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IUSM Scope



July 2, 2010
Volume 14 Number 26 • Indianapolis, Indiana

Topics this issue:

Above the Fold

Arrow Wishard, Regenstrief earn top honors for health IT

Wishard Health Services and the Regenstrief Institute, Inc., have earned the 2010 President's Award for Health Reform Readiness and Leadership from the National Association of Public Hospitals and Health Systems (NAPH).

The award represents the NAPH's highest honor and recognizes the organizations' collective improvements in health care effectiveness, quality, safety and efficiency through the use of health information technology. Wishard and Regenstrief were presented the award June 25 at the NAPH Annual Conference in Denver.

The Wishard and Regenstrief partnership has produced groundbreaking work that provides the foundation for electronic medical record systems in use around the world. Accomplishments include:

  • An enterprise-wide health information network that includes comprehensive data for each outpatient, emergency and inpatient site
  • A secure comprehensive patient-oriented electronic health record that contains all data from each patient encounter
  • A utility through which providers can access information for individual patients in a format that enhances understanding of patients' conditions and the care received
  • A cadre of data managers and analysts capable of providing clinical leaders and administrators with summary data to support decision-making
  • A computer-based order-entry system used at all Wishard sites
  • A system that provides patient data to intervention teams when those at high risk for adverse events are identified

Improvements from these advancements include reducing redundant outpatient test orders, the time needed from admissions to the first drug administration, and adverse drug events and medication errors; lowering hospital costs; increasing the frequency of discussions about advanced care directives; and facilitating collaborative patient management.

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Indiana Clinic Updates

Arrow A letter from Indiana Clinic CEO John Fitzgerald

Dear Indiana Clinic Physicians and Staff:

In June, we continued our physician growth by adding two hospitalists to the Indiana Clinic. As of today, that brings our total number of physicians to 460 and our advanced providers and staff to 898 for a total of 1358. That number is expected to increase significantly as physicians and staff from the IU Department of Medicine and others join in the third and fourth quarters of this year. I will continue to share those numbers with you through this monthly letter.

Today, I want to provide an update on recent developments in healthcare reform and share with you how it will impact our mission to provide preeminent patient care. Last November, I stated my belief that the Indiana Clinic is well poised to respond to the demands of these imminent changes.

My colleague Neil Pickett, director of Health Policy Research, explains: "Healthcare reform will funnel over 32 million more people into the healthcare system, the aging of baby boomers will mean more strain on Medicare, and our nation's deficit will continue to affect the financial climate. These factors point to a wave of significant changes in the way healthcare is delivered and financed. The Indiana Clinic is positioned to get in front of that wave by helping to define the new model of accountable care."

In a nutshell, an accountable care organization (ACO) is a group of providers who manage the healthcare of a predetermined population and operate within a specific payment and performance measurement framework. ACOs seek to deliver higher quality of care at lower cost by being proactive (wellness and preventative care), collaborative (team-based patient management and improved coordination of care) and responsible (elimination of redundancy or unnecessary procedures), thus ensuring that patients receive the right treatment at the right place at the right time.

Financial incentives are outcome-based, which shifts the focus from the current high-volume and acute-episodic care model to a community model of quality and value. Targets that measure cost against performance are established; groups with costs that fall below their targets can share in those savings. Patient care management and coordination, wellness programs, chronic disease management initiatives and other innovative approaches that achieve better outcomes with fewer associated costs will result in greater reimbursement.

Key qualities of an effective ACO are: tight physician alignment within the system and across a broad spectrum of specialties, a robust primary care network focused on quality and outcomes, strong physician service-line leadership, investment and implementation of an electronic health record system, and decision support oriented toward the total managed care of its patient base. The Indiana Clinic is already doing most of these things.

Our mission of preeminence, by its very nature, is already aligned with the new model of accountable care. The Indiana Clinic can play a leading role in redefining healthcare and health through increased quality and cost effectiveness, optimal coordination of care, and increased individual empowerment and personal accountability for health outcomes. Embracing the accountable care model is not only necessary to thrive, but it is the right thing to do for our patients.

We are still refining this process, but we are looking forward to working with you to become a preeminent multi-specialty physician group that delivers accountability, as well as the highest quality of care. If you have any questions about accountable care organizations, please feel free to contact either Neil Pickett or me.

Sincerely,

John F. Fitzgerald, MD, MBA
CEO, Indiana Clinic
340 West 10th Street, Ste. 5100
Indianapolis, IN 46202

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Events & Lectures

Arrow International colloquium — early registration ends July 6

Early bird registration ends July 6 for the Joint Cochrane and Campbell Colloquium from Monday, Oct. 18, to Friday, Oct. 22, at the Keystone Resort in Keystone, Colo., located in the Colorado Rocky Mountains.

This international colloquium for those interested in comparative effectiveness research or evidence-based care is being held in the United States for the first time since 1998.

Plenary and keynote speakers will include Former U.S. Rep. Patricia Schroeder; Barney Cohen of the National Research Council; Fiona Godlee, editor-in-chief of the British Medical Journal (BMJ); Susan Love, founder of the Love/Avon Army of Women; and Zulma Ortiz of UNICEF Argentina.

For more information, contact colloquium planning committee member David Haas, MD, assistant professor of obstetrics and gynecology and medicine, at dahaas@iupui.edu.

To register, visit www.regonline.com/builder/site/Default.aspx?eventid=766689.

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Arrow Medical career seminars for undergrads

The IUSM Admissions Office will host three seminars featuring speakers knowledgeable about navigating the path to become a physician. All seminars will be held from 12 p.m. to 1 p.m. in Fesler Hall, room 319.

These seminars and panel discussions are intended for college students who are working on our campuses and are interested in a career in medicine. They are:

  • Wednesday, July 7: "Undergraduate Preparation for Medical School" presented by Renee Akins, associate director of admissions.
  • Thursday, July 8: "Life as a Medical Student to a Career as a Physician" panel discussion.
  • Friday, July 9: "Financing Medical School," presented by Jose Espada, director of student financial services.

This series is free and participants are welcome to bring their lunch.

For more information, call (317) 274-3772.

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Arrow Ball Gardens Concert Series presents guitarist

The Ball Gardens Summer Concert Series will present a performance by guitarist John Alvarado from noon to 12:45 p.m. Tuesday, July 13, in Ball Gardens, located between Ball Hall and the Riley Outpatient Center entrance.

This kid-friendly performance is free and open to everyone. A limited number of chairs are available, but audience members are welcome to provide their own blanket or lawn chair. If it rains, the concert will be cancelled.

The Ball Gardens Summer Concert Series is sponsored by the IU Foundation and the Department Of Music And Arts Technology at Purdue University. For more information, visit ballgardens.iupui.edu

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Arrow Webinar on minority research involvement

The Indiana Clinical and Translational Sciences Institute (CTSI) will host a webinar entitled "Distrust, Race and Research: Overcoming Barriers to Recruitment and Retention of Minority Populations," from 1 to 2:30 p.m., Wednesday, July 14, in the Riley Outpatient Center (ROC) Auditorium.

This webinar will address historical and contemporary barriers to the involvement of minorities in research. This session is one of the first of several learning opportunities that will be offered to the research community from Indiana CTSI. Topics will include:

  • Lessons learned from selected cases of research abuse involving racial and ethnic minority populations
  • Background and context of the U.S. Public Health Service Syphilis Study at Tuskegee, the subsequent presidential apology and NIH supported research initiatives designed to repair the damage caused by this study
  • The National Bioethics Research Infrastructure Initiative: Building Trust Between Minorities and Researchers
  • Preliminary data from a qualitative study of investigators, as well as survey data from institutional review board (IRB) members, IRB staff and researchers
  • A new conceptual model of the research continuum that serves as a viable framework for designing, implementing and evaluating measures that aim to overcome barriers to minority recruitment

A certificate of attendance (useful for Continuing Education Credits) will be available for all attendees who complete an on-line evaluation following the event.

For more information, visit www.primr.org/Conferences.aspx?id=8691&ekmensel=297ded8b_417_0_8691_1. To register for this event, go to doodle.com/cb2cayipg4n3rr67.

Questions to Brenda Hudson, recruitment manager for Indiana CTSI, at 278-0913 or brlhudso@iupui.edu.

 

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Arrow Learner-centered teaching in large classes seminar

The Academy of Teaching Scholars will host an online seminar entitled, "Practicing Learner-Centered Teaching in Large Classes," presented Carol Hurney, PhD, executive director at James Madison University's Center for Faculty Innovation, from 1 to 2:45 p.m. Thursday, July 15, in Fairbanks Hall, room 5005.

The "learner-centered" approach to teaching does much more than focus on students. It puts them front and center, allowing their decisions to shape the experience, the content, their involvement, and ultimately, the depth of their personal learning outcomes. While implementing such an approach can seem daunting, especially in large, lecture-style classes, a larger class doesn't have to mean an instructor-centered class.

Take the guesswork out of lesson plans and classroom time. This seminar will help instructors visualize learner-centered teaching through real-world case studies and proven techniques. Learn how to shift the balance of power to the students and prepare for incredible results.

This seminar meets the Academy of Teaching Scholars instructional strategies competency. Register at faculty.medicine.iu.edu/events.asp.

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Arrow ICEPHI presentation on public health surveillance

The Indiana Center of Excellence in Public Health Informatics (ICEPHI) will present "The Perceived and Real Value of Health Information Exchange in Public Health Surveillance" during the group's monthly work-in-progress from 12:30 to 1:30 p.m. Tuesday, July 20, in the HITS Building, Legacy Boardroom, second floor near the top of the stairs.

The topic presenter will be PhD candidate Brian Dixon, MPH, an information architect consultant and health information project manager at the Regenstrief Institute.

Everyone interested in public health informatics is welcome to attend. Participants are encouraged to bring a beverage; lunch will be provided.

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News to Use

Arrow Intercultural communication courses for health care professionals

The Office of Faculty Affairs and Professional Development American English for Internationals (AEI) program will offer two courses in Effective Intercultural Communication for Healthcare Professionals this fall. These courses are designed for international professionals desiring to be more effective communicators.

  • Accent Modification will be offered from 5 to 7 p.m. Thursdays, Aug. 5 to Sept. 23, in Methodist Hospital, Candlelight Room, A3050-A, with follow-up workshops scheduled Thursday, Nov. 18; Jan. 13, 2011 and March 17, 2011. This eight-week course, taught by experienced speech language pathologist specialized in accent modification, will provide participations greater awareness of the unique features of American English pronunciation patterns and accent, and how to modify an accent to more closely approximate the speech of native speakers of American English.
  • Conversational English will be offered from 5 to 7 p.m. Tuesdays, Aug. 17 to Oct. 5, in Methodist Hospital, Candlelight Room, A3050-A, with follow-up sessions scheduled Tuesday, Nov. 10; Jan. 25, 2011 and April 5, 2011. This eight week course, taught by a trained linguist and experienced teacher of English as a Second Language, will provide participants greater knowledge of some of the key elements of conversational skills, including the importance of cultural awareness, and a chance to practice these skills to become more effective communicators in both professional and social settings.

The cost for each course is $240 per registrant by July 15 ($280 after July 15) for IU/Clarian staff and $280 per registrant by July 15 ($320 after July 15) for non IU/Clarian staff. Scholarships are available for medical students and observers on an individual basis. Support provided by the IUPUI Office of Diversity, Equity and Inclusion.

Each course is accredited for 22 CME/CE hours awarded by the Indiana University School of Medicine. For more information, or to register, visit faculty.medicine.iu.edu/special/aei.html.

Questions to Dr. Poonam Khurana at pkhurana@iupui.edu.

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Arrow Brickyard 400 volunteers needed for cancer screenings

Volunteers are needed to assist with free oral, head and neck cancer screenings during the Allstate 400 at the Brickyard at the Indianapolis Motor Speedway. All volunteers will receive a t-shirt and a parking pass.

Volunteers are needed at the following times: 

  • Friday, July 23: Education Day at the Track, 11 a.m.-2 p.m. and 2-5 p.m.
  • Saturday, July 24: Screening Day, 9 a.m.-12 p.m. and 12 p.m.-3 p.m.
  • Sunday, July 25: Screening Day, 9 a.m.-1 p.m.

Last year, volunteers from the IUSM Department of Otolaryngology-Head and Neck Surgery; IU Simon Cancer Center and the Head and Neck Cancer Alliance screened more than 550 people for oral, head and neck cancer, as well as provided additional education and smoking cessation support.

For more information, or to sign up as a volunteer, contact Tamara Paal at 278-7272 or tpaal@iupui.edu.

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Arrow New graduate program for Health IT professionals

The Regenstrief Institute and the IU School of Informatics now offer specialized one- and two-year graduate programs to address a national shortage of highly-skilled health IT workers.

Applicants may include physicians, nurses and other healthcare providers, as well as IT and computer science professionals. Tuition support is available for the most qualified applicants. Programs are funded by a $1.4 million U.S. Recovery Act grant.

To learn more, or apply for fall admission by July 25, visit www.informatics.iupui.edu/HITtraining.

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Arrow IUSM Libraries announces changes to eRA Commons

As of July 23, PD/PIs will be unable to enter citations manually into eRA Commons and must use My NCBI's "My Bibliography" tool to manage their professional bibliographies.

In the interest of easing investigators' bibliography management, improving data quality, and ensuring compliance with the NIH Public Access Policy, eRA Commons has partnered with the National Center for Biotechnology Information (NCBI) to link NCBI's personal online tool, "My NCBI," to Commons.

My NCBI offers an online portal, "My Bibliography," for users to maintain and manage a list of all types of their authored works, such as articles, presentations and books.

For more information, visit nexus.od.nih.gov/nexus/nexus.aspx?ID=470&Month=06&Year=2010.

Questions to Beth Whipple, research informationist/assistant librarian, IUSM Libraries, at 278-6179 or ewhipple@iupui.edu.

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Arrow The new Outlook Web App

As Exchange mailboxes are moved as part of the Exchange 2010 upgrade, employees will experience the new Outlook Web App (OWA) when accessing their Exchange email online at www.exchange.iu.edu.

OWA offers a premium experience when you use Internet Explorer 7 and above, FireFox 3 and above, Safari 3 on a Mac and Google Chrome 5 and above.

A tutorial on the new interface is available from Microsoft at help.outlook.com/en-US/140/ms.exch.owap.MailPremium.aspx.

For more information, visit kb.iu.edu/data/ajjl.html.

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Grants & Funding

Arrow Research Funding Update

The IU Office of the Vice Provost for Research and the Office of the Vice Chancellor for Research offer a weekly digest containing information about funding opportunities including those that limit the number of allowable pre-proposal or proposal submissions. Digests are published on Wednesdays but may be sent more frequently if deadlines are urgent.

View the current Research Funding Update

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Opportunities

Arrow AAMC seeks resident nominations

Do you know of a resident physician or resident group doing notable work in your community?  The AAMC Organization of Resident Representatives is seeking nominees for its Resident Physician Community Service Recognition Award.

Nominations should be submitted no later than July 16 and to include the following:

  • Letter of nomination describing the nature of the nominee's community service
  • Notice of acknowledgment from an ORR member or GRA representative affirming the nomination
  • A letter from the nominee accepting the nomination and designating the charity to receive the donation
  • The nominee's curriculum vitae

Download a nomination form at www.aamc.org/members/orr/2010NominationForm.pdf. Nomination submissions via email are preferred.

For more information, contact Lisa Nelson at lnelson@aamc.org.

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Arrow Nominate a Life Sciences Champion

BioCrossroads is seeking nominations for the individual who has made the most positive impact on the growth of the state's life sciences sector to honor at the Indiana Life Sciences Summit Oct. 27.

The August Watanabe Life Sciences Champion of the Year award recognizes an entrepreneurial, research, corporate, medical, academic or philanthropic individual who has made particularly significant achievements in the development and promotion of Indiana's life sciences sector.

Last year, Richard DiMarchi, PhD, the Linda & Jack Gill Chair in Biomolecular Sciences and professor of chemistry at Indiana University and chief scientific officer of Marcadia Biotech, was recognized for his work bridging industry with academia, and bringing national attention to the life sciences efforts in Indiana.

Criteria for the award include:

  • Must be a resident of Indiana
  • Must be an individual supporting Indiana's life sciences growth via entrepreneurial, research, corporate, medical, academic or philanthropic work
  • Assessments based on cumulative contribution, not specific achievements over the course of a year.

In honor of the award recipient, BioCrossroads will give grants to two teachers in the science, technology, engineering or mathematics disciplines to pursue professional development through the Indiana Science Technology Engineering and Mathematics (I-STEM) Resource Network. The I-STEM Resource Network will select the teaching recipients.

Nominations are being accepted at www.biocrossroads.com. The deadline for submissions is Friday, July 16. Finalists will be selected in mid-September.

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Kudos

Arrow Johnstone named ARC President

Peter A.S. Johnstone, MD, chair of the department of radiation oncology and William A. Mitchell Professor of Radiation Oncology, has been named president of the American Radium Society (ARS).

Dr. Johnstone serves as a physician/researcher at the IU Simon Cancer Center and leads Indiana's only academic radiation oncology practice, which includes the Midwest Proton Radiotherapy Institute (MPRI) and the IU Cyclotron Operations, both at IU-Bloomington.

His appointment as ARS president lasts until May 2011. Previously, he served as president-elect from May 2009 to May 2010.

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Arrow Med-Peds members earn national leadership positions

Several faculty from the IUSM Medicine-Pediatrics ("Med-Peds") residency training program were  recently named to leadership positions nationally within the Med-Peds community. They are:

  • Mary Ciccarelli, MD, associate program director and past program director of the medicine/pediatrics resident program, has been named chair of the transitional care committee of the Medicine-Pediatrics Program Directors' Association.
  • Alex Djuricich, MD, program director of the medicine/pediatrics resident program, has been named to a one-year term as president of the Medicine-Pediatrics Program Directors' Association from July 2010 to June 2011.
  • Kim Paisley, MD, a first year medical student in the medicine/pediatrics resident program, has been appointed president-elect of the National Med-Peds Residents' Association effective July 1 through June 2011. She will subsequently serve as president from July 2011 until June 2012 and past president from July 2012 until June 2013.

The IUSM Medicine-Pediatrics ("Med-Peds") residency training program is the largest combined Medicine-Pediatrics ("Med-Peds") training program in the country. Current IU student interested in pursuing "med-peds" as a career may contact Dr. Alexander M. Djuricich at adjurici@iupui.edu.

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Arrow Menon named HHMI medical research fellow

Medical student Keshav Menon has been selected by the Howard Hughes Medical Institute (HHMI) as a 2010-2011 Medical Research Fellow. Seventy-four students from 26 medical schools and two veterinary schools were chosen as fellows from a pool of 274-the largest number of applicants in the history of the program.

For more information, visit www.hhmi.org/news/scholarsfellows20100622.html.

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Arrow Honors

Tatiana Foroud, PhD, has been selected to serve as chair of the Genetics of Health and Disease Study Section, Center for Scientific Review for the U.S. Department of Health and Human Services. Dr. Foroud is a Chancellor's Professor at IUPUI and the P. Michael Conneally Professor of Medicine and Molecular Genetics. Her service term will be July 1 through June 30, 2012.

Kinga Szucs, MD, associate professor of clinical pediatrics at IUSM, was one of 100 key health and policy leaders who met in Washington, D.C. in June to identify targeted strategies for establishing a national breastfeeding agenda as part of our nation's health reform. The meeting was in response to the recommendations made in the first annual summit held in June 2009. This year's summit, "First Food: The Essential Role of Breastfeeding," featured presentations by public officials, including Surgeon General Regina Benjamin, Vermont Gov. James Douglas, Oregon Sen. Jeffrey Merkley and New York Rep. Carolyn Maloney, as well as high-level officials from the FDA. The CDC, Chamber of Commerce, White House Domestic Policy Council, the HHS Offices of Women's Health and Minority Health, and the Indian Health Service, among other agencies, also participated. Dr. Szucs is a member of the American Academy of Pediatrics Section on Breastfeeding Executive Committee and the Academy of Breastfeeding Medicine Board of Directors.

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Around Campus

Arrow Jaguars license plate now available

IUPUI Jaguars plates are available through your local license branches. Display your IUPUI pride by asking for the IUPUI Jaguar specialty plate form.

A $25 fee payable at the time you purchase your plate is still in effect. This $25 supports the campus scholarship program.

For more information, visit www.alumni.iupui.edu. Questions to Yvonne Owens at (317) 274-5063 or yowens@iupui.edu.

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Around Town

Arrow Collect pop tabs to benefit Ronald McDonald House

Start collecting your tabs for the 6th Annual Pop Tab Drop on Monument Circle from 11 a.m. to 2 p.m. Friday, July 30. With a goal of 10 million tabs in just three hours, every tab counts.

Local personalities and Ronald McDonald will make special appearances and celebrity drops during the event. The world's largest pop tab will be available for photos, and kids will have a chance to win prizes playing the pop tab toss.

For more information, visit www.rmh-indiana.org/poptabs.html.

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 At Your Fingertips 

Arrow Continuing Medical Education

The Continuing Medical Education office launched a new and improved website at cme.medicine.iu.edu. In addition to online registration and listings of grand rounds, conferences and courses, the site provides in-depth tools and information for presenters and program developers. Included are forms, tips, links, contacts, maps, and a host of other handy resources to make it easier to participate in CME events, prepare a presentation or plan an event.

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Arrow Resources

Want to find a room that has a Polycom hook-up? Need official IUSM templates for your PowerPoint presentation or poster about a guest lecturer? Check out the new “Resources For” page on the IUSM web site. Resources For is accessible from the school’s home page (medicine.iu.edu) – look on the right-hand side of the page.

If you have suggestions of other resources that would be beneficial and could be added to this list, contact the Office of Public and Media Relations at medschl@iupui.edu.

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Arrow MedTV

The Office of Public and Media Relations now manages the MedTV screens on the medical school campus. This closed-circuit TV system, part of the IUPUI network, presents a wonderful opportunity for faculty, staff and students to communicate events and information of interest to others. It also serves as a source for broadcasting emergency information on campus.

The MedTVs are located in public areas of the HITS building, the VanNuys Medical Science Building atrium, the Daly Center, Research II, Walther Hall (R3) and the Cancer Research Institute (R4).

Announcements from departments and offices are welcome. To have your department or office announcements posted on MedTV, please read the MedTV guidelines: medicine.iu.edu/medtv. Questions? Phone 274-7722.

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Arrow Scientific Calendar online

A comprehensive listing on IUSM seminars, lectures and Grand Rounds can be accessed at the new Scientific Calendar website. To place items on the Scientific Calendar, please forward them to Kelli Diener at kas1@iupui.edu.

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Arrow Scope submission guidelines

Scope wants your news items.

The deadline for submission is 8:30 a.m. on Thursdays. Scope is published electronically and sent to faculty, staff, students, and residents on Fridays (except on holiday weekends when it is published on the following Monday).

There are three easy ways to submit story ideas or information to Scope:

  • e-mail the information to scopemed@iupui.edu
  • mail the information to Kevin Fryling, 1110 W. Michigan, LO 401, IUPUI
  • fax your information to (317) 278-8722

Contributions submitted by e-mail should be forwarded in 12 point, plain text format. Word document attachments in lieu of fliers are encouraged.

In the interest of accuracy, please do NOT use:

  • acronyms
  • abbreviations
  • campus building codes (use full, proper name of building and include the room number)
  • Dr. as a preface before names (designate MD or PhD)

To keep the electronic version of Scope as streamlined as possible, only seminars and lectures of general or multidisciplinary interest will be included.

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