MUSC The Catalyst

September 2, 2011

MEDICAL UNIVERSITY of SOUTH CAROLINA

MUSC employees are the focal point on ambulance ‘wraps’ that highlight the influential role MUSC plays in handling trauma cases. Above is flight nurse Karen Ramsey and Dr. Samir Fakhry.

TRAUMA central

A

ccidents happen. All the time. No one knows that better than the two blue-suited flight nurses in front of me describing the pediatric emergency calls they respond to daily by boarding an aircraft or “rolling out.”

Craig Duncan and Mark Daniell, both registered nurses and part of MUSC’s Pediatric Critical Care Transport Team, have seen it all. They and their fellow crew members train constantly, including surviving a simulation of being dunked upside down in a water tank.

The drills make sure they’re ready to administer emergency care anywhere, trained so well they can function on auto-pilot, and in cramped spaces.

One of their typical treatment story by dawn brazell areas is inside the tight cockpit of Public Relations the new EC 135 helicopter they describe as their “flying ICU.” Their faces light up when they talk about it – the Night Vision Goggle (NVG) technology and terrain avoidance and forward projection radar. They do anywhere from 50 to 75 missions a month, 20 to 30 of those airborne.

Generally I focus well during an interview, but today I find my mind drifting.

I wonder if either of them were on board 16 years ago when my son Flight nurses Craig Duncan was medevaced from Walterboro to and Mark Daniell specialize MUSC after being mauled by a dog. in pediatric emergency care.

His blood coated my shirt. He had a See related story page 6. collapsed lung lining and seven broken ribs, though I didn’t know that at the time. Rushing him to the Walterboro hospital, I braced myself to be able to do CPR if needed. Arriving in the emergency department, I handed him to nurses and requested a call for an airlift to MUSC. For the life of me, I can’t remember why I didn’t wait for their recommendation. I acted on pure, raw fear.

Duncan and Daniell, both fathers, note the job requires extensive medical training but more than that – a gifted ability to communicate. The patient for them isn’t just the child injured, but See Trauma on page 10

Vol. 30, No. 3

InsIde Faculty

convocation

2

Awards were given to honorees in faculty service, outstanding clinician and developing scholar.

searching For

4

history

Clinical date warehouse promises researchers fast access to past records.

5 Meet Anita 8

Applause

11

Classifieds

t h e c ata ly s t online http://www. musc.edu/ catalyst

2 the Catalyst, September 2, 2011

Faculty Convocation recognizes outstanding peers M

USC faculty members honored their peers Aug. 23 at the annual Faculty Convocation.

Keynote speaker for the event was William Plater, Ph.D., a senior consultant for higher education strategies at Epsilen Environment, a centrally hosted learning management company that allows teachers and students to work and collaborate within an academic online environment. Plater also is Chancellor’s Professor Emeritus for Public Affairs, Executive Vice Chancellor Emeritus and Dean of the Faculties Emeritus at Indiana University – Purdue University, Indianapolis.

In addition to the annual faculty awards, Layton McCurdy, M.D., Dean Emeritus and Distinguished University Professor, received an Order of the Palmetto award for his years of service to the Medical University and to the state of South Carolina.

Faculty awards were given to honorees in four categories: distinguished faculty service, teaching excellence, outstanding clinician and developing scholar.

Recipients in each of the categories are listed below.

Distinguished Faculty Service q Fred Crawford, M.D., a Holly Hill native, graduated first in his class from Duke University School of Medicine and came to MUSC in 1979 from the University of Mississippi Medical Center where he was chief of cardiothoracic surgery. Assuming the same office here, he took a “floundering” cardiac surgery

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425.

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

a disabilities services resource webpage and initiated a building renovation to upgrade and equip the Motion Analysis and Human Performance labs.

The MUSC Foundation recognized the 2011 faculty awardees during the campus' Aug. 23 Faculty Convocation: bottom row, from left: Drs. Fred.

A. Crawford Jr., Teresa J. Kelechi, Susan D. Newman, L. Ashley Cowart, Alyssa A. Rheingold; second row, from left: Drs. Roger Markwald, Gene E. Burges, Becki Trickey, Carl Atkinson, Diane L. Kamen; top row, fromleft: Drs. Julius Sagel, Layton McCurdy (Order of the Palmetto Award), Amy Thompson, Kelly Ragucci and Scott Bradley. program and transformed it into one of the best in the nation. Many of the physicians he has recruited have gone on to establish themselves as leaders and innovators in their respective fields on a national scale.

Some years later, Crawford became chief of the Department of Surgery, taking on the responsibility for all surgical activity. The result was the same, with steady growth in all areas: patient care, teaching and research. MUSC now boasts one of the nation’s leading organ transplant centers as well as its oncology program. He also played prominent roles in the establishment of University

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.

Medical Associates, the physicians’ practice plan, and in the building of Ashley River Tower. q Becki A. Trickey, Ph.D., who earned her doctorate from the University of South Carolina, has spent the vast majority of her nearly 40-year career at MUSC with the College of Health Professions. Currently professor and associate dean for academic affairs, Trickey began her career here as a staff therapist in the Department of Psychiatry and at one point served as interim dean of the College of Health Professions.

Her association with the college began in 1979 as a clinical associate in occupational therapy. Other critical roles include director of the occupational therapy program, director of strategic planning, chair of the Department of Rehabilitation Sciences, special assistant to the dean, associate dean and executive associate dean. She has been praised for her vision and leadership, especially during her tenure as interim dean in 2006 -07. During that period, she restructured the Dean's Office, initiated the development of a Ph.D. program and a master of research administration degree, implemented an alumnistudent mentorship program, created

q Roger R. Markwald, Ph.D., is an internationally recognized researcher and leader in cardiac developmental biology, biofabrication, and regenerative medicine. His impressive list of publications, grants, and awards exemplifies his accomplishments, scientific status, and contributions to these fields. Currently professor and chair of the Regenerative Medicine and Cell Biology Department in the College of Medicine, Markwald earned his bachelor’s degree at California State Polytechnic University, and his master’s and doctorate degrees at Colorado State University. Following postdoctoral work at MUSC, he joined the faculty, rising to the position of associate professor before leaving for other institutions.

He returned in 1992 as professor and chair of the Department of Cell Biology and Anatomy, since renamed the Department of Regenerative Medicine and Cell Biology. Colleagues credit him for helping to make MUSC a global name in research.

Outstanding Clinician q Kelly R. Ragucci, PharmD, a clinical pharmacist who primarily practices in the Department of Family Medicine, earned her doctorate at the University of Toledo. She completed her residency at MUSC and in 2000 accepted a joint appointment in the colleges of Medicine and Pharmacy. She is considered a national leader in clinical pharmacy, and has served in several prominent roles for national organizations to advance the profession. She has also been asked to speak about clinical issues at national meetings and continuing education talks. She is board-certified in a diverse range of specialties, active in community outreach and honored repeatedly for her teaching skills. Her greatest honor, however, may be the admiration and allegiance of her patients. “Kelly is a wealth of information and the most

See Faculty on page 9

the Catalyst, September 2, 2011 3

MUHA Employee of the Year

Rutledge Tower Outpatient Pharmacy coordinator Dr. Brenda Fauteux, center, was named the MUHA Employee of the Year at a ceremony held Aug. 18. Fauteux was joined by her nominator, Dr. Kelly Crowley, Ambulatory Services Pharmacy Services manager, and Stuart Smith, vice president for Clinical Operations and executive director, MUSC Medical Center.

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Described as dedicated and compassionate, Brenda Fauteux, PharmD, was praised for her positivity, “can do” attitude and problem-solving abilities as it relates to patient care and working with staff. In her nomination letter for MUHA 2011 Employee of the Year, Fauteux was recognized by Kelly Crowley, PharmD, for her care in the case of two pediatric patients and their families. In both cases Fauteux went out of her way to ensure that a patient's medication order was filled and received. For one patient whose medications were delayed due to a shipping error, Fauteux filled and delivered the medications to the patient's house. Crowley wrote that Fauteux supports teamwork and if anything goes wrong, then “everyone owns it and is responsible for fixing it and making things right.”

Fauteux has focused on helping Rutledge Tower Pharmacy Services staff improve its services and processes. “Brenda has a vision for what we can be and will work to see it become a reality,” Crowley said.

Fauteux began her career at MUSC as a pharmacist at ART Ambulatory Pharmacy Services in June 2008. In March 2010, she was assigned to work at Rutledge Tower Pharmacy Services and now managers both pharmacy sites.

The 2011 Employee of the Year nomination process occurred from June 24 to July 5. Intranet voting took place around mid-July. Other finalists include: Brittany Perry, R.N., 8 East; Nancy Hendry, Bed Management; Donald Holzheimer, Adult Inpatient Pharmacy Services; Ronald Clark, STAR Ladson Psychiatry; Susan Lucas, Business Development & Marketing Services; Shannon Harmon, Clinical Neurophysiology Services; Annie Bass, 9 West; Sherman Olsen, STAR Leeds Psychiatry; and Carmen Rice, Ambulatory Care Services.

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4 the Catalyst, September 2, 2011

Searching for digital Holy Grail: 'It wasn't easy'

by GeorGe spaIn Information Services

Six years ago the Information Technology Strategic Plan called the Electronic Medical Record (EMR) the “Holy Grail.” Now, the Enterprise Data Warehouse (EDW) represents MUSC's massive excavation effort in the search for that treasure.

The search for the EMR began back in the 1960s when the Mayo Clinic tried to develop such a system.

During the 1970s and 1980s, several electronic medical record systems were developed. Duke Medical Center’s ‘The Medical Record’ is an example of early in-patient care systems. However, translating electronic bits and bytes into useful, universally translatable health care information has consumed decades of research and millions of dollars.

About three years ago, MUSC assembled a team of data miners and gave them the job of both finding the grail and also uncovering the Rosetta Stone that would translate the bits and bytes of its history into information that would help health care professionals do a better job of their mission to teach, heal and discover. In order to do this, all they had to do was “change what's possible.”

The group's initial project is the Clinical Data Warehouse (CDW) for Research (see related story).

“The CDW is a great example of ‘innovation through collaboration’ that involved joint efforts and synergy among multiple groups across MUSC and MUHA that will have a broad impact on all aspects of our mission in research, education and clinical care in ways that we can only begin to imagine,” said Associate Provost for Research Stephen M. Lanier, Ph.D. The broad support provided through the MUHA team was critical to the success of this project, and it is a great example of synergy among different groups that will be making a difference in the lives of individuals for years to come, he said.

Jihad Obeid, M.D., SmartState Endowed Chair in Clinical Biomedical Informatics, who served as principal investigator on the Institutional Review Board approved CDW proposal, said the project puts MUSC on par with others in the prestigious group of Clinical and Translational Science Awards (CTSA) funded institutions around the country such as Harvard, Duke and Vanderbilt that provide similar services for their researchers.

The hospital’s Enterprise Data Analytics analyst Pat Wagstaff, R.N., noted it wasn’t an easy task.

“Before data could be released for use by researchers, we had to verify its accuracy by performing manual chart audits as well as comparisons to past CMS and Joint Commission data submissions. We have spent almost 16 months proving out the validity of the data,” he said.

Clinical Data Warehouse promises researchers fast access to information It once took weeks. It was a labor-intensive chore for information techies and a source of frustration for researchers, but the information was vital to any hope of getting funding for advanced clinical research. That was then.

This is now. The Clinical Data Warehouse (CDW) for researchers is one component (known as a data mart) of the larger Enterprise Data Warehouse (EDW) that will eventually contain patient, financial, human resources, student, and payroll data in a single, easily accessible database that can be used by researchers, risk managers, outcomes managers, financial analysts, business managers, deans and others with the goal Dr. Jean Craig, SCTR, explains the CDW query of better diagnosis, treatment, follow-up and patient system to Dr. Patrick Flume. safety.

For now, the focus is on the CDW for research and researchers perform retrospective research studies the speed — lots of it — that it brings to the process. or chart reviews, identify patients who may qualify Using the in-house developed website, researchers for specific research studies or clinical trials, identify initiate inquiries to see if MUSC's data repositories patterns of diseases, treatments and outcomes. contain enough of criteria-specific population to For example, a researcher might want to ascertain initiate further study. the number of female minority cancer patients, “Literally, what took weeks and on occasion, between the ages of 25 and 50, who were treated at months, now takes seconds or minutes,” said Dan MUSC between 2005 and 2011. If a sufficient number Furlong, CDW program manager for the past three exists, the researcher could then move on to Stage years. “In the past, you handed a written request to 2 to acquire additional information on the patient's IT data managers, who would then glean through diagnosis (type of cancer), treatment (medications and their databases to pull the relevant information. The procedures) and perhaps even subsequent visits to process took some time because there was no easy MUSC. way toquery the database and the results had to be As exciting and beneficial as the CDW is for continuously refined to get the ‘clean’ data necessary researchers, Frank C. Clark, Ph.D., chief information to adhere to the rules of scientific investigation. It was officer, was quick to point out that it is just the very labor intensive.” beginning of the vision OCIO has for the whole Now, using the web-based tools that begin at Enterprise Data Warehouse project. https://sctr.musc.edu/index.php/cdw, any full-time “Right now CDW is a promising subset of the MUSC faculty (or sponsored MUSC employee) full EDW. It’s important to note that the CDW is can initiate a Stage 1 inquiry to determine, in mere not used for delivering patient care, but for research seconds, if a sufficient population exists among purposes. It represents an easy way to access the MUSC patients to support further study. information in the Oacis data repository. Our plans are to eventually include and integrate patient If results warrant, the researcher can then initiate a Stage 2 investigation. Stage 2 is more tightly information from other, large data resources such as controlled and requires further authorization because Colleague and Smartstream and others. When we get the information returned may contain patient where we want to be, the EDW will be that ‘single Protected Health Information (PHI) — a very tightly source of truth’ valuable not only to researchers, but also in diagnosis, treatment, patient outcomes, and held privacy right — and must be approved by the Institutional Review Board (IRB). In this stage the above all, patient safety,” said Clark.

Jeff Burdick, who along with co-OCIO analyst Crystal Smith developed the self-service user interface, added, “At the same time, we have relied on interested researchers to come up with a simple framework that allows self-service answers to initial queries within established privacy and security guidelines.”

Jean Craig, Ph.D., from the Office of Biomedical Informatics, sums up the accomplishment this way, “The advantage is that researchers have the opportunity to obtain aggregate counts very quickly, whenever they choose, through a simple interface. Consequently, See Digital on page 9

the Catalyst, September 2, 2011 5

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6 the Catalyst, September 2, 2011

MUSC’s trauma reputation takes flight by dawn brazell

Dr. Douglas Norcross and Lisa Smith, PA-c, as pictured on a Meducare ambulance.

Public Relations It’s not every day that you drive past yourself on a vehicle. Douglas Norcross, M.D., trauma surgeon in MUSC’s Department of Surgery, said it shocked him the first time he saw himself on an ambulance.

“It was very strange. The first time I saw my face on the vehicle, I was sitting in traffic, and the thing pulled up next to me. I looked over and there I was, staring back at myself. It bordered on a surreal experience. The photographers did a great job making me look good. Not an easy task.”

Norcross, who has played an influential role in MUSC’s reputation as a high-ranking Level 1 trauma center, said MUSC’s expertise and experience in injury and emergency care can’t be matched by any other institution in the area.

“First and foremost, for people in the coastal regions of South Carolina, we are your trauma center regardless of where you get care for other problems. Like police, fire, and EMS, the MUSC trauma center is an important community resource that benefits the entire region.”

Lynne M. Barber, director of marketing strategy, said the Meducare helicopter and ambulance wraps are an extension of the brand campaign launched in August 2010. The ambulances provide the opportunity to continue promoting MUSC’s positioning statement, Changing What’s Possible, while featuring employees who represent the brand, she said.

“These ambulances travel in many of our target areas where we attract patients.

This strategy along with advertising patient, student and other constituents’ experiences, clinical expertise, great outcomes and research advancements are what help MUSC advance its brand.”

Getting the word out about MUSC’s specialty areas can help save lives, said W. Scott Russell, medical director of MUSC Pediatric Emergency Medicine. He cites a recent report from the Institute of Medicine that found although children make nearly a third of all emergency

DiD You Know?

q MUSC admits 2,100 trauma

patients per year. MUSC has 1,100 trauma activations annually. q 43 percent of patients suffered

traffic-related injuries, 26 percent were injured in a fall, and 8 percent were injured by a firearm. q Trauma surgeons are “in house”

24 hours per day, 7 days a week. q MUSC ranks in the top 25

percent for the number of severely injured patients treated in its comparison group of like-size trauma centers. q MUSC has a comprehensive

room visits, a mere 6 percent of hospitals have all the pediatric supplies they need, only a quarter of hospitals have access to doctors board-certified in pediatric emergency medicine, and more than a third have no pediatric specialists on call at all.

That’s not the case at MUSC. “We see over 20,000 pediatric cases a year. We have all the resources to be a Level 1 trauma center for children.

We have seven board-certified pediatric emergency medicine physicians, two pediatricians, and two general emergency medicine physicians who work with us.

We have three pediatric emergency nurse practitioners and are the only hospital in the Lowcountry that has access to all of the major pediatric subspecialists,” he said, citing a long list of specialty areas from neurosurgery to orthopaedics.

“We are the only hospital in the region that can offer child life specialists and pediatric sedation services.”

Bruce Crookes, M.D., the trauma program medical director for adults, said MUSC has been a state Level 1 since

1984. A Level 1 trauma designation is indicative of the resources that MUSC has available for the care of the critically injured.

Level 1 trauma centers care for the most severely injured patients who have the most complex, life-threatening injuries, 24 hours a day, seven days a week, he said.

The MUSC trauma program expects to become an American College of Surgeons Level 1 trauma center, a mark of distinction and dedication to trauma care. This national recognition is bestowed upon only a handful of trauma centers across the country.

Crookes said they care for more than 2,100 adult trauma patients per year.

“Medical centers from across the state send us their most complex cases, as we have the expertise and resources that enable us to take care of these critically ill patients. When benchmarked against national mortality rates, our trauma service has consistently higher survival rates — a testament to our dedication to our patients.”

trauma research program, including National Institutes of Health-funded studies and national presentations and publications that exceed the requirements for ACS COT (American College of Surgeons, Committee on Trauma) Level 1 verification. q MUSC has an established

alcohol screening and intervention process for trauma patients. q The injury prevention program

has initiated an Injury Prevention Campaign for MUSC employees. q MUSC participates in the ACS

Trauma Quality Improvement Program, the trauma equivalent to the National Surgical Quality Improvement Program. q Trauma team members are

available to give community talks on accident prevention. Call 792-0473 for more information.

The Catalyst, September 2, 2011 7

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ApplAuse progrAM The following employees received recognition through the Applause Program for going the extra mile: Medical Center

Jeanette Parker, Meduflex; Jessica Heilig, 10W; Toschua Thomas, 10W; Kathryn Medlin, 9E; Laurence Lighthall, PAS; Dennis Wysong, Surgical Services; Forrest Bean, Transplant Center; Felecia Jones, Radiology; Nick Garn, Safety & Security/Volunteer & Guest Services; Christina Picado, 9E; Gloria Mort, 9E; Maria Jackson, 9E; Melissa Leslie, GI Clinic; John Hart, Safety & Security; Rosemary Lee, Radiology; Nathaniel Alston, Radiology; Christina Chapman, Meduflex; Gennifer Collins, ART Endoscopy; Shirley Cummings-Jamison, GI Clinic; Suzanne Ramage, Safety & Security/Volunteer & Guest Services; Valeria Hoefler, Physical Therapy; Lashunda Laboard, ART 4E; Liezel Ilarina, ART 9 PCU; Lynn Conklin, Pastoral Care; Kyle Crapps, Safety & Security/Volunteer &

Guest Services; British Saulsberry, Dietetic Services; Jessica Johnson, Safety & Security; Reinaldo Christina, Meduflex; Catina Williams, ART 4E; and Ericka Gray, Children's Services Registration.

University

Colleen Alcott, Digestive Disease Center; Shirley Anderson, Ophthalmology; Rebecca Antley, Research & Sponsored Programs; Joe Boxx, Engineering & Facilities; Barbara Bozarth, Education & Student Support; Peggy Cunningham, Accounts Payable; Jim Dirkes, OCIOInformation Services; Rhonda Ferris, Student Health Services; Raynard James, Purchasing Services; Gerri Jones, Parking Management; Sharna Littlejohn, Parking Management; Suzanne Mobberley, Digestive Disease Center; Christina Moore, Digestive Disease Center; Jim Pope, Engineering & Facilities; Dorothy Roper, Student Health Services; Melissa Smith, Controller’s Office; and Suzanne Smith, Education & Student Support.

Mobility task force to address transportation issues

The health of individuals in pedestrian-friendly areas tends to be better than those in auto-dependent communities.

A new mobility task force is being formed to address all issues related to transportation at MUSC and will seek to identify barriers to alternative transportation, commuter concerns, safety issues related to movement around campus and overall livability of the MUSC community. The committee will be representative of the Charleston community and MUSC, including hospital, UMA, university personnel and students.

Susan Johnson Walkability is a measure of how inviting or uninviting an area is to pedestrians and includes safety and desirability of the walking routes. Walkability has many health, environmental, and economic benefits including improved resource responsibility, physical fitness and social interaction. Walkable communities are thriving, livable, sustainable places that provide safe transportation choices and improved quality of life and

Health at work

are not limited to residential areas. At work, walkability includes streets and sidewalks between buildings on campus and city blocks, and even walking or nature trails. Questions related to worksite walkability include the following: q Do employees walk to those meetings, or drive? q Do they walk for exercise or recreation at lunch or during breaks? q Do they walk to restaurants or parks to have lunch?

In pedestrian-friendly areas, the average resident weighs seven pounds less and gets the 30 minutes per day of physical activity recommended by the Surgeon General. Ties between neighbors and in the community are stronger and that not only enhances a person's quality of life but means greater safety in the area.

Walking is one of the easiest ways to maintain functional fitness and reduce risk for chronic disease.

The U.S. Surgeon General advises that 30 minutes of walking five days a week will significantly reduce adult risk of developing a host of diseases, ranging from cancer to depression and can even be divided into three, 10-minute bouts with the same benefits.

Getting people to practice active forms of transportation such as walking and biking is critical to

sustainability, economic development and good public health. Actually getting more people to walk and bike, though, is another challenge that must be addressed.

One step in promoting walking and biking is to identify the factors that influence people's decisions to bike, walk, take transit or drive. Studies suggest factors affecting people's decision to walk include an area's uses and activities; access and linkages; comfort and image and its sociability. To become involved in the task forced, email johnsusa@musc.edu.

Employee Wellness events q Join MUSC's Employee Wellness Heart Walk Team.

American Heart Association's 2011 Lowcountry Heart Walk will take place from 8 -11 a.m., Sept. 17 at Liberty Square. Visit http://www.startlowcountrysc.org. Free pedometers will be provided for team members. q Farmers market: Fresh fruits and vegetables are available from local farmers from 7 a.m. to 3:30 p.m. every Friday in the Horseshoe and in the grassy area next to Ashley River Tower behind Charleston Memorial Hospital.

Email johnsusa@musc.edu to become involved in employee wellness.

the Catalyst, September 2, 2011 9

FaCulty

Continued from Page Two

conscientious, dedicated, and personable person at MUSC I've ever met,” said a patient. “If she were a doctor I would have her as my primary care physician.” q When Alyssa Ann Rheingold, Ph.D., joined the Department of Psychiatry and Behavioral Sciences faculty, she had already been very well trained by some of the foremost experts in the field, especially in the area of anxiety disorders. She earned her master’s and doctoral degrees from MCP Hahnemann University, now merged with Drexel University. She has been recognized with awards for her clinical work, both from patients and peers. In addition, to her service in the department's existing clinics, Rheingold has established new clinical services through extramural service grants, with a particular focus on traditionally underserved populations.

Some of these new clinical programs include a community-based treatment program for adults who are victims of domestic violence; a program of support groups across the Tri-county area for family members of homicide victims; and two outreach programs, one rural and one urban, which offer in-home services to family members of homicide victims. q When Scott M. Bradley, M.D., arrived at MUSC in 1995, the congenital heart surgery program already had a distinguished track record. The Harvard Medical School graduate, however, set the standard higher, and now MUSC boasts a world-class program. It reflects the high standards he sets for himself.

Statistically, it is easy to see Bradley’s impact at MUSC. Overall mortality rates in pediatric cardiac surgery have decreased from 10 percent in 1995 to only about 1 percent today. His outcomes with the Norwood procedure, used in complex cardiac cases, carry a 91

dIGItal

percent survival rate, 11 points higher than the national average. He also had an integral lead in extending this program to include referring pediatric cardiologists across the state, thus forming the Children's Heart Program of South Carolina. His compassion transcends state and national borders, however, to include children from around the world. He participates in the Gift of Life program offering up to four children a year a second chance of life with corrective heart surgery.

Developing Scholar q In a relatively brief period of time, Carl Atkinson, Ph.D., has made significant contributions to the field of complement biology, complement mediated disease mechanisms and transplantation.

He earned bachelor’s degrees in biomedical sciences and cellular pathology from Kingston University and the University of the West of England, respectively, and his Ph.D. in transplant medicine from the University of the West of England. Atkinson trained at Papworth Hospital in Cambridge, England under the mentorship of Dr. Martin Goddard and Professor John Wallwork. His Ph.D. studies focused on the patterns of vascular remodeling seen in transplant coronary artery disease and the immunological mechanisms that contribute to this proliferative disease.

While obtaining his Ph.D., he produced nine publications focusing on cardiac alio and xeno transplantation. “I would rate his productivity in terms of research outputs as in the top 5 percent of younger investigators,“ states Professor Nicholas W. Morrell of the University of Cambridge. q L. Ashley Cowart, Ph.D., has emerged as a leader in the field of yeast sphingolipids. She has developed a new

Continued from Page Four

knowing the data needs will improve the process for getting IRB approval followed by access to data or access to a patient population for clinical trials."

Loretta Lynch-Reichert, Associate Provost for Research operations manager, said it was an impressive collaborative effort that made this data available to the MUSC community. APR chaired the research working group for the project, the Office of the CIO built

research program on defining novel mechanisms by which sphingolipids and other bioactive lipids regulate the metabolic syndrome and diabetes. As such, she has become one of a group of researchers developing the emerging field of the role of sphingolipids in the metabolic diseases of obesity, diabetes and related disorders. Particularly, she is among a few researchers who are capable of performing multidisciplinary research to gain insights of sphingolipids signaling systems in yeast and mammalian cells.

She is the first investigator studying the impact of sphingolipids in transcriptional regulations in response to cellular stresses using microarrays. A series of follow-up studies have led to high-impact publications.

She graduated from Furman University with a bachelor’s degree in biology and earned her Ph.D. in biochemistry from Vanderbilt University. q Diane Kamen, M.D., graduated from Northwestern University with a bachelor’s degree in biological sciences and earned her medical degree from the University of Kansas. Her post-doctoral work has been at MUSC, which includes a master’s in clinical research.

She is an assistant professor of medicine and board-certified in internal medicine and rheumatology. From the time she joined the faculty in 2005, she has undertaken a productive career in clinical investigation, focusing on systemic lupus erythematosus (SLE, lupus). Kamen is considered among a handful of "rising stars" in the field of lupus research, as evidenced by her success in publications, grants, national and international presentations, and accolades from some of the foremost leaders in the field. It is rare for a junior faculty member to rise to leadership positions as rapidly as she has, both at regional, national and even international

it, the hospital, the university, and ARRA stimulus funding paid for it, and SCTR, through the CTSA National Institutes of Health (grant UL1 RR029882), administers the query request system for the research community.

Many labored in the dig for the EMR's Rosetta Stone that would turn digital signals into practical information easily accessible to health care professionals, while still carefully guarding the privacy and confidentiality of patients — program manager: Dan

levels. She has been a first author or co-author on 21 publications, including one published in a high-impact journal, Science. She was an invited lecturer at the 9th International Systemic Lupus Erythematosus Conference in Vancouver, Canada in 2010. q Susan D. Newman, Ph.D., R.N., who earned her nursing and doctoral degrees from MUSC, coordinated community agencies, local news media and technology to improve everyday life for people with disabilities. Her doctoral dissertation entitled, “Community Integration after Spinal Cord Injury: Using Photovoice to Identify Barriers and Facilitators,” revealed environmental hurdles for people with disabilities that adversely affected their quality of life. She engaged people with spinal cord injuries (SCI) as co-investigators, and together they documented these barriers using Photovoice, a participatory research methodology, to collect evidence. Prominent among their findings was the public’s misuse of accessible parking designed for people with disabilities. The data they collected indicated this constituted a major barrier for SCI individuals and others.

With the assistance from The Post and Courier, Newman and her team asked South Carolina legislators to enact more stringent parking laws in an attempt to provide accessible parking for SCI individuals and others with disabilities.

The legislation was passed ion June 2, 2009 and signed into law by Gov. Mark Sanford.

Recipients of the Teaching Excellence awards, Amy Thompson, Pharm.D.; Gene Burges, M.D., Ph.D.; Teresa Kelechi, Ph.D., R.N., and Julius Sagel, M.D., were featured in the May 20 issue of The Catalyst online at http://www. musc.edu/catalyst/archive/2011/co520professors.html.

Furlong; OCIO Information Services: Frank C. Clark, Ph.D.; Dan Furlong; Jeff Burdick; Crystal Smith; Larry Gale; Mike Coffman; Mitchelle Morrison. Enterprise Analytics Team & Hospital Administration: Casey Liddy; Nestor Esnaola, M.D.; Pat Wagstaff, R.N.; Amy Wilson, Ph.D.; Stuart Smith; Patrick Cawley, M.D. Office of the Associate Provost for Research: Stephen M. Lanier, Ph.D.; Loretta Lynch-Reichert. SCTR: Jihad Obeid, M.D.; Jean Craig, Ph.D.; Amanda Zimmerman.

10 the Catalyst, September 2, 2011

Scholarship recipients named for training program First-year M.D./Ph.D., students Robert Cameron and Daniel Herr were this year’s recipients of UMA’s Medical Scientist Training Program (MSTP) scholarships.

This $23,000 scholarship, which is funded by UMA/ MUSC physicians, is awarded to incoming MSTP students for a period of one year. Perry V. Halushka, M.D., Ph.D., dean of the College of Graduate Studies, said this is the seventh year UMA has awarded the scholarships, and he’s proud that the fruits of that support can be seen as students who have received funding start to graduate. Loretta Hoover received

the award in 2003 and graduated this past May with numerous awards. Another student, Ryan Rhome, will be graduating in 2012. According to Halushka, Rhome has had an exemplary time at MUSC. “The UMA has been extraordinarily generous in supporting the Medical Scientist Training Program,” he said. “Since 2003, the UMA has supported 13 MSTP students. Their support is a testimony to the UMA physicians’ commitment to the training of future academic physician-scientists. It is also unusual to find this level of support for MSTPs by university physicians’ practice plans. This commitment of support was

trauma Continued from Page One

also the parents who have been traumatized. Many of the extensive clinical skills required for emergency pediatric care can be taught, but not that one. Duncan shakes his head. The team members just have to have it — that ability to empathize and impart trust — or they don’t get selected.

I nod. I get that. Though I was so focused on my son that I can’t remember the name of the flight nurse who took him, I’ll never forget the look. In the pre-flight rush of bundling off my 1-year-old toddler, we paused. He came to a complete stop, our eyes locking. I remember thinking, should my son die en route, will this man’s face be the last he sees. In seconds, an eternity passed between us.

They talk about the golden hour — that magical period of time right after patients are injured or fall ill — a period where prompt medical can lead to patients being stabilized — tripling their survival chances. When the critical care team arrives on a scene, often there can be much confusion. Duncan said everyone on the team is trained to

acknowledged as a significant strength of our program by the external reviewers.”

Halushka Herr Cameron said he has no doubt the two new recipients will carry on the tradition.

“Daniel and Robert are two more exemplars of the high quality of the students in the MSTP and those who are supported by UMA.”

taking Flight

The Meducare adult flight team has: q four experienced pilots, four flight nurses who are registered nurses with critical care experience and four critical care paramedics

Meducare’s new EC 135 aircraft with its MUSC branding.

The Meducare pediatric and neonatal team has: q eight pediatric flight nurses and five pediatric flight respiratory therapists with extensive knowledge about the critical care of pediatric and neonatal patients.

remain calm and make decisions fast. It’s what they do.

It’s what I intuitively knew that awful afternoon so long ago. I let my son go because I knew he had more of a chance making it with them than with me. It would take me an hour to get to Charleston. They could be there in minutes. It would be the longest car ride of my life.

The crew now gets a cell number from parents. Duncan said they take time to

call the parents after they arrive at the hospital and get the child or baby settled, so that the parents know how the patient fared during the flight.

Duncan has five young children and Daniell keeps up with three boys, so they understand the bond parents have and how fast accidents can happen. Their rewards are the good endings. Daniell describes the rush of being able to treat a baby born too soon, administering the life-saving medication that will open up

photo by Simon Bartlett

the baby’s lungs and revive sluggish life signs. Duncan recalls the gratification of being able to revive children who suffer near drownings.

“You can relate to your own children — how easy it is to happen in an instant.”

When they aren’t able to save patients, they’ve learned how to cope. Daniell spends time in the well-baby nursery holding babies and helping out. Duncan remembers all the faces that have passed his way, children he has been able to help. He also gets recharged spending time with his own children. “You go home at night, and you can kiss these babies good night.”

I smile at that — these macho flight nurses with such soft hearts. I can go home to kiss my 17-year-old, 6-foot-2 ‘baby’ because of the type of training they and all the other members of the trauma team get. They think they know who it was on the team who was there for me in my golden hour. They promise to send me his name. Part of me doesn’t want to know. That’s odd, I think. But, how do I even begin to say thanks? All I can say is if our journeys had to cross, I was glad he was the one there.

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