Brigham and Women's Hospitalto announce, analyze and amuse
Department of Medicine



FACULTY PROMOTIONS

Professor:
(Click on a Professor's name to view a brief bio)

Richard Blumberg, MD
David White, MD

Associate Professor:
Craig Earle, MD
Joseph Eder, MD
Simin Liu, MD
Jing Ma, MD, PhD
Paul Sax, MD

Assistant Professor:
Anne-Renee Hartman, MD
Ashish Kumar Jha, MD
David Lee, MD, PhD
Lisa Lehmann, MD, PhD
Joia Mukherjee, MD
Jose Ricardo Romero, MD
Jeffrey Rothschild, MD


FACULTY APPOINTMENTS

Instructor:
Christopher Lathan, MD
Harry Schrager, MD



ANNOUNCEMENTS


Joseph Loscalzo,
MD, PhD
to be the new BWH Chair of Medicine!

Click here
to view Dr. Gary Gottlieb's Announcement

Need to Revise Your CV into HMS Format
and Wondering How?
Click here


Congratulations !
Dr. Jamil Kirdar from the Veterans Administration

Winner of the 2005 Harvad Medical School Prize for Excellence in Teaching (pre-clinical)

HMS Fund for Women's Health Research
Deadline is May 2, 2005
Click here for more details


MARK YOUR CALENDERS!

UPCOMING EVENTS:

BWH Connors Center for Women's Health and Gender Biology & Department of Neurology Lecture
Click here for more information

First Annual Barry M. Brenner Lectureship
Friday, April 29, 2005
12:00 p.m., Bornstein
Click here for more information

DOM FACULTY MEETING
Monday, May 2, 2005
11:30 a.m. to 12:30 p.m.
Anesthesia
Conference Room
Lunch will be provided

Department of Anesthesiology, Perioperative and Pain Medicine Lecture
Tuesday, May 3, 2005
5:00 p.m., Anesthesia Lecture Hall
Click Here for more information

Annual Medical Housestaff Nurses
Day Awards

Thursday, May 5, 2005
12:30 p.m., Carrie Hall
Desserts & Refreshments will be provided

Resident Research Celebration
May 19, 2005
5:00 p.m. to 7:00 p.m.
Carrie Hall


View Videos of
Medical Grand Rounds
ONLINE!


Department of Medicine INTRANET

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to subscribe to Your Medicine Online



YOUR MEDICINE ONLINE
If you wish to send us comments, email
SooJin Kim
Spark a Healthcare Revolution:
Philanthropy and Academic Medicine
By Susan Holman

Your Medicine Online Reports on this year’s Physician-in-Chief Pro Tempore, Dr. Risa Lavizzo-Mourey

Where have the topics of aging, health inequalities, philanthropy, the magnetic pull of the earth, and a patient-centered revolution come together at Brigham and Women's Hospital in the past few weeks? Perhaps nowhere in a manner more visionary than the Grand Rounds lecture on March 18 by Risa Lavizzo-Mourey, MD, President and CEO of the Robert Wood Johnson Foundation, the 2005 Physician-in-Chief Pro Tempore and the inaugural Victor J. Dzau Lecture.

The Pro Tempore program, initiated in 1913 by Dr. Henry Christian, invites a world leader in medicine to serve as the Physician-in-Chief, teaching and inspiring vision
during their stay, originally a full week spent (living, working and sleeping) in-house. Though the Pro Tem is now housed more comfortably and spared the on-call experience, Dr. Lavizzo-Mourey’s visit allowed the Department of Medicine faculty to consult with her in the context of small group meetings and patient rounds, culminating in her Medical Grand Rounds lecture, Holding the Needle on True North: Discovering the Path to Quality Care”

Dr. Lavizzo-Mourey is no stranger to long nights at the Brigham. She completed her residency at the old Peter Bent Brigham Hospital before moving on to serve as a Robert Wood Johnson Clinical Scholar at the University of Pennsylvania, where she specialized in geriatric medicine. She then completed an MBA at Wharton School of Business and was appointed Sylvan Eisman Professor of Medicine and Health Care Systems at Penn, where she founded the Institute on Aging, a “center without walls,” that networked across disciplines to assure optimal geriatric medical care. Read More
The SEED Grant:
Empowering Innovative Medical Education, Part II:
By SooJin Kim

In January we reported on a few of the innovative medical education-based projects that are underway thanks to the Department of Medicine Education Council’s Support for Excellence in Educational Development (SEED) Grants, one-year grants to support prjects on innovation in medical education and prepare grantees to compete for larger grant funding. This month we take a look at two more SEED-funded projects, one on medical law and the other on community-based care.

Where can housestaff learn the latest in medical law and policy issues that affect their patients and be sensitive to the needs of the local community? Especially when physicians spend so much time within Brigham walls? Aaron Kesselheim, MD, Mark Friedberg, MD and Alexandra Molnar, MD, have spent the past year working to solve this dilemma by embedding these issues into the residency training program.

Aaron S. Kesselheim, MD, who came to the Brigham and Women’s Hospital with a law degree from the University of Pennsylvania, is a Clinical Fellow in Medicine and a senior resident.
He has been involved with SEED-sponsored curricular innovation since his junior year, when he established a series of small and large group lectures to introduce basic principles of health law to medical housestaff. The response was so positive that Dr. Kesselheim teamed up with Mark Friedberg, MD to apply for a second year of funding, in a joint project to help provide housestaff with a better understanding of the various political, regulatory and legal issues affecting medicine today. Read More

One of a Kind: Intensive Palliative Care Unit Opens


Left to Right: Susan Block, MD, David Giansiracusa, MD & Janet Abrahm, MD
Dana-Farber/Brigham and Women's Cancer Center's new Intensive Palliative Care Unit (IPCU) opened its doors and accepted its first patients this past March. The IPCU is currently a pilot program for oncology patients only, accepting up to six patients, and is located on Tower 5A. Under the leadership of Co-directors Janet Abrahm, M.D., and David Giansiracusa, M.D., the IPCU is dedicated to improving the care of DFCI/BWH and HVMA oncology patients with acute, refractory symptoms and challenging psychological, spiritual and family needs, in addition to supporting patients and their families in complex decision making.

The IPCU is the first intensive palliative care inpatient unit in any of the HMS-affiliated teaching hospitals. Dr. Susan Block, Chief of DFCI’s Division of Psychosocial Oncology and Palliative Care, says that the unit’s successful launch is a result of “commitment from leaders at BWH, DFCI and across the Partners HealthCare System. Over the past five years, our institutions have developed a comprehensive palliative care program, including an outpatient cancer palliative care program, inpatient palliative care consultation services for both oncology and non-oncology patients, and a hospice program. These programs allow us to provide care to patients across the entire continuum of illness, including the end of life. The IPCU represents a key building block in this effort, allowing us to provide specialized care in the hospital to patients with complicated palliative care needs. Our comprehensive program puts us at the forefront of care for patients with serious, complex, progressive illnesses. The excellence and dedication of our interdisciplinary team, as well as input from patients and families, have helped us to refine and develop innovative approaches to caring for patients with palliative care needs.” Dr. Block also credits the “enthusiasm and drive for excellence of our house staff which has given the palliative care service an opportunity to participate in the care of patients throughout BWH, and has raised awareness of what our discipline can offer to patients, families and staff.”

Patients on the IPCU can depend on the resources of a comprehensive and well-coordinated treatment team. The team includes palliative care service physicians, fellows, a nurse practitioner, as well as social work and chaplaincy staff. Specialized pharmacy expertise in palliative care is also available. The team directs the patient’s care, identifies goals, sets priorities, and proactively addresses concerns.

Dr. Giansiracusa notes that “the unit has specially designed clinical guidelines that will guide care for common palliative care clinical scenarios, allowing rapid response to problems.”
Staff can concentrate on the key clinical issues for this specific group of patients. An inpatient unit also provides an ideal setting for the training of medical students, residents, fellows and other health care professionals. The team is hopeful and confident that the expert care provided in the IPCU “will result in reduced length of stay and readmissions, and changes in resource utilization that will be helpful to the hospital’s finances," says Dr. Giansiracusa.

Six patients at a time doesn’t sound like much. But Drs. Abrahm, Giansiracusa and Block share a vision for the future “to expand our unit to care for both oncology and non-oncology patients with intensive palliative care needs, in close collaboration with the patients’ primary physicians.” As Dr. Block puts it, “we will have achieved a great clinical success if we are able to improve symptoms, reduce emotional distress, and help families feel well-supported.”

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Your Medicine Online

Robert Handin, MD
Editor-in-Chief

SooJin Kim
Deputy Editor and Design Editor

Debbie Slater and Stacey Harper
Editors at Large

Susan Holman and Lance Rachelefsky
Contributing Writers

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