2009 DOM Annual Report - Department of Medicine - University of ...

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Department of MedicineGENERAL INTERNAL MEDICINEWishwa N. Kapoor MD, MPHDivision Chief/ ProfessorDirector, Institute for Clinical Research EducationDirector, Center for Research on Health CareCo-Director, RAND-University of Pittsburgh HealthInstituteCo-Director, Clinical and Translational ScienceInstituteFACULTYMeena S. Agarwala MDFadeke B. Akanbi MDSyed T. Ali MDChris M. Allen MDWendy G. Anderson MDEric J. Anish MDThomas J. Antos MDRobert M. Arnold MDCarol H. Azar MDEileen Baade MDDavid Barnard PhDAmber E. Barnato MDHerbert C. Bazron, Jr. MDSergei N. Belenky MDEllen S. Berne MDRobert W. Bernstein MDLori M. Bigi MDJudith S. Black MDDavid L. Blinn MDRachel A. Bonnema MDMadeline Borhani MDSonya A. Borrero MDJames E. Bost PhDRobert C. Brooks MD, PhDJohn D. Brungo MDCindy L. Bryce PhDDiemthuy D. Bui MDPeter D. Bulova MDJames H. Bumbaugh DOGregory M. Bump MDRaquel A. Buranosky MDTimothy R. Burke MDBonnie K. Case MDIbrahim I. Ghobrial MDEugene H. Ginchereau MDJames A. Gleason MDGeorge H. Gleeson MDAlda M. Gonzaga MDChester B. Good MDAdam J. Gordon MDAnuradha Gowda MDRosanne Granieri MDRichard L. Green MDMeghan E. Grove MDBernard A. Grumet MDAudrey S. Hall MDDavid A. Harinstein MDBernadette G. Harris MDPeggy B. Hasley MDRandy S. Hebert MDBea Herbeck-Belnap PhDBruce Hough MDKristin Humphreys MDSaid A. Ibrahim MDDany H. Issa MDAlan L. Itskowitz MDJames R. Jarvis MDHarish Jasti MDRichard B. Johnson MDAndrew H. Joseph MDFranziska F. Jovin MDRichard L. Kalla MDKeith T. Kanel MDWishwa N. Kapoor MDCarissa L. Katz MDLinda A. King MDChung-Chou Ho H. Chang PhD John G. Kokales MDPhilip J. Cichon MDRussell C. Kolarik MDJohn T. Cinicola MDKevin L. Kraemer MDWarren A. Coax MDRobert E. Kraftowitz MDMargaret B. Conroy MD Emanuel Krifcher MDAngelo Constantino MD Frank J. Kroboth MDAmanda L. Cooper MD Keith R. Lagnese MDJames S. Costlow MDWilliam Lamb DOMegan S. Cunnane MD Vincenzo Lamonaca MDFrank R. Cymerman MD Bruce Y. Lee MDQianyu Dang PhDLouis E. Leff MDAdele D’Antoni MDGary L. Lemoncelli MDMarilyn S. Daroski MD Kenneth H. Lentz MDJoan M. Devine MDMacy I. Levine MDPeter A. Dickinson MD David S. Lilienthal MDJoan E. Diegel MDYang Lin PhDEllen M. Dillinger MDBruce S. Ling MDEdward J. Donnelly, III MD Ramon G. Lozano MDMark A. Duca MDCheryl P. Lynch MDRobert G. Edwards MD Ahmad Maarouf MDCarolyn D. Ellis MDDavid S. Macpherson MDDavid M. Elnicki MDSharon L. MaddoxMichael J. Farrell MDVicki March MDJoan S. Farris MDChristopher R. Marsh MDMichelina Fato MDMegan C. Matoka PhDDonald E. Fetterolf MD Michele R. Matthews DOMichael W. Finikiotis MD David J. McAdams MDMarsha J. Fino MDJames P. McDowell DOAnthony B. Fiorillo, Jr MD Melissa Ann McNeil MDGary S. Fischer MDKathleen M. McTigue MDDouglas D. Fletcher MD Ateev Mehrotra MDNicole R. FowlerSharon F. L. Miller DOJanine M. Frank MDEvgueni M. Minev MDMatthew S. Freiberg MD Natalia E. Morone MDMichael A. Gaglia MDVisala S. Muluk MDSwaytha Ganesh MDJayanta T. Mukherjee MDLawrence D. Gerber MD Larissa Myaskovsky PhDCarol S. Myron MDDaniel J. Nalin MDKhaled Nashar MDAmit Nautiyal MDSmita Nayak MDMichelle S. Nazareth MDLee M. Neiman MDAnthony Nicassio MDRonald J. Nigborowicz MDMarc H. Oster MDRobert W. Otte MDThomas D. Painter MDGiovanna Panarello MDHitendra R. Patel MDKim M. Pierce MDRosa L. Pinkus PhDRuth M. Preisner MDBrian A. Primack MDPhilip F. Rabinowitz MDJennifer G. Reeder MDMark S. Roberts MDKeri L. Rodriguez PhDMariola Roguszka-Jozwiak MDBruce L. Rollman MDDoris M. Rubio PhDRussell J. Sacco MDJames R. Sahovey MDMaryBeth P. Salama MDPaola Salis MDAimee K. Santucci PhDEleanor B. Schwarz MDTracy R. Seewald MDGeorge B. Sestric MDDeborah L. SeltzerMary Ann Sevick PhDAshok K. Shetty MDHubert Y. Shick MDSankaran Shrikanthan MDKenneth J. Smith MDAdam E. Sohnen MDCarla L. Spagnoletti MDAbby L. Spencer MDAnthony Spinola MDAlan J. Steckel MDDennis F. Stull MDGalen E. Switzer PhDGary H. Tabas MDPeter P. Tanzer MDGaetana I. Tarantino MDWinifred G. Teuteberg MDHilary A. Tindle MDTheodore L. Tsai MDAsher Tulsky MDPeri Unligil MDRekhi P. Varghese MDAndrew G. Vayonis MDKaren L. Velazquez MDLevi Walker MDThomas P. Wein MDMieczyslaw Weinfeld MDElizabeth Weinstein MDT. Michael White MDLewis V. Whitman MDJohn T. Wisneski MDAnthony P. Yates MDAli R. Yazdanyar DOG. Alan Yeasted MDDianne M. Zalenski MDSusan L. Zickmund PhDNeal Zweig MD26 Better medicine through research and education.
2007The Division of General Internal Medicine (GIM) had a successfulyear in all activities, including those related to clinical care, research,teaching, and administration. Overall, outpatient and inpatient clinicalactivities have increased, and inpatient hospitalist activities have beenboth expanded and reorganized. The success of the Clinical ResearchTraining Program and the Clinician Educator Training Program led tothe development of the Institute for Clinical Research Education (ICRE),which now serves as a resource for fellows, junior faculty, medicalstudents and residents throughout the Schools of the Health Sciencesat the University of Pittsburgh.CLINICALThis year’s two new clinical initiatives have been to develop anincreased community profile concerning the management of eatingdisorders, which is rapidly becoming a dominant part of the women’shealth program, and the opening of an intrauterine device clinic.The Division’s inpatient service continues to grow. Our new hospitalistprogram, designed last year, has five teaching teams, a geriatrics team,and five A-Service non-teaching hospitalist teams.We also saw growth in consultations, the Palliative Care Program,and our primary care practices. The Palliative Care Program inpatientclinical service is receiving national recognition as a model clinicalprogram in an academic medical center and expanded to outpatientservices with the opening of the Pain, Rehabilitation, and SupportiveCare Clinic at Hillman Cancer Institute in 2006. Our primary carepractices grew in all ambulatory care sites. A major part of theDivision’s ambulatory practice remains at UPMC Montefiore.RESEARCHThe Division has 38 research faculty (23 MDs and 15 PhDs) who aredevoting 75% or more of their efforts to research. This past year, 32grant proposals were submitted, and direct and indirect researchexpenditures totaled more than $11 million in comparison with $10million in the previous year. The Division’s major research foci includestudies of effectiveness and quality guidelines, women’s health,prevention, health care disparities, mental health services, costeffectivenessand substance abuse. Research education is also a majorpart of the Division’s activities and is done through the ICRE. Thesecenters provide a mechanism for interdisciplinary collaboration andresearch with faculty throughout the University and with members ofthe RAND–University of Pittsburgh Health Institute.“Overall, outpatient and inpatient clinical activitieshave increased, and inpatient hospitalist activitieshave been both expanded and reorganized.”TEACHINGThe Internal Medicine Residency Training Program continues to dowell in recruitment and curricular innovations. Key reasons for thissuccess included our acceptance into the Educational InnovationProject (EIP) (described below), our addition of a Global Health Trackthis year and our emphasis on individualization of training within thevarious tracks that we offer, including the Geriatrics, Global Health, andWomen’s Health Tracks, the Clinical Scientist Training Program (CSTP),and the Ambulatory and Hospitalist Pathways. Division memberscontinue to play a vital role in teaching medical students.The EIP was created with the goal of redesigning internal medicineresidency education. In October, we were selected as one of only 12university internal medicine programs across the country to take partin this project. Subcommittees in the project focus on individualizingcareer paths, finding technology solutions, developing innovativeteaching methods, promoting continuous healing relationships,developing effective communication, using evidence-based practice,enhancing patient safety, improving chronic disease and preventivecare, and developing evaluation methods and competencies.Our five community clinics under the Program for Health Care toUnderserved Populations continue to see an increase in visits. Thisfiscal year, patient visits totaled 2,902, a 12% increase over lastfiscal year. All sites train residents and medical students. Medicalstudents, residents, and faculty donated a record high of 2,016 hoursof service for these clinics. The General Internal Medicine–OaklandOutpatient Clinic continues to expand technology in its practice.UPMC HealthTrak has grown and now serves over 4,700 patients,allowing them to view test results, upcoming appointments, andhealth reminders, communicate with physicians and staff, scheduleappointments and request prescription refills online. Through tabletcomputers connected to a wireless network, patients report pain,functional status, smoking habits, alcohol use and nutritional data.The General Internal Medicine Fellowship Program remained strong,supporting 8 fellows, and continues to grow. Fellows participated inan integrated program of inpatient and outpatient clinical service,in supervised teaching activities, in mentored research projects, andin formal coursework leading to the Master of Science in MedicalEducation or the Master of Science in Clinical Research.The ICRE, which was established under the direction of WishwaKapoor, MD, brings all of the clinical research education effortstogether to create efficiencies of operation and improvement inorganization. It allows for better communication among students andtrainees and better use of resources. There are several programs thatfall under the ICRE, including the Clinical Research Training Program,which awards the Master of Science in Clinical Research, the Clinician27
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