Indiana University
IUSM IU
IU School of Medicine Office of Public and Media Relations

Current Issue
Event Reminders
Scope Submissions
Archives
Scope RSS | Event Reminders RSS | Print (.pdf)


IUSM Scope



June 24, 2011
Volume 15 Number 24 • Indianapolis, Indiana

Topics this issue:

Above the Fold

Arrow Center on stem cell research earns designation, others funded

The Vascular and Cardiac Center for Adult Stem Cell Therapy, directed by Keith March, MD, PhD, Cryptic Masons Medical Research Foundation Professor of Vascular Biology Research and professor of medicine and cellular and integrative physiology, is among three new research centers to be designated a 2011 Signature Center by IUPUI.

This center will conduct multidisciplinary research aimed at repairing and enhancing the function of cardiovascular tissues. The translation of adult stem cell research findings to cardiac and vascular disease will allows researchers in this center to explore novel approaches to repairing cardiac and vascular damage, and improve vascular function.

Three new centers also have been selected out of a pool of 19 applications to receive three-year funding under the Signature Centers Initiative Grant Program. The IUSM centers are:

  • The Center for Pancreatic Cancer Research, directed by Thomas Howard, Willis D. Gatch Professor of Surgery, MD, and Mark Kelley, PhD, Betty and Earl Herr Professor of Pediatric Oncology Research and professor of biochemistry and molecular biology. This center will promote understanding of the critical pathways and molecular mechanisms involved in pancreatic tumor development.
  • The Center for Brain Rehabilitation, Advanced Imaging and Neuroscience, directed by Flora Hammond, MD, Covalt Professor and Chair of Physical Medicine and Rehabilitation. This center will integrate and develop neuroimaging and behavioral measurement technologies to provide leading-edge integrated interdisciplinary methods for rehabilitative interventions in acquired brain injury.

These additional centers will be eligible for full Signature Center status following an initial, three-year review period.

For more information, visit the IUPUI Newsroom.

BACK TO TOP

Arrow Gallagher named associate dean for graduate studies

Patricia J. Gallagher, PhD, professor of cellular and integrative physiology, has been named associate dean for graduate studies.

Dr. Gallagher, who joined the IUSM faculty in 1992, succeeds Simon Rhodes, PhD, who has been named dean of the IUPUI School of Science. Dr. Gallagher’s appointment as associate dean for graduate studies is effective July 1.

She also is a member of the IU Simon Cancer Center.

For more information, see the IUSM Newsroom.

BACK TO TOP

Student Showcase

Arrow Mindfulness in Medicine — an ounce of prevention

In an effort to stimulate conversations about our campus environment, Scope presents another installment of Mindfulness in Medicine. This column, which first ran in September 2005 and returned in February 2011, aims to engage the IUSM community in discussion and reflection about our learning and working culture.

A Student Reports: On my last rotation in medical school I had an experience that all medical students should be aware of. I copied and pasted the past medical history of one of my patients from one of my resident’s previous note. In addition, I copied and pasted a long and complex problem list from another resident’s note for a patient that I had recently joined in on. At the time, I thought I was providing continuity of care and saving time. I saw nothing wrong in doing this because I had done it previously on many rotations and had seen many students, residents and attending physicians do the same. More to the point, I had actually been taught to do it by upper-level residents when I began my third-year clerkships.

When this was brought to my attention as a professionalism issue by the clerkship director, I was initially shocked. I felt unfairly singled out. Upon reflection, and after having done some research in this area, I realized that copying and pasting—while perhaps efficient in the short run—can have negative consequences that increase the risk of harm to patients. For example, if you’re in a hurry and copy and paste, it’s easy to forget to make the appropriate changes in a patient’s status or medications. This leaves the next person to care for the patient with an inaccurate chart. Also, it is important as medical students that we make our thought processes visible to those who evaluate us in order to demonstrate our clinical skills within and across cases.

Finally, in the age of social media and instant information, it is important to understand and uphold the principle of information integrity. Copying and pasting medical records is as much a breach of professionalism as copying and pasting from the Internet without citing sources. My main message is to always be mindful about your actions as you learn. Just because everyone else does it doesn’t make it right. As Ben Franklin reminds us, “An ounce of prevention is worth a pound of cure.” Tory R. Caudle, MS IV

Commentary: The copy-and-paste function in electronic medical record (EMR) systems has enabled clinicians to improve their work efficiency. However, as this Mindfulness in Medicine incident reveals, it can also have far reaching consequences; avoiding negative impact on patient care is first foremost. Copied and pasted notes that are not changed to appropriately reflect the patient’s most up-to-date clinical status and/or care plans can certainly create confusion and potentially cause harm to that patient.

For example, a recent medical note describing a physical examination claimed the patient’s "abdomen was soft, non-tender and without masses." The problem with this note, which had obviously been copied and pasted, was that it described a woman who was 32 weeks pregnant! Once an error or inaccuracy is copied into subsequent notes from one day to the next—or even from one admission to the next—it can not only adversely impact patients but also other health care colleagues, including physician colleagues, nursing colleagues and other allied health care personnel, all of whom depend on having accurate notes on which to act.

The ethical and legal implications of copying notes must also be considered. Medical records are legal documents and, as such, are subject to laws covering fraud and misrepresentation. For clinical trainees (medical students and post-graduate trainees), the act of copying and pasting someone else’s work and making it your own without appropriate attribution is called plagiarism—a serious breach of ethics and professionalism that can be grounds for dismissal from a medical school or training program. For practicing clinicians, this issue can lead to legal consequences—through either lawsuits if patients were harmed or through governmental audits of charts, with the latter potentially leading to significant governmental fines for the entire health care institution.

The practice of copying and pasting can also adversely impact teaching and learning clinical medicine. Copied and pasted notes have a very low likelihood of accurately reflecting the latest changes in a patient’s clinical status and care plans. Yesterday’s number one problem may have improved or even resolved—although it remains the number one problem in today’s copied and pasted note—while new and very pressing issues are commonly tacked onto the end of the note. This type of documentation practice does not reflect the critical thinking and prioritizing skills needed of highly effective clinicians. Yet, because it is quicker and seen as a “time saver,” clinical trainees may quickly and easily adopt this practice (as role-modeled by their seniors) into their own repertoire.

As clinical teachers, faculty and residents need to role model proper clinical documentation practices for the most impressionable learners—medical students—so good habits of critical thinking and prioritizing are taught and learned early. In addition, as illustrated by this incident, it is crucial medical students document their own work in order to demonstrate their growing clinical skills to their teachers. Even a student who copies and pastes their own notes—and therefore does not make all the appropriate changes to reflect developments in their clinical thought process—will create a detriment to their clinical performance and growth as a clinician.

Finally, as we consider the social contract we have with the public, the issue of copying and pasting stands out as one that could further erode the public’s trust in the medical profession and lead to more regulation by external authorities. Copying and pasting is a very pervasive problem and everyone, regardless of their place in the system, can be part of the solution. And remember, “Just because everyone else does it doesn’t make it right.” T. Robert Vu, MD, associate professor of medicine and medicine clerkship director, IUSM

Mindfulness in Medicine is an editorial collaboration among the Teacher-Learner Advocacy Committee, the Relationship-Centered Care Initiative and the Office for Medical Education and Curricular Affairs. Each column features true stories, letters, poetry or art from members of the IUSM campus community.

For more information on Mindfulness in Medicine, visit medicine.iu.edu/meca/publications/mindfulness-in-medicine-mandm.

To submit comments, questions, columns or ideas, email meca@iupui.edu.

BACK TO TOP

Faculty Development & News

Arrow Outreach clinic volunteers needed

Physician volunteers are needed for the IU Student Outreach Clinic at the Neighborhood Fellowship Church, 3102 East 10th St., Indianapolis.

IUSOC is a non-profit student-run clinic dedicated to providing free medical care and other services to the underserved and uninsured patients on the near-eastside of Indianapolis.It was created by students and faculty at the IU School of Medicine who recognized the many unmet medical needs of patients living in our area. The clinic is open most Saturdays from 10 a.m. to 2 p.m.

Volunteer responsibilities will include staffing each patient with students, reviewing and co-signing each visit chart before leaving the clinic, signing any necessary prescriptions (volunteers are asked to provide a script pad) and assess patient needs case by case to recommend the best approach to care, including patient education/information, referrals and follow up. All faculty staff physicians volunteering at the IUSOC will be covered by the School's malpractice insurance.

To volunteer, visit www.iupui.edu/~msaprjct/soc.

Questions to Yiping Li at liyip@iupui.edu.

BACK TO TOP

Events & Lectures

Arrow Scientific Writing from the Reader's Perspective

George D. Gopen, professor of the practice of rhetoric at Duke University, will present a two-day workshop on “Scientific Writing from the Reader’s Perspective,” from 8 a.m. to 5 p.m. on Monday, June 27, and Tuesday, June 28, in the Walther Hall (R3) Auditorium. Participants must be able to commit to both days.

Dr. Gopen is a pioneer in the mastery of scientific writing. His scientific clients have included the NIH, the FDA, Bristol-Myers Squib, Bayer, and Duke University School of Medicine.  His approach is based on a single idea: learning to write for the reader allows the writer to control what readers learn. 

This event is sponsored by the IUSM Office of Faculty Affairs and Professional Development, Indiana Clinical and Translational Science Institute (CTSI), and the IUPUI Office of the Vice Chancellor for Research.

BACK TO TOP

Arrow Kuali Coeus grant management training sessions

The IU Office of Research Administration will offer six training sessions on clinical trial grant administration using Kuali Coeus, a web based environment for development and submission of grant proposals, from 9 to 10:30 a.m. and 1 to 2:30 p.m. Monday, June 27; Wednesday, June 29; and Thursday, June 30, in the IUSM Library, room 225.

Kuali Coeus is an open-source system that will replace and build upon IU’s Electronic Research Administration system, as well as components of the Financial Information System and numerous other internal research administration systems and databases. The first phase of implementation will launch Saturday, July 23. Details at newsinfo.iu.edu/news/page/normal/17793.html.

To register for “Kuali Coeus Training for Clinical Trials,” visit researchadmin.iu.edu/Systems/KC/Training/kctrain.html.

BACK TO TOP

Arrow Methamphetamine workshop — June 29

The Indiana Public Health Training Center will host a half day workshop entitled “Meth: The User, Community, and Environmental Issues” from 9 a.m. to 12:30 p.m. Wednesday, June 29, at the IUPUI Campus Center.

Topics to be covered include working with meth users, current research and statistics in Indiana, and environmental hazards and cleanup procedures associated with methamphetamine use. Registration is $35 and includes all materials, breakfast, break service and parking.

To sign up, visit www.publichealthconnect.org.

BACK TO TOP

Arrow Medical career seminar series for undergrads

The IUSM Admissions Office will present three seminars featuring speakers knowledgeable about navigating the path of becoming a physician this summer from noon to 1 p.m. July 11-13 in the Riley Hospital Outpatient Center auditorium.

The schedule for the 2011 Summer Seminars for Undergraduates Interested in a Career in Medicine is as follows:

  • Monday, July 11: “Undergraduate Preparation for Medical School,” presented by Renee Akins, associate director of admissions
  • Tuesday, July 12: “Financing Medical School,” presented by Jose Espada, director of student financial services
  • Wednesday, July 13: “ Life as a Medical Student to A Career as a Physician” (panel discussion)

These seminars and panel discussions are intended for college students working on campus and interested in a career in medicine. The series is free and participants are welcome to bring their lunch.

Questions to Christina Johnson at 274-3772 or cjohnso3@iupui.edu.

BACK TO TOP

Arrow Women's health conference — save the date

The Indiana State Department of Health’s Office of Women’s Health and Maternal Child Health will present “Healthy Women, Healthy Hoosiers: Healthcare Practice Across the Lifecourse” Friday, Oct. 7, at the Marten House Hotel and Lilly Conference Center.

This a one-day regional conference will explore topics including cultural competency in patient practice, gender-specific mental health and emotional wellness, pre-natal substance use and abuse, engaging women of childbearing age, domestic violence, gender disparities and health equality. Health care providers, practitioners, social workers, nurses, substance abuse counselors and other public health professionals are encouraged to attend. The day will end with idea-sharing and networking.

Requests for proposals for conference speakers, presentations and posters and online registration coming soon.

Questions to Charrie Palmes Buskirk at 233-3833 or cbuskirk@isdh.in.gov.

BACK TO TOP

News to Use

Arrow Practitioner licenses expire June 30

This year is a renewal year for practitioner licenses. These licenses will expire Thursday, June 30.

Practitioners will receive only an e-mail notification and a postcard in the mail from the Medical Licensing Board (MLB) regarding the renewal. Practitioners who have not renewed their licenses by July 1 will experience suspended privileges until the Medical Staff Office receives notification of renewal from the MLB.

To renew, visit www.in.gov/pla/3121.htm.

BACK TO TOP

Arrow Parking permit renewals due July 1

This is the last week to renew parking permits for 2011-2012. The deadline on parking permit renewals is Monday, July 1. A and B permits are available as well as permits for numerous parking garages, including Vermont Street, North Street, Wilson Street, Riley and Indiana Avenue garages.

Additional parking and transportation options include an off-peak permit, for parking on campus between the hours of 2:30 p.m. and 8:30 a.m.; the car pool program, in which participants may choose from nearly 70 existing campus car pools; or “Jags Express GPS,” the campus shuttle service, now equipped with web-based GPS for tracking shuttles in real time. Includes pick-ups every 10 minutes from Indiana Avenue and Bush Stadium lots.

Also starting July 1, the H permit will be retired. Current H permit holders will be allowed to renew for a B permit through June 30.

For more information, visit www.parking.iupui.edu.

BACK TO TOP

Arrow Register for summer fitness courses

Group fitness courses focusing on a variety of workouts will be held this summer at 1 p.m. Wednesdays in in the Physical Education/Natatorium Building, room 156.

Students, faculty and staff who have paid the Rec Sports membership fee as well as those enrolled in the INShape IUPUI personal training program may participate. Others may participate for a minimal fee by contacting Jessica Velotta at jvelotta@indiana.edu.

This program is offered by INShape IUPUI in partnership with Intramural and Recreational Sports.

For more information, visit petm.iupui.edu/affiliates/INShapeIUPUI.

BACK TO TOP

Arrow This week on Sound Medicine

This week on Sound Medicine, new studies of the after-effects of liposuction reveal surprising results. Also, a University of Michigan study finds early signs of cardiovascular disease in children, and experts discuss techniques for teaching medical students empathy. Sound Medicine airs June 25 and 26 on WFYI, 90.1FM, and on many other public radio stations nationwide.

Sound Medicine is an award-winning radio program co-produced by IUSM and WFYI Public Radio (90.1FM). It is underwritten by IU Health, IU Health Physicians and IUPUI. Reports on Primary Health Care topics are sponsored by Wishard Health Services.

To listen online, visit soundmedicine.iu.edu.

BACK TO TOP

Opportunities

Arrow Women’s health fellowships – applications requested

The Foundation for Women's Wellness (FWW), a small nonprofit public charity, is offering two women's health fellowship awards to medical and graduate students working on women’s health research.

Applicants may be assisting with a women's health related medical research study or conducting work on their own. Each award will provide $3,000 for women’s health research.

Submission deadline is Thursday, Aug. 25. For more information, visit www.thefww.org/research/studentresearchaward.htm.

Questions to Sharon Cravitz at (303) 548-0595 or sharoncravitz@thefww.org.

BACK TO TOP

Arrow Merilyn Hester Scholarship — nominations sought

The IU Simon Cancer Center Merilyn Hester Scholarship is seeking applications from students who have a strong academic record, an outstanding character, and well-defined professional goals.

This fund was created to assist medical and/or PhD students pursuing degrees in biomedical sciences and who have demonstrated an interest and potential for conducting pediatric hematology or oncology research.

Awardees will be asked to submit a final one page summary documenting what the funding has meant to them, signed by their mentor. Funding is typically $8,000 a year with the number of awardees determined by the quality of applications and available funds in a given year.

For more information, download the complete application. Submission deadline is Friday, July 1.

Questions to Julie Driscol at 274-8909 or judrisco@iupui.edu.

BACK TO TOP

Arrow Staff Council Awards – nominations due July 1

The IUPUI Staff Council invites IUPUI employees to apply for the following awards and scholarships:

IUPUI Gerald L. Bepko Council Spirit Award: Recognizes a full-time IUPUI staff member who exemplifies the spirit of IUPUI by fostering collegiality, cooperation, creativity and innovation. This award is open to individuals or teams. Award includes $100 and a plaque.

Nan Bohan Community Engagement Award: Recognizes a full-time IUPUI staff member who exemplifies a culture of service and civic engagement on campus and in the community.  Award includes $500 and a plaque.

Carol Nathan Staff Council Scholarship: Recognizes full-time IUPUI staff with at least two years of service seeking a degree with at least 12 complete credit hours and a GPA of 3.0 or higher. Award includes $500 (split between the spring and summer semesters) and a plaque.

IUPUI Multicultural Impact Staff Award: Recognizes full-time appointed IUPUI staff who promotes a campus climate where diversity is valued and accepted, energies appreciation and understanding of cultures across the world or campions social justice for all who work at IUPUI. Award includes $1,000 and a plaque.

Self-nominations are welcome. Application deadline is 5 p.m. Friday, July 1.

For more information, visit www.iupui.edu/~scouncil/awards.

Questions to Karen E. Lee at klee2@iupui.edu.

BACK TO TOP

Grants & Funding

Arrow Research funding update

The IU Office of the Vice Provost for Research and the Office of the Vice Chancellor for Research offers weekly digests containing information about funding opportunities including those that limit the number of allowable pre-proposal or proposal submissions. These digests are broken into several catagories. They include:

BACK TO TOP

Around Town

Arrow Free cancer screenings at Victory Field

Volunteers from the IU Simon Cancer and IUSM Department Otolaryngology-Head and Neck Surgery, will offer free oral, head and neck cancer screenings to fans watching the Indianapolis Indians take on the Pawtucket Red Sox Sunday, June 26, at Victory Field. The free screenings will begin when the gates open at 12:30 p.m.; the game begins at 2:05 p.m.

Screenings will take place in a private tent area set up in the PNC Plaza inside the main fan entrance at Victory Field. The screenings, performed by a physician, are painless and involve a physical examination of the mouth, facial area and neck for abnormalities.

BACK TO TOP


 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.

BACK TO TOP

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.

BACK TO TOP

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, Fesler Hall, Research II, Walther Hall (R3) and the Cancer Research Institute (R4).

Announcements from departments and offices are welcome. To display your department or office announcement on MedTV, please read the MedTV guidelines and find our online submission form at communications.medicine.iu.edu/get-the-word-out/medtv.

Questions? Phone 274-7722.

BACK TO TOP

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.

BACK TO TOP

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.

BACK TO TOP