKAP targeting provides an efficient means to reversibly control the phosphorylation status of key substrates and contributes to the dynamic regulation of sophisticated cellular pathways. Using genetic, structural, electrophysiological and super-resolution imaging techniques we show that AKAPs enhance the precision of cellular signaling. We have also discovered that aberrant AKAP signaling events contribute to the onset of diabetes, and comorbidities including hypertension and heart disease.
UW Medicine is accepting nominations for two prestigious awards: The Brotman Leadership Award and The Ragen Volunteer Service Award. Nominations, which can be made online at supportuwmedicine.org/brotman-ragen-awards, are due on March 30. The Brotman award, named after Jeffrey H. Brotman, honors visionary philanthropic leadership. The Ragen award, named after Brooks G. Ragen, honors service — from a volunteer, faculty member or staff member — that advances UW Medicine’s mission. Both awards, named after exemplary advocates, are presented at the Dean’s Circle Celebration in May. If you have any questions about the awards, please contact Nick Postiglione, executive assistant to the chief advancement officer for UW Medicine and vice president for medical affairs at the University of Washington, at 206.221.1067 or email@example.com.
Washington first responders and public health professionals are invited to participate in upcoming train-the-trainer workshops scheduled to introduce you to the Response & Recovery App in Washington (RRAIN) Washington a (iPhone/iPad) mobile app developed at the University of Washington Health Sciences Library and aimed to be used by first responders in the state in response and recovery situations. Come learn how to use the app and website for your next Washington response and recovery situation.
Visit Continuing Medical Education for information on upcoming classes.
Spokane Medical Education