CVC
continued from page 1
their eyes blink, they exhibit a pulse, and
they “speak” (by means of an instructor
using a microphone). The CVC’s adult, child
and infant patient simulators enable practice
in physical examinations, CPR, intravenous
drug delivery, airway management,
respiratory therapy and other techniques.
“Scenarios can be as varied as the
instructor wishes,” said Betsy Bencken,
M.S., clinical instructor and chief
administrative officer of the CVC. “We
manage all kinds of ‘cases’ – diabetes,
shock, drug issues, ER and OR events
involving anesthesia complications, and
cardiac events. The mannequins can
recognize about 70 drugs, exhibit a variety
of heart and lung sounds, and respond to
live power defibrillation and other stimuli.”
Patient mannequins can simulate bleeding,
sweating and other bodily secretions; jugular
vein distention; bilateral chest movement;
variable airway resistance; and breath, heart
and bowel sounds. They can be programmed
to simulate tongue edema, oral and
nasopharyngeal suctioning, laryngospasm,
convulsions and other conditions.
The mannequins’ symptoms and
reactions are governed by a computer
application that can be programmed ahead
of time, or can be manipulated while an
interaction is in progress. The CVC can
accommodate classes of six to eight students
with their instructor, and as many as six
different learning sessions simultaneously.
Bencken and her CVC colleagues help
faculty members stage teaching scenarios.
“When we first meet with faculty
members, we discuss the core learning
objectives of the simulation event,
then decide what we need to make the
simulation as realistic as possible,” Bencken
said. “We may use an anesthesia cart, or
a code blue cart or crash cart, stocked for
specific events. At various times we use
fake blood or vomit, or bandages, perhaps a
defibrillator, and we have the proper drugs
for any given scenario.”
Peter G. Moore, M.D., the clinical
director of the CVC, said that the simulators
can replicate a broad range of acute
emergency events.
Medical students Jeanah Brader and Diana
Hanna perform an airway management
procedure using a mannequin simulator.
“The software allows the teacher
to modify the clinical conditions. The
simulation can be modified according to the
age, gender and comorbid conditions of the
patient set by the teacher. The physiological
and pharmacological responses are
modified accordingly,” explained Moore,
professor and chair of the Department of
Anesthesiology and Pain Medicine. He
said that individual students may progress
through several simulations constituting a
continuum of care of a patient, from initial
evaluation and treatment in the emergency
department to surgical procedures.
“Task trainers – such as a percutaneous
catheterization skills trainer, airway skills
trainer and pelvic exam simulator – in
combination with role players, such as a staff
member portraying a family member with
limited English language skills, may be used
at various stages of care to further enhance
the immersive experience,” Moore added.
Just as sports coaches use repetitive
drills to train team members, faculty
physicians can use simulation to help
students gain familiarity with working as
members of multi-disciplinary medical
teams.
UC Davis Health System
“Our cross-specialty training
approach will enable us to become
accredited by the American College of
Surgeons as well as other simulation
education accrediting bodies,” said Jeffrey
M. Gauvin, M.D., who is an assistant
professor of gastrointestinal surgery,
associate director of residency training,
and the CVC medical director.
Faculty members may serve as
a member of the medical team in a
simulation, or may choose to observe
students through a one-way window.
Aaron Bair, M.D., an associate professor
of emergency medicine, prefers to
participate with his students rather than
as the unseen wizard behind the curtain.
“Some instructors like to be
completely hidden and supply the voice
of the patient mannequin. I prefer to
interact directly with students, which
enables me to teach on the fly. I use the
simulations not as much as a critique
session, but rather as an opportunity to
ask students “what do you think about
this,’ or ‘do you want to try this’?”
Bair and his colleagues use simulation
to teach procedures, including
airway management and medical case
management in clinical scenarios – for
example, a team resuscitation for a
patient in cardiac arrest. Bair, who is
director of simulation training for the
Department of Emergency Medicine,
began using the technology in his
teaching in 2001.
“The breadth of opportunity and
flexibility in the CVC is tremendous,
with many options available. An
interested faculty member doesn’t need
to have familiarity with simulation to get
involved,” he assured.
The CVC facility includes a simulated
catheterization laboratory where
residents and other physicians can
practice balloon angioplasty and other
interventional vascular procedures.
You can learn more about the Center
for Virtual Care by writing to cvc@
ucdmc.ucdavis.edu or calling (916)
734-4708.
Faculty Development Office
4610 X Street, Suite 4101
Sacramento, CA 95817
Published by the Faculty Development Office
FEBRUARY – MARCH 2009
Workshops and other activities
You are invited! We encourage you to enroll
in one of the various workshops, programs
and events sponsored by the Faculty
Development Office. For more event details
and to register, visit www.ucdmc.ucdavis.
edu/facultydev/ and click Register Online.
(Event co-sponsors are indicated within
parentheses.)
(Calendar from page 1)
March
facultyNewsletter
Published by the Faculty Development
Office, which administers and coordinates
programs that respond to the professional and
career development needs of UC Davis Health
System faculty members.
4610 X Street, Suite 4101
Sacramento, CA 95817
(916) 734-2464
www.ucdmc.ucdavis.edu/facultydev/
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Jesse Joad, M.D., M.S.
Associate Dean for Diversity and Faculty Life
Gregg Servis, M.Div.
Director, Faculty Development
gregg.servis@ucdmc.ucdavis.edu
4
Office of Diversity Advisory Team meeting
5
Workshop: Using EMR for Clinical Research
February
11
Community Engagement and Partnerships Committee meeting
11
Faculty Development Advisory Team meeting
12
Breakfast with Leadership: James Goodnight, M.D., Ph.D.
4 Office of Diversity Advisory Team
meeting
18
Workshop: Negotiation Skills
5 Breakfast with the Dean
19
Breakfast with Leadership: Michael Minear
24
Workshop: Compensation Plans: From ABC to XYZ
2 Work-Life Balance Group meeting
11 Community Engagement and
Partnerships Committee meeting
Launch of Faculty Forward – faculty satisfaction survey (see detailed
information in the April-May edition of Faculty Newsletter)
Office of Diversity Advisory Team meeting
Cheryl Busman
Program Representative, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
2
Breakfast with the Dean
6
Workshop: Juggling Careers and Parenting
Felicia Carrillo
Program Assistant, Office of Diversity
felicia.carrillo@ucdmc.ucdavis.edu
8
Community Engagement and Partnerships Committee meeting
26 Breakfast with Leadership:
William McGowan
8
Faculty Development Advisory Team meeting
March
17
Breakfast with Leadership: Ann Bonham, Ph.D.
28
Workshop: Using Web-Based Surveys for Research
5
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
commercially in the early 1990s,
have progressed dramatically in
sophistication. Patient simulation
devices now can imitate human
symptoms, respond to sensory stimuli,
and replicate reactions to induced drugs.
At UC Davis Health System, the
Center for Virtual Care (CVC) has a
complement of simulation devices on
which students, residents and attending
physicians can practice techniques
without causing harm to patients. The
facility also allows surgeons to gain
experience in using surgical robots.
Patient mannequins nicknamed
“Stan” and “Morgan” simulate breathing,
continued on page 5
20 Women in Medicine event: career
advancement workshop
2
Work-Life Balance Work Group
meeting
2
Dean’s Recognition Reception
MARCH continues on page 6
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
For medical students learning how
to perform procedures, the leap from
working on cadavers to interacting with
live patients is figuratively as broad as
the Snake River Canyon that stunt rider
Evel Knievel famously tried to leap while
aboard a motorcycle.
Today, though, UC Davis medical
students have at their disposal a bridge
to help them cross that chasm: medical
mannequins that mimic characteristics
of living patients.
Simulation has been integrated
for decades in aviation, military and
astronaut training, and in automotive
safety testing. Interactive medical
simulator mannequins, introduced
12 Breakfast with Leadership:
James Goodnight, M.D., Ph.D.
1
EditPros LLC
Editorial Services
www.editpros.com
Mannequins in Center for Virtual Care simulate human subjects
11 Faculty Development Advisory Team
meeting
April
MEDICAL TRAINING WITHOUT RISK
6
Medical students Diana Hanna, Jeanah Brader and Nicole Ling (L-R) listen as Richard Rivera,
professor of anesthesiology and pain medicine, describes a procedure during a Jan. 7 training
session with a medical mannequin at the Center for Virtual Care. (Photos: Emi Manning)
officevisit
P E DI AT R I C I A N S E R V E S L O W - IN C O M E K ID S
STEP HAN IE WA LTON , M. D . , F. A . A . P
Stephanie A. Walton, M.D., F.A.A.P., spent
several years as a pediatric emergency
physician, but these days she’s attending
to a practice that is no less urgent than
the demands of a pediatric emergency
department.
Now in private practice in
Sacramento, Walton caters to urban
patients whose access to medical care
has been inconsistent or previously
lacking. Her father, Dr. Vernon Walton
– the first African-American pediatrician
in Sacramento – established Walton
Pediatrics in the 1960s. Stephanie oversees
the practice’s business operations and sees
patients, yet finds time to also serve as a
volunteer clinical faculty member for the
UC Davis Health System.
Born in Fresno and reared in
Sacramento, she obtained her M.D.
degree from Howard University College
of Medicine, where she became a clinical
instructor, then assistant professor in
pediatrics. She served as the director
of ambulatory pediatrics at Howard
University Hospital, where she completed
her pediatric residency. Walton then
moved to Children’s Hospital of Oakland,
where she underwent fellowship training
in pediatric emergency medicine.
She began a career as an attending
pediatric emergency physician at Los
Angeles Children’s Hospital, Sunrise
Children’s Hospital in Las Vegas and then
Maricopa County Hospital in Phoenix.
Her plans changed in 1998, however,
when Vernon asked Stephanie to join him
following the death of his practice partner.
In addition to practicing alongside
her father, she also works with her
mother, Velma Walton, a registered
nurse who serves as nurse manager
of Walton Pediatrics. Stephanie is the
practice’s medical director now that
Vernon is semi-retired. Walton Pediatrics
has 20 employees, including two other
pediatricians and a pediatric nurse
practitioner.
The general pediatric practice has two
offices – on East Southgate Drive in South
Sacramento, and on Scripps Drive near
CSU Sacramento. Patients include more
than 4,000 Medi-Cal recipients. Walton
intends to relocate the practice to the
former Urban League Building at 3501
Broadway in Oak Park following eventual
renovation of that structure.
“Low-income kids come with a
different set of problems than those
patients of affluence,” she explained.
“They often receive less preventative care
than other kids; I see children who have
poor dentition because they lack proper
dental care, or kids who are obese because
of a poor, high-fat diet. Many mothers are
single, young and uneducated.”
Walton knows her patients and their
parents well, and talks about them with
deep fondness.
“One foster mom already had adopted
two boys with medical problems. Then
she came in with three more foster
kids – siblings who she took into her
home because she didn’t want to break
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
facultyrounds
viewpoint
A welcome to new
faculty colleagues
By Claire Pomeroy, DEAN
Donald M. Bers
them up. The kids had been homeless
on the street with their parents, who
were schizophrenic. That foster mother
eventually adopted the additional three
kids,” Walton said.
“I have one African-American foster
mom who adopted a blond drug-addicted
baby, two Hispanic kids and one AfricanAmerican kid. I derive my greatest
sense of satisfaction from taking care of
undeserved low-income kids.”
Despite the caseload, Walton accepted
an invitation to serve as a clinical
instructor for the School of Medicine.
Walton serves as a preceptor for thirdyear students.
“Having worked all along at teaching
institutions with residents and students,
I enjoy having the teaching role again in
private practice,” Walton said.
Pediatric nephrologist Lavjay Butani,
co-instructor of record for the third-year
pediatric clerkship, said students tell
him that Walton embodies selflessness
and dedication to the community.
Butani said students have described
her as “compassionate, warm and
approachable,” as “very inspirational,”
and as an “excellent educator, pediatrician
and mentor.”
Walton Pediatrics runs the St. Hope
Student Health Center at Sacramento
Charter High School, in cooperation with
HealthNet of California.
“I volunteer my time, and receive
payment only if we are able to bill a
patient’s insurance,” Walton explained.
She also is co-owner of Pediatric
Urgent Care of Sacramento, an after-hours
pediatric medical clinic near Methodist
Hospital of Sacramento.
“I once specialized in emergency
medicine,” Walton said. ‘Now, serving
the underserved, low-income child is my
specialty.”
advisoryteams
Activities of the Faculty Development
Office are guided by the recommendations
of two advisory teams:
Este Geraghty
Faculty Development
Advisory Team
Each edition of the Faculty Newsletter introduces faculty colleagues who recently joined the UC Davis
Health System family. Watch for more new clinical and research staff members in the next issue.
Pharmacologist Donald Bers
investigates cardiac function
Donald M. Bers, Ph.D., distinguished
professor and chair of the Department
of Pharmacology, holds the Joseph Silva
Endowed Chair for Cardiovascular
Research. He studies the molecular and
cellular activity involved in regulating
cardiac function, especially the role of
calcium in mediating electrical, contractile
and signaling pathways in the heart.
He is investigating changes that these
systems undergo during heart failure
and arrhythmias, and seeks to develop
therapeutic strategies and computational
models of electrical and signaling
systems in the heart. Bers has been a
Wellcome/FASEB visiting professor and
the James DePauw endowed professor
and physiology chair at Loyola University
Chicago. He is an associate editor for
the Journal of Molecular and Cellular
Cardiology.
Este Geraghty uses GIS to
analyze health problems
Newly board-certified in public health,
Este Geraghty, M.D., M.S., M.P.H.,
C.P.H., supervises residents in the
outpatient medicine clinics and on the
medicine wards and general medicine
consult service. Geraghty is conducting
research in spatial epidemiology and
geographic information systems (GIS),
which involves spatial and geographic
distribution of disease and/or exposures.
GIS software performs spatial analysis
and creates maps and diagrams to present
data. Geraghty, an assistant professor
of clinical internal medicine, is creating
exposure prediction models for ambient
pollutants, pollens and mold spores.
2
By using these models to adjust for
confounding, she hopes to determine
whether aerial pesticide spraying for West
Nile virus correlated with respiratory
irritation from the pesticide.
Other new colleagues
• April W. Armstrong, M.D., director
of the Teledermatology Program,
received her board certification in
dermatology in November. Armstrong,
an assistant professor of dermatology,
is conducting clinical research in
teledermatology, medication adherence
and patient education.
• The director of the Microbiology
Laboratory in the Department of
Medical Pathology and Laboratory
Medicine is Chris Polage, M.D.,
an assistant professor of clinical
pathology. Polage, a specialist in
medical microbiology with board
certifications in anatomic pathology,
clinical pathology and medical
microbiology, is investigating novel
and more rapid approaches to
diagnose infectious diseases. He is
a scholar in the Mentored Clinical
Research Training Program at UC
Davis and is actively involved in
projects to improve the diagnosis of
Clostridium difficile infection and to
develop point-of-care testing devices
to diagnose bacteremia and fungemia.
SIMULATION TECHNOLOGY IS A
POWERFUL TEACHING TOOL
Traditional medical training subscribed
to the old adage “see one, do one, teach
one.” Today at UC Davis, we embrace the
concept of fully-demonstrated competence
before a trainee interacts with a real
patient. This new philosophy is possible
due to new, cutting-edge learning venues
like our Center for Virtual Care.
At the center, students practice skills
ranging from peripheral IV insertion to
cardiac catheterization to team-based
resuscitation. So, when they encounter
clinical scenarios in the hospital or clinics,
they have the expertise and confidence
they need to provide the very best patient
care.
• Richard W. Dehn, M.P.A., is a
certified physician assistant who
performs medical workforce research.
His studies have included ways to
quantify the numbers and types
• Thomas Sanchez, M.D., an
of medical providers available to
assistant professor of radiology,
medically underserved populations.
is a fellowship-trained pediatric
Dehn, a clinical professor in the
radiologist who has a particular
Department of Family and Community
interest in pediatric neuroradiology
Medicine, is program director of
and musculoskeletal imaging. He has
the Family Nurse Practitioner and
submitted several articles describing
Physician Assistant Program (FNP/PA),
common abdominal tumors in
as well as a clinician in the UCDMC
children to Contemporary Diagnostic
family practice center.
Radiology and on MRI imaging of
• Statistician Chin-Shang Li, Ph.D.,
musculoskeletal trauma in children to
an adjunct associate professor in the
the MRI Clinics of North America, all
Department of Public Health Sciences’
of which will be published in 2009.
Division of Biostatistics, is studying
• Anu Sinha, M.D., an assistant clinical
lack-of-fit tests and zero-inflated
professor of anesthesiology and pain
Poisson models. A lack-of-fit test
medicine, performs general anesthesia
is conducted to determine whether
and works in the liver transplant
a postulated parametric model is
program. He is board-certified by the
appropriate. He also has expertise
American Society of Anesthesiologists
in cure models, semiparametric
and by the California Society of
and nonparametric regression, and
generalized linear models.
Anesthesiologists.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
New studies reveal that students who
train using simulation have better patient
outcomes. It’s not surprising, then, that
accrediting bodies such as the LCME
are starting to expect incorporation
of simulation experiences into the
curriculum. Helping tomorrow’s physicians
gain “hands-on” experience – without ever
putting a patient’s health in danger – is a
powerful new approach to teaching and
learning.
Simulation technologies are
dramatically changing the way we train
health professions students.
This training is valuable and effective
for all the members of our health-care
teams. Our high-tech mannequins can
simulate complex situations that require
3
the attention of interdisciplinary groups
of health professionals. Medical students,
nursing students and other trainees can
stand side-by-side to learn the critical
importance of real-time collaboration in
the clinical setting. Notably, this approach
perfectly aligns with our emphasis on
interprofessional education in our medical
and nursing schools.
Even health providers with decades of
experience can learn something new by
exploring our Center for Virtual Care. The
robotic surgery simulator, for example,
allows surgeons to make small incisions
and use remote-controlled surgical tools.
This technology supports minimally
invasive surgery, resulting in less trauma,
less pain, minimal scarring, faster recovery
and shorter hospital stays.
By exploring simulation technology,
we have access to new ways to teach, to
practice clinical skills and to do research.
And this is just the beginning. At UC Davis
Health System, we are even developing
new simulation tools and techniques that
will help future generations of health-care
providers and their patients.
Simulated patient experiences help
empower both today’s and tomorrow’s
health-care teams. If you haven’t already, I
encourage you to take a formal tour of the
Center for Virtual Care to learn more about
the benefits of simulation technology. To
schedule a tour, call (916) 734-4708.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Chuck Bevins, M.D., Ph.D., Medical
Microbiology and Immunology
Kathy DeRiemer, Ph.D., M.P.H., Public Health
Sciences
Tonya Fancher, M.D., M.P.H., Internal
Medicine
Jeff Gauvin, M.D., Surgery
Estella Geraghty, M.D., M.S., M.P.H., Internal
Medicine
W. Ladson Hinton, M.D., Psychiatry and
Behavioral Sciences
Keith Lau, M.D., Pediatrics
Jamie Ross, M.D., Internal Medicine
Mark Sutter, M.D., Emergency Medicine
Vicki Wheelock, M.D., Neurology
Office of Diversity
Advisory Team
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Elizabeth Abad, Alumni and Development
Officer, Health Sciences Advancement
Susan DeMarois, Government and
Community Relations
James Forkin, Postbaccalaureate Program
Coordinator, Office of Medical Education
Darin Latimore, M.D., Office of Faculty
Development and Diversity
Russell Lim, M.D., Psychiatry and Behavioral
Sciences
José Morfin, M.D., Internal Medicine
Marbella Sala, Executive Operations Manager,
Center for Reducing Health Disparities
Andreea Seritan, M.D., Psychiatry and
Behavioral Sciences
Pam Stotlar-McAuliffe, Manager, Continuing
Medical Education
Hendry Ton, M.D., Psychiatry
Michelle Villegas-Frazier, Team Lead, Office
of Diversity
Bold type indicates team coordinators
4
officevisit
P E DI AT R I C I A N S E R V E S L O W - IN C O M E K ID S
STEP HAN IE WA LTON , M. D . , F. A . A . P
Stephanie A. Walton, M.D., F.A.A.P., spent
several years as a pediatric emergency
physician, but these days she’s attending
to a practice that is no less urgent than
the demands of a pediatric emergency
department.
Now in private practice in
Sacramento, Walton caters to urban
patients whose access to medical care
has been inconsistent or previously
lacking. Her father, Dr. Vernon Walton
– the first African-American pediatrician
in Sacramento – established Walton
Pediatrics in the 1960s. Stephanie oversees
the practice’s business operations and sees
patients, yet finds time to also serve as a
volunteer clinical faculty member for the
UC Davis Health System.
Born in Fresno and reared in
Sacramento, she obtained her M.D.
degree from Howard University College
of Medicine, where she became a clinical
instructor, then assistant professor in
pediatrics. She served as the director
of ambulatory pediatrics at Howard
University Hospital, where she completed
her pediatric residency. Walton then
moved to Children’s Hospital of Oakland,
where she underwent fellowship training
in pediatric emergency medicine.
She began a career as an attending
pediatric emergency physician at Los
Angeles Children’s Hospital, Sunrise
Children’s Hospital in Las Vegas and then
Maricopa County Hospital in Phoenix.
Her plans changed in 1998, however,
when Vernon asked Stephanie to join him
following the death of his practice partner.
In addition to practicing alongside
her father, she also works with her
mother, Velma Walton, a registered
nurse who serves as nurse manager
of Walton Pediatrics. Stephanie is the
practice’s medical director now that
Vernon is semi-retired. Walton Pediatrics
has 20 employees, including two other
pediatricians and a pediatric nurse
practitioner.
The general pediatric practice has two
offices – on East Southgate Drive in South
Sacramento, and on Scripps Drive near
CSU Sacramento. Patients include more
than 4,000 Medi-Cal recipients. Walton
intends to relocate the practice to the
former Urban League Building at 3501
Broadway in Oak Park following eventual
renovation of that structure.
“Low-income kids come with a
different set of problems than those
patients of affluence,” she explained.
“They often receive less preventative care
than other kids; I see children who have
poor dentition because they lack proper
dental care, or kids who are obese because
of a poor, high-fat diet. Many mothers are
single, young and uneducated.”
Walton knows her patients and their
parents well, and talks about them with
deep fondness.
“One foster mom already had adopted
two boys with medical problems. Then
she came in with three more foster
kids – siblings who she took into her
home because she didn’t want to break
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
facultyrounds
viewpoint
A welcome to new
faculty colleagues
By Claire Pomeroy, DEAN
Donald M. Bers
them up. The kids had been homeless
on the street with their parents, who
were schizophrenic. That foster mother
eventually adopted the additional three
kids,” Walton said.
“I have one African-American foster
mom who adopted a blond drug-addicted
baby, two Hispanic kids and one AfricanAmerican kid. I derive my greatest
sense of satisfaction from taking care of
undeserved low-income kids.”
Despite the caseload, Walton accepted
an invitation to serve as a clinical
instructor for the School of Medicine.
Walton serves as a preceptor for thirdyear students.
“Having worked all along at teaching
institutions with residents and students,
I enjoy having the teaching role again in
private practice,” Walton said.
Pediatric nephrologist Lavjay Butani,
co-instructor of record for the third-year
pediatric clerkship, said students tell
him that Walton embodies selflessness
and dedication to the community.
Butani said students have described
her as “compassionate, warm and
approachable,” as “very inspirational,”
and as an “excellent educator, pediatrician
and mentor.”
Walton Pediatrics runs the St. Hope
Student Health Center at Sacramento
Charter High School, in cooperation with
HealthNet of California.
“I volunteer my time, and receive
payment only if we are able to bill a
patient’s insurance,” Walton explained.
She also is co-owner of Pediatric
Urgent Care of Sacramento, an after-hours
pediatric medical clinic near Methodist
Hospital of Sacramento.
“I once specialized in emergency
medicine,” Walton said. ‘Now, serving
the underserved, low-income child is my
specialty.”
advisoryteams
Activities of the Faculty Development
Office are guided by the recommendations
of two advisory teams:
Este Geraghty
Faculty Development
Advisory Team
Each edition of the Faculty Newsletter introduces faculty colleagues who recently joined the UC Davis
Health System family. Watch for more new clinical and research staff members in the next issue.
Pharmacologist Donald Bers
investigates cardiac function
Donald M. Bers, Ph.D., distinguished
professor and chair of the Department
of Pharmacology, holds the Joseph Silva
Endowed Chair for Cardiovascular
Research. He studies the molecular and
cellular activity involved in regulating
cardiac function, especially the role of
calcium in mediating electrical, contractile
and signaling pathways in the heart.
He is investigating changes that these
systems undergo during heart failure
and arrhythmias, and seeks to develop
therapeutic strategies and computational
models of electrical and signaling
systems in the heart. Bers has been a
Wellcome/FASEB visiting professor and
the James DePauw endowed professor
and physiology chair at Loyola University
Chicago. He is an associate editor for
the Journal of Molecular and Cellular
Cardiology.
Este Geraghty uses GIS to
analyze health problems
Newly board-certified in public health,
Este Geraghty, M.D., M.S., M.P.H.,
C.P.H., supervises residents in the
outpatient medicine clinics and on the
medicine wards and general medicine
consult service. Geraghty is conducting
research in spatial epidemiology and
geographic information systems (GIS),
which involves spatial and geographic
distribution of disease and/or exposures.
GIS software performs spatial analysis
and creates maps and diagrams to present
data. Geraghty, an assistant professor
of clinical internal medicine, is creating
exposure prediction models for ambient
pollutants, pollens and mold spores.
2
By using these models to adjust for
confounding, she hopes to determine
whether aerial pesticide spraying for West
Nile virus correlated with respiratory
irritation from the pesticide.
Other new colleagues
• April W. Armstrong, M.D., director
of the Teledermatology Program,
received her board certification in
dermatology in November. Armstrong,
an assistant professor of dermatology,
is conducting clinical research in
teledermatology, medication adherence
and patient education.
• The director of the Microbiology
Laboratory in the Department of
Medical Pathology and Laboratory
Medicine is Chris Polage, M.D.,
an assistant professor of clinical
pathology. Polage, a specialist in
medical microbiology with board
certifications in anatomic pathology,
clinical pathology and medical
microbiology, is investigating novel
and more rapid approaches to
diagnose infectious diseases. He is
a scholar in the Mentored Clinical
Research Training Program at UC
Davis and is actively involved in
projects to improve the diagnosis of
Clostridium difficile infection and to
develop point-of-care testing devices
to diagnose bacteremia and fungemia.
SIMULATION TECHNOLOGY IS A
POWERFUL TEACHING TOOL
Traditional medical training subscribed
to the old adage “see one, do one, teach
one.” Today at UC Davis, we embrace the
concept of fully-demonstrated competence
before a trainee interacts with a real
patient. This new philosophy is possible
due to new, cutting-edge learning venues
like our Center for Virtual Care.
At the center, students practice skills
ranging from peripheral IV insertion to
cardiac catheterization to team-based
resuscitation. So, when they encounter
clinical scenarios in the hospital or clinics,
they have the expertise and confidence
they need to provide the very best patient
care.
• Richard W. Dehn, M.P.A., is a
certified physician assistant who
performs medical workforce research.
His studies have included ways to
quantify the numbers and types
• Thomas Sanchez, M.D., an
of medical providers available to
assistant professor of radiology,
medically underserved populations.
is a fellowship-trained pediatric
Dehn, a clinical professor in the
radiologist who has a particular
Department of Family and Community
interest in pediatric neuroradiology
Medicine, is program director of
and musculoskeletal imaging. He has
the Family Nurse Practitioner and
submitted several articles describing
Physician Assistant Program (FNP/PA),
common abdominal tumors in
as well as a clinician in the UCDMC
children to Contemporary Diagnostic
family practice center.
Radiology and on MRI imaging of
• Statistician Chin-Shang Li, Ph.D.,
musculoskeletal trauma in children to
an adjunct associate professor in the
the MRI Clinics of North America, all
Department of Public Health Sciences’
of which will be published in 2009.
Division of Biostatistics, is studying
• Anu Sinha, M.D., an assistant clinical
lack-of-fit tests and zero-inflated
professor of anesthesiology and pain
Poisson models. A lack-of-fit test
medicine, performs general anesthesia
is conducted to determine whether
and works in the liver transplant
a postulated parametric model is
program. He is board-certified by the
appropriate. He also has expertise
American Society of Anesthesiologists
in cure models, semiparametric
and by the California Society of
and nonparametric regression, and
generalized linear models.
Anesthesiologists.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
New studies reveal that students who
train using simulation have better patient
outcomes. It’s not surprising, then, that
accrediting bodies such as the LCME
are starting to expect incorporation
of simulation experiences into the
curriculum. Helping tomorrow’s physicians
gain “hands-on” experience – without ever
putting a patient’s health in danger – is a
powerful new approach to teaching and
learning.
Simulation technologies are
dramatically changing the way we train
health professions students.
This training is valuable and effective
for all the members of our health-care
teams. Our high-tech mannequins can
simulate complex situations that require
3
the attention of interdisciplinary groups
of health professionals. Medical students,
nursing students and other trainees can
stand side-by-side to learn the critical
importance of real-time collaboration in
the clinical setting. Notably, this approach
perfectly aligns with our emphasis on
interprofessional education in our medical
and nursing schools.
Even health providers with decades of
experience can learn something new by
exploring our Center for Virtual Care. The
robotic surgery simulator, for example,
allows surgeons to make small incisions
and use remote-controlled surgical tools.
This technology supports minimally
invasive surgery, resulting in less trauma,
less pain, minimal scarring, faster recovery
and shorter hospital stays.
By exploring simulation technology,
we have access to new ways to teach, to
practice clinical skills and to do research.
And this is just the beginning. At UC Davis
Health System, we are even developing
new simulation tools and techniques that
will help future generations of health-care
providers and their patients.
Simulated patient experiences help
empower both today’s and tomorrow’s
health-care teams. If you haven’t already, I
encourage you to take a formal tour of the
Center for Virtual Care to learn more about
the benefits of simulation technology. To
schedule a tour, call (916) 734-4708.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Chuck Bevins, M.D., Ph.D., Medical
Microbiology and Immunology
Kathy DeRiemer, Ph.D., M.P.H., Public Health
Sciences
Tonya Fancher, M.D., M.P.H., Internal
Medicine
Jeff Gauvin, M.D., Surgery
Estella Geraghty, M.D., M.S., M.P.H., Internal
Medicine
W. Ladson Hinton, M.D., Psychiatry and
Behavioral Sciences
Keith Lau, M.D., Pediatrics
Jamie Ross, M.D., Internal Medicine
Mark Sutter, M.D., Emergency Medicine
Vicki Wheelock, M.D., Neurology
Office of Diversity
Advisory Team
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Elizabeth Abad, Alumni and Development
Officer, Health Sciences Advancement
Susan DeMarois, Government and
Community Relations
James Forkin, Postbaccalaureate Program
Coordinator, Office of Medical Education
Darin Latimore, M.D., Office of Faculty
Development and Diversity
Russell Lim, M.D., Psychiatry and Behavioral
Sciences
José Morfin, M.D., Internal Medicine
Marbella Sala, Executive Operations Manager,
Center for Reducing Health Disparities
Andreea Seritan, M.D., Psychiatry and
Behavioral Sciences
Pam Stotlar-McAuliffe, Manager, Continuing
Medical Education
Hendry Ton, M.D., Psychiatry
Michelle Villegas-Frazier, Team Lead, Office
of Diversity
Bold type indicates team coordinators
4
officevisit
P E DI AT R I C I A N S E R V E S L O W - IN C O M E K ID S
STEP HAN IE WA LTON , M. D . , F. A . A . P
Stephanie A. Walton, M.D., F.A.A.P., spent
several years as a pediatric emergency
physician, but these days she’s attending
to a practice that is no less urgent than
the demands of a pediatric emergency
department.
Now in private practice in
Sacramento, Walton caters to urban
patients whose access to medical care
has been inconsistent or previously
lacking. Her father, Dr. Vernon Walton
– the first African-American pediatrician
in Sacramento – established Walton
Pediatrics in the 1960s. Stephanie oversees
the practice’s business operations and sees
patients, yet finds time to also serve as a
volunteer clinical faculty member for the
UC Davis Health System.
Born in Fresno and reared in
Sacramento, she obtained her M.D.
degree from Howard University College
of Medicine, where she became a clinical
instructor, then assistant professor in
pediatrics. She served as the director
of ambulatory pediatrics at Howard
University Hospital, where she completed
her pediatric residency. Walton then
moved to Children’s Hospital of Oakland,
where she underwent fellowship training
in pediatric emergency medicine.
She began a career as an attending
pediatric emergency physician at Los
Angeles Children’s Hospital, Sunrise
Children’s Hospital in Las Vegas and then
Maricopa County Hospital in Phoenix.
Her plans changed in 1998, however,
when Vernon asked Stephanie to join him
following the death of his practice partner.
In addition to practicing alongside
her father, she also works with her
mother, Velma Walton, a registered
nurse who serves as nurse manager
of Walton Pediatrics. Stephanie is the
practice’s medical director now that
Vernon is semi-retired. Walton Pediatrics
has 20 employees, including two other
pediatricians and a pediatric nurse
practitioner.
The general pediatric practice has two
offices – on East Southgate Drive in South
Sacramento, and on Scripps Drive near
CSU Sacramento. Patients include more
than 4,000 Medi-Cal recipients. Walton
intends to relocate the practice to the
former Urban League Building at 3501
Broadway in Oak Park following eventual
renovation of that structure.
“Low-income kids come with a
different set of problems than those
patients of affluence,” she explained.
“They often receive less preventative care
than other kids; I see children who have
poor dentition because they lack proper
dental care, or kids who are obese because
of a poor, high-fat diet. Many mothers are
single, young and uneducated.”
Walton knows her patients and their
parents well, and talks about them with
deep fondness.
“One foster mom already had adopted
two boys with medical problems. Then
she came in with three more foster
kids – siblings who she took into her
home because she didn’t want to break
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
facultyrounds
viewpoint
A welcome to new
faculty colleagues
By Claire Pomeroy, DEAN
Donald M. Bers
them up. The kids had been homeless
on the street with their parents, who
were schizophrenic. That foster mother
eventually adopted the additional three
kids,” Walton said.
“I have one African-American foster
mom who adopted a blond drug-addicted
baby, two Hispanic kids and one AfricanAmerican kid. I derive my greatest
sense of satisfaction from taking care of
undeserved low-income kids.”
Despite the caseload, Walton accepted
an invitation to serve as a clinical
instructor for the School of Medicine.
Walton serves as a preceptor for thirdyear students.
“Having worked all along at teaching
institutions with residents and students,
I enjoy having the teaching role again in
private practice,” Walton said.
Pediatric nephrologist Lavjay Butani,
co-instructor of record for the third-year
pediatric clerkship, said students tell
him that Walton embodies selflessness
and dedication to the community.
Butani said students have described
her as “compassionate, warm and
approachable,” as “very inspirational,”
and as an “excellent educator, pediatrician
and mentor.”
Walton Pediatrics runs the St. Hope
Student Health Center at Sacramento
Charter High School, in cooperation with
HealthNet of California.
“I volunteer my time, and receive
payment only if we are able to bill a
patient’s insurance,” Walton explained.
She also is co-owner of Pediatric
Urgent Care of Sacramento, an after-hours
pediatric medical clinic near Methodist
Hospital of Sacramento.
“I once specialized in emergency
medicine,” Walton said. ‘Now, serving
the underserved, low-income child is my
specialty.”
advisoryteams
Activities of the Faculty Development
Office are guided by the recommendations
of two advisory teams:
Este Geraghty
Faculty Development
Advisory Team
Each edition of the Faculty Newsletter introduces faculty colleagues who recently joined the UC Davis
Health System family. Watch for more new clinical and research staff members in the next issue.
Pharmacologist Donald Bers
investigates cardiac function
Donald M. Bers, Ph.D., distinguished
professor and chair of the Department
of Pharmacology, holds the Joseph Silva
Endowed Chair for Cardiovascular
Research. He studies the molecular and
cellular activity involved in regulating
cardiac function, especially the role of
calcium in mediating electrical, contractile
and signaling pathways in the heart.
He is investigating changes that these
systems undergo during heart failure
and arrhythmias, and seeks to develop
therapeutic strategies and computational
models of electrical and signaling
systems in the heart. Bers has been a
Wellcome/FASEB visiting professor and
the James DePauw endowed professor
and physiology chair at Loyola University
Chicago. He is an associate editor for
the Journal of Molecular and Cellular
Cardiology.
Este Geraghty uses GIS to
analyze health problems
Newly board-certified in public health,
Este Geraghty, M.D., M.S., M.P.H.,
C.P.H., supervises residents in the
outpatient medicine clinics and on the
medicine wards and general medicine
consult service. Geraghty is conducting
research in spatial epidemiology and
geographic information systems (GIS),
which involves spatial and geographic
distribution of disease and/or exposures.
GIS software performs spatial analysis
and creates maps and diagrams to present
data. Geraghty, an assistant professor
of clinical internal medicine, is creating
exposure prediction models for ambient
pollutants, pollens and mold spores.
2
By using these models to adjust for
confounding, she hopes to determine
whether aerial pesticide spraying for West
Nile virus correlated with respiratory
irritation from the pesticide.
Other new colleagues
• April W. Armstrong, M.D., director
of the Teledermatology Program,
received her board certification in
dermatology in November. Armstrong,
an assistant professor of dermatology,
is conducting clinical research in
teledermatology, medication adherence
and patient education.
• The director of the Microbiology
Laboratory in the Department of
Medical Pathology and Laboratory
Medicine is Chris Polage, M.D.,
an assistant professor of clinical
pathology. Polage, a specialist in
medical microbiology with board
certifications in anatomic pathology,
clinical pathology and medical
microbiology, is investigating novel
and more rapid approaches to
diagnose infectious diseases. He is
a scholar in the Mentored Clinical
Research Training Program at UC
Davis and is actively involved in
projects to improve the diagnosis of
Clostridium difficile infection and to
develop point-of-care testing devices
to diagnose bacteremia and fungemia.
SIMULATION TECHNOLOGY IS A
POWERFUL TEACHING TOOL
Traditional medical training subscribed
to the old adage “see one, do one, teach
one.” Today at UC Davis, we embrace the
concept of fully-demonstrated competence
before a trainee interacts with a real
patient. This new philosophy is possible
due to new, cutting-edge learning venues
like our Center for Virtual Care.
At the center, students practice skills
ranging from peripheral IV insertion to
cardiac catheterization to team-based
resuscitation. So, when they encounter
clinical scenarios in the hospital or clinics,
they have the expertise and confidence
they need to provide the very best patient
care.
• Richard W. Dehn, M.P.A., is a
certified physician assistant who
performs medical workforce research.
His studies have included ways to
quantify the numbers and types
• Thomas Sanchez, M.D., an
of medical providers available to
assistant professor of radiology,
medically underserved populations.
is a fellowship-trained pediatric
Dehn, a clinical professor in the
radiologist who has a particular
Department of Family and Community
interest in pediatric neuroradiology
Medicine, is program director of
and musculoskeletal imaging. He has
the Family Nurse Practitioner and
submitted several articles describing
Physician Assistant Program (FNP/PA),
common abdominal tumors in
as well as a clinician in the UCDMC
children to Contemporary Diagnostic
family practice center.
Radiology and on MRI imaging of
• Statistician Chin-Shang Li, Ph.D.,
musculoskeletal trauma in children to
an adjunct associate professor in the
the MRI Clinics of North America, all
Department of Public Health Sciences’
of which will be published in 2009.
Division of Biostatistics, is studying
• Anu Sinha, M.D., an assistant clinical
lack-of-fit tests and zero-inflated
professor of anesthesiology and pain
Poisson models. A lack-of-fit test
medicine, performs general anesthesia
is conducted to determine whether
and works in the liver transplant
a postulated parametric model is
program. He is board-certified by the
appropriate. He also has expertise
American Society of Anesthesiologists
in cure models, semiparametric
and by the California Society of
and nonparametric regression, and
generalized linear models.
Anesthesiologists.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
New studies reveal that students who
train using simulation have better patient
outcomes. It’s not surprising, then, that
accrediting bodies such as the LCME
are starting to expect incorporation
of simulation experiences into the
curriculum. Helping tomorrow’s physicians
gain “hands-on” experience – without ever
putting a patient’s health in danger – is a
powerful new approach to teaching and
learning.
Simulation technologies are
dramatically changing the way we train
health professions students.
This training is valuable and effective
for all the members of our health-care
teams. Our high-tech mannequins can
simulate complex situations that require
3
the attention of interdisciplinary groups
of health professionals. Medical students,
nursing students and other trainees can
stand side-by-side to learn the critical
importance of real-time collaboration in
the clinical setting. Notably, this approach
perfectly aligns with our emphasis on
interprofessional education in our medical
and nursing schools.
Even health providers with decades of
experience can learn something new by
exploring our Center for Virtual Care. The
robotic surgery simulator, for example,
allows surgeons to make small incisions
and use remote-controlled surgical tools.
This technology supports minimally
invasive surgery, resulting in less trauma,
less pain, minimal scarring, faster recovery
and shorter hospital stays.
By exploring simulation technology,
we have access to new ways to teach, to
practice clinical skills and to do research.
And this is just the beginning. At UC Davis
Health System, we are even developing
new simulation tools and techniques that
will help future generations of health-care
providers and their patients.
Simulated patient experiences help
empower both today’s and tomorrow’s
health-care teams. If you haven’t already, I
encourage you to take a formal tour of the
Center for Virtual Care to learn more about
the benefits of simulation technology. To
schedule a tour, call (916) 734-4708.
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Chuck Bevins, M.D., Ph.D., Medical
Microbiology and Immunology
Kathy DeRiemer, Ph.D., M.P.H., Public Health
Sciences
Tonya Fancher, M.D., M.P.H., Internal
Medicine
Jeff Gauvin, M.D., Surgery
Estella Geraghty, M.D., M.S., M.P.H., Internal
Medicine
W. Ladson Hinton, M.D., Psychiatry and
Behavioral Sciences
Keith Lau, M.D., Pediatrics
Jamie Ross, M.D., Internal Medicine
Mark Sutter, M.D., Emergency Medicine
Vicki Wheelock, M.D., Neurology
Office of Diversity
Advisory Team
Jesse Joad, M.D., M.S., Office of Faculty
Development and Diversity
Gregg Servis, M.Div., Office of Faculty
Development and Diversity
Elizabeth Abad, Alumni and Development
Officer, Health Sciences Advancement
Susan DeMarois, Government and
Community Relations
James Forkin, Postbaccalaureate Program
Coordinator, Office of Medical Education
Darin Latimore, M.D., Office of Faculty
Development and Diversity
Russell Lim, M.D., Psychiatry and Behavioral
Sciences
José Morfin, M.D., Internal Medicine
Marbella Sala, Executive Operations Manager,
Center for Reducing Health Disparities
Andreea Seritan, M.D., Psychiatry and
Behavioral Sciences
Pam Stotlar-McAuliffe, Manager, Continuing
Medical Education
Hendry Ton, M.D., Psychiatry
Michelle Villegas-Frazier, Team Lead, Office
of Diversity
Bold type indicates team coordinators
4
CVC
continued from page 1
their eyes blink, they exhibit a pulse, and
they “speak” (by means of an instructor
using a microphone). The CVC’s adult, child
and infant patient simulators enable practice
in physical examinations, CPR, intravenous
drug delivery, airway management,
respiratory therapy and other techniques.
“Scenarios can be as varied as the
instructor wishes,” said Betsy Bencken,
M.S., clinical instructor and chief
administrative officer of the CVC. “We
manage all kinds of ‘cases’ – diabetes,
shock, drug issues, ER and OR events
involving anesthesia complications, and
cardiac events. The mannequins can
recognize about 70 drugs, exhibit a variety
of heart and lung sounds, and respond to
live power defibrillation and other stimuli.”
Patient mannequins can simulate bleeding,
sweating and other bodily secretions; jugular
vein distention; bilateral chest movement;
variable airway resistance; and breath, heart
and bowel sounds. They can be programmed
to simulate tongue edema, oral and
nasopharyngeal suctioning, laryngospasm,
convulsions and other conditions.
The mannequins’ symptoms and
reactions are governed by a computer
application that can be programmed ahead
of time, or can be manipulated while an
interaction is in progress. The CVC can
accommodate classes of six to eight students
with their instructor, and as many as six
different learning sessions simultaneously.
Bencken and her CVC colleagues help
faculty members stage teaching scenarios.
“When we first meet with faculty
members, we discuss the core learning
objectives of the simulation event,
then decide what we need to make the
simulation as realistic as possible,” Bencken
said. “We may use an anesthesia cart, or
a code blue cart or crash cart, stocked for
specific events. At various times we use
fake blood or vomit, or bandages, perhaps a
defibrillator, and we have the proper drugs
for any given scenario.”
Peter G. Moore, M.D., the clinical
director of the CVC, said that the simulators
can replicate a broad range of acute
emergency events.
Medical students Jeanah Brader and Diana
Hanna perform an airway management
procedure using a mannequin simulator.
“The software allows the teacher
to modify the clinical conditions. The
simulation can be modified according to the
age, gender and comorbid conditions of the
patient set by the teacher. The physiological
and pharmacological responses are
modified accordingly,” explained Moore,
professor and chair of the Department of
Anesthesiology and Pain Medicine. He
said that individual students may progress
through several simulations constituting a
continuum of care of a patient, from initial
evaluation and treatment in the emergency
department to surgical procedures.
“Task trainers – such as a percutaneous
catheterization skills trainer, airway skills
trainer and pelvic exam simulator – in
combination with role players, such as a staff
member portraying a family member with
limited English language skills, may be used
at various stages of care to further enhance
the immersive experience,” Moore added.
Just as sports coaches use repetitive
drills to train team members, faculty
physicians can use simulation to help
students gain familiarity with working as
members of multi-disciplinary medical
teams.
UC Davis Health System
“Our cross-specialty training
approach will enable us to become
accredited by the American College of
Surgeons as well as other simulation
education accrediting bodies,” said Jeffrey
M. Gauvin, M.D., who is an assistant
professor of gastrointestinal surgery,
associate director of residency training,
and the CVC medical director.
Faculty members may serve as
a member of the medical team in a
simulation, or may choose to observe
students through a one-way window.
Aaron Bair, M.D., an associate professor
of emergency medicine, prefers to
participate with his students rather than
as the unseen wizard behind the curtain.
“Some instructors like to be
completely hidden and supply the voice
of the patient mannequin. I prefer to
interact directly with students, which
enables me to teach on the fly. I use the
simulations not as much as a critique
session, but rather as an opportunity to
ask students “what do you think about
this,’ or ‘do you want to try this’?”
Bair and his colleagues use simulation
to teach procedures, including
airway management and medical case
management in clinical scenarios – for
example, a team resuscitation for a
patient in cardiac arrest. Bair, who is
director of simulation training for the
Department of Emergency Medicine,
began using the technology in his
teaching in 2001.
“The breadth of opportunity and
flexibility in the CVC is tremendous,
with many options available. An
interested faculty member doesn’t need
to have familiarity with simulation to get
involved,” he assured.
The CVC facility includes a simulated
catheterization laboratory where
residents and other physicians can
practice balloon angioplasty and other
interventional vascular procedures.
You can learn more about the Center
for Virtual Care by writing to cvc@
ucdmc.ucdavis.edu or calling (916)
734-4708.
Faculty Development Office
4610 X Street, Suite 4101
Sacramento, CA 95817
Published by the Faculty Development Office
FEBRUARY – MARCH 2009
Workshops and other activities
You are invited! We encourage you to enroll
in one of the various workshops, programs
and events sponsored by the Faculty
Development Office. For more event details
and to register, visit www.ucdmc.ucdavis.
edu/facultydev/ and click Register Online.
(Event co-sponsors are indicated within
parentheses.)
(Calendar from page 1)
March
facultyNewsletter
Published by the Faculty Development
Office, which administers and coordinates
programs that respond to the professional and
career development needs of UC Davis Health
System faculty members.
4610 X Street, Suite 4101
Sacramento, CA 95817
(916) 734-2464
www.ucdmc.ucdavis.edu/facultydev/
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Jesse Joad, M.D., M.S.
Associate Dean for Diversity and Faculty Life
Gregg Servis, M.Div.
Director, Faculty Development
gregg.servis@ucdmc.ucdavis.edu
4
Office of Diversity Advisory Team meeting
5
Workshop: Using EMR for Clinical Research
February
11
Community Engagement and Partnerships Committee meeting
11
Faculty Development Advisory Team meeting
12
Breakfast with Leadership: James Goodnight, M.D., Ph.D.
4 Office of Diversity Advisory Team
meeting
18
Workshop: Negotiation Skills
5 Breakfast with the Dean
19
Breakfast with Leadership: Michael Minear
24
Workshop: Compensation Plans: From ABC to XYZ
2 Work-Life Balance Group meeting
11 Community Engagement and
Partnerships Committee meeting
Launch of Faculty Forward – faculty satisfaction survey (see detailed
information in the April-May edition of Faculty Newsletter)
Office of Diversity Advisory Team meeting
Cheryl Busman
Program Representative, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
2
Breakfast with the Dean
6
Workshop: Juggling Careers and Parenting
Felicia Carrillo
Program Assistant, Office of Diversity
felicia.carrillo@ucdmc.ucdavis.edu
8
Community Engagement and Partnerships Committee meeting
26 Breakfast with Leadership:
William McGowan
8
Faculty Development Advisory Team meeting
March
17
Breakfast with Leadership: Ann Bonham, Ph.D.
28
Workshop: Using Web-Based Surveys for Research
5
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
commercially in the early 1990s,
have progressed dramatically in
sophistication. Patient simulation
devices now can imitate human
symptoms, respond to sensory stimuli,
and replicate reactions to induced drugs.
At UC Davis Health System, the
Center for Virtual Care (CVC) has a
complement of simulation devices on
which students, residents and attending
physicians can practice techniques
without causing harm to patients. The
facility also allows surgeons to gain
experience in using surgical robots.
Patient mannequins nicknamed
“Stan” and “Morgan” simulate breathing,
continued on page 5
20 Women in Medicine event: career
advancement workshop
2
Work-Life Balance Work Group
meeting
2
Dean’s Recognition Reception
MARCH continues on page 6
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
For medical students learning how
to perform procedures, the leap from
working on cadavers to interacting with
live patients is figuratively as broad as
the Snake River Canyon that stunt rider
Evel Knievel famously tried to leap while
aboard a motorcycle.
Today, though, UC Davis medical
students have at their disposal a bridge
to help them cross that chasm: medical
mannequins that mimic characteristics
of living patients.
Simulation has been integrated
for decades in aviation, military and
astronaut training, and in automotive
safety testing. Interactive medical
simulator mannequins, introduced
12 Breakfast with Leadership:
James Goodnight, M.D., Ph.D.
1
EditPros LLC
Editorial Services
www.editpros.com
Mannequins in Center for Virtual Care simulate human subjects
11 Faculty Development Advisory Team
meeting
April
MEDICAL TRAINING WITHOUT RISK
6
Medical students Diana Hanna, Jeanah Brader and Nicole Ling (L-R) listen as Richard Rivera,
professor of anesthesiology and pain medicine, describes a procedure during a Jan. 7 training
session with a medical mannequin at the Center for Virtual Care. (Photos: Emi Manning)
CVC
continued from page 1
their eyes blink, they exhibit a pulse, and
they “speak” (by means of an instructor
using a microphone). The CVC’s adult, child
and infant patient simulators enable practice
in physical examinations, CPR, intravenous
drug delivery, airway management,
respiratory therapy and other techniques.
“Scenarios can be as varied as the
instructor wishes,” said Betsy Bencken,
M.S., clinical instructor and chief
administrative officer of the CVC. “We
manage all kinds of ‘cases’ – diabetes,
shock, drug issues, ER and OR events
involving anesthesia complications, and
cardiac events. The mannequins can
recognize about 70 drugs, exhibit a variety
of heart and lung sounds, and respond to
live power defibrillation and other stimuli.”
Patient mannequins can simulate bleeding,
sweating and other bodily secretions; jugular
vein distention; bilateral chest movement;
variable airway resistance; and breath, heart
and bowel sounds. They can be programmed
to simulate tongue edema, oral and
nasopharyngeal suctioning, laryngospasm,
convulsions and other conditions.
The mannequins’ symptoms and
reactions are governed by a computer
application that can be programmed ahead
of time, or can be manipulated while an
interaction is in progress. The CVC can
accommodate classes of six to eight students
with their instructor, and as many as six
different learning sessions simultaneously.
Bencken and her CVC colleagues help
faculty members stage teaching scenarios.
“When we first meet with faculty
members, we discuss the core learning
objectives of the simulation event,
then decide what we need to make the
simulation as realistic as possible,” Bencken
said. “We may use an anesthesia cart, or
a code blue cart or crash cart, stocked for
specific events. At various times we use
fake blood or vomit, or bandages, perhaps a
defibrillator, and we have the proper drugs
for any given scenario.”
Peter G. Moore, M.D., the clinical
director of the CVC, said that the simulators
can replicate a broad range of acute
emergency events.
Medical students Jeanah Brader and Diana
Hanna perform an airway management
procedure using a mannequin simulator.
“The software allows the teacher
to modify the clinical conditions. The
simulation can be modified according to the
age, gender and comorbid conditions of the
patient set by the teacher. The physiological
and pharmacological responses are
modified accordingly,” explained Moore,
professor and chair of the Department of
Anesthesiology and Pain Medicine. He
said that individual students may progress
through several simulations constituting a
continuum of care of a patient, from initial
evaluation and treatment in the emergency
department to surgical procedures.
“Task trainers – such as a percutaneous
catheterization skills trainer, airway skills
trainer and pelvic exam simulator – in
combination with role players, such as a staff
member portraying a family member with
limited English language skills, may be used
at various stages of care to further enhance
the immersive experience,” Moore added.
Just as sports coaches use repetitive
drills to train team members, faculty
physicians can use simulation to help
students gain familiarity with working as
members of multi-disciplinary medical
teams.
UC Davis Health System
“Our cross-specialty training
approach will enable us to become
accredited by the American College of
Surgeons as well as other simulation
education accrediting bodies,” said Jeffrey
M. Gauvin, M.D., who is an assistant
professor of gastrointestinal surgery,
associate director of residency training,
and the CVC medical director.
Faculty members may serve as
a member of the medical team in a
simulation, or may choose to observe
students through a one-way window.
Aaron Bair, M.D., an associate professor
of emergency medicine, prefers to
participate with his students rather than
as the unseen wizard behind the curtain.
“Some instructors like to be
completely hidden and supply the voice
of the patient mannequin. I prefer to
interact directly with students, which
enables me to teach on the fly. I use the
simulations not as much as a critique
session, but rather as an opportunity to
ask students “what do you think about
this,’ or ‘do you want to try this’?”
Bair and his colleagues use simulation
to teach procedures, including
airway management and medical case
management in clinical scenarios – for
example, a team resuscitation for a
patient in cardiac arrest. Bair, who is
director of simulation training for the
Department of Emergency Medicine,
began using the technology in his
teaching in 2001.
“The breadth of opportunity and
flexibility in the CVC is tremendous,
with many options available. An
interested faculty member doesn’t need
to have familiarity with simulation to get
involved,” he assured.
The CVC facility includes a simulated
catheterization laboratory where
residents and other physicians can
practice balloon angioplasty and other
interventional vascular procedures.
You can learn more about the Center
for Virtual Care by writing to cvc@
ucdmc.ucdavis.edu or calling (916)
734-4708.
Faculty Development Office
4610 X Street, Suite 4101
Sacramento, CA 95817
Published by the Faculty Development Office
FEBRUARY – MARCH 2009
Workshops and other activities
You are invited! We encourage you to enroll
in one of the various workshops, programs
and events sponsored by the Faculty
Development Office. For more event details
and to register, visit www.ucdmc.ucdavis.
edu/facultydev/ and click Register Online.
(Event co-sponsors are indicated within
parentheses.)
(Calendar from page 1)
March
facultyNewsletter
Published by the Faculty Development
Office, which administers and coordinates
programs that respond to the professional and
career development needs of UC Davis Health
System faculty members.
4610 X Street, Suite 4101
Sacramento, CA 95817
(916) 734-2464
www.ucdmc.ucdavis.edu/facultydev/
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Jesse Joad, M.D., M.S.
Associate Dean for Diversity and Faculty Life
Gregg Servis, M.Div.
Director, Faculty Development
gregg.servis@ucdmc.ucdavis.edu
4
Office of Diversity Advisory Team meeting
5
Workshop: Using EMR for Clinical Research
February
11
Community Engagement and Partnerships Committee meeting
11
Faculty Development Advisory Team meeting
12
Breakfast with Leadership: James Goodnight, M.D., Ph.D.
4 Office of Diversity Advisory Team
meeting
18
Workshop: Negotiation Skills
5 Breakfast with the Dean
19
Breakfast with Leadership: Michael Minear
24
Workshop: Compensation Plans: From ABC to XYZ
2 Work-Life Balance Group meeting
11 Community Engagement and
Partnerships Committee meeting
Launch of Faculty Forward – faculty satisfaction survey (see detailed
information in the April-May edition of Faculty Newsletter)
Office of Diversity Advisory Team meeting
Cheryl Busman
Program Representative, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
2
Breakfast with the Dean
6
Workshop: Juggling Careers and Parenting
Felicia Carrillo
Program Assistant, Office of Diversity
felicia.carrillo@ucdmc.ucdavis.edu
8
Community Engagement and Partnerships Committee meeting
26 Breakfast with Leadership:
William McGowan
8
Faculty Development Advisory Team meeting
March
17
Breakfast with Leadership: Ann Bonham, Ph.D.
28
Workshop: Using Web-Based Surveys for Research
5
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
commercially in the early 1990s,
have progressed dramatically in
sophistication. Patient simulation
devices now can imitate human
symptoms, respond to sensory stimuli,
and replicate reactions to induced drugs.
At UC Davis Health System, the
Center for Virtual Care (CVC) has a
complement of simulation devices on
which students, residents and attending
physicians can practice techniques
without causing harm to patients. The
facility also allows surgeons to gain
experience in using surgical robots.
Patient mannequins nicknamed
“Stan” and “Morgan” simulate breathing,
continued on page 5
20 Women in Medicine event: career
advancement workshop
2
Work-Life Balance Work Group
meeting
2
Dean’s Recognition Reception
MARCH continues on page 6
facultyNewsletter | February – March 2009 | www.ucdmc.ucdavis.edu/facultydev
For medical students learning how
to perform procedures, the leap from
working on cadavers to interacting with
live patients is figuratively as broad as
the Snake River Canyon that stunt rider
Evel Knievel famously tried to leap while
aboard a motorcycle.
Today, though, UC Davis medical
students have at their disposal a bridge
to help them cross that chasm: medical
mannequins that mimic characteristics
of living patients.
Simulation has been integrated
for decades in aviation, military and
astronaut training, and in automotive
safety testing. Interactive medical
simulator mannequins, introduced
12 Breakfast with Leadership:
James Goodnight, M.D., Ph.D.
1
EditPros LLC
Editorial Services
www.editpros.com
Mannequins in Center for Virtual Care simulate human subjects
11 Faculty Development Advisory Team
meeting
April
MEDICAL TRAINING WITHOUT RISK
6
Medical students Diana Hanna, Jeanah Brader and Nicole Ling (L-R) listen as Richard Rivera,
professor of anesthesiology and pain medicine, describes a procedure during a Jan. 7 training
session with a medical mannequin at the Center for Virtual Care. (Photos: Emi Manning)