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IUSM Scope



June 22, 2012
Volume 16 Number 24 • Indianapolis, Indiana

Topics this issue:

Above the Fold

Arrow Funding renewed for IU-Kenya international research ethics partnership

An international bioethics program at Indiana University and at Moi University in Kenya has been renewed for five years with a $1.25 million grant from the Fogarty International Center at the National Institutes of Health to the IU Center for Bioethics.

The Indiana University-Moi University Academic Research Ethics Partnership, or IU-Moi AREP, is an education, training and curriculum development initiative that builds on the longstanding partnership between IU and the medical school at Moi University in Eldoret, Kenya.

The partnership has developed parallel master’s degree programs in international research ethics at Moi and Indiana University-Purdue University Indianapolis, where the Center for Bioethics and the IU School of Medicine are located. Currently 20 students are enrolled in the programs, 17 of them at Moi. One of the key innovations in the program involves students traveling to the other university for up to six weeks to gain practical experience with ethical issues in another country.

“International health research continues to pose critical ethics questions and so we’re pleased to be able to continue the work of building joint capacity to anticipate and address these issues, whether in Kenya or the U.S.,” said Eric M. Meslin, Ph.D., director of the IU Center for Bioethics and program director of the IU-Moi Academic Research Ethics Partnership.

In addition to the master’s degree programs, the IU-Moi AREP has trained more than 200 students, faculty and administrators at Moi and IU in intensive three-day workshops, “Teaching Skills in International Research Ethics,” and specialized short courses. Workshops and short courses are offered by faculty from both universities on a rotational basis in Eldoret and Indianapolis.

Program leaders also will be working to develop philanthropic support, particularly to provide resources to enable students in Eldoret to travel to Indianapolis and vice versa. 

For more information, visit the IUSM Newsroom.

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Arrow Aging Brain Care model receives $7.8 million in innovation funding

IU has received a $7.8 million Health Care Innovation Award from the Centers for Medicare and Medicaid Services to expand the Aging Brain Care model developed by researcher-clinicians from the IU School of Medicine, IU Center for Aging Research and the Regenstrief Institute.

Based upon a successful pilot study conducted at Wishard Health Services, the new program will serve more than 2,000 Medicare beneficiaries with dementia or late-life depression who live in Marion County, Ind., evaluating the ability of the Aging Brain Care program to deliver better health care to older adults. The Centers for Medicare and Medicaid Services-supported expansion of the Aging Brain Care model to Wishard’s 11 community health centers will be led by Regenstrief Institute investigator Malaz Boustani, M.D., MPH, associate professor of medicine at the IU School of Medicine.

“The ABC growth will improve the quality and lower the cost of care for the most vulnerable population we serve,” said Dr. Boustani, associate director of the IU Center for Aging Research and medical director of the Healthy Aging Brain Center at Wishard. 

In a pilot study, the Aging Brain Care model has been demonstrated to reduce emergency department visits by 45 percent and hospitalizations by 54 percent, and to encourage use of medications that are not harmful to older brains. The ABC model broadens the definition of a patient to include family members who enable cognitively impaired and depressed individuals to live in the community.

Physicians, nurses, social workers and other staff members work closely with both the older adult and family caregivers -- in the exam room and in the home, as well as over the phone and via email -- to deliver care to improve both brain and physical health. This includes developing a personal treatment plan that typically includes recognizing potentially harmful medications, prescribing new medications, initiating brain and physical exercise regimens and working on reducing stress to improve daily life.

“The IU School of Medicine is delighted to learn of the Health Care Innovation Award to Dr. Boustani," said David Wilkes, M.D., executive associate dean for research affairs at the IU School of Medicine and the August M. Watanabe Professor of Medical Research. "This award is testament to his outstanding expertise in health care innovation and implementation science … and will leverage our partners in health care delivery at Wishard Hospital, IU Health and the Regenstrief Institute, amongst others. We are confident that patient care will benefit greatly due to studies supported by this award.”

In addition to the IU Center for Aging Research, Regenstrief and Wishard, partners in the Centers for Medicare and Medicaid Services-supported project are the Geriatrics Program of the IU School of Medicine, Indianapolis Discovery Network for Dementia, Indiana Clinical and Translational Sciences Institute, IU School of Medicine Simulation Center and the Indiana Network for Patient Care.  

Award recipients estimate that 25 jobs will be created over the three-year grant period for positions including advanced practice care coordinators, nurses, medical care coordinators’ assistants, social workers and a medical director.

For more information, visit the IUSM Newsroom.

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Arrow Cancer center patient to participate in bike ride fundraiser

Michael Brunsman, who was treated for leukemia at the IU Simon Cancer Center in 2001, will be among the bike riders participating in this year’s 24 Hours of Booty, the Official 24-Hour Cycling Event of Livestrong, to take place from 7 p.m. Friday, June 29, to 7 p.m. Saturday, June 30, at Butler University.

All funds raised through 24 Hours of Booty of Indianapolis will benefit the IU Simon Cancer Center.

At the age of 26, Brunsman was diagnosed with biphenotypic leukemia, meaning he had the rare combination of both acute lymphoblastic leukemia and acute myelogeneous leukemia. His physician discovered the condition after a visited prompted by a bout of flu-like symptoms and a headache, both of which persisted. Brunsman immediately began chemotherapy at the IU Simon Cancer Center and eventually received a bone marrow transplant.

Eleven years later, Brunsman enjoys his family and friends, works in management with UPS and cycles anywhere from 20 to 35 miles each week. Often, his father is cycling with him. He also returns to the cancer center for regular check-ups.

Brunsman, his father, and his wife, Jenna, will all participate in 24 Hours of Booty of Indianapolis next week and are all participants on the IU Simon Cancer Center’s team, Pedaling Cures. They hope to raise at least $1,000.

“I think 24 Hours of Booty coming to Indianapolis is a good way to draw attention to the IU Simon Cancer Center, not only for the wonderful treatments they provide to individuals, but for their compassion and concern that they give to every single patient,” Brunsman said. “They gave me a second chance at life.”

Lance Armstrong, founder of Livestrong, was treated and cured of testicular cancer by Lawrence Einhorn, M.D., of the IU Simon Cancer Center.

To participate in 24 Hours of Booty of Indianapolis -- a non-competitive charity cycling event geared for teams and individuals of all ages and cycling abilities -- each rider must to pay a $65 fee to register and raise a minimum of $200 before the ride.    

Participants can create their own team or join an existing group. To join the IU Simon Cancer Center team, Pedaling Cures, contact Theresa Vernon 317-278-2120 or tm5@iupui.edu.

To sign up and create a team, visit the 24 Hours of Booty of Indianapolis registration page.

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Faculty News

Arrow IUSM and Regenstrief scientists to pioneer underwater birth study

One of the first systematic investigations into the safety of in-hospital underwater births in the United States will begin this month as Jeanne Ballard, M.D., a medical informatics fellow at Regenstrief Institute, and Michael Weiner, M.D., MPH, associate professor of medicine, put the tools of medical informatics and outcomes research to work to improve reproductive health care.

More popular in Europe than in the United States, underwater births have been growing in number in both Europe and the U.S. over the past decade.

"Proponents of natural childbirth believe that water birth decreases the need for medical interventions in labor and offers a less traumatic birth experience for the infant," Dr. Ballard said. "Skeptics cite the lack of rigorous scientific study of this therapy and point to case reports of complications in both the mother and infant. However, there is little data out there to support either side."

An obstetrician/gynecologist with more than 16 years of experience delivering babies, Dr. Ballard practices at HealthNet, a community-based, federally qualified health center that offers underwater birth to low-risk patients. She will conduct an analysis of the past five years of underwater deliveries by HealthNet midwives, looking at such things as maternal blood loss, fetal respiration and other indicators of maternal and baby health, to determine the safety of the delivery method.

The underwater birth study is supported by a grant from the Indiana Clinical and Translational Sciences Institute Community Health Engagement Program. It is one of seven community health grants given this year to support projects that involve collaboration between an academic health researcher and community partner.

“This partnership between an academic and a community-based health institution provides us with a special opportunity to generate evidence and improve our understanding about an important public-health issue,” Dr. Weiner said.

With this and other studies, including an ongoing fellowship project to determine the safety of surgical mesh used in pelvic prolapse procedures, Dr. Ballard aims to help the field of obstetrics/gynecology catch up with internal medicine and other specialties that have already harnessed the power of health information technology to improve outcomes.

"The opportunity to develop ways to track and affect patient safety may ultimately influence national policy,” Dr. Ballard said.

For more information, visit the IUSM Newsroom.

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Arrow Curriculum Council seeks director for problem-solving competency

The IUSM Curriculum Council is seeking a director for the problem-solving competency.

The primary objective of this position is to facilitate the teaching, assessment, development and documentation of students’ competence in the area of problem solving. The director will work closely with course and clerkship directors, faculty from all IUSM campuses, students, competency directors and the Office of Undergraduate Medical Education.

This position will chair the “Competency 8 -- Problem Solving Team,” which focuses on reviewing and assigning competency grades; improving and assessing the problem-solving portion of the competency curriculum; managing the statewide Script Concordance Test; and reviewing competency-related course management materials in the Database of Competency Curriculum for use by faculty and students. The competency director also works with IUSM educators in developing and implementing a new integrated competency-based curriculum for all four years of medical school.

Candidates must have interest and experience in medical education and/or methods of adult education and have a written commitment from their department chairman to protect a minimum of 20 percent FTE for this educational administrative role. The Dean’s Office will provide $20,000 to the competency director’s department or unit annually to help pay for their time.

Interested individuals should submit a letter of interest, a CV and a letter of support from their department chair that specifically addresses the candidate's protected time for the position to the Office of Undergraduate Medical Education at ume@iupui.edu.

Applications should be received no later than Friday, July 13.

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Events & Lectures

Arrow Public Health to screen HBO documentary on obesity

The Department of Public Health will host a free, two-day screening and discussion on "The Weight of the Nation," a four-documentary series from HBO, from noon to 5 p.m. on Tuesday, June 26, and Wednesday, June 27, in the IUPUI Campus Center theater.

“The Weight of the Nation” is a presentation of HBO and the Institute of Medicine, in association with the Centers for Disease Control and Prevention and the National Institutes of Health, and in partnership with the Michael and Susan Dell Foundation and Kaiser Permanente. In this four-part documentary series, each section features case studies, and interviews with our nation’s leading experts and individuals and their families struggling with obesity. Section titles are “Consequences,” “Choices,” “Children in Crisis” and “Challenges.” Learn more about the documentary.

Registration will be from noon to 1 p.m., with each section to screen from 1:15 to 2:25 p.m. and 2:45 to 3:45 p.m. Discussion will be from 4 to 5 p.m.

Fresh fruit and water will be provided. To register, visit the Indiana Public Health Training Center website.

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Arrow Final Memory University presentation — June 28

Sara A. Blackburn, D.Sc., R.D., clinical associate professor of nutrition and co-director of the dietetic internship in the Nutrition and Dietetics Program, School of Health and Rehabilitation Sciences, IUPUI, will present “The Importance of Diet and Nutrition As We Age” from 1:30 to 2:30 p.m. Thursday, June 28, in the Riley Outpatient Center auditorium.

Dr. Blackburn is a registered dietitian whose interest in the importance of nutrition for seniors stems from her work in long-term care. Dr. Blackburn will present insights on nutrition for seniors. 

Memory University is a program for professionals and families to learn more about Alzheimer's disease from nationally known clinicians affiliated with the Indiana Alzheimer Disease Center.

For more information, visit the event flier. To register, contact 317-274-4939 or dwert@iupui.edu.

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Arrow Merrill Grayson Memorial — June 29

The Department of Ophthalmology will host its annual Residents’ Day and Alumni Day starting at 8 a.m. Friday, June 29, in Spitzberg Hall at the Eugene and Marilyn Glick Eye Institute.

The day’s program will consist of scientific presentations from second- and third-year residents as well as a memorial service for Merrill Grayson, M.D., at 2:30 p.m. Dr. Grayson served as chairman of the Department of Ophthalmology on several occasions during his tenure at the IU School of Medicine and continued to be generous with his time and talent until his death Jan. 31 at age 92.

Lunch will be served. Following the memorial service, IU Ophthalmology residents and alumni are invited to a graduation dinner at the JW Marriott Hotel in Indianapolis.

For information, or to register, contact phannah@iupui.edu

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Arrow Bioethics discussion on studying safety of approved drugs

The IU Center for Bioethics will co-host a panel presentation on the “Ethical and Scientific Issues in Studying the Safety of Approved Drugs” from 3 to 4 p.m. Wednesday, July 11, at the Health Information and Translational Science (HITS) Building, Room 1110. 

Panel presenters are Sir Alasdair Breckenridge, chair of the Medicines and Healthcare Products Regulatory Agency, London, U.K.; Bruce Psaty, M.D., Ph.D., professor of medicine, epidemiology and health services and co-director of the Cardiovascular Health Research Unit at the University of Washington; and Eric Meslin, Ph.D., director of the IU Center for Bioethics and associate dean for bioethics at the IU School of Medicine. Breckenridge, Psaty and Meslin were members of the Institute of Medicine Committee on Ethical and Scientific Issues in Studying the Safety of Approved Drugs, whose recently published report is the focus of the panel.

This event is co-hosted by the IU Center for Bioethics; Indiana Clinical and Translational Sciences Institute; Regenstrief Institute; Office of the Executive Associate Dean of Research, IU School of Medicine; and the Indiana Institute for Personalized Medicine

For more information, contact Eva Jackson at 317-278-4034 or evajacks@iupui.edu.

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Arrow Presentation on neuronal development and signaling

Mingjie Zhang, Ph.D., chair and professor of biochemistry at the Hong Kong University of Science and Technology, will present “Scaffold Proteins in Neuronal Development and Signaling” from 10 to 11 a.m. Monday, July 2, in the VanNuys Medical Science Building, Room 326.

Refreshments will be served at 9:30 a.m. This event is present by the IU Department of Biochemistry and Molecular Biology.

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Arrow Learn to use EndNote X5

The Ruth Lilly Medical Library will offer a class on EndNote X5 from 10 to 11:30 a.m. Thursday, July 12, in the IUSM Library, Room 227.

The class will provide an overview on how to use EndNote X5 bibliographic software in the medical sciences.

For more information, contact Sherry Kieper, EndNote coordinator, at skieper@iupui.edu.

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News to Use

Arrow Submit your news to Scope this summer

This may be the first week of summer, but Scope still needs your news. Let the IUSM community know how your department, unit or campus is keeping busy as temperatures rise via the Scope submission email at scopemed@iupui.edu. Events, awards, general news tips and other information are welcome. Submissions about student activities and news from the nine IUSM campuses across the state are especially encouraged.

The deadline for submission is 8:30 a.m. Thursdays. Photos are encouraged with submissions for use on the IUSM homepage or social media channels. Items also may be considered for promotion on MEDTV, the IUSM digital signage system.

More information about how to submit new tips to Scope is available below.

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Arrow Angel course management system termination reminder

The School of Medicine is transitioning from Angel to Oncourse, the learning management tool used by Indiana University. On Aug. 15, Angel will no longer be used as the IUSM course management system. Support is available for faculty and students during this transition period.

Faculty or learners who have materials on Angel that they will need at a later date must save their files to another location by Aug. 15. 

For more information, visit the IUSM Oncourse Transition Web page.

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Arrow TIAA-CREF retirement consultant sessions

IUSM employees with TIAA-CREF retirement accounts may schedule a meeting with company representatives Tuesday, June 26, in the IUPUI Campus Center, Room 148, or Wednesday, June 27, in the IUPUI University Library, Room 2115G.

To schedule an appointment, register online or call 317-706-6200 and ask for the appointment desk.

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Arrow HDHP and HSA info session — June 28

University Human Resource Services will host an interactive webinar for employees enrolled in the High Deductible Health Plan and Health Savings Account from noon to 1 p.m. Thursday, June 28.

The session will provide a refresher on the basics of the medical plan and health savings account. Topics include:

  • Basics of the HDHP — deductibles, copays, prescriptions
  • Basics of the HSA — how and what it can be used for
  • Resources to help optimize the HDHP with HSA.

To attend the session, visit the registration page and connect to the meeting as a “guest.”

Family members are welcome to attend.

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Arrow This week on 'Sound Medicine'

This week on "Sound Medicine," listenters will meet "Bert," a heroin user who has became a valued employee of the ALIVE program, or AIDS Linked to the Intravenous Experience, a research program on HIV and injection drug use at Johns Hopkins University. ALIVE is celebrating its 25th year.

Also on this week's program, health policy expert Aaron Carroll, M.D., responds to an Institute of Medicine report about the barriers that impede healthy eating habits in our culture; Rosanne Leipzig, M.D., discusses a a survey by the John A. Hartford Foundation that found many seniors are not receiving preventive medical care; and author Tim Caulfield discusses his book, “The Cure for Everything: Untangling the Twisted Messages About Health, Fitness and Happiness.”

“Sound Medicine," an award-winning radio program that covers controversial ethics topics, breakthrough research studies and the day-to-day application of recent advancements in medicine, is co-produced by IUSM and WFYI Public Radio and underwritten by IU Health Physicians and IUPUI. The program next airs at 2 p.m. Sunday, June 24, on WFYI 90.1 FM, and is also available via podcast and Stitcher Radio for mobile phones and iPads. Reports on Primary Health Care topics are sponsored by Wishard Health Services.

For more information, visit the IUSM Newsroom. To listen online, visit the "Sound Medicine" website.

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Opportunities

Arrow Grant for the purchase of biospecimens — letter of intent due June 29

The Fairbanks Institute for Healthy Communities is seeking applications for the purchase of phenotypic-rich biospecimens from INbank. Awards for the purchase of specimens are based on scientific funding that could generate extramural funding or novel intellectual property.

The maximum amount for this award is $50,000, with several awards to be distributed based on the number and type of biospecimens requested. Full-time faculty with a rank of assistant professor and above from Indiana University, Purdue University or the University of Notre Dame are eligible to apply.

The submission deadline for letters of intent is 5 p.m. Friday, June 29, and applications are due by 5 p.m. Monday, Oct. 1.

To access complete application information, including eligibility guidelines, submission forms and a proposals presentation checklist, visit www.indianactsi.org/grants. Log in using your institutional username and password and select "Fairbanks Institute: Funding for the Purchase of Phenotypic-rich Biospecimens - 2012.10."

For more information, visit the Fairbanks Institute website or email info@indianactsi.org.

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Arrow IUPUI Staff Council Scholarship applications due July 1

Applications are open for the Carol D. Nathan Staff Council Scholarship. Applicants must be a full-time IUPUI staff employee with at least two years of service who is pursuing an associate, baccalaureate or graduate degree at IUPUI and who has completed 12 credit hours at IUPUI with a GPA of at least 3.0.

The scholarship is worth $500 total: $250 awarded at the beginning of the fall and spring semesters, provided the recipient is currently enrolled for at least three credit hours.

For more information or to apply, visit the IUPUI Staff Council Web page.

Application deadline is Sunday, July 1.

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Arrow Nominate a distinguished professor, others

Nominations are sought for Distinguished Professorships, Distinguished Teaching Awards, Associate Instructor Awards, and the Ehrlich, Pinnell and Ryan awards.

Nominations and supporting documentation must be submitted electronically for all awards.

The due date is 5 p.m. Monday, Oct. 15. To submit a nomination, visit the Office of University Ceremonies Web pages and enter your CAS username and password to access the submission form.

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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 weekly digests containing information about funding opportunities including those that limit the number of allowable pre-proposal or proposal submissions.

Funding opportunity categories include the sciences, limited submissions, technology and multidisciplinary:

To subscribe to these updates by email, visit this page.

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Kudos

Arrow White House honors Harris for contributions to Health IT

Lisa Harris, M.D., CEO and medical director at Wishard Health Services and associate dean for Wishard Affairs at the IU School of Medicine, is one of 82 health care providers from across the country whose progress in health IT was recognized by the White House and U.S. Department of Health and Human Services at a Health IT Town Hall event June 19 in Washington, D.C.

Dr. Harris is also John F. Williams Jr., M.D., Scholar and associate professor of medicine at the IU School of Medicine. Alan Snell, M.D., chief medical informatics officer at St. Vincent Health, was honored at the White House event as well.

During the town hall, Dr. Harris and other honorees spoke to senior White House and Health and Human Services officials about progress and barriers to a national health IT system, and shared insights on the important role that health IT programs, such as the Beacon Community Program, have played in helping them implement electronic medical records and support health care improvements through IT-enabled interventions.

“I am honored to join Dr. Snell in representing the Indiana Health Information Exchange and the Central Indiana Beacon Community at the White House,” Dr. Harris said. “Indiana is recognized as a national leader in health IT. I look forward to sharing how what we’re doing right here in our community is helping to enhance the effectiveness, quality, efficiency and safety of health care delivered across the country.”

Wishard and St. Vincent have been participants in the Central Indiana Beacon Community since the program launched in 2010. The Central Indiana Beacon Community, centrally organized by the Indiana Health Information Exchange with support from the Office of the National Coordinator, serves 46 counties in Indiana, including the cities of Anderson, Bloomington, Carmel, Columbus, Fishers, Indianapolis, Kokomo, Logansport, Marion, New Castle, Noblesville, Plainfield and Richmond. The goals of the program including using electronic medical records to support better chronic disease management, better utilization of healthcare services, timely preventive care services and the meaningful use of health information technology.

Early results from Central Indiana Beacon Community are already demonstrating improvements in target areas, including increasing the percentage of patients receiving colorectal cancer screenings by 8.5 percent from March 2010 to December 2011.

“Dr. Harris and Dr. Snell are trailblazers for improving healthcare through the implementation of innovative health IT solutions,” said Harold J. Apple, CEO and president of Indiana Health Information Exchange. “We are fortunate to have such dedicated health advocates in Indiana committed to establishing a health information exchange model for the nation.”

For more information, visit the IUSM Newsroom.

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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 other useful 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” page on the IUSM web site. This section is accessible from the left-hand side of the school’s home page at medicine.iu.edu.

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 manages the MEDTV screens on the medical school campus. This closed-circuit TV system, part of the IUPUI network, presents an opportunity for faculty, staff and students to communicate events and information of interest. It also serves as a source for broadcasting emergency information on campus.

The MedTVs are in public areas of the HITS building, the VanNuys Medical Science Building atrium and corridor/lounge, the Daly Student Center, Fesler Hall, Gatch Hall (formerly Clinical Building), Research II (R2), 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, read the MedTV guidelines and find our online submission form at communications.medicine.iu.edu/get-the-word-out/medtv.

For more information, call 317-274-7722.

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Arrow Scope submission guidelines

Scope wants your news items.

The deadline for submission is 8:30 a.m. Thursdays. Scope is published electronically and sent to faculty, staff, students and residents on Fridays, except on holiday weekends. Photos are encouraged with submissions and also may be used on the IUSM homepage or social media channels.

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, IU Communications, 251 N. Illinois St., North Tower, Suite 300, Indianapolis, IN 46204 (Campus mail; no postage required)
  • 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 M.D. or Ph.D.)
  • For more info, see the Scope Style Guide (PDF)

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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