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NASCAR Champion Presents $25,000 for AD Research
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NASCAR driver Matt Kenseth, a native of Cambridge, Wisconsin, presented a $25,000 check to Sanjay Asthana, MD, on October 9, 2013 in Charlotte, North Carolina. The donation was made by the Citizen Watch Company on behalf of Kenseth and will be applied toward research at the Wisconsin Alzheimer’s Disease Research Center. Asthana is professor, chief of Geriatrics and Gerontology, director of the Wisconsin Alzheimer’s Disease Research Center and the Geriatric Research Education and Clinical Center of the William S. Middleton VA Hospital.
The story was covered in several media outlets including: WKOW-TV, Madison.com, PR Newswire and MattKenseth.com.
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Register Now for an Upcoming WeTALK Workshop
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 The one-day WeTALK workshops will be required for all residents, fellows, attendings, and advanced practice providers.
To register, please go to WeTALK. Click on the date of the session you would like to attend and fill out the short form. Please register at your earliest convenience, as workshops are being scheduled now. Additional workshops will be available throughout the year.
CME:
• Sponsored by the University of Wisconsin School of Medicine and Public Health, Department of Medicine and Office of Continuing Professional Development
• This live activity has been approved for AMA PRA Category 1 CreditTM
• Please see the WeTALK website for additional CME information
Questions? Email WeTALK@medicine.wisc.edu
Individualized Coaching: The WeTALK faculty will extend your education via real-time coaching encounters in your clinical practice. These sessions will be scheduled with your coach following your participation in one of the WeTALK workshops.
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Tupesis Aids Ethiopia in EM Graduation
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Janis Tupesis, MD, FACEP, FAAEM, Emergency Medicine, traveled to Addis Ababa, Ethiopia, September 29 to October 6, 2013, along with Joshua Ross, MD (UW Pediatric Emergency Medicine), Erica Peethumnongsin, MD (UW Emergency Medicine resident), Anne Legare (UW Emergency Nursing) and Stu McVicar (UW Respiratory Therapy – Cheeta Critical Care transport), to help graduate the first class of emergency medicine residents in the history of the country. This training collaboration was developed through a twinning partnership between Addis Ababa University (AAU), the University of Wisconsin-Madison, and the non-profit organization People to People (P2P), to strengthen emergency medical care. The team from the Division of Emergency Medicine has been working together with Addis Ababa University over the past five years to help develop emergency medicine, educational and clinical programs. Ethiopia’s first emergency medicine residency program was launched at AAU in September 2010. Five residents were enrolled in its first class. The curriculum was modeled after the UW Emergency Medicine residency curriculum (goals, objectives, rotations, timeline), but was collaboratively and uniquely adapted to the local setting and practice.
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Page Chairs FDA’s Circulatory System Devices Advisory Panel
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This past week, Richard Page, MD, chair, Department of Medicine, presided over the FDA’s Circulatory System Devices Advisory Panel for review of Medtronic’s biventricular cardiac resynchronization therapy devices. The panel voted 4-3 Tuesday, with one abstention, to recommend expanding the label of Medtronic's CRT pacemaker and defibrillator devices.
Before voting on recommending the devices' approval, Page removed language that the device be used to treat first-degree AV block unless there was evidence that ventricular pacing would be needed most of the time. The panel requested modifications to Medtronic’s proposed indications, and its vote was contingent to those modifications and on appropriate wording.
The vote was covered in several media outlets, including: Medscape, Medpagetoday, and Healio.
In addition, Page chaired the panel as it reviewed and, in a split vote, recommended approval of the CardioMEMS Champion HF Pressure Measurement System—a small implantable device providing daily pulmonary artery pressure measurements to guide physicians in their treatment of patients with congestive heart failure. The panel found it difficult to draw conclusions from the data presented and scrutinized an apparent lack of evidence for efficacy in women. More on this vote is covered in Forbes.
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Doug Moe: Tweets, Mojitos and Flying Doctors
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Last month, Mike Abernethy, MD, Emergency Medicine, chief flight physician, traveled to Cuba with a group of medical clinicians, linked together by Twitter, to help move Cuba’s emergency medicine forward. Doug Moe, at the Wisconsin State Journal, tells more.
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Sheehy Writes Opinion Piece for JS
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 Ann Sheehy, MD, MS, and chief of Hospital Medicine, recently wrote: "Medicare rules leave patients in limbo," an opinion piece for the Milwaukee Journal Sentinel. Sheehy stressed: "For patients, being 'hospitalized but not admitted' has two significant financial consequences. First, Medicare Part A hospital insurance only covers inpatients, not patients under observation. Medicare Part B provides some coverage, but observation patients must pay for most of their medications, and are charged a copayment for each individual hospital service, with no cumulative cap on what they must pay. Second, when Medicare patients are admitted to the hospital, Medicare Part A will pay for their subsequent care in a skilled nursing facility, once they have spent 'three midnights' in the hospital. But if a patient on observation status requires care in a skilled nursing facility, Medicare won't pay at all.” Read more from Journal Sentinel.
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A recent patient comment after an allergy appointment: "No one had more concern than Dr. Busse when ailing. He never failed to call the next day. He saved my life one Christmas. Dr. Busse will never be replaced. I hope at my next appointment the new doctor will have just a bit of Dr. Busse in him/her."
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 October 18, 2013
Molly Carnes, MD, MS, Professor, Geriatrics, Psychiatry, & Industrial & Systems Engineering, Director, Center for Women's Health Research
Title: "Why are John and David More Likely to Become Department Chair than Jane or Jamal?"
 October 25, 2013
Douglas S. Paauw, MD, MACP, Rathmann Family Foundation Endowed Chair in Patient-centered Clinical Education, Professor of Medicine, Division of General Internal Medicine, Seattle, WA
Title: "Drug Interactions and Side Effects for 2013"
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Pulia Wins Best Physician Abstract
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 Michael Pulia, MD, Emergency Medicine, won the Best Physician Abstract Award for “Ability of MRSA Colonization to Predict MRSA as the Causative Organism in Community-Aquired Purulent Skin and Soft Tissue Infections: A Meta-Analysis." This was delivered at Emergency Medicine’s Annual Research Day held on October 3, 2013.
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A Message From Sheri Lawrence on AIMW
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 Several members of the Department of Medicine administrative team ‘got the word out’ last week at Academic Internal Medicine Week (AIMW13) in New Orleans. AIMW is an annual conference sponsored by the Alliance for Academic Internal Medicine.
Ron Ravel, assistant director—finance, led a presentation titled: "Designing and Implementing a Financial Management Portal." He was joined by Amy Johnson, accountant, Adam Halstead, developer, Jennifer Meier, Gastroenterology/Hepatology division administrator and Denise Zang, Cardiovascular Medicine division administrator. Their efforts in developing a user-friendly and actionable system to easily manage a complex account portfolio were lauded by a standing-room only crowd.
Donna Cole, Geriatrics division administrator, Amy Smith, residency educator and Jason Weitzman, Endocrinology, Diabetes and Metabolism division administrator presented "The Department of Medicine and the VA Hospital: A Love Story." This session prompted a lot of questions and interest in how we’ve developed collaborative relationships with our local VA to the benefit of our clinical, research and educational missions.
Special Interest Groups were facilitated by Jennifer Meier, Jason Weitzman and Sharon Gehl, associate administrator, while Sheri Lawrence, administrator, led a Pre-Course for New Administrators.
In addition to Medicine’s administrative team, Shobhina Chheda, MD, Internal Medicine, Peter Newcomer, MD, Internal Medicine and Jonathan Jaffery, MD, Nephrology, were also involved in the conference. Chheda presented an abstract on ‘The Evolution of a Patient Safety Curriculum 2009 – 2013.’ Newcomer shared information on the clinical mission, its importance and what to pay attention to at the New Administrators Pre-Course. Jaffery participated in a plenary session panel entitled "Key Impacts of the Affordable Care Act on Academia and US Health Care Financing and Delivery."
As a member of the AIM Education Planning Committee, thank you to everyone for making this a successful educational conference and for ‘getting the word out’ about the great things happening at the University of Wisconsin-Madison.
— Sheri
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Pulia Speaks at Annual MRSA Event
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Methicillin-resistant Staphylococcus aureus (MRSA) survivors along with physicians and lawmakers gathered for the Chicago-based nonprofit MRSA Survivors Network's 5th Annual World MRSA Day Kickoff Event & Global C. difficile Summit on September 28, 2013 in Chicago. The event raised awareness for the fight against MRSA and healthcare-acquired infections. Michael Pulia, MD, Emergency Medicine, was one of the selected speakers.
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A recent article in the Isthmus highlighted the effect the shutdown is having on UW-Madison. They reported: “The ongoing federal government shutdown illustrates just how vital federal dollars remain to research on campus, even as they become a dwindling resource.”
The university receives more than half of its research money from the federal government. This shutdown is having an impact on the Department of Medicine as well. “We cannot submit the federal grants that were due October 5, 2013, I have eight principal investigators on hold; in addition all the study sections are canceled so those waiting for their scores are frustrated and on hold as well," said Betty Weiss, research services director.
For now, we wait until a new spending bill is passed and those relying on federal services and paychecks can resume at full speed.
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Molly Carnes, MD, Geriatrics, and women’s health researcher, received a $4.8 million award from the National Institutes of Health (NIH) to determine whether scientists judging the work of fellow scientists award more money to particular genders, races or researchers at prestigious institutions. Carnes, along with colleagues, psychology professor Patricia Devine, PhD, and English and sociology professor Cecilia Ford, PhD, will analyze in detail several aspects of actual and simulated grant reviews including the text of actual reviews written by the researchers who conduct peer review of grant proposals presented to NIH. (MORE)
Lisa Grant, MD, General Internal Medicine and Cheryl Andree, clinic operations manager, received an ACIG (Ambulatory Care Innovations Grant). They will be offering patients a series of classes teaching mindfulness skills as tools for stress-reduction, in order to improve their health and well-being. They will be targeting/inviting patients who are high utilizers of the healthcare system to participate. Self-evaluation stress surveys will be compared pre and post intervention, as will healthcare utilization rates for the six months before and after the intervention.
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New Department of Medicine Faculty
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New faculty will be listed after their photos are available.
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 Adebisi Alimi, MD
Hospital Medicine
Instructor (CHS)
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 Lars Petter Bjoernsen, MD
Emergency Medicine
Clinical Assistant Professor
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 Dustin Deming, MD
Hematology/Oncology
Assistant Professor
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 Ravi Dhingra, MD, MPH
Cardiovascular Medicine
Assistant Professor (CHS)
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 David Hindle, MD
Emergency Medicine
Clinical Assistant Professor
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 Kathryn Miller, MD
General Internal Medicine
Clinical Assistant Professor
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 Anne O'Connor, MD
Cardiovascular Medicine
Assistant Professor (CHS)
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 Jennifer Passini, MD
Hospital Medicine
Clinical Assistant Professor
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 Dipaben Patel, MD
Hospital Medicine
Clinical Assistant Professor
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 Gratia Pitcher, MD
Hospital Medicine
Clinical Assistant Professor
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 Julie Plowshay, MD
Hospital Medicine
Clinical Assistant Professor
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New Department of Medicine Staff
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 Linda Baier, MS
General Internal Medicine
Research Program Manager III
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 Ashley Bartlett
Cardiovascular Medicine
Associate Admin Program Specialist
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 Joshua Desotelle, PhD
Geriatrics
Research Associate
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 Maranda Hyde
Pulmonary & Critical Care
Associate Research Specialist
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 Jordan Larson
Geriatrics
Associate Research Specialist
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 Jane Mortensen, MS
Nephrology
Medical Program Asst Associate
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 Tapas Nayak, PhD
Geriatrics
Research Associate
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 Anne Racine
Geriatrics
Research Assistant
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 Michelle Wahoske, MS
Geriatrics
Project Assistant
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 Donny Xiong, MPH
Infectious Disease
Associate Research Specialist
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In recent weeks, the NY Times has focused on doctor burnout with several articles. This story, “Easing Doctor Burnout with Mindfulness,” caught my attention after participating in a mindfulness demonstration during Patient Experience Week delivered by Lisa Grant, DO, Internal Medicine. I asked for her comments:
“Right after the article came out I received three texts from non-physician friends telling me to read this article. I’m not sure if they thought I was a 'burned-out' doctor or someone who should be doing something about this problem—probably some of both.
I’m not at all surprised by the data suggesting that two thirds of us are suffering from burnout. I am encouraged though by the developing body of data supporting the benefits of a mindfulness practice. From my own personal experience, learning an awareness practice has inspired my work as a doctor and has changed the experience of what it feels like to be alive.
Patients deserve our unwavering presence and attention, grounded in compassion. We can’t offer that when we’re distracted, disconnected, or stressed out. It seems intuitive to me that we need to attend to our own wellbeing if we’re going to try to facilitate healing in our patients.
The really good news is that there is exciting pioneering work in neuroscience being done right here at UW suggesting that wellbeing is a skill, and that the brain can refine itself through training, (neuroplasticity). Wellbeing can thus be taught, learned, and practiced! One elegantly simple tool is paying attention on purpose to things that we ordinarily miss—that is what mindfulness is.
The New York Times article asks, ‘Who really has the time to enroll in mindfulness training courses that can take weeks or longer?’ That’s a fair question. I can’t speak highly enough about the well-regarded MBSR (Mindfulness Based Stress Reduction) program, which is taught here at UW. It is the gold standard entry-level training program. It does, however, require a big commitment. I propose that most of us who are interested in cultivating an awareness practice start small. There are numerous ways to do that. Stress reduction classes are offered in the community that teach mindfulness techniques. I would also strongly consider buying a book on the subject, such as Jon Kabat-Zinn’s ‘Mindfulness for Beginners.’ It contains a CD you can listen to while you drive to the hospital or clinic. I have borrowed a simple reminder from Deepak Chopra, MD, that I use before entering every patient room. It’s the mnemonic ‘STOP.’ 1) Stop 2) Observe 3) Take three deep breaths 4) Proceed with kindness and compassion.
Someone once said, ‘The best time to plant a tree was twenty years ago. The second best time is now.’ The time is NOW for mindfulness.”
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We want to hear from you!
Please email us at marketing@medicine.wisc.edu and share information about your community service/outreach efforts, grants awarded, papers published, accomplishments in education and clinical work, or anything else which you are proud or think would be of interest to your colleagues.
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