1 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

SPOTLIGHT ON Department of Internal Medicine 100th Anniversary At the time of this writing near the end of calendar year 2011, centennial celebrations are winding down. We had a great year celebrating the successes of the previous 100 years with focus and attention on each of the divisions in the department, a very successful CME program held in the spring and successful hosting of the Saint Louis University School of Medicine Alumni Reunion CME Program. The latter has resulted in the production of a series of articles which will be published as a special issue of the journal Missouri Medicine to recognize the departments centennial. RECOGNITION 2011 School of Medicine Alumni Association Community Service Award Honored at the Medical School Reunion was William M. Fogarty, Jr., MD, clinical professor, Division of General Internal Medicine, who was presented with the 2011 School of Medicine Alumni Association Community Service Award. "On any given Friday afternoon, one can find retired internal medicine practitioner, Dr. William Fogarty offering his services to the community as a volunteer physician at Casa de Salud," Philip Alderson, MD, said. Casa de Salud is a health and wellness center, which provides basic health and wellness services for uninsured and underinsured new immigrants in St. Louis. A 1960 School of Medicine graduate, Dr. Fogarty practiced internal medicine and endocrinology for 30 years. After retiring from Southwest Medical Center in St. Louis, he continued to volunteer for 7 years at La Clinica,

a health clinic in South St. Louis that served the Hispanic community. When the clinic closed, Dr. Fogarty became active in the advisory committee interested in establishing another type of clinic in the area. Now he is among the team of physicians at Casa de Salud, who provide medical care and often assist patients in receiving care from larger health care facilities.

From left: Philip Alderson, MD, Dean of the School of Medicine; William Fogarty, Jr., MD, (60), and Edward OBrien, MD, (67) president, SOM Alumni Association

Caring Physician Award Congratulations to the nominees and winners of the five 2011 Saint Louis University Hospital Caring Physician Awards. The nominees from Internal Medicine included faculty, subspecialty residents and residents: Bruce Bacon, MD; Kenneth Bensch, PhD, MD; Mark Fesler, MD; Walter Gribben, MD; Edward Kessler, MD; Jennifer LaBundy, MD; Amir Masoud, MD; Bryan Piotrowski, MD; Timothy Rice, MD; Robert Russell, MD. Timothy Rice, MD, Adult, Pediatric and Adolescent General Internal Medicine, is the Internal Medicine winner of the 2011 Caring Physician Award. The other winners are: Anjan Bhattacharyya, MD, Psychiatry; Joanna Kemp,

2 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

MD, Neurosurgery; Michael P. Thorpe, MD, General Surgery; and, J.E. Betsy TuttleNewhall, MD, Abdominal Transplant Surgery. Saint Louis University Hospital Attending of the Quarter Award Marilyn Maxwell, MD, General Internal Medicine, was nominated and selected for the next Attending of the Quarter Award at Saint Louis University Hospital. Department of Internal Medicine Holiday Party A good time was had by all the faculty, residents and staff who attended the Internal Medicine Holiday Party on Friday, December 9, in the School of Allied Health Multi-Purpose Room. The attendees were encouraged to bring a gift (infant up to 12 years). These gifts were to be donated to clients of Casa de Salud and the student run Health Resource Center (HRC). Well over 100 gifts were divided between these groups. ANNOUNCEMENTS Collaborative Grant, Saint Louis University Primary Care Training Center, through HRSA Bureau of Health Professions Program. The purpose of the proposed project, the Saint Louis University (SLU) Primary Care Training Center is to substantially expand the previously funded AAU in Family Medicine to form a collaborative between Family Medicine, Internal Medicine, and Pediatrics. The overarching goal of this collaboration is to increase

the numbers of medical students and residents choosing primary care as their profession. The proposed project fits in with department chairs (Family Medicine, Internal Medicine, and Pediatrics) vision and dovetails nicely with the Dean of the School of Medicine and Vice President for Health Sciences Center vision for inter-professional teams in clinical practice and inter-professional education. The Dean has lent significant support and resources for the design and implementation of an interprofessional curriculum for medical students along with providing resident exposure to practicing within an inter-professional model at our clinical training sites. 2010-2011 Department of Internal Medicine Annual Report is on-line now at http://internalmed.slu.edu. DIVISION OF CARDIOLOGY The Division of Cardiology would like to announce the opening of a new consultative patient clinic. Patients at the new Atrial Fibrillation Clinic will be seen by either Dr. Ali Mehdirad or Dr. Scott Ferreira, and is located at the University Club Tower, Suite 1120. More information can be found at http://internalmed.slu.edu/cardiology/index. php?page=atrial-fibrillation-clinic-2. To make an appointment for your patients, please call 977-4440. Transcatheter Cardiovascular Therapeutics Annual Scientific Sessions, November 7-11, 2011 in San Francisco, 14th Annual SelfAssessment Course for Interventional Cardiology II (November 8-9) faculty from the Division of Cardiology made the following presentations:

3 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

Lim MJ. Coronary angiography and ventriculography: anatomy and anomalies. Lim MJ. Special physiology session. interventional and

Lim MJ. Physiologic Lesion Assessment Guidelines, Key Clinical Results, and Case Presentations (with Integrated Q&A) Lim MJ. Mastering new imaging modalities: echo, CT and beyond. Physician Training Requirements for the Interventional Futurist. Stolker JM, Rough SJ, Hussain Z, Hadid M, Ibrahim M, Neumayr RH, Lim MJ. Effect of adopting a trans-radial access program on resource utilization and efficiency of an academic cardiac catheterization laboratory. Presentations at the Annual Scientific sessions of the American Heart Association, November 13-15 2011, Orlando. Lim MJ. DES vs BMS. Presented at Cardiovascular Seminar: STEMI: Current Challenges in Optimizing Patient Care. November 8, 2011. DIVISION OF GENERAL INTERNAL MEDICINE The Division of General Internal Medicine participated in Saint Louis Universitys firstever Open Air Market on October 1, 2011. Mary Keegan, RN, NP; Marcella Petzchen, RN, NP; and Cathy Happa, RN, MSN, CCM, staffed the tent and provided blood pressure screenings. DIVISION OF GERIATRIC MEDICINE The division held its first Geriatric Boot Camp on November 12, 2011. This meeting provides

a venue for recruitment of geriatric fellows as well as an opportunity to educate area internal medicine/family medicine residents about the specialized treatment of our geriatric population. They had 10 participants from five programs within a 150 mile radius with great feedback from everyone about the Boot Camp. The Master of Ceremonies was Dr. Julie Gammack with presentations by Drs. Joseph Flaherty, David Thomas, Dulce Cruz-Oliver and John Morley. DIVISION OF INFECTIOUS DISEASES, ALLERGY AND IMMUNOLOGY (IDAI) Nicole Sullivan, PhD candidate, received her PhD in Molecular Microbiology and Immunology (defense date was 12/2/11). Raymond G. Slavin, MD, presented an invited talk at Rheumatology Grand Rounds, "Anaphylaxis", on 11/11/11. DIVISION OF NEPHROLOGY Kevin J. Martin, M.B.,B.Ch., presented the following abstracts at the American Society of Nephrology Meeting, held November 8 - 13, 2011 in Philadelphia: - Ketteler M, Martin KJ, Cozzolino M, Goldsmith DJ, Sharma A, Amdahl M, Khan S. An analysis of the presence of pathogens in hemodialysis subjects using Ibis technology: Results from the IMPACT study comparing paricalcitol and cinacalcet for the treatment of secondary hyperparathyroidism (SHPT). - Martin KJ, Bell G, Pickthorn K, Huang S, Kaskas M, Bernardo M, Mount PF, Power DA. Characterization of KAI-4169, a novel peptide for the treatment of chronic kidney disease mineral and bone disorder, in a single-dose study in hemodialysis subjects.

4 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

- Martin KJ, Bell G, Pickthorn K, Huang S, Hodsman P, Peacock M. Characterization of KAI-4169, a novel peptide for the treatment of chronic kidney diseasemineral and bone disorder, in a phase I study in healthy males - Martin KJ, Bell G, Huang S, Pickthorn K, Kaskas M, Bernardo M, Mount P, Power D, Block G. The effect of KAI-4169, a novel treatment for chronic kidney disease-mineral and bone disorder, on serum phosphorus kinetics post-hemodialysis - Sharma A, Ketteler M, Martin KJ, Wolf MS, Cozzolino M, Goldshmith DJ, Amdahl M, Khan S, Marx SE. IMPACT-SHPT Study: Comparative economic analysis of the treatment of secondary hyperparathyroidism. - Goldsmith DJ, Ketteler M, Martin KJ, Cozzolino M, Wolf MS, Sharma A, Amdahl M, Khan S, Marx SE. IMPACT-SHPT Study: Comparative quality of life analysis of the treatment of secondary hyperparathyroidism. - Ketteler M, Martin KJ, Cozzolino M, Goldsmith DJ, Sharma A, Amdahl M, Khan S. Comparison of paricalcitol and cinacalcet for the treatment of secondary hyperparathyroidism (SHPT) in subjects on hemodialysis: Secondary analyses from IMPACT study. - Martin KJ, Kettleler M, Cozzolino M, Goldsmith DJ, Sharma A, Amdahl M, Khan S. Effects of paricalcitol or cinacalcet treatment on CKD-BMD markers in subjects with secondary hyperparathyroidism (SHPT): Results from IMPACT-SHPT.

INTERNAL PROGRAM

MEDICINE

RESIDENCY

Each month a resident and two runners up are commended for exemplary performance in residency as nominated by peers and/or faculty. This could include (and not limited to) going the 'extra mile' for a patient, good in-service score, helping a colleague, etc. Nominations to the chief residents are encouraged, and we also need faculty sponsors for $100 a month (one $50 and two $25 gift cards will be purchased monthly for winner and runners up respectively). Dr. Miguel Paniagua was the sponsor for November and Dr. Rajagopal Chadaga sponsored December. Please contact the chief residents or Ms. Melissa Westwood to volunteer or with questions. November 2011 Resident of the Month Winner: Mireille El Hayek, MD, Outstanding performance! She consistently delivered exceptional patient care and was an example to her follow residents and interns. Keep up the good work! Honorable Mention: Genevieve Moyer, MD, Did an amazing job as an ambassador and ideal representative of the program during recruitment season and was commended by the applicants for being amiable, enthusiastic, and extremely helpful. Honorable Mention: Ghassan Kamel, MD, Applauded by his fellow residents and interns for his clinical skills and as a superior team member who consistently shouldered additional responsibility and was thoroughly dependable. Great job!

5 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

December 2011 Resident of the Month Winner: George Kasarala, MD, Altruistic sacrifice of time and effort Honorable Mention: Chad Heng, MD, Strong work, extra effort and no complaints. Honorable Mention: Hermind Fernandes, MD, outstanding work on a very busy service. NEW RESEARCH GRANTS AWARDED

To the family of Carlo P. Caciolo, MD, clinical professor, Division of Rheumatology, who passed away on December 4, 2011. To the family of Robert K. Dorton, MD, clinical professor, Division of General Internal Medicine, who passed away on December 12, 2011. CLINICAL TICKER
FY 11 YTD BILLED AMB ENCs JUL 10 4,591 261 2,199 20,460 0 0 691 6,342 2,855 3,489 3,879 44,767 FY 12 YTD BILLED AMB ENCs JUL 11 5,140 316 2,672 19,924 0 0 841 7,364 2,617 3,887 3,408 46,169 103.1%

PRACTICE LOCATION

Bernard R. Chaitman, MD, Cardiology, $197,136 from Clinical Research ManagAxio Research Company / NIH for AIM-High: Central Electrographic Laboratory and Events Adjudication Coordination for Atherothrombosis Interventions in Metabolic Syndrome with Low HDL/High Triglyceride and Impact on Global Health Outcomes. John C. Edwards, MD, PhD, Nephrology, $369,448 from NHLBI/NIH for The Role of CLIC4 in Angionesis. Terry L. Moore, MD, Rheumatology, $19,842 from OUHSC/NIH for Micro-array based biomarkers in Juvenile Idiopathic Arthritis. CONDOLENCES To David Stoeckel, MD, Pulmonary, Critical Care and Sleep Medicine, and family on the death of his father, Charles F. Stoeckel, November 11, 2011. To Susan Androff, RN, Internal Medicine/DOB, and family on the death of her father, Henry S. Wurthmann, Jr, on November 22, 2011.

CANCER CENTER CARDINAL GLENNON DES PERES DOB MIDWEST ENDOSCOPY OP CATH LAB SLEEP DISORDERS CENTER SLUH SNF/NF/CC/HOSPICE UNIVERSITY CLUB TOWER OTHER GRAND TOTAL FY 10 / FY 09 YTD MGMA AMB ENCs

Chairmans Blog For faculty, staff and residents of Internal Medicine, their Google Apps Sites include the "IM Chairman's Site". Clicking on the "IM Chairman's Site" opens to the Chairman's Blog. The posts are visible on the site. To the left there is a navigation panel with links to each of the posts and a link to the Anonymous Feedback. Clicking on the Anonymous Feedback opens a window which has a test field for entering feedback with a submit button below the field. Further down the page is the feedback received so far.

6 DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

internalmed.slu.edu

Nov-Dec 2011

DATE OF NOTE Grand Rounds will resume on January 6, 2012, Pitlyk Auditorium at 7:30 am. Ryan M. Tarantola, MD, Department of Ophthalmology, Saint Louis University School of Medicine, will make a presentation on Diabetic Retinopathy. The Division of General Internal Medicine is the sponsor. WEBSITE Access the Department of Internal Medicine website at http://internalmed.slu.edu. INFORMATION FOR NEXT NEWSLETTER If you have any news, notices, achievements that you would like to be included in the next newsletter or if you think something important was missed, please let Camille Goff know at goffcj@slu.edu .

Editor Adrian M. Di Bisceglie, MD, FACP Professor of Internal Medicine