MUSC Catalyst

June 22, 2012

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 30, No. 43

Inside WOMEN IN LEADERSHIP

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The newest MUSC graduate of a national executive development program joins an elite group on campus.

MUSC URBAN FARM

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Members of the community are invited to tour the farm, taste samplings and harvest vegetables.

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Currents

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Meet Eugene

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Classifieds

THE C ATA LY S T ONLINE

http:// www.musc. edu/ catalyst

Network engineer Jonathan Yantis adjusts the audio during the May 17 prostate brachytherapy procedure and video linkup as part of an interactive learning opportunity with visiting urologists. Watch the video at http://bit.ly/Cisco_Cart.

Cisco cart confirms telepresence

BY CINDY ABOLE Public Relations One could literally hear a pin drop in the room where seven visiting Japanese urologists sat around a conference table and stared at the dual video conference screen in front of them. Their eyes were focused on the realtime images from a prostate brachytherapy procedure that was taking place across the street in Rutledge Tower’s outpatient operating room.

The procedure paired a successful treatment approach with telemedicine and emerging technologies. It featured the campus’ video conferencing system

to engage specialists in the role of medical education using a dedicated, high-speed fiber-optic connection. More specifically, the effort allowed urologist Harry S. Clarke Jr., M.D., Ph.D., radiation oncologist David T. Marshall, M.D., and a multidisciplinary team to demonstrate a realtime ultrasound image-guided radioactive seed implantation technique that’s being used for patients diagnosed with prostate cancer. The two-way video linkup was established to provide an interactive learning opportunity for these visiting physicians.

The project was made possible

See CISCO on page 10

OCIO’s George Haschker, network systems team lead, tests the camera on the Cisco VX Clinical Assistant cart. The cart allows medical teams to conduct patient consultations and video conferencing.

2 THE CATALYST, June 22, 2012

Program prepares women faculty for leadership

BY CINDY ABOLE Public Relations

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s MUSC graduates were preparing to receive their diplomas midMay, a graduation of another kind was concluding for one faculty member who is now more prepared to lead and foster women across campus.

Elizabeth S. Pilcher, DMD, assistant dean for institutional effectiveness and professor in the Department of Oral Rehabilitation, James B. Edwards College of Dental Medicine (CDM), is MUSC’s newest graduate among a class of 54 women leaders who completed a yearlong fellowship through the Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program for Women.

She joins a diverse community of 700-plus alumnae representing more than 180 medical, dental and public health programs in the U.S., Canada and Europe. Today, more than 90 percent of U.S. medical schools and 60 percent of dental schools have sponsored fellows. Many alumnae have succeeded to become deans or serve in senior leadership positions at academic health centers across the world.

ELAM’s core mission is to expand the national pool of qualified women candidates for leadership in academic medicine, dentistry and public health by offering leadership training with extensive coaching, networking and mentoring opportunities. Pilcher, who

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843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu

Alumna Dr. Elizabeth Pilcher, right, receives a plaque May 14 commemorating her completion of the 2011-2012 ELAM program from director Dr. Diane Magrane. is a 1981 CDM alumna and joined the dental faculty in 1989, is the first MUSC dental faculty member to complete the program. She joins six MUSC ELAM graduates, also known as ELUMs. “This was a life-changing experience for me both professionally and personally. Although challenging and rigorous, the program provided me a unique perspective in learning about many facets of leadership in academic medicine and how I can make a difference. It was a very worthy experience.”

The curriculum was presented in four fundamental competencies – strategic finance and resource management, personal and professional leadership 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.

effectiveness, organizational dynamics and communities of leadership practice.

Each competency allows fellows to apply their learning in a variety of experiences throughout the fellowship year.

This nationally-recognized leadership development program was established at Drexel University College of Medicine in 1995 as a program to advance women in medicine and promote organizational change. ELAM was expanded the following year to include women faculty in dental education and later, women in public health.

At the May 14 ELAM graduation, Pilcher and her peers presented their independent action projects to an audience of medical and dental school deans and senior administrators.

Pilcher’s project focused on strategic plan implementation – a topic about which she’s gained valuable experience as director of MUSC’s Strategic Plan.

MUSC leaders in attendance at the graduation were Etta D. Pisano, M.D., vice president of medical affairs and College of Medicine dean and Mark Sothmann, Ph.D., vice president of academic affairs and provost.

Many ELUMs today hold leadership positions in the College of Medicine, College of Graduate Studies and university and department administration. Pisano, herself an ELUM, completed the fellowship in 2004 as a rising faculty member at her former institution. Since then, she’s been a strong ELAM supporter.

“I am confident that Dr. Pilcher will put the knowledge and skills she gained during her ELAM fellowship to good use. Betsy already has a great deal of administrative leadership experience at MUSC, through her leadership roles in the College of Dental Medicine as well as through her service as director of Strategic Planning for MUSC. I am certain Betsy will continue to make important contributions both to the institution and to her field, and believe that her leadership potential is unlimited.”

Within the College of Medicine, Pisano solicits recommendations from

MUSC ELAM graduates Deborah Deas, M.D., College of Medicine; Laura Goetzl, M.D., OB/GYN; Cynthia Wright, Ph.D., College of Graduate Studies; Kathleen T. Brady, M.D., Ph.D., Clinical and Translational Research Center/Department of Psychiatry and Behavioral Sciences; Darlene Shaw, Ph.D., Office of the Vice President for Academic Affairs and Provost; and Etta D. Pisano, M.D., College of Medicine department chairs of qualified ELAM nominees each year and determines the selection of one or two faculty who are nominated during each cycle.

ELAM accepts up to two nominations per institution per class cycle. Applicants must hold the rank of associate or full professor in a medical, dental or public health school and must be nominated by the dean of their institution or the chief executive officer of their academic health center. College of Dental Medicine Dean John Sanders, DDS, has been proud of Pilcher’s impact as a leader and mentor for women faculty and students.

“The ELAM program fits perfectly with our campuswide Women’s Scholars Initiative. Dr. Pilcher clearly has benefitted from the program and has accepted the mantle of leadership.

She leads in several capacities in both the university and college level within dental medicine. Part of her duties are to develop both our male and female dental faculty and staff through the college’s faculty mentoring program. Her performance in all these areas has been superb.”

Now an ELUM, Pilcher will continue to meet with her subgroup team and remain active in alumnae activities.

At MUSC, she will continue to work with Sanders, Pisano and colleagues to advance women in leadership, enhance networking opportunities and serve as a resource to the institution’s newest ELAM fellow Donna Johnson, M.D., professor of medicine and incoming chair in the Department of OB-GYN.

THE CATALYST, June 22, 2012 3

WINNING TEAM STRATEGIES

Guest speaker Dr. Jody Hoffer-Gittell, executive director of Relational Coordination Research Collaborative (RCRC), described how restructuring organizations to a more relational management style can dramatically improve patient and employee satisfaction. RCRC’s mission is to help organizations transform relationships for high performance by building shared goals, knowledge and mutual respect across boundaries. She spoke at MUHA’s Leadership Development Institute No. 22 June 12. To see the group’s latest research, go to http://rcrc.brandeis.edu.

4 THE CATALYST, June 22, 2012

CURRENTS June 19 People–Fostering employee pride and loyalty HR update Helena Bastian, MUHA Human Resources director, presented the following: q CATTS — Mandatory lessons have been assigned and are due June 30; due date for CATTS mandatory lessons will now correspond with universal review period of July 1 to June 30. q PeopleAdmin upgrade — Upgrade to Version 7 will take place in late July–August; training will be scheduled following the upgraded; in preparation, code applicants for postings that are closed and on hold statuses; HR employment needs to move these postings to a filled status and review postings that are more than six months old q SuccessFactors — Supervisors will receive review forms on or before June 1; send back Employee Self Review; and new hires, April 1 or after, will not be rated in 2012 q Morehead Training — Employee Commitment Survey Results. Computer training for the system and action planning will take place: 8 – 9 a.m., 9 – 10 a.m., 10 –11 a.m., and 11 a.m. –12 p.m., June 25. Contact Julie Floyd at 792-1839. q Meet the MUHA HR Team — HR representatives will be in the Children’s Hospital lobby to answer employee questions and provide other HR-related needs from 1 – 2:30 p.m., July 26. q 2012 MUHA Employee of the Year nominations is being accepted until July 2. Recognize colleagues and coworkers for their exceptional work and contributions. Visit the medical center intranet homepage for information.

Benefit of the Month—June Employee perks and discounts program provides vacation planning for employees, students and volunteers.

Call Contrenia Haynes at 792-7018 or visit the medical center intranet for information.

Health care survey results Marilyn Schaffner, Ph.D., R.N., clinical services administrator and chief nursing executive for the medical center, addressed managers about results of Negative Behaviors in Health Care Survey conducted from late January to February. More than 1,900 employees and physicians completed the survey.

The goal was to discuss the findings, the task force charge, membership and dissemination plans.

The next steps are to continue to roll out the results in various forums to staff organizationwide and to solicit individuals who have an interest in participating in an all-day workshop focused on developing solutions and tools and a plan for disseminating those solutions and tools.

Service – Serving the public with compassion, respect and excellence

MUSC President Ray Greenberg, M.D., Ph.D., spoke to managers about the upcoming American Heart Association’s (AHA) Lowcountry Heart Walk scheduled for Saturday, Sept. 29.

Last year, Greenberg chaired the Heart Walk, which raised more than $600,000 total in the Tri-county. In 2011, MUSC’s efforts raised more than $210,000 or about one-third of the community’s efforts. According to Greenberg, the AHA has given back almost $2 million a year from Lowcountry fundraising to MUSC to support training grants, research and improvements in patient care.

MUSC is currently organizing employee, faculty and student teams to support the event. For more information on the walk or to join a team, visit http://tinyurl.com/6oaqmtp.

Quality – Providing quality patient care in a safe environment Donna Kern, M.D.,

To Medical Center Employees:

At the June 19 management communications meeting, MUSC President Ray Greenberg, M.D., Ph.D., discussed the medical university’s partnership with the American Heart Association. He emphasized the Heart Association “believes in us” and provides $2 million a year to MUSC through grants and faculty support.

Last year, the Charleston community contributed more than $600,000 to the American Heart Association, including $210,000 raised by MUSC employees. More than 5,000 people were involved in the Heart Walk last Smith year, and it’s expected that 6,000 will participate in this year’s walk scheduled to take place Sept. 29.

Everyone is encouraged to join a Heart Walk team and participate.

Additional information concerning the MUSC teams can be located at http:// tinyurl.com/6oaqmtp.

On another matter, Marilyn Schaffner, Ph.D., R.N., chief nursing executive, gave an update on the Negative Behaviors in Health Care (NBHC) Survey completed in February, which involved approximately 1,900 participants. Dr. Schaffner stated the survey indicates 36 percent of the respondents reported observing lateral aggression weekly and 17 percent have observed vertical aggression weekly. The survey results will be presented to a number of groups in the weeks ahead and a workshop is planned in August to develop solutions.

W. Stuart Smith Vice President for Clinical Operations and Executive Director, MUSC Medical Center

associate dean for curriculum in clinical sciences, College of Medicine, reviewed learning objectives and competencybased education for medical students and the pursuit for clinical competency.

The College of Medicine is undergoing a self-study process for reaccreditation by the Liaison Committee on Medical Education (LCME) for 2011-2012. It is the college’s goal to prepare students to practice medicine, focus on outcomes in medical student education focusing on demonstrable competencies in their learning using a new framework. These competencies are part of the self-study and part of a site visit scheduled in January.

LCME will be evaluating MUSC as a learning environment, opportunities and curriculum are appropriate to prepare medical students. COM has defined physician expectations along with national standards: physicians must be altruistic, knowledgeable, skillful and dutiful. To meet these expectations, COM has aligned its training goals to provide a continuum of knowledge, skills and attitudes with graduate medical

education and practicing physicians who participate in continuing medical education.

COM competencies for undergraduate medical education include medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based and lifelong learning and system-based learning.

Kern spoke about a new medical supervision policy for medical students in the hospital. Although students are not licensed to provide care, they are expected to contribute as integral members of interprofessional medical teams. Eventually, students must demonstrate ownership for patient care responsibility prior to graduation.

Kern reminded managers that student professionalism is an important competency that hospital staff can contribute to. Students must demonstrate honesty, integrity, respect and compassion in all interactions with patients, faculty, staff, peers and other health professionals. She encouraged

See Currents on page 9

THE CATALYST, June 22, 2012 5

MEET EUGENE

Eugene Holbert Department Special Chemistry and Immunology How long at MUSC 22 years How are you changing what’s possible at MUSC By taking pride in my work and being a team player The best things about living in Charleston Great people and great food Nickname in high school Hutch. I owned a red car identical to the one used in the TV series, “Starsky and Hutch.”

Favorite place in the world The North Carolina mountains in the fall Dream vacation Taking my family on a trip around the Caribbean with the $1 million I just won!

Favorite quote “Life is too short not to do what you like.”

6 THE CATALYST, June 22, 2012

MUSC’s Urban Farm takes root

BY DAWN BRAZELL Public Relations

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n earthy, slightly sweet scent of basil wafts through the air, permeating the picnic spot of some lucky dietitians who opted to have a midday picnic in the MUSC’s Urban Farm.

The fresh basil came straight from the garden, sitting in a pile of green on the table. Nina Crowley, a registered dietitian, arranges it on her fresh tomatoes. “It lets us practice what we preach. We’re connecting with our food.”

She loves having the garden, which is located on the corner of Bee and President streets, in her work’s backyard. She recently took a group of bariatric patients to the farm. One of the patient’s sons had never had a sweet pea before and tried it. “He loved it.”

Oswald The patients enjoyed the visit, commenting that they felt more comfortable and confident about trying new foods after visiting the garden, which will have its open house, 8 a.m. to 5 p.m. June 28.

Another picnicker, registered dietitian Debbie Petitpain, agrees that the garden is the best nutritional teacher there is. Most people’s barrier is that they just haven’t seen or tasted a food.

She brought patients out as well and didn’t have to do anything to get the conversation going, she said. “They had hands-on collaboration. They can see it, taste it and feel it. Even without tasting it, just smelling it,” she said, taking a deep breath of the basil-scented air, “you know what to expect.”

All the dietitians gathered said that the farm, which can be booked for picnics, is a great way to get recharged from work in a healthy environment. Betty Oswald, a medical technologist and research coordinator with MUSC, frequently volunteers in the garden. She has a small vegetable garden at home as well, but she enjoys getting out into the fresh air

MUSC’s half-acre Urban Farm reaps a rich harvest in its use as a living classroom for MUSC employees, staff, students, patients and the community. and greenery.

“It gets you out of that artificial light and lets you learn about so many things and about ways to prepare food.”

Take basil, for instance. One of her favorite tips is to chop it up fresh and place in an ice cube tray with just a little water. Then the cubes can be popped out at any time for a refreshing addition to spaghetti or stews. Oswald said she loves being able to eat fresh food.

“I can’t tell you the last time I opened a can.”

This is just what Susan Johnson, Ph.D., director of the Office of Health Promotion, wants to hear.

“The vision of the farm is to be a living classroom.”

The half-acre farm will be used for workshops, seminars, volunteer workdays and school tours. Participants will be educated on the value of incorporating vegetables into their diets through cooking and nutrition lessons and will experience a unique opportunity to engage in hands-on learning about sustainable urban agriculture.

“Although it is still in a pilot stage,

There is a wide range of harvest in MUSC’s Urban Farm from eggplant to watermelons. Flowers also have been planted for pollination purposes.

I see the farm becoming a great way to increase awareness of local food, about what crops look like and how they grow.

We aren’t just interested in planting vegetables and flowers, we’re interested in using the farm as an educational tool to help people learn about sustainable food systems.”

The farm leadership also envisions the plot as a gathering place on campus

that can be used for special events from lectures and cooking demonstrations to opportunities for academic departments to connect with the farm.

She said she’s amazed at the connections that already are happening.

Garden harvest is being shared with participants and volunteers who attend

See ROOT on page 7

The Catalyst, June 22, 2012 7

MUSC URBAN FARM OPEN HOUSE When: 8 a.m. – 5 p.m., Thursday, June 28

Where: In the Farm on the corner of Bee & President streets

What: There will be tours, volunteer orientation, training and educational sessions. Topics include: benefits of an Urban Farm, organic pest control, sensational salads, urban chickens, beekeeping, composting and more. At noon, a short program will introduce the team and MUSC/Sodexo chefs Brett Cunningham and Ferando Middleton will present a cooking demonstration using fresh farm ingredients with free tasting samples.

Who: Open to the public. No reservations A group of MUSC dietitians enjoys an outdoor picnic. From left is Nina Crowley, Tonya Turner, Ashleigh Ricevuto, Vanessa Clark and Debbie Petitpain. Far right, is Suzan Whelan, who is farm coordinator.

ROOT

Continued from Page Six

work and learn sessions. MUSC chefs are incorporating some of the produce, particularly herbs, into the wellness items being served.

“We also have donated produce to Lowcountry Food Bank, Charleston Area Children’s Garden Project, Ronald McDonald House and Hope Lodge. We want to be sure we get fresh produce into the hands of people who need it the most.”

Educational programs are being customized for special MUSC groups such as Weight Management, Bariatric Morey J. Lent III, an MUSC employee and member of The Church of The Holy Communion at 218 Ashley Ave., takes produce from the farm to use in the church’s pantry program. The church distributes food to needy people in the Canonborough neighborhood near the church.

Surgery Program, Healthy Charleston Challenge and STAR North IOP Children’s Day Treatment, which serves low-income youth with mental health diagnoses and behavior problems.

“We plan to expand our programming to accommodate as many groups as possible, both within our own organization and reaching out to the community.”

Johnson is pleased to see how well the garden is flourishing. One reason is the MUSC employees and students who love it.

Chris Clark, a second-year student in the College of Medicine, became interested in the farm while seeing

required. For a detailed schedule, go to www.musc. edu/urbanfarm or visit our facebook page at www. facebook.com/muscurbanfarm.

it being constructed. He found out about the work-and-learn sessions on Wednesdays and Saturdays and has attended as many as he can.

“I was raised in rural Alabama and grew up gardening. I currently live on the peninsula and have a small vegetable garden of my own, along with four backyard chickens. At the open house, I plan to share the benefits of keeping chickens and talk about their care, housing and address other important concerns that people new to chickens may have.”

Jake Schubert, a second-semester accelerated BSN student in the College of Nursing, said he also grew up with a

garden in his backyard and has always had an affinity for the outdoors. He plans to share the important role honeybees play in food production systems. Schubert, who has kept several hives in the past, is fascinated with the complex structure of bee colonies.

He plans to host a honeybee session that includes a hive full of bees (enclosed in glass) at the open house at 2:30 p.m. so visitors can get up close and personal.

“I am excited to be involved in the MUSC farm because throughout history food has always played a critical role in keeping people healthy. With the current obesity epidemic, this fact is even more apparent.”

Rachel Hubbard, left, house manager at Ronald McDonald House, delights in getting produce from MUSC’s Urban Farm and other donations from Suzan Whelan that were purchased by the MUSC Urban Farm Leadership Team to provide a meal.

8 THE CATALYST, June 22, 2012

PEDIATRIC ED SPONSORS TEDDY BEAR CLINIC Emergency Medicine resident Dr. Billy Jacobsen listens to Stripes’ heartbeat as 8-year-old Sarah Williamson watches during the Pediatric Emergency Department’s Teddy Bear Clinic June 9.

According to Sarah, Stripes needed a shot. Children had an opportunity to have a doctor stitch up their stuffed animal, see a portable X-ray machine, and give respiratory treatments and medication to their “sick friend.”

THE CATALYST, June 22, 2012 9

CURRENTS Continued from Page Four managers to communicate and report inappropriate behavior and professional breaches of students using physicianship forms at any time of their clinical training.

She reminded the audience that medical students are working closer with clinical staff in multiple projects and training that requires feedback from them to evaluate their effectiveness in learning and quality of their work.

Announcements q Tara Greenwood has joined the medical center’s Interpreter Services staff as an American Sign Language

Interpreter. Greenwood is one of two who are specialized in this area. To request an interpreter, call 792-5078. q Karen Boyd, R.N., is the interim nurse manager for 10West Orthopaedics and Trauma. q The next meeting is July 17.

Wins q Janet Byrne, R.N., MICU nurse manager, presented two posters at the American Thoracic Society Conference.

She collaborated with MICU staff, Point of Care Testing lab, Infection Control, pulmonary physicians and Environmental Services staff.

10 THE CATALYST, June 22, 2012

CISCO

Continued from Page One

through the collaboration of the Department of Urology, the MUSC Office of the Chief Information Officer and the Palmetto State Providers Network (PSPN). It demonstrated the use of Cisco TelePresence Solutions’ new high definition VX Clinical Assistant cart. According to Frank Clark, Ph.D., chief information officer and vice president for information technology, this project allows physicians and experts to consult with each other to diagnose and deliver high-quality health care to patients.

This spring, MUSC was the first hospital in the country to receive and use Cisco’s cart prior to its May 1 commercial release.

“This is a very good example of changing what’s possible in medicine at MUSC Health using advanced telepresence and telemedicine technologies. MUSC Health has established itself as the telemedicine leader in the region,” said Clark, who also is PSPN project coordinator.

In 2008, an $8 million grant from the Federal Communications Commission through the Rural Health Care Pilot Program was awarded to MUSC to develop PSPN and establish a broadband network linking all 46 counties in South Carolina. The goal was to provide an infrastructure for coordinating telemedicine and telehealth activities across the state. It connects rural care providers such as community hospitals, and physician practices to the state’s academic and tertiary care medical centers. The network allows users to connect for clinical services, specialty consultations, training and education.

PSPN and OCIO have supported other campuswide web-based telemedicine projects. These projects include the acute stroke program; a highrisk pregnancy telemedicine consultation program featuring physicians and OB-GYN specialists. It also supports connectivity for SC Area Health Education Consortium’s program office with regional centers and 20 hospitals.

The surgical video procedure was coordinated by Clarke and OCIO staff to accommodate the visiting urologists who wanted to watch the operation.

According to Clarke, the

The Cisco TelePresence VX Clinical Assistant cart is lightweight, portable and features a 24-inch 1080p video HD LED backlit display, microphone and stereo speaker system, 12x HD camera, slip-proof antibacterial work surface and software. brachytherapy procedure usually requires a large team of specialists present in the OR. This may include the patient’s urologist, a radiation oncologist, residents, radiological physicist, anesthesiologist, technicians, a manufacturer representative, assistants and nurses, which makes it challenging to accommodate observers.

A test run of the procedure featuring the VX cart and related technology was successfully performed in April. Using the video conferencing system, observers also were able to review equipment and ask questions. The group’s presence coincided with plans to attend the American Urology Association Annual Meeting, May 19-23 in Atlanta.

“By having this system in place, we can allow a large group of colleagues to view a procedure in real-time while not being present in the OR. It frees us from the extra steps that are necessary to accommodate medical observers. These outcomes can be viewed in real-time, archived or time-delayed to be broadcast anytime and anywhere in the world,” Clarke said.

THE CATALYST, June 22, 2012 11

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TO ADVERTISE IN THE CATALYST CALL 849-1778

12 THE CATALYST, June 22, 2012