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VOLUME 18 NO. 6 n inside.dukemedicine.

org n June 2009

Strength, Hope & Caring


Extraordinary stories, extraordinary people

Two paths
to the future:
Expense control,
strategic investment

D uke University Health System’s


present success propels it into the
future.
That momentum comes from
concerted efforts to continually find
ways to make sure the health system is
healthy in years to come. For DUHS,
the course to that future lies on two
parallel paths.
The first is expense management.
The second is strategic investment
in growth opportunities. Both are
important.

Mark Shapiro, M.D., in lab coat, surrounded by the team from Duke University Hospital’s Unit 2200. Shapiro received the overall “There is a direct connection
Physician Award in the hospital’s Strength, Hope & Caring recognition program. Photo by duke photo
between how we use

S ometimes, it seems there are as


many of stories extraordinary care
at Duke University Health System as
A week later, when the family de-
cided to withdraw life support, the
staff again moved the husband to the
the baby to the full-term nursery,
Anne Bedoe, RN, Cathy Cronquist,
RN, and Brittany Watson, RN, BSN,
resources now and how we
can invest in the future.”
— William J. Fulkerson Jr., M.D.
there are stars in the sky. room next to his wife’s room, so that stayed with the mother until the EMS
Here’s one story: the family could be with both as they unit could arrive.
On the surface, belt tightening to
An elderly couple had been in passed away within two minutes of The baby and mother were both
save money might seem inconsistent
an auto accident, and they had been each other. safe and well cared for, thanks to the
with a plan to spend money on
brought to Duke University Hospital. Another shining example comes team’s quick action.
strategic projects. But it isn’t. Indeed,
They needed critical care. They got from the Birthing Center. For their efforts, Shapiro re-
the two efforts are interconnected, and
that care from Mark Shapiro, M.D., The team was leaving work when ceived the Physician Award and the
are crucial for assuring that DUHS can
and the staff members of Unit 2200. Juanita Hughes, RN, BSN, noticed team from the Birthing Center won
continue to provide the very best health
The woman’s condition was worse a man yelling for help in front of the the Team Award in Duke University
care to a growing North Carolina
than her husband’s, so Shapiro thought- hospital. Hospital’s Strength, Hope and Caring
community.
fully requested that the staff bring the The man’s wife was in labor and Awards. They are just a few stars rec-
“There is a direct connection
husband, who was on a stretcher, to her very near to delivering the baby in ognized recently.
between how we use resources now
room so they could speak to each other the car. Read even more stories of extraordinary com-
one last time. As Hughes delivered and took mitment in a special display on Pages 6 and 7. see FUTURE, p.2

p a t i e n t & f a m i ly c a r e m e d i c a l i n f o r m at i o n reminder

Waiting in comfort HealthView use soars Have your voice heard


An inviting new surgical The HealthView patient Don't forget to complete
waiting room and care information portal passes the Work Culture Survey by
areas improve the patient 100,000 users. Find out why June 5. See your manager
and family experience. it's so popular. for details.

Page 5 Page 3
2 Inside Duke Medicine June 2009

on the cover

FUTURE, cont. sions to build an addition to DUH, a


new cancer center and a learning center
and how we can invest in the future,” are business decisions that DUHS lead-
said William J. Fulkerson Jr., M.D., ers continue to plan for and on which
senior vice president for clinical they anticipate moving forward.
affairs. “Expense management and Over the past several years, DUHS
targeted investment are the two paths has been making such carefully consid-
that we are following to that future ered strategic investments.
accomplishment.” New clinics that expand the health
system’s ability to serve more patients
Managing expenses
in the growing greater Triangle region
Last month, Inside Duke Medicine fea- have been built in Wake County.
tured a cover story about how a DUHS The health system and Durham
initiative — begun months before last County have deepened and reaffirmed
fall’s onset of the global economic their commitment to Durham by agree-
downturn — has allowed health system ing to a long-term extension of the
leadership to produce significant lease on Durham Regional Hospital.
savings through close and coordinated A new, renovated home for the
attention to expense management and Physician’s Assistant Program has
revenue enhancement opportunities. been opened near downtown Durham,
(Read “Prepared for the Future” online which will aid a program critical to
at http://inside.dukemedicine.org) the expansion of effective new models
This initiative has been successful of care. The new facility also provides
in allowing DUHS to identify more space for its future growth.
than $50 million in recurring savings And Duke HomeCare and
annually. These recurring savings, and Hospice, already providing care for
Duke University Health System has recently made several strategic investments. Just
the continuing effort to find additional three of them are, clockwise from the upper right, Duke HomeCare & Hospice’s Hock more than 1,000 end-of-life patients
savings, are reinforced by two impor- Family Pavilion, Duke Medical Plaza Knightdale in Wake County, and the new home throughout the Triangle, opened a new
tant DUHS goals — a commitment to a for the Physician Assistant Program in Durham. file photos 12-bed Hock Family Plaza hospice
highly-skilled and dedicated workforce, initiating the expense management care, research and medical education facility earlier this year.
and a dedication to not do anything program last March was the result of a — means investing in the infrastruc- Those investments won’t be the
that would weaken patient care or conviction among DUHS leaders that ture and programs that underpin our health system’s last. As the expense
patient safety. the health system needed to anticipate success. management initiative has shown,
For example, faculty physicians health care reimbursement reductions But it is not just about building every employee will have a hand in
worked hand-in-hand with procurement and other possible economic pressures. buildings. making sure DUHS saves money so we
officers to make choices that would Even before the global economic “The focus is always on the can invest in future success.
result in savings from the long list of travails, DUHS leaders were thinking patients who will be cared for in The resources we manage well, in
surgical supplies the organization buys. about the importance of saving for the these proposed facilities, as well as every department, contribute to the
At the same time, this effort focused on future. organization’s
ensuring that patient care and safety ability to plan for
Strategic investments “The focus is always on the patients who
remained the top priority and that the strategic growth,
world-class care that Duke Medicine Identifying $50 million in expense will be cared for in these proposed facilities,
said Fulkerson.
provides would not be affected. savings and revenue means there will as well as the valued employees who make The two
“We are not making knee-jerk be resources available for the major this possible. Strategic investments are really paths — expense
reactions to what’s happening in the capital projects that the health system management and
economy,” said Kenneth Morris, senior has been planning and studying.
investments in patients and employees.”
strategic invest-
vice president for finance. “We have For many years, DUHS leaders — William J. Fulkerson Jr., M.D. ment — lead to
had success following our long-term have recognized a need for greater that point.
strategic plans, which call for growth to capacities at Duke University Hospital the valued employees who make this “By being disciplined about
better serve the patients of our region, and Duke Cancer Center. Similarly, the possible,” Fulkerson said. “Strategic expense management we optimize our
North Carolina and beyond. Expense Duke University School of Medicine, investments are really investments in organization,” Fulkerson said. “An
management allows us to right-size the after a long and thoughtful re- patients and employees.” optimized organization can iden-
financial structure of our organization accredidation process, identified needs Health system leaders have been tify the resources needed to expand.
so that it can be prepared for current for more biomedical research space and carefully and conscientiously consider- Expansion, when we are ready, will
and anticipated conditions, and to a new student-focused learning center. ing potential strategic investments and mean even greater opportunities for
provide resources for future growth.” To support the Duke Medicine observing daily the conditions of the those who work at Duke University
Morris said that the impetus for mission — excellence in patient marketplace and economy. The deci- Health System.” n

■ ■ I N S I D E V olume 1 8 , I ssue 6
Inside Duke Medicine, the employee Contact us Staff
newspaper for the Duke University Health Campus mail: DUMC 104030 Editor: Anton Zuiker
System, is published monthly by Duke Deliveries: 2200 W. Main St., Managing Editor: Mark Schreiner
Medicine News & Communications. Suite 910-B, Durham, NC 27705 Science Editor: Kelly Malcom
Phone: 919.660.1318 Designer: Vanessa DeJongh
Your comments, story ideas and photo E-mail: editorinside@mc.duke.edu Inside Online Editors:
Bill Stagg and Erin Pratt
contributions are always welcome and Credits
appreciated. Deadline for submissions Cartoon: Josh Taylor Copyright © 2009
Duke University Health System
is the 15th of each month.
June 2009 Inside Duke Medicine 3

resources h e a lt h s u m m i t

HealthView succeeds as vital patient tool New partnership, funding


seeks health innovations
H ealthView, Duke
Medicine’s patient
information portal, is nearly
almost immediately, said
McCallum, since patients
who get these tests are
Duke University Health System’s ongoing collabora-
tion with Durham community groups, leaders and
residents to improve health and health care access
two years old now and prov- usually familiar with took a major step forward April 28 with the launch
ing to be wildly successful. them and already manag- of a unique effort called Durham Health
The portal, at https:// ing cholesterol levels. Innovations (DGI).
healthview.dukehealth.org, But, to comply with state
DHI’s starting point is awarding grants that will
provides patients with an and federal regulations, support 10 collaborative DUHS-Durham planning
efficient, secure and easy-to- the results of some tests, efforts to address major health problems in Durham
use online tool combining such as HIV antibody County. The challenges range from adolescent
scheduling, clinical and tests, are blocked entirely health, asthma, cancer and heart disease to
diabetes, HIV/sexually transmitted diseases,
billing functions. from HealthView.
maternal health, pain management, substance
Its suite of tools, say John Anderson, abuse and seniors' health.
Duke Medicine leaders, M.D., chief medical
offers patients, providers officer of Duke Primary After the planning phase ends in December, some
of the 10 plans may be selected for further
and even the U.S. health Care, said that patients
development based on their potential for offering a
care system an exciting and and providers uniformly new approach to improving health in Durham.
empowering innovation. like HealthView.
The numbers agree. “Patients appreciate Partnering with the Durham community in this kind
of initiative is a high priority locally and a trail-
More than 100,000 the transparency and ef-
blazing step nationally in changing the face of
patients are now registered ficiency that HealthView American health care.
on the site. They’re using it provides, and the
around the clock and even physicians like the way “This is what true health care reform is all about,"
said Victor J. Dzau, M.D., president and CEO of
around the globe, logging on HealthView empowers
DUHS and chancellor for health affairs at Duke
from near and far to check their patients to be more University. "It’s our community taking charge of its
lab results, pay bills — total- involved in managing own health with DUHS offering its resources as a
ing more than $10 million so their own health care,” partner so that we can come up with the best path
far — and schedule follow- Posters throughout Duke Medicine clinics promote the HealthView he said. to better health for everyone in Durham.”
up appointments. portal to patients and employees alike. duke creative services Anderson and other The DHI initiative, announced at the 8th Annual
Duke Medicine em- Duke Medicine leaders Duke/Durham Health Summit, and the list of health
ployees and their families Clinic, said Rex McCallum, M.D., are encouraging all care challenges arose from months of collaboration
make up a quarter of the portal’s associate medical director, no-show employees to use and understand the involving hundreds of Duke representatives and
users, said Pete L’Engle, senior pro- portal, and to help patients see the more than 90 community agencies, organizations,
rates are down 10 percent. Patients
businesses and residents.
gram manager for eHealth in Duke who use HealthView actually miss value of the tools there. Posters and
Health Technology Solutions. He is fewer appointments than those who brochures promoting HealthView are DHI reflects a commitment by DUHS to create a
proud of the portal’s progress, and aren’t signed up for the system. prominently displayed now through- central role for the community itself to identify
anticipating more functions — many out DUHS clinics and waiting rooms. problems and define ways to deal with them.
That’s why physicians and
requested by patients themselves — clinic staff have actively encouraged “It’s good for the organization Lloyd Michener, M.D., chairman of the Department
over the coming years. patients to provide their e-mail as a whole because it’s very patient of Community and Family Medicine, said DHI offers
There’s no need to wait, though. addresses. Once a patient’s email ad- centered and also gives us a competi- a new vision: widespread, community-focused care
HealthView offers a number of very tive advantage in the marketplace,” convenient to work or home, better tracking of
dress is entered into the HealthView
how and where people access the health care
useful tools. system, he or she can create an said McCallum.
system, what care they need, what it costs, and
Through the portal, patients can account and make use of the site. Nationally, electronic medical what the outcomes are.
schedule their own appointments — (HealthView is not used by Duke records and online health informa-
routine, sick or follow-up visits, as tion vaults are seeing intense The information will be shared with the
Medicine for marketing purposes,
community and used to constantly refine the
well as annual exams — at all Duke and won’t use patient e-mail ad- development, as stimulus money
system to make it as efficient and as effective as
Primary Care practices, Duke Family dresses for messages unrelated to a from the American Recovery possible, Michener said.
Medicine and Duke Children’s person’s medical care.) and Reinvestment Act of 2009,
Primary Care. And when you realize “There are many community organizations that are
And, soon after an appointment, and products from Google and
already hard at work improving health care in
you’ve just scheduled your physical patients receive e-mail messages Microsoft, pour resources into the
Durham, but we know it is not enough,” said
exam for the same time as your about any laboratory results that technologies. Robert Califf, M.D., director of the Duke
daughter’s ballet recital, just click have been posted to a person’s Asif Ahmad, vice president of Translational Medicine Institute and co-chair of the
the Cancel Appointment button and account. Over the last year, patients diagnostic services and chief infor- DHI oversight committee. “The solution is not
start over. viewed one million results, with mation officer, points to the future going to be more money. The solution will come
from better coordination of effort, use of more
Advanced registration is also more than 300,000 of those results of HealthView, which will include
effective information technology and working
now available for many Duke clinics, reports annotated by providers in e-visits and secure communications together to identify and implement the best
so patients can fill out and update eBrowser to give patients clarity on between patients and their health practices from around the world.”
contact information prior to arriving what the results meant. care providers.
Funding comes from the National Institutes of
for an appointment. That means a Most lab results are available “With HealthView, Duke
Health and Duke Medicine. Each planning project
more efficient visit. to patients one to seven days after Medicine has an innovative suite will receive up to $100,000 to be used by the end
As an appointment day comes the test, though providers can make of tools that puts patients in control of the year. Each project then will be presented and
closer, patients receive e-mail remind- results available sooner. Lipid panel of their health care information,” evaluated to determine whether it moves forward
ers. Across the Private Diagnostic tests, for example, are available said Ahmad. n into the next phase.
4 Inside Duke Medicine June 2009

AT A G LANCE B ULLETIN S

■■ recognition

“ We hear all and see all, often serving as eyes, ears Heart Association
recognizes Duncan
and helpful hands for the other hospital teams.

—Bob Kelly, former director of Environmental Services
at Durham Regional Hospital. Read more on Page 8.
The American Heart Association is honoring
Duke’s Pamela Woods Duncan, Ph.D., PT, for
her outstanding service as chair of the Associa-
tion’s Stroke Council and for her many years of
membership on the Leadership Committee of
the Stroke Council.

Duncan is both the first


■ ■ I N S I D E view ■ ■ it fi g u r es
woman and first non-phy-
sician to serve as chair of
the council. Her two-year

1,000,000
tenure will be complete
this month. At Duke, Dun-
can is a professor in the
PAMELA WOODS Doctor of Physical Therapy
The number of lab results viewed by patients DUNCAN, Ph.D., pt
Division and senior fellow
in the HealthView portal in the last year. at the Duke Center for Clinical Health Poli-
cy research and the Duke University Center for
300,000 Study of Aging and Human Development.

Bridgette McNeill, AHA communications man-


The number of lab results annotated by ager, said that Duncan “has been instrumental
providers to give patients added information. in bringing awareness to stroke rehabilitation.”

Among her many contributions included lead-

100,000 ing a collaboration of the stroke rehabilitation


guidelines with Veterans Affairs and the De-
partment of Defense. She also spearheaded
The number of registered users in HealthView. the establishment of two new committees
Source: Duke Health Technology Solutions dedicated to stroke rehabilitation — the
Rehabilitation Prevention and Recovery Com-
mittee and the Quality of Care Committee.

“She has been a strong leader in advocat-


the big picture ing the mission of AHA and her tenure as
the Stroke Council chair is evidence of her
passion,” said John B. Ponzio, director of
AHA’s Professional Membership and Science
Marketing.

■ ■ du k e @ wo r k

July 1: Pay statements


go electronic
Starting July 1, 2009, Duke University and
Health System will transition to full adoption
of electronic pay statements for direct deposit.
Employees can easily access their electronic
statements via the Duke@Work Web site.

The useful Web site has already been embraced


by about one-third of Duke’s workforce to
eliminate printed pay statements and manage
personal information.

The final paper statements will be distributed


on June 25, 2009, for monthly-paid employ-
ees and on July 2, 2009, for biweekly-paid
employees.

This action is the latest in a series of steps


to reduce costs in an effort to address the
University's $125 million budget shortfall
and to reduce our environmental impact.

Eliminating paper pay statements was one


of the ideas submitted by faculty and staff
through the Enduring a Troubled Economy
Web site (http://www.duke.edu/economy/).
The Seese-Thornton Garden of Tranquility, after careful consideration and painstaking planning, has been moved east to make way for
the future construction of a cancer center. The garden, inspired by Rachel Schanberg and the Duke Cancer Patient Support Program, is Clear and concise instruction on the use of
intended to be a serene stopping place and a refuge for loved ones to memorialize those touched by cancer. Find the calming benches Duke@Work is available at http://hr.duke.
and inspirational pavers of the relocated garden outside Baker House. photo by bill stagg edu/selfservice/.
June 2009 Inside Duke Medicine 5

pat i e n t & fa m i ly c a r e

■ ■ event

Bringing families together National Exhibit


comes to Duke

New waiting rooms and pre-op areas offer comfort, privacy Against the Odds: Making
a Difference in Global Health

T he surgery rooms of Duke


University Hospital are beehives
of activity, but while patients there
Aug. 3 – Sept. 11
“Against the Odds: Making a Difference in
Global Health,” a touring exhibit from the
are getting top-notch care, their National Library of Medicine, will be on
families are on pins and needles display at the Duke Medical Center Library
elsewhere in the hospital. from Aug. 3 – Sept. 11.
Now, those family members The exhibit focuses on six areas in global
can be closer, and in a more com- health: community health, food for life,
fortable setting. action on AIDS, the legacy of war, preventing
A plush new waiting room and disease, and global collaboration. The project
is also a call to action to knowledge centers,
a pre-operative and post-anesthesia
academic and community leaders, students,
care unit (PACU) now cater to and citizens to get involved in solving
surgical patients and their families, preventable health issues, while celebrating
offering not only comfort but also what has already been accomplished.
areas more conducive to private
The exhibit includes compelling visual art
conversation. that captures, explores, and furthers
Perioperative Services unveiled ABOVE: The new surgical waiting room provides a comfortable and spacious place for understanding of the social aspects of global
the spaces in April on the third floor families to stay close to their loved ones in surgery. PHOTO ERIN PRATT BELOW: Betty health and is attached to a comprehensive
of Duke North in Zone 3400. Pearce, clinical nurse III, cuts the ribbon at the opening of the new area. PHOTO DUKE PHOTO website of activities, information, and
“These new spaces represent a resources. For more details, go to http://
flow in Perioperative Services. demonstrates our dedication to
apps.nlm.nih.gov/againsttheodds/
major improvement in the hospital, Patient advocate Cari Banks and the patients and their families who exhibit/index.cfm.
and reflect our commitment to trust in us. We want to make their
the patient visitor relation staff greet
making sure all our patients and up to 100 patients and their family experiences at Duke comforting and A variety of participatory events highlighting
visitors have the very best experience Duke’s global health research, service and
members each day. After welcoming of the highest quality.”
education projects will take place during
while at Duke,” said Kevin Sowers, the families into the patient care Staff in the waiting room and the exhibit. In September, a reception will
RN, MSN, interim CEO of Duke the PACU have be held for students, faculty and staff
University Hospital. seen an impact hosted by the Duke Medical Center Library
The waiting room and PACU
“We want to make patient experiences at and Archives, the Duke Global Health
on the patients.
greatly enhance the hospital Duke comforting and of the highest quality.“ Nursing staff Institute, and the Hubert Yeargan Center
for Global Health.
experience for families who are find that having
understandably worried about their areas, they ask families to complete the family present is helpful to them The reception will be held in the exhibit
loved ones, he said. surveys about their experiences in the and the patient. space, and will include short presentations, a
In the waiting room, one long digital display of photographs and stories
surgical waiting room. “It’s part of the healing process
from current faculty and students in the
wall has a large window that fills the “Our new visitation policy for the patient and helps them relax,” field, maps of Duke’s sites in the world, and
area with natural light and provides welcomes two family members in the said Banks. opportunities for informal conversation with
for a warm and welcoming environ- pre-op and post-op areas, and we are The new pre-op and PACU areas prominent global health leaders on campus.
ment. It’s a peaceful place for families finding from the surveys that family bring not only a new environment,
For more information about the exhibit and
as they wait, said Rebecca McKenzie, members appreciate being included but new technology, too, including related activities, please contact Megan Von
corporate associate for Perioperative in patient care,” Banks said. automated supply and medication Isenburg, vonis001@mc.duke.edu.
Services. The room seats 141 cabinets.
people and features larger seating, “It’s been like moving from a
reclining chairs, televisions and a home built in the 1960s and 70s ■ ■ online
quiet zone. to state-of-the-art accommoda-
“Patients’ families like to be tions,” said Priscilla Ramseur, Calendar connection
close to the operating room,” administrative director of Duke The Calendar page is absent from Inside
said McKenzie. “That was one North Operating Rooms. Duke Medicine this issue, but that doesn’t
of the guiding principles when The new PACU has 51 beds, mean you have to stay inside all month.
we designed this space.” four isolation rooms and four
Be sure to visit these
Before and after surgery, core workstations in the middle TUES
7 sites for plenty of
patients and families can get of the patient rooms. “The best EVENTS details about activities,
even closer. All patient areas in part is it all flows well together, events, fitness opportu-
the new pre-op and recovery and it brings us closer to the nities and health
area have privacy walls, which information seminars across Duke University
“Aside from training world class patients,” Ramseur said.
and Health System:
allow for secluded family visitation. surgeons, Duke Surgery strives to The changes, she said, are lead-
“We’re able to provide provide the highest level of patient ing to a higher sense of pride among Events@Duke
privacy to all of the patients and at care,” said Danny Jacobs, M.D., the care teams. “I’ve heard so many http://calendar.duke.edu
the same time allow families into the M.P.H., chair of the Department of positive comments from staff saying DukeHealth.org
patient care areas,” said Sue Ellen Surgery. “The implementation of our that this is definitely a reflection of http://www.dukehealth.org/events
Thompson, clinical director of patient new surgical waiting room further the reputation of Duke.” n
6 Inside Duke Medicine June 2009

recognition

Stars of our system


T he Strength, Hope, and Caring program
was developed to honor employees
whose extraordinary care reflects the ideals
Strength, Hope and Caring Overall Awards
that are valued in our organization. Overall Award Winners
Duke University Hospital launched the Duke University Hospital
innovative program in 2004. The goal was
to highlight members of the team whose ac- Jennifer Satterwhite, Nursing Care Assistant
tions epitomized service excellence through Neonatal Intensive Care Unit
Years of Service: 18
telling the stories of the impacts employees
Clinical Award
had on the lives of our patients and on our
One night, Jennifer, a nursing care assistant in the Neona-
team. tal Intensive Care Unit and a member of the bereavement
This unique method of recognizing committee, “tended to the needs of (three grieving)
families by providing them with whatever they needed,”
superior service delivery is now becoming wrote her nominator. “Jennifer deserves the Strength,
an integral part of Duke University Health Hope, and Caring Award because in one night she gave
System’s rewards and recognition programs. more than 100 percent.”
Last month, the winners of the annual
overall Strength, Hope and Caring awards Mike Canale, MS, RPh
Assistant Director, Pharmacy
at Duke University Hospital and the DUHS Years of Service: 5
Ambulatory Care Services Division were Non-Clinical Award
recognized at a gala event. Mike's nominator wrote: “One of our patients needed a
It is an honor to share their extraordi- medication that had to be (urgently) flown in. Mike
nary stories with you here. voluntarily drove to the airport to pick up the medication
and delivered it to the hospital pharmacy that evening,
staying many extra hours beyond his work shift. Not only
did he deliver the medication, he took the time to explain
the preparation process.”

Jennifer DeVries, RN, MSN, CNS, NNP


Advanced Clinical Practice
Years of Service: 8
Leadership Award
Jennifer created a program in the Duke Intensive Care
Jennifer DeVries, RN, MSN, CNS, NNP, demonstrated her
Nursery (ICN) called "Keep Your Eye on the Target" to
foresight and initiative when she created a program that
reduce cases of retinopathy of prematurity (ROP), a prevent-
helped reduce rates of a preventable form of blindness at
able form of blindness. Her nominator wrote: “As a result
the Duke ICN, and became a model for similar programs
(of the program), the Duke ICN has the lowest ROP rate in
throughout the country.
the network, and her program is now a model for many
ICNs across the country.”
Mark Shapiro, MD
Associate Director, Trauma, Critical Care,
Anne Bedoe, RN; Cathy Cronquist, RN; Juanita
General Surgery
Hughes, RN, BSN; and Brittany Watson, RN, BSN Years of Service: 2
Birthing Center
Physician Award
Team Award
Due to a car accident, an elderly couple was critically ill in
The team members were leaving work when Juanita noticed a the Emergency Department. Dr. Shapiro requested that the
man yelling for help in the front of the hospital. His wife was staff bring the husband to his wife's room so they could
Assistant Director of Pharmacy Mike Canale, MS, in labor and very near to delivering the baby in the car. As speak to each other one last time. And when the family
RPh, went above and beyond when he drove to the Juanita delivered and took the baby to the full-term nursery, decided to withdraw life support for the couple, the staff
airport to pick up an urgently needed medication Anne, Cathy, and Brittany stayed with the mother until the moved the husband to the room next to his wife’s room so
and then personally delivered the medication to the EMS unit could arrive. The baby and mother were both safe that the family could be with both as they passed away
hospital pharmacy. and well cared for, thanks to everyone's quick actions. within two minutes of each other.
June 2009 Inside Duke Medicine 7

Duke University Health System


Ambulatory Care Services Division

Michelle Edwards Clerical Manager, Clinic 1J/1G, Oral Surgery PHOTOS BY DUKE UNIVERSITY
Jennifer Asbell Nurse Manager, Duke Health Center at Morreene Road PHOTOGRAPHY
Carey Unger Health Center Administrator, Clinic 1L and Morreene Road LEFT: Michelle Edwards, Jennifer
Gavin Britz, M.D. Surgery–Neurosurgery Asbell, Carey Unger, and Gavin
Team Award Britz, M.D., displayed compas-
sion, stamina, and a positive
This team was nominated for their efforts in making sure patient care continued
attitude on an especially
to be the number-one priority during a particularly challenging day. Their nominator
challenging day.
wrote that several of them came in on their day off and maintained positive attitudes
throughout their shifts. BELOW LEFT: A real superstar,
Kim Harward, LPN, received
Kim Harward, LPN three nominations in one
Durham Pediatrics, North Duke Street quarter.
Years of Service: 28 BELOW RIGHT: Patient Advocate
Clinical Award David Myers' responsive care
Kim received three nominations in one quarter. One of her nominators wrote: “… she was noted by two different
reminds us daily of why we went into medicine and why we are still here. We are lucky to nominators.
have her inspiring presence with us every day and would be poorer people without her.”

David Myers
Patient Advocate
Years of Service: 2
Administrative Award for Ambulatory Services
David received two nominations, both from oncology patients and their families.
One nominator wrote: “He is incredibly professional and competent and has been
a pleasure to work with. It is a testimony to Duke that you have such employees
throughout all levels of the institution.”

Michael Smrtka, M.D.


Clinic 1J
Years of Service: 3
Provider Award
When a patient fainted, Smrtka immediately responded and stayed with her until she
could be transported to the Emergency Department. His nominators wrote: “He did
everything to make her comfortable even though his clinic (time) was over.” Smrtka
was also thoughtful to a transplant patient, who was inside most of time, by helping
her enjoy a trip outdoors.

LEFT: Mark Shapiro, M.D.,


shown here with the
extraordinary team from
2200, was recognized for his
leadership that ensured the
delivery of compassionate
and thoughtful care to an
elderly couple critically
injured in a car accident.

RIGHT: Dr. Michael Smrtka's


quick response and
attentive patient care
stood out and inspired his
nominators to recognize
him for his actions.
8 Inside Duke Medicine June 2009

on the job

Durham Regional environmental team goes the distance


W hen a patient leaves the inpatient
unit, it is the beginning of a
new challenge for Liz Wilkerson in
30 minutes to clean
Environmental Services. Before she begins cleaning a room, Liz
As a housekeeper who handles Wilkerson first enters her employee number
via phone into the tracking system. This is
discharge on units 5 and 7, Wilkerson is
how EVS can tell where employees are and
responsible for one of the most critical determine who can best help out when
elements of patient care—making sure needed. She then sprays and wipes the
the room is clean for the next patient. phone with Dispatch, a hospital spray
Wilkerson is part of the Envi- disinfectant, and begins her routine:
ronmental Services (EVS) Team at • Removes all items that can be moved
Durham Regional Hospital. Seventy- from the room, including the Alaris IV line,
seven in number, this team works linens and towels.
around the clock—cleaning every
• Empties the trash from room and
inch of Durham Regional’s 453,289 bathroom.
square-foot facility, including Lincoln
Community Health Center. • Sprays the bed thoroughly with Dispatch
and lets it set for at least two to three
The EVS team sees their work not
minutes while completing other tasks.
only as essential for creating a healthy
environment for patients, but also as an Leslie Poole and Judy Yarbrough use computer software to schedule and track hospital • Cleans the tray with Dispatch both inside
opportunity to make each patient they cleanings. Photo by tom wosters and outside the drawer.
see feel less anxious. • Dusts the TV and light fixtures.
“We try to see things through the Every day, patient hallways in inpatient rooms, discharges, isolation
• Sprays and wipes the clock, bed buttons,
eyes of the patient. They can often be the hospital are auto scrubbed by rooms and anything that is requested. vents, light switches and support railings.
very afraid, and we do what we can Gary Brook. “You have to be ready to go in
to make people feel safe,” said Fannie On the first floor of the hospital an instant for anything that comes • Dust mops the floor.
Edmundson, housekeeper. lies the “hub” of EVS activity. Judy up,” said James Sessoms, second shift • Carefully removes cords behind furniture.
The EVS team keeps infection Yarbrough, administrative assistant, supervisor.
control and prevention at the top of takes phone calls and monitors the Juan Rios, who handles trash • Cleans the shower, toilet, base boards,
their mind as they clean the hospital. chair rail and window ledge.
Discharge Bed Board System. With collection for the hospital, begins at
A good example is what’s required for 2:30 pm each day • Removes the foot of bed and the bed
a room discharge. As Wilkerson cleans collecting trash. frame to clean it.
room 7124, she takes care to complete “We try to see things through the eyes He goes to all the • Cleans cords from all remotes, pumps,
each step with precision and within the nurse stations, soil
of the patient. They can often be very blood pressure cuffs, and cleans all handles,
required 30-minute timeframe. (See holds and offices cabinets, mirrors and dry erase board.
sidebar for her routine.) afraid, and we do what we can to make and takes the items
• Makes the bed and mops the floor.
Vance Eichelberger is a floater who to the trash dump-
does whatever task is needed to help
people feel safe.“
ster. It takes a full • Signs out via phone and then cleans the
the team. He is often called to clean — Fannie Edmundson, housekeeper phone again.
shift for Rios to
the rooms designated as an isolation complete the task Wilkerson finishes by leaving a card stating
discharge. He follows the proper this computer system, Yarbrough sees for the whole hospital. In a typical she cleaned the room along with a number
Isolation Room Cleaning Discharge when discharge requests come through day, he walks three to five miles. to call for assistance or comments.
Procedures to include washing of walls and how long it takes. She can see who
and changing of cubicle curtains. Going the Distance
is busy and whose room is in progress.
In the Critical Care Unit, Tonya “On a typical day, we have a The average number of discharges at “The EVS team member is one of
Teague, housekeeper, has different request for 15 discharges in the system DUH each day is about 62, with the approximately 70 hospital employees
responsibilities. She cleans the whole at one time to be completed within 80 majority on first and second shifts. The the typical inpatient encounters during
unit, including patient rooms while the minutes,” said Yarbrough. “It can be team cleans about five to 10 isolation a four-day hospital stay. This is a lot of
patients are in the room and after they a lot of juggling. We often have to pull rooms a day. In addition to completing people, and there is a lot of anxiety for
are discharged. If she has extra time, another person to help depending on all the discharges, isolation cleaning, each patient. Our team has an enor-
Teague helps answer phones, brings what’s happening. For instance, if we floors, soil hold, cleaning all the mous opportunity to calm the patient’s
items to the patient and assists the get a call for a spill, I page whoever is inpatient rooms, EVS gets requests all fears by being a pleasant, familiar part
nurses with moving patients. closest to it.” day for things that come up. of their stay and providing comfort.”
“This is my unit, and I want to help “You have to be ready for the next Often, patients ask EVS to help
out as much as possible,” said Teague. Through the Night request in an instant,” said Sessoms. them with things that are unrelated to
Fannie Edmundson, housekeeper Environmental Services second and This work is completed with a cleaning, and they either assist or find
on Psychiatry, feels that it makes a third shifts have a total of 24 employ- smile and kind word. EVS’s customer the appropriate person who can assist.
big difference for patients that EVS ees. They work primarily on cleaning courtesy scores have steadily increased “We are an extension of every
sweeps and mops each patient room the Operating Room, Emergency in the last two quarters. care team. We go into every room and
every day, after asking the patient if Department, Labor & Delivery, ancil- “We think this is due to training talk to every patient. We hear all and
they have any allergies. lary areas (like Radiation Oncology, focused on seeing the hospital through see all—often serving as eyes, ears and
“Having their floors mopped seems Radiology Department, Lab, Special the eyes of a patient,” said Bob Kelly, helpful hands for the other hospital
to make patients feel better,” she said. Services, Medical Records), lobbies, former EVS director. teams,” said Kelly. n
The Science & Research Supplement to Inside Duke Medicine

VOLUME 18 NO. 6 n inside.dukemedicine.org n June 2009

in memoriam FEATURE

Saul Schanberg, M.D. PHOTO COURTESY


OF SCHANBERG FAMILY

Noted researcher
Schanberg dies
Internationally renowned neuroscientist
and physician, Saul Schanberg, M.D., Ph.D.,
76, died peacefully at home on May 15
after a long fight with cancer.

Dr. Schanberg was assistant director of


the Behavioral Medicine Research Program
for several years and held a Career Scientist The Health System and VA's expert infectious diseases team helped to coordinate an effective response against
Award from the National Institute of the possibility of a pandemic flu outbreak. PHOTO ILLUSTRATION BY VANESSA DEJONGH
Mental Health for much of his career. He
was professor of pharmacology and cancer

Responding to Swine Flu


biology at Duke until November 2008 and
served as chair of the Department of
Pharmacology from 1988 to 1991.

Schanberg’s discoveries By Kelly Malcom From leadership of the Center for HIV/ said Monte Brown, M.D., vice presi-

changed the way hospitals C hristopher Woods, M.D. MPH,


was at a conference in Italy when
reports of a novel strain of flu began
AIDS Vaccine Immunology to ongo-
ing virus research at the Duke-NUS
Graduate Medical School in Singapore,
dent of administration.
The Health System and VA have
several emergency response measures
and clinics worldwide care
appearing in Mexico in late April. Duke is well poised to address the in line for dealing with a potential
for premature babies. One of his first phone calls went to threats posed to human health by outbreak of pandemic influenza and
colleague Brett Caram, M.D., with other health threats,
Schanberg is globally recognized for his whom he’d done research on respira- measures developed
ground-breaking research on the
“Things were changing every 24 hours.
tory infectious diseases at the Durham over the past ten
importance of touch in normal growth
VA Medical Center. And on top of that, we were battling news years in response to
and development, finding that specific
Caram, too, had learned about several national and
types of touch led to better health and channels delivering all sorts of mixed
shorter hospital stays for premature the flu outbreak from email messages international events.
infants. His discoveries changed the way and infectious diseases listservs and messages. It was important that we provide “With the events
hospitals and clinics all over the world already was busy pulling together surrounding 9/11
care for premature babies. information to discuss with leaders
accurate and rapid information.”
and the subsequent
In addition, his research focused on identi- within the Duke Division of Infectious ­­— Brett Caram, M.D. anthrax attacks,
fying the biological mechanisms involving Disease. Colleagues Dennis Clements, followed a few years
central nervous system regulation of onto- M.D. and Dan Sexton, M.D. agreed pandemic flu and other diseases. later by SARS and avian flu, Duke,
genic growth and development of cell and that she would be the go-to person for Caram and the infectious diseases worked with local, state, and national
organ systems.
expertise, representing both the Health team worked with local and state public health institutions to develop
He is survived by his wife of over 50 years, System and the VA. hospital and public health care plans for responding to biological
Rachel Schanberg, retired founder and “Based on her research interests officials, including Duke’s new public and other threats to the health of our
director of the Duke Cancer Patient and experience, she was best suited to health epidemiologist Robert Willis, community,” said Woods.
Support Program; and his daughter Laura
take the lead on providing the necessary RN, and Jessica Thompson, director When the novel A:H1N1, or swine
Schanberg, M.D. Associate Professor and
Co-Chief Duke Division of Pediatric clinical expertise for coordinating a of emergency preparedness and plan- flu, began appearing in states surround-
Rheumatology. He is also survived by his response to a potential outbreak,” said ning, to review and refine a response ing North Carolina, Caram and Woods
sister, Betty Dyer. Woods, associate professor of medicine plan should the need arise. had the difficult task of reassuring
in the Division of Infectious Diseases. “Brett really stepped up to the patients and Duke-affiliated health care
At Saul’s request, donations can be made
to the Duke Cancer Patient Support Caram and Woods are just two plate to provide invaluable leadership providers, as well as providing up-to-
Program ENDOWMENT in memorium, examples of an impressive array of and clinical expertise during an intense
DUMC 3139, Durham, N.C. 27710. infectious diseases experts at Duke. period of emergency preparations,” see FLU, p.10
10 Inquiry June 2009

f e at u r e

FLU, cont.
date definitions and suggestions from Tips for avoiding the flu
the Centers for Disease Control and For important tips on remaining healthy
Prevention (CDC). through the flu season and during
“Things were changing every 24 pandemic flu, visit http://www.duke.
hours. And on top of that, we were edu/flu2009/index.html
battling 24-hour news channels that
were delivering all sorts of mixed
messages,” said Caram. “It was or B, and to begin to separate out
important that we provide rapid and potential novel cases from lingering
accurate communication.” Caram cases of seasonal flu,” said Caram.
was interviewed by the local media, Samples were then sent to the
and helped to deliver updates to the state lab and, if necessary, the CDC
community. for further sub-typing to see if they
Said Woods, “It’s kind of a were indeed A:H1N1.
trade-off — you want heightened Woods and Caram applauded
awareness but at the same time you the work of Employee Health, under
don’t want people to overreact. I think the leadership of George Jackson,
we did a good job as well as Duke Medicine admin-
Advice from Duke and state officials advised patients visiting doctor's offices with flu
at keeping that istrators in helping to facilitate a
symptoms to wear masks as a precautionary measure. FILE PHOTO
balance.” coordinated response to the swine flu
The infectious threat, including communication with team, employee health, local and the graduates and visitors.
diseases team ambulatory services, Duke Raleigh state health officials and the Duke “We’ve learned a number of
worked with the Hospital, Durham Regional Hospital administration. valuable lessons and recognized areas
clinical microbiol- and Duke University affiliated physi- The deft coordination of the for improvement over the past few
ogy laboratory cians throughout the region. flu emergency response teams was weeks,” said Caram.
to quickly bring “Duke employees can rest assured especially evident as Duke’s com- Added Woods: “Ultimately, we are
BRETT CARAM, M.D.
new diagnostic that they are in good hands when it mencement approached, directly in better prepared for what may happen
technology on line comes to emergency response,” said the middle of the outbreak. Woods, later this year or the following winter,
to most accurately test specimens from Woods. This sentiment was echoed with the help of Michael Merson, whether it’s related to this current
suspected flu patients. in a message sent out on May 7 by M.D., director of the Duke Global strain or not. We have the expertise
“Using gold-standard PCR Chancellor Victor J. Dzau, M.D., Health Institute, worked closely with and the flexibility to adapt to the
technology, we were able to determine detailing the robust preparation and vice president for student affairs Larry unique challenges presented by each
whether a patient had influenza A coordination of the infectious diseases Moneta, Ed.D. to ensure the safety of novel outbreak.” n

Saying goodbye to the Bell Research Building


I n early July, Duke will say
goodbye to a landmark
historical building. Piece by
contractors to ensure the safe-
ty of the demolition workers, as
well as the adjacent buildings.
The contractors will use dust control
measures, including misting water and
pre-filtration, to protect the surround-
piece, the Bell Building, once “As in any demolition project, ing buildings and equipment.
home for 60 years to dedi- safety is of the utmost concern The Bell Building cornerstone,
cated students, researchers, and and every effort will be made to plaques and entranceway will be
employees, will come down. ensure the safety of personnel preserved.
But don’t expect a giant, and property,” said Robinson. “While Duke is losing a building
swinging wrecking ball. The With that in mind, the entire site that’s played a significant role in
building’s proximity to Duke will be fenced off, with signage its history, we’re excited to embark
University Hospital necessitates to direct pedestrian traffic away on this step toward progress,” said
a careful demolition process. from the site. Robinson. n
The demolition contractor, The empty building will To find a list of the Bell Building’s former
D.H. Griffin, one of the The Bell Building will be carefully demolished in early July. first be disinfected. The whole occupants’ new locations—and read an article
Photo by mark schreiner
companies that facilitated the process is being overseen by about the building’s research legacy—visit
excavation of the World Trade OESO to assure the safety of the http//inside.dukemedicine.org.
manager of Facility Planning, Design,
Center site, will take the lead at bring- and Construction. “All the furniture workers, staff and visitors,” said Gary
ing the building down while salvaging in the building has either been Tencer, assistant director of OESO.
as much reusable material as possible. relocated with the occupants or sent The building will be dismantled from
“Several items from the building to Duke’s asset disposition warehouse within with walls, floors, and other
Science Editor: Kelly Malcom
have been removed and reused for donation to local charities. We materials removed first.
Inquiry features science and research-
elsewhere, include a cage washer, are trying to recycle 95 percent of the Once that process is complete
related news items from Duke Medicine News
electrical switch gear, card readers, demolished materials.” the actual demolition of the building and Communications and other Duke
fire extinguishers, and more,” said The Office of Environmental Safe- will begin in late June to early July departments. To submit content, contact us
Brendan Robinson, capital project ty (OESO) is actively working with the with about a two-month duration. at editorinside@mc.duke.edu
June 2009 Inside Duke Medicine 11

connections

Symposium highlights Singapore-Duke collaborations


W ith Duke-NUS Graduate
Medical School Singapore
moving to a state-of-the-art new
ing with David Matchar, M.D.,
director of health services research
at Duke-NUS, to explore how
tower and about to welcome its Singapore’s clinical registries can be
third class of medical students, a platform for scientific discovery.
founding dean R. Sanders Williams, Exploring the collaboration op-
M.D. and current dean Ranga portunities in cancer research, Patrick
Krishnan, M.B., Ch.B., wanted to Casey, Ph.D., senior vice dean of
feature another aspect of Duke’s research at Duke-NUS, explained the
presence in Singapore. work of Patrick Tan, M.D., Ph.D.,
So, they convened “East Meets on the Gastrome Project, which is
West: Singapore-Duke Research mapping gene expression signatures
Collaborations,” a day-long in gastric cancer. Tan has produced a
symposium held in the Levine Science graphical network showing 15,000
Research Center in May. That interactions of some 3,500 genes
meeting explored the various research implicated in that cancer.
programs and shared projects that are Tan’s research, said Casey, is an
bridging the faculty here in Durham example of how Duke investigators
R. Sanders Williams, Michael Merson and Ranga Krishnan discuss global health and
and 9,864 miles away in the island medical education at the May 7 East Meets West Symposium. Photo by duke photo
might connect to Duke-NUS.
nation of Singapore. “Your favorite gene is important
Williams, senior vice chancellor growing opportunities for Durham- Center for Global Health. Woods in cancer X, but you don’t know the
for health affairs, was a skeptic based faculty to collaborate with studies the etiology of febrile signaling networks most important
when first presented with the idea colleagues in Singapore. illness, and has found that fevers to its mechanisms of action. You can
of creating a Duke medical school Duane Gubler, Sc.D., is one of often associated with expected ask Patrick about your gene’s best
overseas. Now he’s an ardent them. An expert in dengue hemor- diagnoses are instead caused by friends in the gastrome, which will
advocate of the global outreach of rhagic fever and other vector-borne unexpected illnesses – for example, generate testable hypotheses about
the Duke medical faculty. infectious diseases, Gubler joined patients with fever in Malawi pathways in your system,” he said.
“The opportunity to partner Duke-NUS last year to lead the were presumed to be infected with Other presentations explored
with Singapore to create Duke-NUS Program for Emerging Infectious malaria, but instead were suffering the cardiovascular and metabolic
has turned out to be a golden one Diseases. from disseminated tuberculosis. disorders, clinical research on a
for Duke, and more and more “Emerging infectious disease Woods is collaborating with global basis, brain sciences, and
of our clinical and basic science epidemics are the greatest threat to Gubler and others at Duke-NUS translating the Duke medical
researchers are jumping in and Singapore’s economy,” said Gubler, to develop and test diagnostic curriculum to Singapore.
forming strong partnerships that explaining that Singapore’s role algorithms for a genomic approach Williams moderated a panel dis-
mirror the Duke and NUS collabo- as a regional financial center and to pathogen discovery. cussion at the end of the symposium,
ration,” said Williams. transportation hub exposes it to Similarly, Bart Haynes, M.D., asking six Duke leaders to share
Krishnan praised the efficiency of many tropical illnesses. He showed director of the Duke Human their perspectives on the Duke-NUS
the country, from the airport luggage a slide of the tangled web of air Vaccine Institute, is collaborating partnership and where it’s heading.
system to the way the nation’s routes that connect the earth’s with Duke-NUS to explore the “This is going to change
scientific establishment is helping to cities, depicting the ease with which development of therapeutic anti- Duke,” said Victor J. Dzau, M.D.,
support Duke-NUS. infectious diseases can now travel bodies and preventive vaccines to chancellor for health affairs, noting
“We are building a vibrant the world – a point underscored by combat diseases for which the body that together Duke and Duke-NUS
school in Singapore, and it is the A:H1N1 influenza outbreak in does not produce broadly neutral- are creating a vision for a 21st
important that we share our success the news last month. (See page 8.) izing antibodies. century global medical school.
stories in order to keep strengthening “All fevers are local, but some In a presentation on health For a list of Duke faculty
the connections between our two are more global than others,” said services research, Eric Peterson, currently collaborating with Duke-
campuses,” said Krishnan. Christopher Woods, M.D., MPH, M.D., MPH, praised Singapore NUS colleagues, go to http://
Presentations covered seven associate professor of medicine and for its advanced level of electronic inside.dukemedicine.org and search
programmatic areas and the a member of the Hubert-Yeargan health information. He’s collaborat- “Singapore faculty.” n

RE S EARC H NE W S ONLINE TOOL S MULTIMEDIA

Cancer and diet link MyResearch Research@Duke


Diets light in carbohydrates The new MyResearch portal, Watch a video about how the
appear to slow prostate tumor accessible to all faculty through lungs filter out potential harmful
growth, according to work by the Duke@Work self-service viruses, bacteria and pollutants
Stephen Freedland, M.D. Read website (http://work.duke.edu), at http://research.duke.edu/.
more about the findings along offers consolidated access to
with other research news at Duke-sponsored research admin-
http://www.dukehealth.org/ istration systems, research news,
HealthLibrary/News. and important Web sites.
12 Inside Duke Medicine June 2009

recognition

A season of awards
T he 2009 Spring Faculty meeting
was held on May 7 in the Doris
Duke Center to honor faculty from the
School of Medicine and the School of
Nursing for the 2008-2009 academic
year. Several awards and recognitions
were presented, including:

The Master Clinician/Teacher awards


This award recognizes those individuals with superla-
tive accomplishment and service in the areas of clinical
care and teaching.
This year’s awardees were Howard Rockman, M.D.,
Edward S. Orgain Professor of Medicine and chief
of the Division of Cardiology, Joseph Govert, M.D.,
Associate Professor of Medicine, and Richard
McCann, M.D., Professor of Surgery.

The Leonard B. Tow Humanism in Medicine


Award, provided by the Arnold P. Gold Foundation,
was awarded to Malcolm Stanley Branch, M.D.,
Associate Professor of Medicine.

The Leonard Palumbo Jr., M.D. Faculty Achieve- Brandon Cheng, ninth-grader at Enloe High School
in Raleigh, performed a musical interlude to begin
ment Award – Art Palumbo was on hand to witness
the En Memoriam section of the program. The Spring
the bestowing of a prestigious award named for his
Faculty Meeting annually remembers departed
brother, a noted Duke researcher and clinician. It was colleagues. ALL PhotoS by duke photo
given to Thomas D’Amico, M.D., Professor of Surgery
in the Division of Cardiovascular and Thoracic Surgery.
The Duke School of Nursing also recently
presented several awards, including:
Other awards included:
The Distinguished Alumna Award, which went
Gordon G. Hammes Faculty Teaching Award to Margarete Lieb Zalon, BSN ’69, Ph.D., RN.
to David C. Richardson, Ph.D., Professor of
Biochemistry The Distinguished Contributions to Nursing
ABOVE: Dean Andrews presents the faculty research prize Science Award, awarded to Linda Lindsey Davis,
Ruth and A. Morris Williams, Jr. Faculty Research to Erich Jarvis, Ph.D. BELOW: Duke-NUS professor Shirish Ph.D., RN
Prize to Erich D. Jarvis, Ph.D., Associate Professor Shenolikar chats with Sally Kornbluth and Ed Buckley.
of Neurobiology and HHMI investigator. The Outstanding Faculty Award went to Susan
Denman, Ph.D.
Research Mentoring Awards:
The Distinguished Teaching Award was given
Clinical: Harvey J. Cohen, M.D., Professor of to Midge Bowers, NP.
Medicine and Chair of the Department of Medicine
Mary Champagne, RN, Ph.D., was named the
Laboratory-based: Howard A. Rockman, M.D. Laurel Chadwick Professor of Nursing at Duke
University.
Translational: John R. Perfect, M.D., Professor
of Medicine and acting chief of the Division of Catherine Gilliss, D.N.SC., RN, Dean of the School
Infectious Diseases, and Bruce A. Sullenger, Ph.D., of Nursing and vice chancellor for nursing affairs,
Professor of Surgery and director of Duke was named the Helene Fuld Health Trust
Translational Research Institute. Professor of Nursing.

Last chance Online any time Next issue


Have you taken the Work Culture You can download a pdf of this issue, The next print edition will appear in
Survey yet? June 5 is the final day. suitable for emailing or printing, at late June. The deadline for submis-
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