JUST BREATHEA n e S T h e S i A , C r i T i C A l C A r e A n d PA i n M A n A g e M e n T

d e PA rTM e n TA l T i M e O U T

UPCOMing eVenTS(See “TAKe nOTe” below)

SUBMiT neWS hderoche@BidMC.harvard.edu

Foliage...Pumpkins...Apples...Scarecrows...leaf piles...Mums Fall is upon us! And, it’s perfect walking weather. enjoy the season!

V O lU M e 1 i S S U e 4

O C TO B e r 2 0 1 7

gOT SOMeThing TO SAy? WAnT TO COnTriBUTe? SPOT An errOr? e-mail heather derocher at hderoche@bidmc.harvard.edu

WELCOME TO THE FAMILY

Wednesday Morning Meditation

with dr. Bala Subramaniam 6:30 am • Wednesday mornings

Trustman Boardroom, east Campus, near Cafeteria Please join us.

Yael Loberman

A r C h i V e d n e W S l e T T e r S C A n B e F O U n d O n T h e A n e S T h e S i A i n T r A n e T

Take NoteTO dO, UPCOMing eVenTS & SAVe The dATeS

Wednesday Mornings

oCT 18 grAnd rOUndS Pathophysiology of Upper Airway Obstruction in patients with Sleep Apnea Speaker: Shiroh isono, Md, Phd 7 – 8am

oCT 25 grAnd rOUndS Xtreme everest: lessons From life at the limits? Speaker: Mike grocott, Md University of Southhampton 7 – 8am

grAnd rOUndS 2 life after Bi Speaker: Colonel david M. Scott, Md Australian Society of Anesthetists 8 – 9am

Third Wednesday oF The MonTh

oCT 18 AneSTheSiA reSeArCh rOUndS 4:30 – 5:30pm

☞ october is Compliance Month! Please see schedule and deadlines below for fit testing, screening, vaccinations and physician myPATh trainings

☞ anesthesia asa alumni reception: 6-9pm details below. rSVP to heather derocher

☞ anesthesia dept. holiday Party save the date: dec. 2, 2017. More details to come.

CRICO Patient Safety Program: SUCCESS!ThAnK yOU FOr yOUr PArTiCiPATiOn!

Georgiana Zaccagnino

Congratulations to dr. Michael Zaccagnino and his wife Alexa who welcomed their daughter georgiana on September 16th. After a planned home birth, mom and baby are doing well, and proud brother Beau is fascinated with her teeny features. grateful to be blessed with their two children, Michael and Alexa thank the depart-ment for their wonderful ongoing support.

oTher BidMC eVenTs (see BidMC Portal for details)

Wed, oCT 25 8Th AnnUAl lATinO/hiSPAniC AChieVeMenT AWArdS leventhal Conference room, Shapiro 2, east Campus in honor of latino/hispanic heritage Month. Celebrate Bid staff who have made significant con-tributions to advancing care for the latino/hispanic community. Keynote speaker: Alex gonzalez, Md, MPh Medical director, Fenway health. refreshments to follow. 3 – 4pm

oCT16-20 WeAr PinK ThiS WeeK TO helP SUPPOrT BreAST CAnCer AWAreneSS MOnTh Send photos of you and your colleagues in pink attire by Friday, Oct. 20th to socialmedia@bidmc.harvard.edu

Construction UpdateConstruction of the new education lab (replacing rabb2 education offices) is well under way! The space is bright with natural light and the floor (protected by panels in this photo), counter tops, and cabinets are installed. next week, lighting, outlets, and computer lines will be functioning. estimated completion is early to mid-november.

Recent Happenings

Organized, well-run, engaging and productive, were all comments we received at our first CriCO interdisciplinary Patient Safety Training held last month on September 13th. With 312 attendees largely representing three departments (Anesthe-sia, nursing, and Surgery), we were able to meet our CriCO requirements for a malpractice insur-ance—saving us over $6oo,000 this year, alone.

Several CriCO observers at the event com-mended Krish, Cullen, and Bob on their thought-ful planning and facilitation of this important training, expressing that Anesthesia has set the bar high and will be a model for other institutions to follow.

The innovation Team would like to thank the facilitators for their leadership and guiding engaged and informative conversations. And thanks to all clinicians for your attendance and participation!

“The departmental breakdown of the 312 in at-tendance is shown at the right. 72.5% attendees submitted evaluations with over 90% rating the event excellent or good. results are shown in the graphs to the right.”

-Bob Carlin

Excellent, 145Good, 78

Average, 17

Results from Participant Feedback Survey (254 Surveys returned)

Excellent

Good

Average

Anesth, 114

Cardio, 1

HCQ, 4

Medical student, 1

Neurosurgery, 3

Nursing, 95

OB/GYN, 23

Ortho, 19

Perioperative, 2

Surgery, 32

Tech, 18

Attendance by Department

Anesth

Cardio

HCQ

Medical student

Neurosurgery

Nursing

OB/GYN

Ortho

Perioperative

Surgery

Tech

Excellent, 145Good, 78

Average, 17Below Average,

0

Poor , 0N/A, 0

Ranking received (254 returned surveys)

Excellent

Good

Average

Below Average

Poor

N/A

Anesth, 114

Cardio, 1

HCQ, 4

Medical student, 1

Neurosurgery, 3

Nursing, 95

OB/GYN, 23

Ortho, 19

Perioperative, 2

Surgery, 32

Tech, 18

Attendance by Department

Anesth

Cardio

HCQ

Medical student

Neurosurgery

Nursing

OB/GYN

Ortho

Perioperative

Surgery

Tech

Flu Vaccinations: deadline is Oct. 31st.hospital Kiosks are now closed. Flu vaccinations can now be obtained at employee health, located at West Campus libby Building, 169 Pilgrim rd. 7:30am-4pm or at one of the following off site flu clinics:renaissance, 6th Floor: Tues, Oct. 17, 12-3 p.m.

Center for life Sciences (ClS), rm 921B: Wed, Oct. 18, 9-3 p.m.

109 Brookline Ave. lobby: Thurs, Oct. 19, 9-3 p.m.

BidCO in Westwood: Thurs, Oct. 19, 1-4 p.m.

TB screening: Pegue Philemon, rn will begin TB testing starting on Monday, October 16th (you may also go to employee health; TB test is due one year after last TB screen but can be completed sooner if more convenient.)

Fit Testing: deadline is Oct. 27. West Campus: Farr/rosenberg Connector, 7th fl. oct. 16-27:

Mon. Wed. Fr.: 6-9am and 12-3pm

Tues, Thurs: 11am-1pm and 3-5pm

Sat. Oct 21: 2-5pm

MyPaTh online Trainings: deadline is nov. 15

• Physician Comprehensive education Curriculum in myPATh (1-hr curriculum includes Core education for Physicians, Bloodborne Pathogens and general infec-tion Control trainings all in one.)

• Antimicrobial Stewardship Training in myPATh (one-time requirement)

if you completed these trainings on or after 4/2/17, you will be exempt from this year’s curriculum assignment and will be assigned the curriculum in 2018.

Visit the Check your Compliance page to learn more about monitoring and managing your individual compli-ance.

BIDMC is also launching the Common Pathway this month. This is a tool that will assist individuals and Chiefs in tracking their required trainings and screen-ings, including the BIDMC Compliance Education that was assigned in myPATH in May. (Fit testing and medical record completion requirements will be added to this tracking pathway at a later date.)

eVenTs

oCT 21 – 25 ASA AnnUAl MeeTing Boston Convention and exhibition Ctr. 415 Summer St., Boston A schedule of department presenters, and committee-member involvement was e-mailed to you this week. Regis-ter at asahq.org

sun, oCT 22 AneSTheSiA dePT. reCePTiOn at ASA entire department invited. Please join us for cocktails & hors d’oeuvres at legal harborside roof deck 270 northern Ave., Boston 6 – 9pm rSVP: hderoche@bidmc.harvard.edu

Thurs, noV 16 UlTrASOUnd eXChAnge Mass general hospital, 55 Fruit St, Boston, (haber Conference rm, 1st Fl). dinner will be served. Please visit www.theultrasoundexchange.org to register or apply to be a presenter. 6 – 8pm

BidMC’s Be Well, Walk Well Challenge: Ten of your colleagues are representing the Anesthesia department in this healthy initia-tive. Team yamins—better known as the Anesthesia Abby road Crew is gidget, Beth, heather, letisha, dawn, Cullen, rob, Sudeep, Aaron, and Valerie. Striving to double their daily steps over the course

of 5 weeks And meet the team goal of averaging 10,000 steps per day has been a fun challenge. it takes a conscious effort for anyone to fit in exercise, and especially for those holding desk jobs. As the cool weather approaches, it’s a great time to get outside and get the blood moving for improved health and longer life. enjoy!

Congratulations to dr. Melanie loberman and her husband dan who welcomed their third daughter yael on August 23rd. Melanie expresses her gratitude for the su-perb care of the entire OB and OB anesthesia teams (and Justin’s fabulous epi-dural), and said their stay at Bi couldn’t have been better. Big sisters Mia and naomi are adjusting very well—and yes, all three of them easily fit into a newborn crib...

October is compliance month

Flu shot, Fit testing, TB screening, and Physician myPATh training

A BIDMC initiative to make it easier for medical staff members to meet regulatory requirements and remain in compliance with Medical Staff Bylaws.

Fifth Annual “Food is Medicine” Breaks Million-Meal Mark: heather, Stephanie, Priya, and Alan represented Anesthesia at this important fundraiser. Attended by 250 people, the gala raised $116,000 through sponsorships, donations, and a silent auction, providing the equivalent of 348,000 meals for hungry families in eastern Massachusetts. Since its inception, Food is Medicine has raised $445,000 for the gBFB, the equivalent of 1.3 million meals. The gala is organized by the department of Surgery Committee on Social responsibility, in partnership with the department of Anesthesia and other BidMC departments, harvard Medical Faculty Physicians at BidMC, and other organizations and individuals.

Thank you to all who were able to join us on Sept. 19th for the annual John Hedley-Whyte Lecture where dr. Arthur Slutsky educated us with an interesting history and perspec-tive on mechanical ventilation, and dr. hedley-Whyte gave a thoughtful response.

The event was an opportunity to stop and reflect on dr. Steve

loring’s contributions to the department and to science—in

particular to the field of pulmonary physiology, and to intro-

duce and welcome the first loring Scholars, dr. david Melton

and dr. Claudia Santamaria to the department.

The loring Scholars Program is a 5-year residency track that

recruits up-and-coming clinician scientists and is designed

to provide a pipeline of dedicated scholars in the field of

anesthesia. during their 5-years in the department these

residents will have 18 months of research training. Following

their 5 years of residency the newly-minted scholars will be

encouraged to apply to the nih T-32 program.

A common theme throughout the evening was Steve lor-

ing’s success as not only a brilliant and respected leader in

his field, but as a thoughtful, and natural mentor who has

guided many careers and nurtured countless friendships.

dr. danny Talmor expressed what Steve has meant to him

over the years as a perpetual mentor and friend, “A scientist

dedicated to patient care, generous with his time, able to

explain complex concepts simply and intelligently.”

dr. Jeff drazen, editor-in-Chief of the New England Journal

of Medicine, co-teacher with dr. loring for harvard’s hST100

course since 1992, and close colleague reflected on Steve’s

career and contributions to science and their ten years of re-

search collaboration. he joked, “Steve would gently tell you,

you had it wrong, and gently tell you until you got it right. he

always tried to get to the key point in an argument, and never

lost his temper once.” drazen asserted that Steve belongs in

the category of a gentleman—and a gentle man. dr. drazen

closed with a piece of advice to the scholars: “don’t be put

off by his ideas—he’s try-

ing to take what you have

and make it better.”

elias Baeder-Kassis, a

current mentee of dr.

loring, expressed his

gratitude for Steve’s close

mentorship over the past

four years, “As soon as i

had discovered my interest in physiology, everyone told me

that Steve was the person i should reach out to, and it has

been an amazing experience. Steve has many characteristics

of a good teacher, the time and energy he devotes to his

education, his style...helping me understand and walking

me through without telling me the answer...this process of

learning would help me learn it better. Thank you Steve for

everything you have been to me as a mentor.”

dr. John Mitchell, residency Program director, introduced

our inaugural loring Scholars, david Melton and Claudia San-

tamaria and welcomed them to our family. he encouraged the

loring Scholars to “imbue in our fellows and residents the

values in what it means to be a clinical scientist while helping

us to invest in the future of our profession.”

danny wrapped up the presentation by thanking the speak-

ers, Steve loring, and guests—and welcoming the scholars

to the department, with this closing message to david and

Claudia: “no pressure but you have a huge legacy to live up

to. Just remember as i think all of us do—this example of

paying it forward, and taking the tools that we will hopefully

give you over the next five years and investing that in the

next generation. i really think Steve’s true legacy—probably

the best legacy—is the people we invest in, who will carry

that message forward.”

And finally dr. Steve loring addressed the room: “danny and

everybody that i have been lucky enough to work with here,

knows that research is a team effort and it has just been so

much fun. in the beginning when Jeff and i were working

together in a lab at hSPh, people would say i was running off

to the sandbox every day to just play. And that’s pretty much

how it’s been. you can do wonderful, wonderful research

that you really can’t do by

yourself by being a good

team player and that’s how i

regard all the people here in

this room, we are all in that

mold and it’s been great.

Thank you very much. it is a

great honor to be associated

with this program.”

Many of our Clinicians are presenting and attending the 2017 asa annual Meeting

The schedule is available on the Anesthesia intranet. We look forward to seeing you at our ASA Alumni reception Sunday evening, October 22nd, from 6-9pm. All department and alumni invited.

great view, great food, great friends! rSVP to hderoche@bidmc.harvard.edu this week.

The inaugural class of the 2017 loring Scholars Program: dr. david Melton and dr. Claudia santamaria flanked by dr. Steve loring and dr. danny Talmor.

On October 3rd, the harvard Club in Back Bay served as the perfect backdrop to celebrate two great things:

dr. Steve loring, and the inauguration of the loring Scholars residency Program.

david is a native of Texas, trained at the University of north Texas followed by the University of Texas health Science

Center in San Antonio. he spent time in the military learning about nuclear submarines before going on to get his Md Phd.

his research passion comes down to really understanding how tissue repairs/regenerates following injury. david spent a

lot of time looking at rnA and how it mediates inflammation, specifically micrornA and how that in turn influences macro-

phage activation, and how that might impact in different ways recovery of tissue damage and the aging process.

Claudia comes to us from Universidad industrial de Santander in Colombia, one of the top institutions in her home

country. She came to the U.S. to make an impact even broader than what she could achieve at home. She came to Boston

Children’s hospital where she spent the last 3 years doing postdoctoral work in several areas, mostly focused on thinking

about how to extend the duration and efficacy of local anesthetics for both peripheral regional nerve blocks and topical

local anesthesia. Claudia focused her research on drug delivery systems, neurotoxins such as tetrodotoxin and ultraviolet

radiation to increase the duration of action of local anesthetics. She also picked up a certificate of biostatistics at the

harvard Catalyst Program.

Meet the Loring scholars

Department of Anesthesia, Critical Care, and Pain Medicine

2016 –2017 BIANNUAL REPORTDepartment of Anesthesia, Critical Care, and Pain Medicine

330 Brookline Avenue

Boston, MA 02215

(617) 667-3112

bidmc.org/anesthesia

Beth Israel Deaconess Medical Center (BIDMC) is one of the nation’s preeminent academic medical centers committed to providing excellence in clinical care, teaching, research and community outreach.

• Virtually all of our 1,250 full-time medical staff are on the faculty of Harvard Medical School (HMS).

• We have 651 licensed beds, including 473 medical/surgical beds, 77 critical care beds and 60 OB/GYN beds.

• 2016 stats: Inpatient discharges – 40,217; Outpatient visits – 638,449; Emergency Department visits – 56,959

• We’re at the forefront of health information technology and scientific discoveries that help to transform medical care.

• We have a uniquely strong and deep medical education program that attracts top faculty and residents.

• We are the official hospital of the Boston Red Sox.

For more: bidmc.org/about

Hot off the press: The 2016–2017 Biannual report showcasing our ac-complishments across all divisions and community sites over the past two years is now available in PdF on the Anesthesia intranet. hard copies will arrive this week and be delivered to Chairs and Program directors of anes-thesia programs around the country. Thank you to all who contributed!

U.S. Congressman Jim McGovern: it is “unconscionable” that hunger exists in a country as affluent as the U.S.. hunger is a political condi-tion. We have the tools, the resources, we have everything to end it except the political will,”

Donations of any amount are always welcome. To make a donation, visit https://my.gbfb.org/events/foodismedicine.

One speaker shared her story and gratitude for the gBFB.

Celebrating Dr. Feroze Mahmood’s promotion to Harvard Professor: Colleagues gathered for an emotional evening on October 2nd at Troquet to celebrate dr. Mahmood’s incredible achievement and his 20-year journey to get there.