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May 30, 2014

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MEDICAL UNIVERSITY of SOUTH CAROLINA

HONORING LOWCOUNTRY VETERANS

CAREER

ACCOLADES

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Lifetime achievement award honors cardiothoracic surgeon.

HEALTHY LIFESTYLES

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Research aims to help teens stop smoking.

2 Employee Awards 5 Meet Diane 11 Classifieds T H E C ATA LY S T ONLINE http://www. musc.edu/ catalyst

Vol. 32, No. 39

Air Force Col. Judith Hughes, commander of the 628th Medical Group of the 628th Air Base Wing at Joint Base Charleston, addresses a crowd of veterans and their families, employees and visitors at the Ralph H. Johnson VA Medical Center flag garden on May 22. The program marked activities planned in celebration of Memorial Day. Hughes praised the quality of care provided to area veterans. She also spoke about progress with the Lowcountry Federal Healthcare Alliance, a voluntary partnership between the local VA facility and area Department of Defense medical organizations, to improve shared health care services to veterans and their beneficiaries. photo by Cindy Abole, Public Relations

Study finds duct procedure does not help certain patients Staff Report In certain patients with abdominal pain after gallbladder removal (cholecystectomy), undergoing an endoscopic procedure involving the bile and pancreatic ducts did not result in fewer days with disability due to pain, compared to a placebo treatment, according to a study in the May 28 issue of JAMA. More than 700,000 patients undergo gallbladder removal each year in the United States, and at least 10 percent report continued pain post-surgery. Most of these patients have no significant abnormalities on imaging or laboratory testing, and the cause of pain remains uncertain. Many of these patients undergo endoscopic retrograde cholangiopancreatography (ERCP; the use of an endoscope to inspect the pancreatic duct and common bile duct) in the hope of finding small stones or other pathology or in an effort to address suspected sphincter of Oddi (a muscle at the juncture of the bile and pancreatic ducts and the small intestine that controls the flow of digestive juices) dysfunction. Of these patients, some undergo biliary or pancreatic sphincterotomy (surgical incision of a muscle that contracts to close an opening) or both. The value of

this endoscopic intervention is unproven and the risks are substantial. Procedure-related pancreatitis rates are 10 to 15 percent, and perforations may occur. Many patients have prolonged and expensive hospital stays, and some die, according to background information in the article. “These findings do not support the use of ERCP and sphincterotomy for these patients,” said Peter B. Cotton, M.D., MUSC Gastroenterology and Hepatology professor and study author. “The finding that endoscopic sphincterotomy is not an effective treatment has major implications for clinical practice because it applies to many thousands of patients.” Cotton and his colleagues randomly assigned patients with pain after gallbladder removal to receive a sphincterotomy or placebo therapy after ERCP. When they revisited the patients’ pain scores during scheduled intervals, researchers noted that for a significant number of patients pain scores did not improve and were elevated in some cases. No clinical subgroups appeared to benefit from sphincterotomy more than others. Pancreatitis occurred in 11 percent of patients after primary sphincterotomies and in 15 percent of patients in the placebo group. More information is available at http://media.jamanetwork.com/

READ THE CATALYST ONLINE - http://www.musc.edu/catalyst


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Medical Center

‘Making a difference every day’ Employees of the Month Award Suzy Brown 6West — Trauma Surgical Services “Suzy Brown RN2 consistently brings an air of positive energy to 6W whenever she is working and also leaves the same behind after she has left the floor. Some years ago Suzy discovered an elfin statue and she has devoted herself and her pocket book to adorning him with seasonal costumes and displaying him on the unit ever since. All staff, residents, attending’s and other disciplines as well as patients and families look forward to seeing “Merv” dress in style at the Nurses station welcoming all who arrive. If he is not visible people ask “Where is Merv?” Suzy is not only an excellent nurse and preceptor but a big morale booster especially considering the ongoing staffing challenges that we all experience daily. She greets all with a warm smile and is very attentive to the needs of her patients. She often gives needy patients extra TLC by providing them with distractions such as crossword books, puzzles and an occasional specialty coffee or piece of cake. I am sure that carrying

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Interim editor: Cindy Abole catalyst@musc.edu Catalyst staff: Mikie Hayes, hayesmi@musc.edu

on the “Merv” tradition will continue long into the future. Thank you to Suzy for brightening up every day.” Nominated by Polly Guffin Sandra Richardson Environmental Services “Sandra is the housekeeper for 7B in the Children’s Hospital. This is an oncology unit where cleanliness and infection control is a key factor in safety. She is recognized almost weekly by the 7B staff and families for doing an exceptional job on the unit. Some comments from her applause: She goes above and beyond for the floor and families; our floor and patients are very appreciative of the quality of work she does; always requests to clean our BMT rooms because they require special cleaning; takes pride in her work; thank you for helping to keep my child safer on the floor; thanks for all you do; we love working with her as she is part of our team. 7B received Rising Star Award in February for highest cleanliness scores; she truly cares about this unit and her dedication is The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.

seen on a daily basis. She has developed warm relationships with these chronic families and we are so fortunate to have her on our team at MUSC CH. She is phenomenal! Nominated by Sonja Muckenfuss Physician of the Month Award Courntey Cave, M.D. General Internal Medicine “I am an employee and patient of Dr. Cave and she has always provided me with excellent care. Most recently, my son who is a senior in college, had not been feeling well. Dr. Cave made arrangements to see him while he was home for spring break. As some young adults might not plan well, he was

late for the appointment and could not be seen etc. Due to the serious nature of his health concerns, Dr. Cave made special arrangements to see him the very next day. She was concerned with some of her physical assessment findings and immediately ordered further testing for him (CXR, Ultrasound, additional lab work). She also collaborated with ENT in regards to his case. She called my son after 5 p.m. on that Friday afternoon to share her results. With appropriate consent from him, she also notified me of the preliminary test results. As a parent, you can imagine how reassuring it is to know that your child is under her care. It is a great comfort to know that she is on top of the results and explains the findings in way that is easy to understand. Dr. Cave represents what every physician should aspire to be: intelligent, thorough, honest, and last but certainly not least, truly compassionate! Nominated by Laura Leonard

Rheumatology nurse honored The DAISY (disease attacking the immune system) award winner for May is Lindsay Pemberton, R.N., RT4 Pediatric Rheumatology Clinic. Pemberton was nominated by Rosemarie Battaglia. Below is her nomination: “I can depend on Lindsay to provide expert nursing care to her rheumatology patients in clinic and over the phone, be a resource to the physicians with whom she works, and problem solve independently using excellent nursing judgment. With her nursing partner on maternity leave, Lindsay has staffed clinic, managed phone calls, responded to myChart messages, independently addressed patient concerns, and handled scheduling — all in a single bound. She has thoroughly completed the work of two RNs with a smile on her face and a helpful attitude. She does not leave

for the day without assuring that all urgent issues have been dealt with and the needs of families have been addressed. She completes mounds of paperwork to assist patients, she works with pharmacy to Pemberton help patients receive financial assistance for expensive meds, and other actions. Lindsay accepts that responsibility in a professional manner meeting and exceeds the expectations of her peers, physician partners, and patients on a daily basis. She does all of this in a quiet manner without any expectation for special recognition.”


THE CATALYST, May 30, 2014 3

LUCKY SEVEN: NEWEST PHYSICIAN-SCIENTISTS GRADUATE Seven graduates of MUSC’s Class of 2014 Medical Scientist Training Program matched to prestigious residency programs. The new physician–scientists were among 160 successful medical student matches revealed at the College of Medicine’s March 21 Match Day event. Back row: Drs. Joseph C. Cheng, left to right, (MUSC– Psychiatry); G. Daniel Grass (Greenville Hospital–Surgery and Moffitt Cancer Center–Radiation Oncology); David M. Perry (Greenville Hospital–Medicine and MUSC-Dermatology); and Lee Wheless (VanderbiltDermatology). Front row: Drs. Sahar Saddoughi (Mayo School of Medicine-Cardiothoracic Surgery); Anna-Maria De Costa (MUSC–Surgery and University of Wisconsin–Radiation Oncology); and Armina Omole (University of Pennsylvania–Neurology). photo by Sarah Pack, Public Relations


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Employee Wellness will be also be awarded Battery On Saturday, May tickets for participating in the 17th in Marion Square, MUSC Push–Up Challenge and three MUSC teams the MUSC Health Promotion participated in the team, who completed 2451 push2014 Push–Up and Up ups will be awarded lunch at Challenge, representing Charleston Place for being the MUSC by a total of top MUSC fundraising team and 7,885 push-ups in for beating the MUSC C-suite. addition to fundraising The MUSC teams included: efforts to support q MUSC Neurosciences — Communities in Schools. Colby Swank, Mel Capers, Marc MUSC is dedicated Cuenca, Simone Karalia, Mark Susan Johnson to promoting health McCaslin and Taylor Roberts and wellness in our community and supporting this event q MUSC Health Promotion — Susan Johnson, Mike Campbell, was a great way for us to “lead by Chris Clark, Andrea Coyle, Reggie example.” Crawford and Lana Elliott Participation in this event was q MUSC C–Suite — about more than the dollars donated Patrick Cawley, Betts Ellis, John and raised. It was also about making Long, Mark Lyles, David McLean, health a priority - in our own lives, in the lives of our families and in our Sam McLean, Danielle Scheurer and Matt Wain communities through collaboration and community engagement. MUSC Neurosciences, who won Wellness Events the competitive division with 3504 q Fit Family Challenge — MUSC push-ups completed in 30 minutes, has partnered with Coca–Cola,

Health at work

Lowcountry Parent magazine, DHEC, SC Hospital Association and CVS in an 8–week program in which S.C. residents are challenged to get out and get active. Register at fitfamilychallengesc.com. Families earn points for a chance to win prizes during the challenge period, May 15 to July 10. q MUSC Quits! — an eight–week tobacco cessation program to help MUSC students and employees quit smoking — free of charge from May 27 to July 18. 7:45 to 8:45 a.m., Tuesdays or 7:45 to 8:45p.m., Thursdays. Register at woodarda@ musc.edu. q Worksite Screening — Friday, June 20 in Gazes Building Auditorium/ Room 125. This screening, valued at $350, is available to employees with the State Health Plan for only $15 (covered spouses can also participate for $15). Employees and spouses without this insurance can particiapate for $42. Register at www.musc.edu/ employeewellness. q Farmers Market: Enjoy fresh fruits and vegetables from local farmers on Tuesdays, 8 a.m. to 4 p.m. (Harborview); Wednesdays and Thursdays, 8 a.m. to 6

p.m. (ART); and Fridays, 7 a.m. to 3:30 p.m. (Horseshoe). q Chair massages: Free massages are offered to employees midday Wednesdays. Check broadcast messages for locations and times.

Urban Farm

q Lunch and Learn — 12:15 to 12:45 p.m., Stay as long as your schedule permits. Topic: Pick don’t buy the perfect sports drink — make a homemade electrolyte replacement drink plus flavoring water with herbs. Like us on Facebook and email urbanfarm@musc. edu to receive the Farm Newsletter. q Third Saturday Family–friendly work and learn — 9 to 11 a.m., June 21. Bring a plastic bag and take home fresh produce in return for your work efforts on the farm. q Sunset Work & Learns — Thursday, 4 to 5 p.m. Take home fresh produce in return for work efforts on the farm. q Early bird maintenance — Wednesday, 7:30 to 8:30 a.m. For information, contact Susan Johnson, Ph.D., johnsusa@musc.edu in the Office of Health Promotion or Suzan B. Whelan, whela@musc.edu.


THE CATALYST, May 30, 2014 5

MEET DIANE

Diane Aghapour Department Oncology Service Line- Hollings Cancer Center Years at MUSC 4 years How you are changing what’s possible at MUSC One patient at a time Children Andrew and Gracie Music in your player right now John Cougar Mellencamp What food is a must have in the fridge Blueberries Who in history would you like to meet and why Mother Teresa of Calcutta, to discuss her faith and her endurance Favorite place in the world Home after having been away for a while Greatest moment in your life This one right now


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Lifetime award honors a career of achievements

BY MIKIE HAYES Public Relations

T

hroughout the course of a distinguished career, few are fortunate enough to ever reach the pinnacle. But Fred A. Crawford, Jr., M.D., Distinguished University Professor of Surgery and the former Horace G. Smithy Professor of Cardiothoracic Surgery, has reached many. When he was named president of the American Association for Thoracic Surgery in 2003, he knew he had received “the Good Housekeeping Seal of Approval,” as the AATS enjoys a reputation as the most prestigious body in its field. Founded in 1917, the organization’s membership includes more than 1,300 of the world's foremost cardiothoracic surgeons hailing from 41 countries. But when Crawford learned he was chosen to receive the AATS Lifetime Achievement Award, it was the icing on the cake of an illustrious career and an honor he most certainly did not expect. Because the award is not presented yearly or with any regularity, it was not something he had his sights set on. “It’s a very special award. You can’t run for it and no one knows when it will be awarded next, so I never even considered that I might be a recipient.” Only the fifth person in the history of the organization to have received the honor, Crawford was recognized for his contributions to the specialty of cardiothoracic surgery and to the AATS specifically. In particular, members were grateful for his service as the 82nd president of the organization and the many advancements that took place during his leadership, as well as

Photo provided

MUSC’s Dr. Fred Crawford, left, is presented with the AATS Lifetime Achievement Award by the AATS’ Dr. Craig Miller, right, and David Sugarbaker at its annual meeting on April 28 in Toronto. the fact that he has remained an extremely active and integral past-president since that time. James B. Edwards, D.M.D., president emeritus of MUSC, was not surprised to learn of the prestigious honor Crawford received. He feels great pride for having recruited him to the institution. “One of my finest accomplishments as governor was to bring Fred Crawford to the Medical University. The American Association for Thoracic Surgery could not have honored a finer man or surgeon than Fred with the prestigious Lifetime Achievement Award. Throughout the world, Fred is a legend among thoracic surgeons, and he most certainly took our Department of Surgery to extraordinary new heights. In 2007, I was privileged to present Fred with the Order of the Palmetto, our state’s highest honor conferred on a civilian, during a ceremony honoring his 18 years of outstanding contributions as MUSC’s chairman of the Department of Surgery. Yet again he has been

deservedly recognized for a lifetime of stellar achievements. He is a beloved member of the MUSC community, and I join the institution in congratulating my personal friend for again reaching another pinnacle in his career.” Recruited by Crawford to MUSC in 1994, David Cole, M.D., president–elect of MUSC, holds his mentor in the highest esteem. “Fred Crawford is a rare talent and leader among cardiothoracic surgeons. To be recognized by a lifetime achievement award for his many important contributions to this field by a renowned organization such as the AATS is indeed a rare honor. Few have been honored with this distinction and his tremendous achievements have brought MUSC great pride and recognition. Fred recruited me to MUSC 20 years ago and has long been a friend and mentor. It has been a privilege working with him over the past two decades. In addition to his friendship, I have always

valued in him the same traits that I am sure brought him this recognition and award: unquestioned integrity, a single-minded dedication to excellence, outstanding judgment, and an ability to effectively get things done. I couldn’t be more proud that his many accomplishments have been recognized so significantly and I offer my heartfelt congratulations for this prestigious award and a most distinguished career.” Credited for building a superlative surgery department at MUSC, Crawford is quick to give credit to others. “Jim Edwards transformed MUSC into the world–class institution it is today and we all enjoy a different level of care and prestige as a result,” he said of the former president. He credited the surgery faculty and residents who he described as “cream of the crop” as well as his family for providing strong support. He also believes that the future of MUSC is bright with the recent selection of Cole as president. Jerry Reves, M.D., dean emeritus of the MUSC College of Medicine, is recognized as a founder of cardiothoracic anesthesiology. In his capacity as dean as well as a professor of anesthesiology, he worked closely with Crawford for nearly a decade. “In my career I was priviledged to work with some very distinguished cardiac surgeons, and Dr. Crawford was as technically gifted as any of them. Dr. Crawford is most deserving of this national recognition, and it is noteworthy that of the many legacies he has here at MUSC, one is the outstanding congenital cardiac surgical program and another is the recruitment and development of talented female residents and faculty as well as Dr. David

Cole, the next president of the MUSC.” In announcing the award, the AATS recognized Crawford’s service as the first chair of the Joint Council on Thoracic Surgery Education; his time on the American Board of Thoracic Surgery, including a term as its chair; and his untiring efforts in stewarding the AATS Leadership Academy. It was also noted that Crawford participated on the Residency Review Committee for Thoracic Surgery, represented the AATS on the Board of Governors of the American College of Surgeons and served on the Board of Governors of the American College of Cardiology – all of this, in addition to his busy clinical practice while serving as chair of the Division of Cardiothoracic Surgery and chairman of the Department of Surgery. When asked what he thought were his top career achievements, Crawford related the accomplishments of which he was most proud: q His presidency of the AATS stands out as a significant experience he enjoyed immensely. q Another accomplishment that is particularly meaningful was his 10 years serving on the board of the American Board of Thoracic Surgery, most especially his two years as chairman. The ABTS serves a critically important role as it is responsible for establishing and maintaining high standards in thoracic surgery. q A noteworthy achievement was his involvement in developing a new residency program that was recently introduced on a national level. For the past 80 years, according to Crawford,

See Award on page 10


THE CATALYST, May 30, 2014 7

Project Quit tests medication to help teens stop smoking BY MIKIE HAYES Public Relations “Welcome to Fight Club. The first rule of Fight Club is: You do not talk about Fight Club.” This memorable line, made famous by Brad Pitt playing Tyler Durden in the 1999 cult classic “Fight Club,” was but one of many movies where his charismatic, bigger–than–life characters made smoking look enticing and cool. Young men wanted desperately to be like Durden: powerful, persuasive, and rebellious and if smoking a cigarette helped build that persona, so be it. Understandably, Pitt and other high– profile actors have been criticized for “glamorizing” smoking in their movie roles. Why does it matter? Research has proved there is a direct correlation between students 10–19 years old lighting up if their favorite stars smoke on screen. The reason this statistic is so significant is that the habit of smoking is almost universally established during adolescence. Nearly 90 percent of smokers started smoking by the age of 18 and 99 percent started by the age of 26. Even with all the anti–smoking campaigns and efforts to stop tobacco companies from targeting kids, each

day in the United States, more than 3,200 people younger than 18 years of age smoke their first cigarette, and an estimated 2,100 children and young adults who have been occasional smokers become daily cigarette smokers. Public health experts continue to sound the alarms that cigarette smoking is the leading cause of preventable death in the United States, meaning that smoking is a habit that if curtailed could lead to better health, longer lives, lower health insurance premiums, even more money in the pockets of former smokers. It is also the reason the Affordable Care Act focuses on cessation so strongly in its preventive care benefits. The Family Smoking Prevention and Tobacco Control Act, signed into law by President Obama on June 22, 2009, contains several provisions aimed at preventing young people from starting to smoke. But nicotine is highly addictive, making it extremely difficult for people, especially adolescents, to give up smoking. According to MUSC researcher Kevin M. Gray, M.D., associate professor in the Clinical Neuroscience Division and Youth Division in the Department of Psychiatry and Behavioral Sciences, when nicotine is inhaled, tobacco reaches the smoker's brain within 7 to 10 seconds and once there, it triggers a number of chemical reactions that create feelings of intense pleasure for the smoker. Temporarily, that is. As nicotine levels begin to drop in the bloodstream, smokers feel “on edge” and agitated within minutes. This is better known as nicotine withdrawal. As a psychiatrist, Gray deals every day with these realities and his work heavily focuses on helping adolescents and young adults who struggle with smoking addiction. He knows that without help, only about 1 in 20 young smokers attempting to quit will be successful. In an effort to provide solutions and help them break this habit before they become lifelong smokers and statistics themselves, he is conducting a research study, Project Quit, to test a medication that could aid young smokers with this addiction. The reality is, because of the longterm consequences of continuing this habit throughout a lifetime, if smoking

photos provided

Members of the Project Quit team include Dr. Mike Saladin, seated from left, Dr. Kevin Gray. Standing left to right, Danielle Paquette, Priscilla Muldrow, Dr. Amanda Roper, Jessica Hinton, Christine Horne, Dr. A. Lee Lewis, Dr. Matthew Carpenter, Lori Ann Ueberroth, Dr. Erin McClure.

Project Quit sponsored a booth at the Trident Technical College’s Health Fair in April. persists at the current rate among youth in this country, 5.6 million of today’s Americans younger than 18 years of age are projected to die prematurely from a smoking–related illness. This statistic represents nearly 1 in every 13 Americans aged 17 years or younger alive today. Because they lack maturity and life experience, teens rarely realize that by taking up smoking their chances of developing debilitating and fatal diseases in their lifetimes has dramatically increased. Cancer, heart attacks, heart and lung disease, high blood pressure, stroke and cataracts are common in smokers. Parents are typically alarmed to find out that 6.7 percent of middle school

and 23.3 percent of high school students have used tobacco products. Perhaps the most alarming correlation is the fact that teens who smoke are also more likely to consume alcohol and use illegal drugs. Further, it is not unusual for parents to be blindsided when they discover their child smokes and not to understand why they would have chosen this habit. Interestingly, one of the strongest predictors for children smoking is if the parents are smokers themselves. Other culprits include friends exerting peer pressure and encouraging them to try cigarettes; believing that smoking makes them look cool, rebellious or independent; seeing movie and TV stars regularly smoking and wanting to emulate that behavior. In addition, according to Gray, big tobacco advertising targets teenagers, grooming them to be lifelong customers. “Cigarette companies shape entire advertising campaigns around the research they have conducted related to what appeals to young people. They purposely portray smokers as cool, attractive people, having fun and living on the edge – images that historically appeal to many teenagers. As a result, teens try smoking and because of the incredibly addictive nature of nicotine,

See Smoking on page 10


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WOOF Awards recognize wins

HOSPITAL WEEK 2014

BY LANA BECKLEY Project FIRM Ground Team On April 29, the Patient Safety and Mobility Committee made their rounds to various unit and patient care areas to recognize successes through the hospital’s FIRM Ground Fall Prevention program. The WOOF (Without One Fall) award recognizes the nursing units who have succeeded in keeping their fall rates low. The committee recognized the Pediatric ICU Children’s Hospital and 5E Postpartum (acute care) acknowledging staff for having the fewest falls in 2013. The WOOF award for the longest stretch between falls in the acute care setting also went to 5E Postpartum. That unit had no falls between August 2013 and February 2014. The CTICU (A4WY) won the ICU award by having the longest time between falls in 2013. CTICU was fall free from January 2012 to December 2013. The 2013 Honorable Mention Awards for 60 days, 90 days and

Photo provided

CTICU (A4WU) was the 2014 WOOF winners. 120+ days without a patient fall include: q 60 Days: ART—4W CCU, 3W, 6E, CH 7E, IOP—2N, 4N, MH—6E, 9E, 9W, 8W, STICU, TCU. q 90 Days: ART— 3E, 5E, MH—NSICU, TCU. q 120+ Days: ART 3E, 4E, CH 7E, MH— 6MICU. In addition to the acute care and intensive care category, the committee would like to announce the Honorable Mention winners as well. These winners have had at least 60 days between falls and some have gone as long as 120+ days without a patient fall. Congratulations to all 2014 WOOF award winners and thanks to those who keep our patients on FIRM Ground.

photo by Cindy Abole, Public Relations

MUSC Women’s Health at Cannon employees were treated to breakfast trays of muffins and fruit to kick off the start of Hospital Week, May 11-17. Megan Ripley, right, of the Women’s Care and Women’s Faculty Practice Service Line, was among several leaders to greet and thank employees for their everyday contributions and commitment to patient care on May 12. The week was filled with activities including a scavenger hunt, photography contest, sweet and savory contest and employee discounts. To view Hospital Week results, visit http:// mcintranet.musc.edu/muscexcellence/service%29teans./EOC_team/ hospital-week/index.html.

Safe Sitter babysitting classes offered in June by Volunteer Services MUSC Volunteer Services will offer two sessions of Safe Sitter classes for girls and boys ages 11 to 13. The two-day classes will be held from 9 a.m. to 3 p.m., June 17 and 18 and June 26 and 27 at Room 2408, Ashley River Tower. The Safe Sitter program is a medically accurate program that teaches young adolescents how to handle emergencies when caring for younger children. Registration for the program, which is $75, is open until June 14. To register, call Kelly Hedges at 876-4246 or email hedgesk@musc.edu.

MUSC Interprofessional Institute for Practice, Education & Research

Advancing Healthcare in the Community, Education & Research

CALL FOR APPLICATIONS

The purpose of the Interprofessional Institute is to support faculty, clinical and administrative staff and trainees to enhance interprofessional practice, education and research through institutional-based projects focused on quality improvement, patient-and-family-centered care and team science. For information, visit http://tinyurl.com/k2y382u

Applications will be reviewed by the 15th of each month. Submit completed application packet as a single PDF document to Mary Mauldin at mauldinm@musc.edu


THE CATALYST, May 30, 2014 9

photo by Anne Thompson, Digital Imaging

South Carolina College of Pharmacy Executive Dean Dr. Joe DiPiro, fourth from left, joins MUSC deans, Drs. Gail Stewart, left to right (Nursing); Phillip Hall (Pharmacy); Etta Pisano (Medicine); John J. Sanders (Dental Medicine); Jackie McGinty (Graduate Studies); and Lisa Saladin (Health Professions). Interim President Mark Sothmann, second right, also stood with the group.

SCCP executive dean commences for last time Staff Report

After nine years of service to MUSC, Joseph T. DiPiro, PharmD., attended the May 16 commencement for the last time as executive dean of the South Carolina College of Pharmacy. Fittingly, he did it twice. Once on May 9, during the University of South Carolina Commencement at the Colonial Life Arena in Columbia, and again on May 16 for the MUSC Commencement at the McAlister Field House on The Citadel campus in Charleston. A nationally-known scholar in pharmacy education, DiPiro has served as executive dean of the SCCP since 2005 and is the founding dean of the SCCP. He announced earlier this year he would assume the position of dean of Virginia Commonwealth University School of Pharmacy, effective July 1. DiPiro has been the only executive dean at the SCCP, which was founded by MUSC and USC and has expanded its program to the campus at Greenville Healthcare System (GHS). DiPiro

guided the pharmacy communities from those founding institutions through the development and ultimately full accreditation of the SCCP, which by many quality measures is among the best colleges in the U.S. “Everything that has happened at the College during the last few years is a testament to the intellectual rigor, hard work and dedication of our faculty, staff and students,” DiPiro said. “It may have happened with my hand on the tiller, but they were the ones powering the ship. My wife and I are excited about the opportunity at VCU, but it is certainly hard to leave the outstanding people I’ve worked with in South Carolina.” A hallmark of the DiPiro administration has been the introduction of qualitative benchmarks for measuring success, both in strategic implementation and performance improvement. The latter, called SCCP Excellence, has been featured in a national journal on pharmacy education.

See Dean on page 12


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AWARD

Continued from Page Six

the traditional method for training cardiothoracic surgeons has operated the same way. If a new doctor wanted to become a heart surgeon they would spend five years in general surgery after medical school before they could concentrate on becoming specialized in the area of heart for the next two years. Crawford believed there was a way to get these residents working in cardiothoracic surgery from day one and played a significant role in initiating reform in the training process. As a result, he participated in the development of the Integrated Cardiothoracic Surgery Residency Programs introduced first at MUSC, University of Pennsylvania and Stanford. The first MUSC resident will graduate from the new program this year. Crawford said the key advantages to the integrated approach include shorter, more focused training, which is attractive to potential applicants, and inclusion of fields adjunct to cardiothoracic surgery which are critical to today’s interdisciplinary approach to diagnosing and treating cardiovascular disease. Crawford also remains proud of the

SMOKING

Continued from Page Seven

and the brain physiology of adolescents and teens, many get hooked and don’t have the tools, support or ability to quit,” he said. Young people don’t set out to become lifelong smokers. Smokers in this especially vulnerable age group are often interested in quitting but are rarely successful when making “quit attempts” on their own. Only 5 percent of high school–aged smokers believe they'll still be smoking five years after graduation, but they don't understand how difficult quitting can be. Research has shown that after eight years, 75 percent of those smokers will still be using some form of tobacco. In light of this, and given the numerous and wide–ranging health benefits of quitting smoking at an earlier age, Gray believes that more evidence– based treatments for adolescent smoking cessation are critically needed. Surprisingly, there has been little research aimed at this younger population and almost all of it has focused on non–medication approaches, with generally limited results. While

Dr. Fred Crawford, right, works with Dr. Walter DeNino in the skills lab. part he played in bringing the Ashley River Tower to fruition. After stepping down as department chairman in 2007, he continued to serve as division chief until the move to ART was completed in 2009. He remained clinically active until recently but continues to teach and mentor and participate in division and department activities in addition to his national responsibilities. He enjoys being “the wise old man,” in the division and spending time with his family on his farm in Holly Hill. On Crawford’s list of memorable achievements in his career, the AATS Lifetime Achievement Award is now among the most special. well established as a cessation treatment in adult smokers, research trials of medication therapies have not been widely focused on adolescent smokers. In fact, only six placebo–controlled trials, testing nicotine replacement therapy or bupropion SR, (both FDAapproved for smoking cessation in adults) have been conducted and produced mixed but generally encouraging results. Kathleen Brady, M.D., Ph.D., associate provost for Clinical and Translational Science and director of the South Carolina Clinical and Translational Research Institute, agreed that much more research must be conducted in order to help this vulnerable population. “There have been very few studies of smoking cessation treatments in teens and young adults. Information about the most effective treatment strategies in this group of smokers is critical so that the problem can be addressed earlier in the addiction process, before all of the health consequences become apparent. I applaud the efforts of Dr. Gray and Project Quit,” said Brady. A nicotinic agonist is a drug that mimics the action of nicotine at nicotinic acetylcholine receptors. Gray explained

that most recently varenicline, a nicotinic acetylcholine receptor partial agonist, has produced superior cessation results in adults across several randomized trials when compared to a placebo, nicotine replacement therapy and bupropion SR. Gray conjectures that given the striking effectiveness as a smoking cessation treatment in adults, it may be a strong candidate for evaluation in adolescent smokers and consequently has formulated a study to determine if that is indeed the case. Gray explained, “Varenicline, now FDA approved in adults, binds to nicotine receptors in the brain and parks there. Essentially, the spot is occupied. This reduces cravings and withdrawal symptoms, but does not produce a pleasure or reinforcing sensation like nicotine itself. When a smoker on the medication has a cigarette, the nicotine essentially ‘bounces off’ the already occupied receptor. The smoker thus does not experience the usual nicotineassociated pleasure from the act of smoking and the cigarette essentially loses its control.” Using dosing recommendations from an adolescent pharmacokinetic study, as

well as feasibility and safety information from an adolescent pilot cessation trial, Gray and his research team initiated a randomized, double blind, placebo– controlled trial of varenicline for adolescent smoking cessation, supported by the National Institute on Drug Abuse. In this study, participants between the ages of 14 and 21 are randomized to receive either varenicline or a placebo for 12 weeks, with multiple post–treatment follow-up visits for six months. Weekly psychiatric and medical visits, including detailed, rigorous safety and tolerability assessments, are conducted throughout the active treatment period. All participants, regardless of randomization group, receive weekly smoking cessation counseling throughout the 12–week course of active treatment. Gray believes when the study concludes that it will have filled a critical evidence gap and that it has the potential to significantly advance adolescent smoking cessation treatment. “Whether findings are positive, null or negative,” he said, “this study will be an important contribution to the literature and will have considerable clinical and public health impact.”


THE CATALYST, May 30, 2014 11

Misc. Services

Homes For Sale

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James Is., Stiles Pt. Sub., corner lot. 3/4 br.,3.5 ba, formal living & dining with eat-in kitchen. 2,500 sq. ft. with 2 car garage and large yard. 15 min. to MUSC. 470k. FSBO 843-795-2285.

Full Mattress Set with Euro Pillow Top New $125. Please Call: 843-270-4283 A-Queen Pillowtop that is Brand New in Plastic. Will take $150. Please call 843-270-4283

CARTA Express Route 2 Changes Mount Pleasant CARTA Express riders should take note that the Park-andRide at Bowman Road (K-Mart) has closed. Effective June 2, riders can use the Wando Crossing Wal-Mart location, 1481 North Highway 17. The bus stop is located in front of the Wal-Mart building (near Garden Center). Visit www. ridecarts.com.


12 THE CATALYST, May 30, 2014

DEAN

Continued from Page Nine

The trustees and administrations of MUSC and USC decided to integrate the colleges of pharmacy and were looking for the right person to bring the new entity into existence. “Dr. DiPiro was the right person at the right time to lead the integration of the two campuses,” said Ray Greenberg, M.D., Ph.D., executive vice chancellor of the University of Texas System and former president of MUSC. “It was a complicated process, with many challenges, but he was resolute in his efforts. Through outstanding faculty recruitments, Dr. DiPiro was able to build much stronger research and educational programs for the college. He will be greatly missed.” DiPiro’s national stature was an important early asset. He has served as editor of the American Journal of Pharmacy Education since 2002 and is senior editor of the benchmark text Pharmacotherapy: A Pathophysiologic Approach, one of the most widely used texts in pharmacy education. It is now in its eighth edition. He is also the author of Concepts in Clinical Pharmacokinetics and editor of the Encyclopedia of Clinical Pharmacy. He has published more than 200 journal papers, books, book chapters, and editorials in academic and professional journals, mainly related to antibiotics, drug use in surgery and pharmacy education. His papers have appeared in Antimicrobial Agents and Chemotherapy, Pharmacotherapy, Critical Care Medicine, JAMA, Annals of Surgery, Archives of Surgery, American Journal of Surgery, Journal of Pharmacology and Experimental Therapeutics, and Surgical Infections. After receiving his Bachelor of Science

“Through outstanding faculty recruitments, Dr. DiPiro was able to build much stronger research and eduction programs for the college.”

Ray Greenberg, M.D., Ph.D.

in Pharmacy from the University of Connecticut and Doctor of Pharmacy from the University of Kentucky, DiPiro served a residency at UK Medical Center and a fellowship in clinical immunology at Johns Hopkins University. DiPiro is past chair of the American Association of Colleges of Pharmacy Council of Deans and served as president of the American College of Clinical Pharmacy, where he is a fellow and former member of the Research Institute board of trustees. He has been a member of the American Society of Health–System Pharmacists and served on the Commission on Therapeutics and the Task Force on Science. In 2002, the AACP selected him for the Robert K. Chalmers Distinguished Educator Award. He has also received the Russell R. Miller Literature Award and the Education Award from the ACCP, the Award for Sustained Contributions to the Literature from ASHP, and was named in 2013 as the national Rho Chi Distinguished Lecturer. This year he was elected a fellow in the American Association for the Advancement of Science.


MUSC Catalyst 5-30-2014