VCU DGIM NEWSLETTER SPRING 2016

Photo Credit: Lena Rivera

NEW ONLINE INFO REPOSITORIES DIVISION HIGHLIGHTS UPCOMING EVENTS

SCHOLARSHIP & RESEARCH UPDATES

IN THE SPOTLIGHT

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“We must dare to be great; and we must realize that greatness is the fruit of toil and scarifice and high courage.”

-Theodore Roosevelt

A SPRING TOWARDS BEING

Photo Credit: Lena Rivera

NEW INFORMATION REPOSITORIES

DGIM NEWSLETTER SPRING 2016

Check out DGIM WikiRamPages HERE!

Please email DGIMWikiRamPage@vcuhealth.org if you have any suggestions for the DGIM WikiRamPage.

DGIM is pleased to announce the unveiling of a brand new VCU Wiki Site and RamPage (nicknamed the WikiRamPage)! Though the two sites are linked, the RamPage and WikiSite

serve different purposes:

RamPage:

INSIDE THIS ISSUE

WikiSite:• Public website• DGIM overview• Communications materials• Events• Faculty advancement and

development resources• Scholarship and research

resources• GenMed podcast• DGIM Grand Rounds slides

• DGIM-only website• Administrative documents

and forms• Details on special events • Upcoming meetings and

conferences• Staff roles and contact

information• Division Meeting slides

GenMed PODCASTS REACHES 2,137* DOWNLOADS *As of 3/15/2016

We are elated to announce the GenMed Podcast has reached 2,137 downloads worldwide since the podcast’s launch this

past September! This is a great accomplishment and tremendous start towards the goal for the GenMed Podcast to reach 10-15 thousand downloads. This feat shows noteworthy opportunity for DGIM to reach audiences on a global scale. “I’m glad to see that so many people are finding the podcasts useful and interesting!” said Dr. Bishop, “Cracking 2,000 downloads is a nice milestone but we’re just getting started!” DGIM is taking advantage of this opportunity by transforming DGIM Grand Rounds presentations into podcasts as well as utilizing the podcast as an outlet to present non-peer reviewed work/innovations. Many thanks to Dr. Megan Lemay’s contribution to the podcasts by stepping in to author show notes. Also, many thanks to Melinda

Gills-Beck, Lena Rivera, and Ally Abruzzo for editing support!

The podcast gives you the chance to:

• Share your expertise with your peers• Acquire ideas and tips to advance your skills• Connect with colleagues working on projects

of interest

In order to keep up the momentum of the GenMed Podcasts, DGIM needs your help. Here are some ways you can help DGIM continue to reach various audiences globally:

• Subscribe to the podcast • Rate it on iTunes!• Share podcast announcements on social

media• Participate as an expert on an episode• Develop a topic and record your own

episode, we will help you!

VCU DGIM NEWSLETTER SPRING 2016 2

Tune in to the GenMed podcast at: DGIM WikiRamPage and iTunes.

”

Our goal is to continue expanding this as a platform for our colleagues, to continue showcasing their expertise to the world.

-Dr. Steven Bishop

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QUARTERLY DIVISION MEETING PRESENTATION AVAILABLE ON WIKIRAMPAGE

DGIM is pleased to announce that we recently held our Quarterly Division Meeting on March 15 where we presented division updates and accomplishments. This presentation includes crucial updates in: Clinical Services, Ambulatory Medicine, Hospital Medicine, Scholarship,

Faculty Advancement, Faculty Development, and the WikiRamPage.

The Quarterly Division Meeting presentation will soon be included on the new DGIM WikiRamPage so be on the lookout!

DIVISION HIGHLIGHTS

FACULTY DEVELOPMENT & ADVANCEMENT

VCU DGIM NEWSLETTER SPRING 2016 3

Professorsn = 5

Associate Professorsn = 7

Assistant Professorsn = 46

FACULTY ADVANCEMENT

The Faculty Advancement Committee (FAC), comprised of senior faculty within the Division, held its inaugural meeting at the

start of March. The Committee strives to develop a mentorship framework, create opportunities to strengthen faculty’s academic advancement, and advise the Division Chair of the candidacy of faculty for promotion. Committee members include: Drs. Alan Dow, Chair, Colin Banas, Stephanie Call, Jeff Kushinka, Bennett Lee, and Wally Smith. More information about the Committee and the Division’s approach to faculty advancement can be heard on a recent episode of the GenMed podcast. The next meeting will be held in June.

As you think about your own advancement, keep in mind the following School of Medicine criteria for advancement to Associate Professor. The performance of the candidate should indicate a sustained record of professional achievements in teaching, scholarship, and service.

A positive recommendation should be made when the candidate meets each of the following conditions:

• Satisfactory or better on all criteria

• Very good or excellent on at least two of the following criteria: teaching, scholarship and service for non-tenure track faculty, whose special mix of duties allows minimal effort (10% or less) in a criteria, a rating of satisfactory will be sufficient in that area.

• Excellent in either teaching or scholarship or, for non-tenure track faculty with a majority of effort designated in service, excellence in service.

Please note: Faculty members who have been at VCU since July 2011 or before will have the choice of being reviewed under the old (2009) or new (2014) policy until 2018.

FACULTY DEVELOPMENT

The Faculty Development Committee’s (FDC) mission is to provide DGIM faculty with tools and opportunities that encourage personal

growth, foster camaraderie within the division, and support professional development in the areas of clinical work, education, and scholarly activity. Committee members include: Drs. Amanda George, Reena Hemrajani, Manpreet Malik, Laura Paletta-Hobbs, Christine Huynh, and Catherine Good.

The FDC assists with the development of successful and personally rewarding careers for junior, mid-career, and senior faculty.

The FDC is involved in: Planning the DGIM Annual Retreat, organizing retreat follow-up meetings, creating a list of projects for faculty development, creating surveys or other feedback methods to determine faculty needs, providing content for already existing structures within DGIM, and notifying faculty of upcoming events within DGIM, such as services, trainings, etc.

FDC members are currently building a mentorship structure within DGIM as well as collaborating with FAC to make faculty aware of Tenure and Promotion needs and requirements. FDC is tackling these tasks by meeting 1-2 times a month.

Also, keep an eye out for more details on the FDC Retreat September 18, 2016 at Wyndham Virginia Crossings.

You can find more information on the FAC and FDC on the DGIM WikiRamPage

VCU DGIM NEWSLETTER SPRING 2016 4

MEDICAL MALPRACTICE RISK EDUCATION COURSES

MCV Physicians has partnered with ELM Exchange to develop a med mal liability risk reduction program for attending physicians

and advanced practice providers who obtain their med mal coverage through MCVP. Online liability risk education is one of the most common loss prevention initiatives used by self-insured entities. These courses are now available online at http://mcvp.elmexchange.com.

The window for completion of assigned courses is 4 months (From February 10, 2016 through May 31, 2016). Professional Liability will calculate the return of premium due to each clinical department based on the number of providers who completed the online courses within the four-month window. All MCVP attending physicians and advanced practice providers have been pre-registered. ELM also tracks provider completion rates, and sends email reminders to providers who have not completed their courses.

PROGRAM FEATURES• Minimize your medical malpractice liability

exposure and gain confidence understanding the intersection between medicine and the law.

• Access courses online 24/7 from any device with internet access using a self-selected username and password.

• User-friendly system allows you to stop and start at your convenience and print CE certificates right from your account.

• Case study based education is specialty specific, engaging and represents actual medical malpractice claims.

QUESTIONS, please contact:Phone: (888) 315-4356 Email: elmsupport@elmexchange.comVisit: www.elmexchange.com

NEW ARTS PROGRAM GOING INTO EFFECT JULY 2017Allocation of 10% ARTS Component of Compensation Plan has been revamped to more accurately align with teaching and service efforts.

Key elements of this new Policy are as follows:

• The Department Chair, with the consultation of the Division Chair, Associate Chair for Education, and Fellowship Program Director (where applicable), plays an important role in the allocation of the 10% ARTS funding by defining educational and service expectations of the faculty

• The Department Chair will submit recommendations on allocation of the 10% ARTS funding to the Physicians Compensation Advisory Group and the Compensation Committee for their approvals; the report would be in the form of an Excel worksheet that will indicate in separate columns the calculated percent effort that had been devoted to teaching and service, respectively, for each faculty member in the compensation plan

VCU DGIM NEWSLETTER SPRING 2016 5

• Teaching expectations during a Calendar Year (CY) will be identified by the Associate Chair for Education and the fellowship Program Director (where applicable), and communicated in writing to each faculty member. This teaching expectation will include defined M1 and M2 didactic teaching hours, as identified in FARES and confirmed by the School of Medicine. This methodology assumes that each faculty member should be providing a total of 120 hours of teaching annually

• Failure to meet a Service or Teaching expectation will result in forfeiture of the respective ARTS support in the following year (e.g., CY2016 data will be used to determine the ARTS allocation for FY18 salary).

• ARTS funding not distributed to faculty will be deposited into a pooled fund that will be used to reward academic achievements

The New Procedure and Methodology of Allocation of 10% ARTS is as follows:

• Citizenship and Teaching will be assessed based on the immediately preceding calendar year (e.g., for calculation of the FY18 compensation [starting July 2017] CY2016 data will be utilized)

• Citizenship during a CY will be determined using expectations. These expectations fall into the following three categories:

1. Attendance at meetings

2. Timely completion of training and evaluations

3. Service on committees. For each faculty member, these expectations will be identified and communicated in writing.

Attendance at a minimum of 46 teaching, research and development conferences over the year – this attendance excludes attendance to external meetings.

SERVICE

EDUCATION

Timely completion of all VCUHS training (including on-line modules) FARES and student, resident, fellow evaluations

Serving on two or more committees or selection process involvement (interviews) when and as requested by the Department Chair or his designee – including SOM, IM, VCU, and VCUHS committees only. This excludes committees required by another funded responsibility

Associate Chair for Education will assign up to 72 hours (50-hour work week x 0.03 x 48 weeks = 72 hours) (this will include both medical student and housestaff teaching, and is in addition to another funded teaching responsibility (such as APD, Core Educator)

Fellowship Program Director will assign up to 48 hours for teaching fellows (50 hour work week x 0.02 x 48 weeks = 48 hours; this is in addition to another funded fellowship teaching responsibility - example, Fellowship Program Director)

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3%

2%

VCU DGIM NEWSLETTER SPRING 2016 6

HOSPITAL MEDICINE SECTION STATISTICS

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42,206

Project HEART Advisors

Core Educators

New faculty to joinHospital Medicine Section

Inpatient Medicine consults

Average days of length of stay

1,554

5.8

13

35 On-site interviews for Hospitalist faculty positions

Patients admitted through the Emergency Department, year to date

Created by: Lena Rivera

UPCOMING EVENTS

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Greetings from

Wyndham Virginia Crossings

This year’s 3rd Annual DGIM Retreat will be held on September 18, 2016 at Wyndham Virginia Crossings. The Faculty Development Committee is taking feedback from last year’s retreat into account as they are currently creating the agenda for this event. Stay tuned for more information!

SAVE THE DATE: DGIM RETREAT

UPCOMING DIVISION GRAND ROUNDS:Division of General Internal Medicine Grand Rounds:

Monday, April 18, 2016• Speaker: Dr. Rachel Waller, MD

Monday, April 25, 2016• Speaker: TBD

Monday, May 2, 2016• Speaker: TBD

Monday, May 9, 2016• Speaker: Dr. Frank Fulco, MD

Monday, May 16, 2016• Speaker: TBD

Monday, May 23, 2016• Speaker: Dr. Ron Clark, MD

Monday, May 30, 2016 – Memorial Day - NO Grand Rounds

Monday, June 6, 2016• Speaker: Dr. Evan Meadors, MD

Monday, June 13, 2016• Speaker: TBD

Monday, June 20, 2016• Speaker: Dr. Ben Chopski, MD

Monday, June 27, 2016• Speaker: TBD

If you have any questions, suggestions, or feedback, please contact Melinda Gills-Becks at melinda.gills-becks@vcuhealth.org.

We look forward to your attendence!

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As conference season is in full swing, please keep in mind that DGIM will cover the price of printing and delivery of posters up to $48.00. If you would like to take advantage of any of these opportunities, if you have any questions, or if you would like to request research support, please contact:

Allison Phillips, Research Manager, 628-5171, allison.phillips@vcuhealth.org.

See below a list of conferences; CLICK the numbers on the map for more details.

VCU DGIM NEWSLETTER SPRING 2016 8

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Ontario, Canada

United Kingdom

UPCOMING SCHOLARSHIP & RESEARCH OPPORTUNITIES

1. Association of American Medical Colleges SGEA Regional Conference April 13-16, Austin, TX

2. The Foundation for Sickle Cell Research Annual Meeting April 15-18, Ft. Lauderdale, FL

3. Alliance for Academic Internal Medicine PDIM Spring Meeting April 17-21, Las Vegas, NV

4. American Pain Society Annual Scientific Meeting May 11-14, Austin, TX

5. Society of General Internal Medicine SGIM Annual Meeting May 11-14, Hollywood FL

6. International Society for Pharmacology-Outcomes Research Annual International Meeting May 21-25, Washington, DC

7. National Patient Safety Foundation Annual Patient Safety Congress May 23-25, Scottsdale, AZ

8. Association of American Medical Colleges Information Technology in Academic Medicine June 1-3, Toronto, ON

9. Association of American Medical Colleges Integrating Quality Meeting June 8-10, Chicago, IL

10. Academy Health Annual Research Meeting June 26-28, Boston, MA

11. National Medical Association Convention and Scientific Assembly Aug 1-5, Los Angeles, CA

12. American Interprofessional Health Collaborative & Others Bi-Annual All Together Better Health Conference Sept 6-9, Oxford, UK

13. Sickle Cell Disease Association of America Annual Convention Sept 27-Oct 1, Baltimore, MD

14. Alliance for Academic Internal Medicine AAIM Skills Development Conference Oct 20-22, National Harbor, MD

15. The Generalists in Medical Education Annual Conference Nov 10-11, Seattle, WA

16. Association of American Medical Colleges Annual Meeting Nov 11-15, Seattle, WA

17. American Medical Informatics Association Annual Symposium Nov 12-16, Chicago, IL

VCU DGIM NEWSLETTER SPRING 2016 9

2016 SHM Annual Meeting, Left to right: Frank Fulco, Adam Garber, Dennis Wixted, Allison Phillips, Manpreet Malik, Shin-Ping Tu, Nutan

SHM PRESENTATIONSTitle: Social Networks in Electronic Health RecordsAuthors: Shin-Ping Tu, Nengliang Yao, Xi Zhu, Vimal Mishra, Allison Phillips, Alan Dow

Title: Identifying Patient-Centered Care Teams Using Electronic Health Records Access Data and Social Network AnalysisAuthors: Xi Zhu, Nengliang Yao, Vimal Mishra, Allison Phillips, Alan Dow, Shin-Ping Tu

Title: Don’t let Hashimoto’s “Fall” off the Radar: A Treatable EncephalopathyAuthors: Adam Garber, Shelley Edwards

Title: Three Infections, One Brain: Aids Patient with Cerebral VasculitisAuthors: Manpreet Malik

Title: A Thoracic Unhappy Triad: A Rare, Atypical Etiology of Pulmonary Embolism Authors: Dennis Wixted

Title: Sepsis and Pustules in a Masquerade BallAuthors: Nutan, Alysson Gordon, Niru Nahar

SGIM PRESENTATIONSTitle: Social Networks in Electronic Health RecordsAuthors: Shin-Ping Tu, Nengliang Yao, Xi Zhu, Vimal Mishra, Allison Phillips, Alan Dow

Title: Identifying Patient Centered Care Teams Using Electronic Health Records Access Data and Social Network Analysis

Authors: Xi Zhu, Nengliang Yao, Vimal Mishra, Allison Phillips, Alan Dow, Shin-Ping Tu

Title: Applying Systems Engineering to Address Complex Health Care Delivery ChallengesAuthors: Vimal Mishra, Shin-Ping Tu, Joseph Heim, Allison Phillips, Richard Storch, Heather Masters

Title: Challenges and Progress in Faculty Development in General Internal MedicineAuthors: Reena Hemrajani, Manpreet Malik, Laura Paletta-Hobbs

Title: A Model for a Successful Weight Loss Program in a Primary Care ClinicAuthors: Raveen Chawla, Susan Wolver, Puneet Puri, Terence Darcy, Miao-Shan Yen, Karen Stewart

ACADEMY HEALTH PRESENTATIONSTitle: Social Networks in the EHR SystemAuthors: Nengliang (Aaron) Yao, PhD, Xi Zhu, Allison Phillips, Vimal Mishra, Alan Dow, Shin-Ping Tu

Title: Identifying Care Teams Using Electronic Health Records Access Data and Social Network AnalysisAuthors: Xi Zhu, Nengliang Yao, Vimal Mishra, Allison E. Phillips, Alan Dow, Shin-Ping Tu

GRANTS SUBMITTED: We want to extend congratulations to the following faculty who worked diligently to submit grants this quarter:

Dr. Shin-Ping TuElectronic Health Record Communication Networks of Cancer Care Delivery Teams submitted to the National Institutes of Health

Dr. Pablo BedoyaRichmond Interprofessional SBRIT Education (RISE) submitted to the Substance Abuse and Mental Health Administration (SAMHSA)

SCHOLARSHIP & RESEARCH UPDATES

VCU DGIM NEWSLETTER SPRING 2016 10

IN THE SPOTLIGHT

Dr. Malik, Dr. Hemrajani and Dr. Paletta-Hobbs’s abstract, Challenges and Progress in Faculty Development in General Internal

Medicine was accepted into the Society of General Internal Medicine’s (SGIM) Annual Meeting. The abstract hones in on the struggles medical centers have to create programs to help develop their faculty into more well-rounded professionals including: the broad interests of

faculty, lack of research experience, extensive competing clinical responsibilities, and institutional challenges that exist in complex systems. This presentation is unique because it focuses on how the relatively new DGIM Faculty Development Committee (FDC) is making strides to tackle these issues to help faculty grow by:

• Promoting academic productivity and facilitating promotion and tenure

• Enhancing provider engagement and satisfaction

• Facilitating mentor-mentee relationships

The acceptance of this abstract by the nationally and internationally renowned SGIM Annual Meeting depicts the FDC’s hard-work as well as shows

how this new committee is already making an impact on faculty. “The first step towards engaging other people in the same conversation about faculty development and engaging faculty in more professional development work” said Dr. Malik, “We are excited to network with other professionals who are working towards the same

goal” We as a division are working forward to future progress of the Faculty Development Committee. “With the support of division leadership, we hope to provide opportunities to collaborate and build mentorship relationships, and build personal interests while moving the goals of DGIM forward.” said Dr. Hemrajani.

Congratulations, Dr. Hemrajani, Dr. Malik and Dr. Paletta-Hobbs!

DGIM FACULTY RECEIVE INTERNAL MEDICINE AWARDS

We are honored to announce that four of our faculty each received the Internal Medicine Award in different sectors.

Drs. Dennis Wixted and Jawad Al-Khafaji each received the Internal Medicine Award for Teaching while Dr. Steven Bishop and Reena Hemrajani each received the Internal Medicine Award for Scholarship.

HOSPITALISTS RECEIVE PRAISE

VCU Hospital Medicine received praise from Patient Centered Services in regards to a patient who applauded the Hospitalist

team about his visit to the Transitional Care Unit. “The patient admired that everyone from the nurses, to the doctors, to the care partners treated him excellently and he wanted to assure that the management of the faculty knew how much he appreciated their service.” said Patient Centered Services. It is this kind of admirable care that makes not only VCU Hospital Medicine noteworthy, but also keeps VCU Medical Center as the #1 hospital in Virginia.

DGIM FACULTY DEVELOPMENT PROGRAM TO BE PRESENTED AT SGIM

Manpreet Malik, MD

Laura Paletta-Hobbs, MD

Reena Hemrajani, MD

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Laura Tormey, NP CCRN, ACNP-BC comes to VCU Hospital Medicine as a 27-year MCV veteran serving in the Medical Respiratory ICU. Laura

grew up in Williamsburg, VA where she worked as a first aid nurse in Busch Gardens and Water Country USA. Laura completed her undergraduate degree in psychology at Christopher Newport University and diploma for Professional Nursing from Riverside School. Five years after receiving her first degree, Laura moved to Richmond, VA and began working at the Medical Respiratory ICU where she became board certified as an Acute Care Nurse Practitioner. While working on this unit, Laura was exposed to opportunities to contribute to research projects, collaborate with the nursing school physician colleagues, and to present at several workshops. Though Laura loved her position in the Medical Respiratory ICU, Laura transitioned to VCU Hospital Medicine to explore other facets of patient care. Laura is elated with her decision and has a renewed sense of making a difference in the community. When Laura is not caring for patients, Laura enjoys cycling and going to exercise classes with her husband every chance they get.

Colin Weigel, NP (prefers Brett) was raised in and around Seattle, WA. Brett received his first bachelor’s degree in Behavioral Neuroscience

with a minor in Chemistry from Western Washington University. However, Brett had a change of heart and looked more into becoming a Nurse Practioner. Brett then applied and was accepted in to VCU’s Accelerated Master of Science ACNP program. After his acceptance, Brett moved to Richmond, VA to begin his new journey with only a laptop and a duffle bag in hand. Brett adjusted well after his transition to the VCU ACNP Program and is excited to begin his career with Hospital Medicine. Brett enjoys VCU Medical Center’s variety in patient population, pathophysiology, treatments, and consults. He raves about how the hospitalist faculty have been supportive since his orientation process. What Brett loves most about Richmond, VA is the seasons – all four of them. Brett says it’s a refreshing change from Seattle. In his spare time, Brett likes to play basketball two or three times a week, as well as go to the James River and to Virginia Beach in the summer.

Photo Credit: Lena Rivera Photo Credit: Lena Rivera

NEW MEMBERS

2016

RICHMOND MAGAZINE RECOGNIZES DGIM FACULTY

Heather Masters, MD, SFHM, FACP

Congratulations to our faculty members who were acknowledged by Richmond Magazine as 2016 TOP DOCS!

Ralph (Ron) Clark, MD

Susan Wolver, MDBetty A. Johnson MD, PhD

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WITH THE NEW SPRING COMES NEW LIFE

The stork made a few visits since the last quarter! DGIM has been blessed this quarter with six little bundles of joy; four of them being born within a two-month time span. We as a division look forward to witnessing the growth and journey of these babies into their bright futures. Thank you to all the DGIM faculty and staff for supporting the parents of these children as the parents took their leave. This support is just one demonstration of how we as a division truly are a family and it is great to see everyone come together in this time of new beginnings. Take a look at these beautiful faces!

HELLOworldOO

ANIKA MISHRAMarch, 7, 2016 at 8:32am

DAUGHTER OF DR. VIMAL MISHRA 7 pounds, 7 ounces and 21 inches

ZACHARY MATTHEW KUSHINKA

February 5, 2016 at 6:38 am8 pounds, 8 ounces and 20.5 inches

SON OF DR. JEFFREY KUSHINKA

LOGAN RHYS GOLDSTON

February 25, 2016 at 1:25pm8 pounds, 1 ounce and 21 inches

SON OF HEATHER GOLDSTONSON OF DR. CANDICE CULPEPPER

NATHAN JOSEPH LEE

March 9, 2016 at 9:45 pm 6 pounds, 6 ounces and 20 inches

SAVANNAH JOURNEY LIPATOJanuary 24, 2016 at 10:42 pm

8 pounds, 5 ounces and 20 inches DAUGHTER OF DR. THOKOZENI LIPATO LUKE SURLES

October 26, 2015 7:30pm7 pounds, 12 ounces and 19 inches

SON OF DR. ALICE WONG