June 2013 Volume 4, Issue 2
Gradua on, Awards Highlight Great Year for Anesthesiology June is always a month of celebra ons and goodbyes for our department, and we salute our gradua ng residents, as well as their mentoring faculty, for their many accomplishments during the 2012‐2013 academic year. At right, gradua ng residents received their official cer ficates during a recent dinner. For more photos from the event, as well as news from the awards ceremony, please see pages 4‐5.
New roles for Dr. Robertson, AMA grant for Dr. Ehrenfeld Having been in the department for almost two months, I want to say thank you to everyone for such a warm welcome. I am delighted to see all of the excellent things going on in our department. I plan to give periodic updates from the Office of Educa onal Affairs, and I am excited to let you know about a few recent developments for some of our faculty. Ins tu onal & Departmental Educa on Roles for Robertson I am pleased to announce some very ex‐
ci ng news for Dr. Amy Robertson. It is widely recognized that Dr. Robertson is an educa onal leader in the department and the university. This has recently been rec‐
ognized in two dis nct ways. First, Dr. Rob‐
ertson has been selected as one of 10 Por olio Advisors for the Vanderbilt Univer‐ Dr. Amy Robertson
A Message from Vice ‐ Chair for Educational Affairs Matthew McEvoy, MD sity School of Medicine (SOM). This is a dis nct honor. She was chosen out of a very compe ve pool of faculty from across the medical center. Each Por olio Advisor will follow a cohort of 10 students throughout their en re MD training. The primary role of a Por olio Advisor is to coach medical students in the development of skills for self‐assessment and life‐long learning. Emphasis is on facilita ng each student’s ownership in his or her performance by cri cally appraising Story con nued on page 2
Outreach to China, Page 3
Academic Awards, Pages 4-5
Informatics Creates Buzz, Page 11
Volume 4, Issue 2
Message from Vice‐Chair for Educa onal Affairs Bonnie Miller, MD, senior associate dean for Popula on Health Sciences, authored Vanderbilt’s submission along with data about one’s performance and transla ng that assessment co‐inves gators Robert Di us, MD, MPH, associate vice chan‐
into an ac on plan for future learning. The Curriculum 2.0 as‐ cellor for Public Health and Health Care, Kim Lomis, M.D., as‐
sessment system calls for a comprehensive student Learning sociate dean for Undergraduate Medical Educa on; and An‐
Por olio populated with data pertaining to each student’s ex‐ derson Spickard III, MD, MS, FACP, associate professor of Med‐
perience and performance. An addi onal responsibility of the icine and assistant professor of Biomedical Informa cs. Por olio Advisor will be assis ng the student in genera ng an In brief, the grant has three primary goals: annual summa ve Por olio report, which is submi ed to the 1. To embed learning in the workplace throughout School of Medicine Promo on Commi ee as evidence for pro‐
undergraduate medical educa
on. mo on decisions. Con nued from page 1
2. To create a competency‐based assessment system that guides student learning with explicit, standard‐
ized expecta ons and provides accurate informa on for high stakes decisions independent of me in the educa onal program. 3. To develop a process for personalized learning plans guided by individual student strengths, needs, and interests, and facilitated by a comprehensive electron‐
ic por olio that collects and displays assessment data and links to the curriculum management system and the electronic health record. Not only will Dr. Robertson be involved in this longitudinal as‐
pect of the SOM, but she is also ac vely involved in curriculum development and teaching for the clinical years. As such, she has been named to the role of Director of Medical Student Educa on in our department. A er seeing all of the great ini ‐
a ves in our department for medical student educa on, it be‐
came clear that this role was needed, and a er speaking with faculty, residents, and students, it became clear that Dr. Rob‐
ertson was an excellent choice. Dr. Ehrenfeld will lead efforts related to the first goal, learning in which students are embedded in the health care workplace. This will be largely accomplished through the Clinical Con nui‐
ty Experience (CCX) program in which students become team members at a single clinical site for the dura on of their un‐
In this role, Dr. Robertson will work with the numerous faculty dergraduate medical educa on. Inten onal learning ac vi es who are involved with teaching and course direc on in the are spread across a four‐year curriculum, including seminar SOM. She will serve as the liaison from the Office of Educa on‐ ac vi es and clinical experiences. The mission of CCX is to cre‐
al Affairs to provide support to course and ac vity directors ate self‐directed learners, integrate the pa ent care experi‐
and also facilitate development of innova ve methods of ence with medical knowledge, integrate systems knowledge teaching and assessment. Please congratulate her on these with clinical care, and cul vate respec ul professionals. accomplishments and recogni ons when you see her! Submissions for the AMA grant were quite compe ve, with Dr. Ehrenfeld a Co‐inves gator more than 80 percent of the na on’s medical schools provid‐
on Pres gious $1 Million AMA Grant ing proposals, so kudos to Dr. Ehrenfeld and his co‐
inves gators for this exci ng effort. Dr. Ehrenfeld and the Another faculty member deserving our con‐
grant co‐inves gators will serve in the na onal consor um of gratula ons is Jesse Ehrenfeld, MD, MPH, medical schools established by the AMA grant, giving us an associate professor of Anesthesiology, Sur‐
exci ng opportunity to exchange best prac ce informa on gery, and Biomedical Informa cs, who is one with our colleagues. This ini
a ve will likely change the face of of four co‐inves gators on a new five‐year, medical educa
on in our country. $1 million grant from the American Medical Dr. Jesse Ehrenfeld
Associa on. The AMA awarded the grants to 11 top medical schools, including Vanderbilt, and the grant recipients will be part of a na onal consor um designed to rapidly disseminate best prac ces in medical educa on across the country. 2
Volume 4, Issue 2
Read the AMA grant announcement in The Reporter. Read more about the AMA’s Accelera ng Change in Medical Educa on ini a ve. Jackson, McQueen are Medical Ambassadors to China Drs. Tracy Jackson and Kelly McQueen, front row right, with other members of the People to People Ci zen Ambassador Delega on and
healthcare workers at Beijing Friendship Hospital.
Tracy Jackson, MD, and Kelly McQueen, MD, MPH, recently returned from China where they traveled as part a People to People Ci zen Ambassador Delega on, an academic and cul‐
tural exchange. Dr. McQueen led a group of pain specialists who met with medical professionals and community leaders in three Chinese ci es: Beijing, Xi’an and Shanghai. The focus during the visit was both on Tradi onal Chinese Medicine (TCM) and “Western” medicine for the treatment of acute and chronic pain. TCM and tradi onal Western medi‐
cine, are some mes integrated within the Chinese healthcare system, but are most o en separated due to the training and focus of the physicians and facili es. The Chinese popula on now more o en seeks a Western approach for their healthcare, including treatment for chronic pain. But as the problems common to chronic pain rise, most especially postherpe c neuralgia (PHN), headache and fibromyalgia, there is an effort for some pain specialists to integrate TCM with other pain modali es, and to refocus on what once was the most common approach to healthcare in China. At most of the healthcare facili es in Beijing, Xi’an, and Shang‐
hai there was posi ve engagement with the delega on and many opportuni es for future collabora on, said Dr. McQueen. Chronic pain is growing glob‐
ally, and in many low‐
income countries it is only beginning to be addressed. This reali‐
ty was uniquely ob‐
served in China, as the urban meccas offer cu ng edge medical approaches, whereas the rural areas o en offer li le, and look sur‐
prisingly simi‐
Dr. Jackson’s presenta on on central
lar to poorer sensi za on was received with great
countries with interest in Beijing, China.
few resources for anesthesia or pain treatment. Drs. Jackson and McQueen are both interested in the global burden of pain, and plan to work together going forward to document the issue in low‐ and middle‐
income countries, and to explore tradi onal and non‐
tradi onal approaches for pain management for the greatest pa ent benefit – both here in the United States and within the borders of the poorest countries in the world. At le , Drs. Jackson and McQueen, along with other delega on
members, tour clinical space and learn about pain treatment in
China while visi ng Beijing Friendship Hospital.
3
Volume 4, Issue 2
Annual Faculty & Resident Awards Dr. Chris Cropsey, center, was recognized for outstanding efforts in five special‐
es: Ambulatory Anesthesiology, Cardiovascular Anesthesiology (VAMC), Hepa‐
to‐Vascular Anesthesiology, Neuroanesthesiology, and Regional Anesthesiolo‐
gy. Dr. Katherine Dobie, right, presents the Ambulatory Anesthesiology award,
along with Vice Chair for Educa onal Affairs Dr. Ma McEvoy, le .
Dr. John Corey, right, gives Comprehensive Pain Service
award winner Dr. Adam King a hear elt hug for his efforts
in the specialty, while Dr. McEvoy looks on.
Outstanding faculty and residents were recently honored for their contribu ons to the department, and specifically to educa on and pa ent care. Faculty members from each division announced the honorees, and the chief residents recognized faculty members that went above and beyond in their efforts to train and mentor. Kudos to our Outstanding Faculty and Residents! Dr. Meenal Pa l gives Dr. Chris Sobey, center, the
award for Pain Medicine.
Above le , Dr. Michael
Richardson, right, gives
Dr. Jennifer Maziad,
center, the award for
Obstetric Anesthesiolo‐
gy. At le , Dr. Susan
Eagle gives Dr. Thomas
Lind the award for
Cardiothoracic Anesthe‐
siology.
4
Volume 4, Issue 2
Dr. Liza Weavind, right, gives Dr. Bret Alvis, center,
the award for Cri cal Care Medicine.
Former chief residents Dr. Janna Sobey, Dr. Adam King and Dr. Bret Alvis
present a Golden Apple Award to Dr. Humphrey Lam.
The chief residents present a Golden Apple Award
to Dr. Doug Hester.
RESIDENT AWARDS Dr. Adam King Comprehensive Pain Service Dr. Chris Sobey Adult Mul specialty Anesthesiology, Pain Medicine Dr. Chris Cropsey Ambulatory Anesthesiology, Cardiovascular Anesthesiology (VAMC), Hepato‐Vascular Anesthesiology, Neuroanesthesiology, Regional Anesthesiology Dr. Thomas Lind Cardiothoracic Anesthesiology Dr. Bret Alvis Cri cal Care Medicine Dr. Jace Perkerson Neuroanesthesiology Dr. Jennifer Maziad Obstetric Anesthesiology Dr. Jenna Sobey Pediatric Anesthesiology FACULTY AWARDS Golden Apple Awards: Dr. Robert Deegan, Dr. Doug Hester, Dr. Humphrey Lam
Volker I. Striepe Teaching Award: Dr. Ram Pai B.E. Smith Mentorship Award: Dr. Marc Huntoon At le , the chief residents
present Dr. Ram Pai with
the Volker I. Striepe
Teaching Award. At right,
Dr. Warren Sandberg, on
le , presents the B.E.
Smith Mentorship Award
to Dr. Marc Huntoon,
Chief of the Pain Medicine
Division.
5
Volume 4, Issue 2
Gradua ng Residents, Faculty Celebrate Successes at Dinner 6
Volume 4, Issue 2
There were lots of smiles, laughter, and yes, even a few tears, as the exi ng class of residents were celebrated at the annual Anesthesiology Gradua on Dinner. Family, friends and faculty of the Anesthesiology Department sent the group off with much fanfare as they con nue their careers in the specialty. Former Chair of the Office of Educa onal Affairs Dr. John Algren, who recently re red, a ended the event, and the residents were able to thank him personally for his many years of guidance and wisdom as they navigated their residency. Congratula ons to a very fine class! Family, friends and
faculty were all on
hand to congratu‐
late the gradua ng
class of residents as
they go forth to
pursue promising
careers in
Anesthesiology.
7
Volume 4, Issue 2
Legend in Anesthesiology Visits Vanderbilt In May, the Department of Anesthesiology hosted a special guest lecture by Edmond “Ted” Eger II, MD, a world‐wide authority on inhaled anesthe cs and their pharmacokine cs and ac ons in the brain and spinal cord. Known as the developer of one of the founda onal con‐
cepts of anesthesiology, minimum alveolar concentra on or “MAC,” Dr. Eger first published ground‐
breaking research outlining MAC in the leading journal, Anesthesi‐
ology, in 1965. The MAC of an inhaled anesthe c is the alveolar concentra on that prevents movement in 50% of pa ents in response to a standardized s m‐
Dr. Edmund “Ted” Eger treated the
ulus (e.g., surgical incision). This prolific inves gator has pub‐
lished more than 500 original manuscripts in high‐impact jour‐
Vanderbilt Anesthesiology Depart‐
ment to a special lecture, “A
history of how we thought inhaled
anesthe cs act.”
nals. He has also received the American Society of Anesthesiol‐
ogists (ASA) Award for Excellence in Research and the ASA’s Dis nguished Service Award. Anesthesiology Department members were entranced by Dr. Eger’s lecture, and many gathered following his lecture to con‐
nue a lively discussion. Dr. Eger was in Nashville to a end the gradua on of his granddaughter from Vanderbilt University. Fond Farewells to Drs. Algren and Hersey A farewell reception was held in April for Shannon Hersey, MD, former chief of the Division of Ambulatory Anesthesiology. Dr. Hersey accepted a posi on at the University of Wisconsin as Medical Director of Anesthesia Opera ons. A re rement celebra on was held in May for John Algren, MD, former vice‐chair for the Office of Educa onal Affairs and residency pro‐
gram director. We are grateful to these two stalwarts for their strong leadership through the years. At left, Drs. Algren and Hersey. Below left, Dr. Hersey received a signed photo from Dr. Raj Gupta and the Ambula‐
tory Anesthesiology Division. Below, Dr. Algren is flanked by two former chief residents, Dr. Bret Alvis, left, and
Dr. Adam King.
8
Volume 4, Issue 2
Report on Recent Mission to Honduras: Malchow Dr. Randy Malchow recently joined a 38‐member surgical team on a trip to Honduras organized by Chris an Medical & Dental Associa ons (CMDA) and Opera on New Life (ONL). While there, the team performed about 40 total hip/total knee arthroplas es. Anesthe cs were almost exclusive‐
ly regional (spinal as primary, with lumbar plexus blocks, femoral blocks, and/or scia c blocks for analgesia). Pa ents received no narco cs for the first four days during or a er surgery, which speaks to this pa ent popula on’s percep on of pain and this Third World culture, Malchow said. One hospital Dr. Randall Malchow, back center, with members of a medical team in Honduras.
lacked a nerve s mulator so they performed “paresthesia” and landmark techniques for femoral nerve block/scia c nerve block, which worked surprisingly well and was quick. The goal is to con nue to grow interna onal regional anesthesia/acute pain management efforts in Honduras, as we have in Kenya. If anyone is interested in contribu ng in any way, please let Dr. Malchow know. Also, Dr. Malchow is collec ng le ‐over/donated supplies and medica ons for our humanitarian interna onal anesthesia efforts. There is a box in the VUH CRNA break room to put supplies for future missions. Please contact Dr. Malchow if you are traveling to another country on a surgical mission, and you would like to take some supplies with you. 5
Volume 4, Issue 2
Kapu Elected American Associa on of Nurse Prac
April Kapu, MSN, RN, APRN, has been elected a fellow of the American Asso‐
cia on of Nurse Prac oners (FAANP). AANP fellows are selected based on outstanding contribu ons to clinical prac ce, research, educa on, or policy. Kapu has worked at Vanderbilt for nine April Kapu, MSN, R.N., APRN
years, most recently serving as the as‐
sistant director of Advance Prac ce Cri cal Care at Vanderbilt University Hospital. She has helped spearhead many ini a‐
ves to be er use nurse prac oners on health care teams, including adding nurse prac oners to rapid response teams. oners Fellow Addi onally, she has co‐authored ar cles on nurse prac on‐
er‐associated metrics for outcomes and is pursuing her Doc‐
tor of Nursing Prac ce degree at Vanderbilt University School of Nursing. Kapu was officially inducted at the AANP Na onal Conference on June 22 in Las Vegas. She was also recently elected as the state representa ve for the AANP, which has 47,000 mem‐
bers worldwide. Kapu is on the 2014 planning commi ee for next year’s AANP conference, which hosts approximately 6,000 a endees each year and will be held in Nashville next June. Third Annual Blood Drive: July 26th The third annual Anesthesiology Department Blood Drive is Friday, July 26th, from 10 am – 3 pm at TVC, Rooms 2701‐2704. Special incen ves are being offered for de‐
partment members who donate or who a empt to donate at this event. Remember, giving blood takes just one hour or less! Last year’s Anesthesiology Department Blood Drive had 31 presen ng donors, with 21 produc ve pints. The 21 pints have the poten al of saving 63 lives. Before you sign up, please take a moment to review eligibility requirements, includ‐
ing informa on on medica ons and travel outside the United States, at this website: h p://www.redcrossblood.org/dona ng‐blood/eligibility‐requirements To sign up, go to www.redcrossblood.org, click on “Make a Blood Dona on Appoint‐
ment” at the top right, and enter “vandy19” as the sponsor code. Select the July 26th blood drive at TVC. Appointments (which are encouraged) can also be made by calling 1‐800‐RED CROSS (733‐2767). Please bring your Red Cross blood donor card or other form of photo ID when you come to donate. For addi onal eligibility ques ons, please call 1‐800‐GIVE‐LIFE. In addi on to giving the gi of life, blood drive par cipants are eligible for some pre y cool incen ves:  The first 10 registered departmental donors who keep their appointments will be entered in a drawing to receive four (4) ckets to an upcoming performance of the Nashville Children’s Theatre.  All donors from the department who keep their appointments will be entered in a drawing for a steak dinner at Dr. Sandberg’s home, prepared by the Chair himself! Four lucky winners will be selected! Please note: If you are a department member who is a regular blood donor and are ineligible to give at the drive on July
26th due to the required wai ng period, please let Jill Clendening know. Your name will be added to the drawing for the
steak dinner! 10
Volume 4, Issue 2
VUMC Informa cs Efforts Create a Buzz VigiVUTM, a mobile medical app used by clinical staff to increase situa onal awareness, as well as other informa cs advances led by the Vanderbilt Depart‐
ment of Anesthesiology, have been in the news and crea ng quite a buzz in recent months. A story featuring VigiVU was released na onally in May by Ivanhoe Broadcast News; Ivanhoe has a client base of more than 250 television network affiliates in the United States, with a daily audience of 80 million households. In May, State Senator Mark Green (R‐Clarksville), a physician and a former Army Ranger medic, came to witness the technology in ac on. Then, in June, Na onal Ins tutes of Health representa ves came for a demonstra‐
on of our informa cs tools. VigiVUTM caught the a en on of representa ves of the Na onal Ins tutes of Health
who traveled to Nashville recently to see the OR vigilance tool at work. Le to right:
Dr. Brian Rothman; Anesthesiology Chair Dr. Warren Sandberg; NIH Biomedical and
Medical Device Integra on Engineer Tim Rajah, BSEE‐MSBME; NIH Clinical Center
Technology Development Coordinator Eric Cole, MS; NIH Chief of the Department of
Periopera ve Medicine Andrew Mannes, MD; and Dr. Jesse Ehrenfeld. The group visit‐
ed clinical spaces in order to demonstrate the technology at work.
In May, State Senator Mark Green, MD, (R‐Clarksville), visited Vanderbilt for a tour of
clinical spaces in order to see VPIMS and VigiVUTM at work. Shown here: Anesthesiolo‐
gy Chairman Warren Sandberg, MD; Senator Green; Assistant Vice Chancellor for
Health Affairs Julie Hudson, MD, MA; Director of Vanderbilt Anesthesiology and Peri‐
opera ve Informa cs Research Jesse Ehrenfeld, MD, MPH; Jonathan Wanderer, MD;
Vanderbilt University Associate Director of State Policy and Legisla ve Affairs David
Mills, and Medical Director of Periopera ve Informa cs Brian Rothman, MD. At le , a
demonstra on mode view of a case board as seen through VigiVUTM.
11
Volume 4, Issue 2
Save These Dates  Dr. Warren Sandberg’s State of the Department Address: Wednesday, July 10, 6:30 a.m. at 208 Light Hall.  Third annual Anesthesiology Department Blood Drive: Friday, July 26, 10 am – 3 pm at TVC, Rooms 2701‐2704. Book an appointment at www.redcross.org. See page 6 for more informa on.  Annual ASA Alumni Recep on: Sunday, October, 13, 6‐8 pm, Town Hall Restaurant in San Francisco, California. More details coming soon!  Get your cowboy boots shined and get ready to bid on some great auc on items! The annual Vanderbilt Interna onal Anesthesia Ranch Party is September 28! Details are being finalized now, so look for more informa on soon. If you have items/services you would like to donate for the live and silent auc on, please contact one of our chief residents. No te
cul
a
F
o
st
nt Award (AAA) Academic Achieveme
ly 1. AAA forms were due back Ju
arily rewards recognizes and monet
uca on, and effec ve scholarship, ed
t supported professional service tha
ion and devel‐
the department's miss
culty during opment of its clinical fa
12‐June 30, the period of July 1, 20
sbursed on 2013. Funds will be di
ons? Contact s
September 30th. Que
allie Hanks
Dr. Ma Weinger or C
bilt.edu). (callie.a.hanks@vander
ty
are currently
Faculty reviews all full‐ me for being scheduled t an employment a
faculty who beg
July 1, 2013 Vanderbilt before
n not already bee
If your review has
te of your review
scheduled, the da
y nn
you from Je
will be emailed to
the r’s Office within
Cook in the Chai
. next two weeks
12
Volume 4, Issue 2
New Anesthesiology Interns Welcomed at Picnic/Pool Party Dr. Jane Easdown opened her
Brentwood home and pool recently
for an evening of fellowship with
new interns and their families.
Barbecue, ice cream, a few dives
into the pool, and relaxing conver‐
sa on were enjoyed by all.
13
Volume 4, Issue 2
As our department grows and we add members or as individ‐
uals assume new roles, these changes will be announced via email, as well as in our newsle er. Please welcome the fol‐
lowing individuals or congratulate them on new responsibili‐
es. If your division has recent hires or changes in status since January which are not included in this announcement, please contact Jill Clendening at 322‐4841 or via email: jill.clendening@vanderbilt.edu Anna Allred, MD, joined our department in July as a Cri cal Care Medicine fellow. Dr. Allred completed her residency at University of Texas Southwestern. Mary DiMiceli, MD, joined our department in July as an Obstetric Anesthesiology fellow. Brian Emerson, MD, joined our department in June as an assistant professor of clinical anes‐
thesiology in the Pediatric Division. He earned his medical degree from Vanderbilt in 2003, and his BA in History from the University of Notre Dame (South Bend, Indiana) in 1999. Dipanwita Ghose, PhD, joined our department in June as a post‐doctoral research fellow in the lab of Brad Grueter, PhD. Jeff Barton, PA‐C, joined the department in March as an assistant in anesthesiology in the Division of Anesthesiology Cri cal Care Medi‐
cine, CVICU. Ignacio Badiola, MD, joined our department in July as an instructor (non‐ACGME fellow) in Pain Medicine & Regional Anesthesiology. George Cierny, MD, joined our department in July as a Pediatric Anesthesiology fellow. Jeff Ho le, BFA, joined our department in April as an Interac on Designer in the Center for Re‐
search and Innova on and Systems Safety (CRISS). Clark Kensinger, MD, joined our department in July as a Cri cal Care Medicine Fellow. Dr. Kensinger just completed his surgery residen‐
cy at Vanderbilt. Steve Klintworth, RN, joined our department in April as a Research Coordinator III in the Periop‐
erative Clinical Research Institute. Christy Crockett, MD, joined our department in July as a Pediatric Anesthesiology fellow. Brent Dilts, MD, joined our department in July as a Pain Management fellow. 14
Volume 4, Issue 2
Jeff Litt, DO, joined our department in July as a Critical Care Medicine fellow. Pranev Shah, MD, joined our department in July as a Cardiothoracic Anesthesiology fel‐
low. Bantayehu Sileshi, MD, joined our depart‐
ment in July as a Cardiothoracic Anesthesiol‐
ogy fellow. Adam King, MD, began a Cri cal Care Medicine fellowship in July. Eric Stickles, MD, joined our department in July as an assistant professor of clinical anes‐
thesiology in the Pediatric Anesthesiology Division. Natalie Strickland, MD, joined our depart‐
ment in July as a Pain Management fellow. Thomas Lind, MD, began a Cardiothoracic Anesthesiology fellowship in July. Carrie Menser, MD, became an assistant professor in Pediatric Anesthesiology in July. Tracy Wester, MD, joined our department in July as a Pediatric Anesthesiology fellow. Joseph Schlesinger II, MD, became an assistant professor in Cri cal Care Medicine in July. Chris Sobey, MD, began a Pain Medicine fellowship in July. Bret Alvis, MD, began a Cri cal Care Medicine fellowship in July. Jeremy Benne , MD, became an assistant pro‐
fessor in Cardiothoracic Anesthesiology in July. Chris Cropsey, MD, began a Cri cal Care Medicine fellowship in July. Jenna Helmer‐Sobey, MD, began a Pediatric Anesthesiology fellowship in July. Dus n Watson, MD, began a Cri cal Care Medicine fellowship in July. Accomplishments of Note
Items listed in the Department Update are self‐reported by Division Chiefs and all department members, and any omis‐
sion is not inten onal. Items include all ac vi es by depart‐
ment members since the last published newsle er. If you have an ac vity or accomplishment to be listed, please email informa on to Marke ng/Communica ons Coordina‐
tor Jill Clendening, jill.clendening@vanderbilt.edu. Monthly e‐mail reminders are sent reques ng these updates. 15
Volume 4, Issue 2
Accomplishments of Note
 Annemarie Thompson, MD, (Cardiothoracic Anes.) was promoted to associate pro‐
fessor of anesthesiology on the CE track.  Jesse Ehrenfeld, M.D., MPH, has been named edi‐
tor‐in‐chief of the Journal of
Medical Systems, succeed‐
ing Ralph Grams, M.D., pro‐
fessor of Pathology and Medical Informatics at the University of Florida College of Medicine. This bimonthly journal has a 36‐year track record as a leading journal in the area of health care computing and information systems. The journal has an impact factor of 1.783.  Gina Whitney, MD, passed cer fica on boards in Pa ent Safety sponsored by Na onal Pa ent Safety Founda on. Earlier this year, Dr. Whitney was selected for the Vander‐
bilt University Medical Center Pa ent Safety Scholarship Program, a program of the Na onal Pa ent Safety Foun‐
da on. The scholarship included membership in the American Society of Professionals in Pa ent Safety, an online pa ent safety curriculum, and the evidence‐based exam which lead to her cer fica on.  Steven Klintworth, RN, Research Nurse Specialist III, was nominated for the Tennessean’s 2013 Nurse of the Year , and he was recently honored at a luncheon. Nominees were selected on three criteria: 1) Nominee provides an 16
Volume 4, Issue 2
extraordinary level of pa ent care, compassion and custom‐
er service; 2) has made signifi‐
cant contribu ons to the nurs‐
ing specialty; 3) and is regarded as a leader among peers and is involved in making posi ve changes in the profession, workplace and community.  Congratula ons to Mark Jewell, a Pharmacology gradu‐
ate student in Dr. Kevin Currie’s lab, who recently de‐
fended his PhD disserta on. His talk was tled: “Poten a on of adrenal catecholamine release by pros‐
taglandin E2: A new role for “inhibitory” G proteins?”  At the annual American Society of PeriAnesthesia Nurses (ASPAN) National Conference, PCRI Research nurse Elizabeth Card, RN, CPAN, CCRP, was named an ASPAN Ambassador and will co‐direct the group’s Evi‐
dence Based Practice Committee. VUMC perioperative nurses pre‐
sented seven posters, and Eliza‐
beth presented “Incidence and risk factors for emergence and PACU delirium.”  Marc Huntoon, MD, editor‐in‐chief of the bimonthly, interna onal journal Regional
Anesthesia and Pain Medicine, has released the first issues of the journal under his full direc‐
on. Two ar cles from the May‐
June issue are already in the journal’s list of Top 5 E‐Mailed ar cles: “Epidural Steroids: A Comprehensive, Evidence‐based Review,” authored by Steven P. Cohen, et al., and “Sleep Apnea and Total Joint Arthro‐
plasty under Various Types of Anesthesia: A Popula on‐
Based Study of Periopera ve Outcomes” by Stavros Accomplishments of Note
Memtsoudis et al. Yvonne Poindexter, the journal’s Van‐
derbilt‐based managing editor, a ended the Council of Science Editors’ spring mee ng in Montreal and has be‐
gun coursework required for the CSE Publica on Cer fi‐
cate.  Jesse Ehrenfeld, MD, MPH, co‐director of the Vanderbilt Program for LGBTI Health, received the Samuel L Felker Business Leader of the Year Award presented by the Nashville GLBT Chamber of Commerce. The award recog‐
nizes business and professional success, as well as lead‐
ership in the community.  Jill Kinch, MSN, APRN, CPNP‐AC/
PC, advanced practice nurse team manager for Perioperative and Procedural Services at the Mon‐
roe Carell Jr. Children’s Hospital at Vanderbilt, has been appointed president of the Tennessee Nurs‐
 Jerod Denton, PhD, and a mem‐
ber of his lab, doc‐
toral student Rene Raphemot, were featured in a na onal VU media release issued in June. Rene was the lead author on a study published in PLOS One that details their FNIH‐funded research to iden fy a chemical that induces kidney failure in mosquitos. The news was immediately picked up by media outlets across the world. The lab was also featured in the Nashville newspaper, The
Tennessean. es Association (TNA). Please send us your news to share with other Vanderbilt alumni and faculty. News can include personal news, accomplishments, and achievements. In addition, send us your mailing address, e‐mail address and other current contact information so we can keep you updated on all the latest news and upcoming events. Please send news via e‐mail to Communications/Marketing Coordinator Jill Clendening at: jill.clendening@vanderbilt.edu , by calling 615‐322‐4841, or by mail to: Vanderbilt University Department of Anesthesiology 1211 21st Avenue South 722 Medical Arts Building Nashville, TN 37212 17
Volume 4, Issue 2
Accomplishments of Note

Susan Eagle, MD, was fea‐
tured in The Reporter and in the Nashville Business Journal for a wireless ECG she co‐
invented and InvisionHeart, the company she co‐founded to market the device. Invision‐
Heart is one of 10 fledgling companies chosen for Jumpstart Foundry’s mentor‐
driven business accelera on program at Nashville’s En‐
trepreneur Center. The InvisionHeart digital ECG pla orm allows health care providers, first responders and pa ents to record and transmit real‐ me digital tracings of the heart’s electrical ac vity via a smartphone or tablet directly to physicians.  Jesse Ehrenfeld, MD, MPH, and Data Warehouse Archi‐
tect Michaelene Johnson were featured in an ar cle, “Transla ng Data into Clinical Quality Improvement,” in a recent edi on of Healthcare Business Insights.  Pra k Pandharipande, MD, MSCI, presented part of a ple‐
nary session on Acute Brain Injury in the Se ng of Acute Systemic Illness at the annual mee ng of the American Deliri‐
um Society. His topic was “Determinants of Long‐Term Cogni ve Impairment a er ICU Admission.”  James Blair, DO, presented two posters at the annual mee ng of the American Delirium Society: “Guanfacine for Emergence Delirium in Children – A Case Report in Twins” and “Case Report of Post‐op Delirium & Amnesia 18
Volume 4, Issue 2
with NCT Follow‐up – Prefrontal Cortex & the Stroop Test.”  Randall Malchow, MD, present‐
ed a PBLD at the Society for Am‐
bulatory Anesthesia (SAMBA) 28th Annual Mee ng in mid‐
April on “Morbid Obesity in the Ortho ASC. He also gave a lec‐
ture on “Preven ng Physician Burnout Through Humanitarian Missions” and par cipated in a “Real World Cases Panel.” Dr. Malchow also gave a grand rounds at the Hospital for Special Surgery (New York, NY) on "Amputa on Pain: Can We Prevent Phan‐
tom Limb Pain?" and led an Amputa on Pain Journal Club.  The department was well represented at the Interna‐
onal Anesthesia Research Society (IARS) annual mee ng with Drs. Warren Sandberg, Jesse Ehrenfeld, Ray Paschall, Brian Rothman and Jon Wanderer, as well as McLean House, a ending. Drs. Ehrenfeld and Sand‐
berg presented a poster: “Evalua on of a Computerized Pre‐anesthe c Assessment Tool in Determining Periop‐
era ve Risk.” A poster, “Iden fica on of Periopera ve Myocardial Infarc on Through Database Scanning,” was also presented by Dr. Ehrenfeld.  Our obstetric anesthesiologists represented the depart‐
ment well at the annual Society for Obstetric Anesthesia and Perinatology Mee ng (SOAP). Highlights include: Cur s Baysinger, MD, won the 2013 SOAP Teaching Award. Michael Richardson, MD, co‐presented the follow‐
ing abstracts: Richardson MG, Domaradzki K, McWeeney DS. Obstetric Emergency Team (OBET) Response System: Ac va on Triggers and Loca on of Request Origina on. Richardson MG, Domaradzki K, McWeeney DS. Introduc on of an Obstetric Emer‐
Accomplishments of Note
gency Team (OBET) Response System: Response Dose as a Metric of Successful Implementa on Drs. Michael Richardson, Ma hew Buck, and Cur s Baysinger presented the following abstract:  Kevin Currie, PhD: R21 grant funded by the Na onal Ins tutes Michael Richardson MD, Ma hew Buck MD, Cur‐
of Health (NINDS) for two years. s Baysinger MD, Kim Domaradzki BSN, MSN, Title: “Serotonin transporter‐
Benne Spetalnick MD. Timeliness of Indicated & mediated regula on of neuroen‐
Urgent Cesarean Delivery (CD): An Inter‐
docrine exocytosis.” Professional Approach to Reducing Decision‐to‐In OR Time Intervals Dr. Baysinger presented the following abstract:  Edward Sherwood, PhD: R01 grant funded by NIH for a period Cur s L. Baysinger, MD, Raymond F. Johnson, BS, of four years. Title is John W. Downing, MD, Jerod S. Denton, PhD. “Augmenta on of Innate An ‐
Hydrogen sulfide in high concentra ons vasodi‐
microbial Immunity by TLR4 Ago‐
lates the fetoplacental circula on in the dual‐
nists.” perfused, single isolated human placental cotyle‐
don.  Avinash Kumar, MD, FCCP, presented at the  Amanda Lorinc, MD, received a FAER grant award for her pro‐
Society of Cardiovascular ject: “Handover Tool Participa‐
Anesthesiologists Annual tory Design and Educational Mee ng in April. He also Training Intervention to Improve presented twice at the Perioperative Neonatal Safety.” 4th NWAC 2013 World Anesthesia Conven on in Bangkok, Thailand.  Brian Rothman, MD, spoke as part of the the 
Agarwal HS, Hardison DC, Saville BR, Donahue BS, Lamb FS, Bichell DP, Harris ZL. Residual lesions in postoperative pediatric cardiac surgery patients receiving extracorpore‐
al membrane oxygenation support. J Thorac Cardiovasc Surg. 2013 Apr 15. 
Blum JM, Stentz MJ, Maile MD, Jewell E, Raghavendran K, Engoren M, Ehrenfeld JM. Automated alerting and recommendations for the management of patients with HIMSS virtual briefing on mHealth in May en tled “New Care Models: mHealth Suppor ng Im‐
proved Opera ons and Outcomes.” 19
Volume 4, Issue 2
nels” Editors, Stephens GJ and Mochida S. Springer Pub‐
lishing ISBN: 978‐94‐007‐6333‐3. Chapter 5: pages 101‐
130. preexisting hypoxia and potential acute lung injury: A pilot study. Anesthesiology. 2013 May 15. 

Brockway E, Westman A (authors), Robertson A (reviewer) CME Lesson 303. Pre‐anesthetic assessment of the patient with cirrhosis‐related pulmonary complica‐
tions. Anesthesiology News. April 2013, 28‐32. 
Karsh BT, Waterson P, Holden RJ. Crossing levels in sys‐
tems ergonomics: A framework to support 'mesoergonomic' inquiry. Appl Ergon. 2013 May 23. 
McPherson JA, Boehm LM, Wagner C, Ely EW, Pan‐
dharipande PP. The authors reply. Crit Care Med. 2013 Jun;41(6):e101‐e102. 
Bruehl S, Burns JW, Gupta R, Buvanendran A, Chont M, Kinner E, Schuster E,Passik S, France CR. Endogenous opi‐
oid function mediates the association between laborato‐
ry evoked pain sensitivity and morphine analgesic re‐
sponses. Pain, in press. 
Mirzakhani H, Nozari A, Ehrenfeld JM, Peterfreund R, Szabo M, Walsh JL, Jiang Y, Sandberg W, Rosow C, Wang J. Profound Hypotension After Anesthetic Induction with Propofol in Patients Treated with Rifampin. Anesth Analg. 2013 May 17. [Epub ahead of print] 
Burns JW, Bruehl S, Chont M. Anger regulation style, an‐
ger arousal and acute pain sensitivity: evidence for an endogenous opioid "triggering" model. J Behav Med. 2013 Apr 28. 
Novak LL, Holden RJ, Anders SH, Hong JY, Karsh BT. Using a sociotechnical framework to understand adaptations in health IT implementation. Int J Med Inform. 2013 Apr 2. 
Nguyen MT, Lee DH, Delpire E, McDonough AA. Differen‐
tial Regulation of Na+ Transporters along Nephron during AngII‐Dependent Hypertension: Distal Stimulation Coun‐
teracted by Proximal Inhibition. Am J Physiol Renal Phys‐
iol. 2013 May 29. 
Olsen RB, Bruehl S, Nielsen CS, Rosseland LA, Eggen AE, Stubhaug A. Gender differences in blood pressure‐related hypoalgesia in a general population. The Tromsø Study. Journal of Pain, in press. 
Raphemot R. Eliciting renal failure in mosquitoes with a small‐molecule inhibitor of inward‐rectifying potassium channels" in the journal PLoS ONE. 
Richardson MG, Litman RS. In utero myelomeningocele repair: baby steps and giant leaps for fetal sur‐
gery.Anesthesiology. 2013 May;118(5):1016‐8. 
Robertson AC, Eagle SS. Transesophageal Echocardiog‐
raphy During Orthotopic Liver Transplantation: Maximiz‐
ing Information Without the Distraction. J Cardiothorac 
Ding J, Ponce‐Coria J, Delpire E. A trafficking‐deficient mutant of KCC3 reveals dominant‐negative effects on K‐
Cl cotransport function. PLoS One. 2013 Apr 4;8
(4):e61112 
Gonzalez‐Villalobos RA, Janjoulia T, Fletcher NK, Giani JF, Nguyen MT, Riquier‐Brison AD, Seth DM, Fuchs S, Eladari D, Picard N, Bachmann S, Delpire E, Peti‐Peterdi J, Navar LG, Bernstein KE, McDonough AA. The absence of intrare‐
nal ACE protects against hypertension. J Clin Invest. 2013 May 1;123(5):2011‐23. 

20
Bowens C, Dobie K, Devin C; Corey J. An approach to neuraxial anaesthesia for the severely scoliotic spine. British Journal of Anaesthesia. 2013. Hester D, McGrane S, Higgins MS. Respiratory parame‐
ters as a surrogate marker for duration of intubation: po‐
tential application of automated vital sign collection. J Clin Monit Comput. 2013 Apr 13. Jewell ML, Currie KPM. Control of CaV2 calcium channels and neurosecretion by heterotrimeric G protein coupled receptors. In: "Modulation of presynaptic calcium chan‐
Volume 4, Issue 2
Vasc Anesth. 2013 Apr 30. 
Sigakis MJ, Bi ner EA, Wanderer JP. Valida on of a Risk Stra fica on Index and Risk Quan fica on Index for Predic ng Pa ent Outcomes: In‐hospital Mortality, 30‐
day Mortality, 1‐year Mortality, and Length‐of‐stay. Anesthesiology. 2013 Jun 13. [Epub] 
Smith HA, Berutti T, Brink E, Strohler B, Fuchs DC, Ely EW, Pandharipande PP. Pediatric critical care percep‐
tions on analgesia, sedation, and delirium. Semin Respir Crit Care Med. 2013 Apr;34(2):244‐61. 
Smith HA, Brink E, Fuchs DC, Ely EW, Pandharipande PP. Pediatric delirium: monitoring and management in the pediatric intensive care unit. Pediatr Clin North Am. 2013 Jun;60(3):741‐60. 
Starr SA, Baysinger CL, Inhaled nitrous oxide In oxygen for labor: Utilizing a blender device to provide patient‐
controlled analgesia. The Sensor, vol 23 pp 6‐9, 2013. 
Wanderer JP, Anderson‐Dam J, Levine W, Bi ner EA. Development and valida on of an intraopera ve pre‐
dic ve model for unplanned postopera ve intensive care. Anesthesiology. 2013 Jun 10. [Epub] 
Wanderer JP, Charnin J, Driscoll WD, Bailin MT, Baker K. Decision support using anesthesia informa on man‐
agement system records and accredita on council for graduate medical educa on case logs for resident oper‐
a ng room assignments. Anesth Analg. 2013 Jun 7. [Epub]

Wanderer JP, Ehrenfeld JM. Clinical decision support for perioperative information management systems. Semin Cardiothorac Vasc Anesth. 2013 May 20. [Epub]
Newlyweds Andrew and Esther Kline.

Bre Campbell, MD, and his wife Kathryn had their sec‐
ond boy on May 23. Ripley Xander Campbell weighed in at a healthy 9 lbs. Big brother Quinten is thrilled! 
Katie Nash (Pediatric Cardiac Anesthesiology) welcomed her son, Parker Declan Nash, on May 10. He weighed 6 lbs., 10 oz., and was 19.5 inches long. 
Andrew Kline (CRISS) married Esther Lindstrom, a PhD student in the Department of Special Education at Pea‐
body College (Vanderbilt), on May 11 in Baltimore. Congrats to Andrew & his bride! 21
Volume 4, Issue 2
New Travel Policy Coming Online at Vanderbilt Effec ve July 30, 2013, Vanderbilt is launching a new travel system that offers faster ways to book and manage travel and handle expenses for trips. Polk Corporate Travel Man‐
agement will manage travel for Vanderbilt and coordinate use of the new online booking and expense technology, which is powered by Concur. All major airlines, including Southwest, will be available un‐
der the new system. The improved expense repor ng pro‐
cess offers pre‐populated reports, mobile uploading of re‐
ceipts, and the fastest possible disbursement cycle — a tar‐
get of five days. Employees will receive direct‐deposited re‐
imbursements within days of sub‐
mi ng an expense report. Major changes to the policy in‐
clude: 
Airfare will be paid directly by Vanderbilt 
Hotel and rental car expenses will be paid with a personal credit card (P‐card can no longer be used.) 
Rapid reimbursement of travel expenses thru direct deposit to personal account 
TripIt Pro, TripIt, an online tool that organizes travel plans into a single dynamic i nerary, has been purchased for use by everyone 
24/7 access to the travel book‐
ing system and expense re‐
24
Volume 4, Issue 2
por ng 
24/7 customer support from Polk 
24/7 customer support through Concur desk help 
E‐receipts will automa cally be transferred to travel ex‐
pense report (including itemized charges) 
VU discounts will be displayed in travel booking tool 
Mobile applica ons are available 
Receipt photos can be uploaded 
All expense repor ng and reimbursement will happen through Concur 
Upfront fees can be submi ed for reimbursement at the me of the purchase; no longer necessary to wait un l a er trip Preauthoriza on will con nue to be a requirement (eventually moving away from green travel forms). The process for travel preauthoriza on will be deter‐
mined at the department level. One approver will be designated for the Department of Anesthesi‐
ology. Addi onal informa on will follow. Visit the Vanderbilt Travel web‐
site for up‐to‐date informa on on the new travel system, including quick links to travel resources and available training opportuni es as the launch approaches. ( h ps://
www4.vanderbilt.edu/travel/ )