Issue 7, June 2006
The following is the seventh in a series of e-newsletters from Dean Joe Robertson. The e-letter's goal is to keep you apprised of news within the School of Medicine and to provide a venue for SOM updates.

  • Physician Workforce Update
  • Tram Construction Update
  • Regionalization Update
  • Martin Fuss to Join Radiation Medicine
  • Science Education
  • OHSU Student Group Receives National Award
  • Linda Hays Passes Away
  • Global Health Initiative
  • Sharon Anderson Receives Service Award
  • SOM Student Wins ACP Run
  • Radiation Medicine Awards
  • CeDMA Awards
  • 2006 SOM Graduate Program Awards
  • New SOM Faculty
  • June SOM News

    AAMC Calls for Workforce Expansion

    On June 19, 2006, the Association of American Medical Colleges (AAMC) issued a press release calling for a 30 percent increase in U.S. medical school enrollment by 2015, a doubling of the 15 percent increase recommended in February 2005. Citing growing evidence of a national physician shortage, the AAMC suggests boosting enrollment at existing schools and creating new allopathic medical schools. The recommended expansion would result in an additional 5,000 new M.D. students annually.

    The AAMC's Center for Workforce Studies cited the following factors in making the recommendation:

    1. U.S. population increases of 25 million people each decade;
    2. a doubling in the number of people over 65 between 2000 and 2030;
    3. Americans' rising expectations for, and the increasing availability of, effective health care services that will keep people healthy and active as they grow older;
    4. an aging physician workforce: one of every three active doctors is over age 55 and likely to retire by 2020; and
    5. a new generation of physicians who may choose to work somewhat less than their predecessors.
    The AAMC's analysis of the data concluded that if these trends continue, the number of doctors will peak by about 2020 and then drop just as the Baby Boomers begin to reach age 75.

    To accommodate additional U.S. M.D. graduates in teaching hospital residency training programs, the AAMC policy continues to call for the removal of the cap on the number of residency positions funded by Medicare. Other key recommendations in the new AAMC workforce policy include:
    • studying the geographic distribution of U.S. physicians to help identify strategies to address the paucity of physicians in many areas;
    • increasing the National Health Service Corps awards by at least $1,500 per year to help meet the need for physicians who care for underserved populations and address rising medical student indebtedness;
    • examining ways to develop a formal, voluntary process for assessing medical schools outside the U.S. that primarily enroll Americans, and a mechanism that could oversee the U.S. clinical training of medical students enrolled in foreign medical schools; and
    • actively assisting medical education and training in other countries, especially those in less developed countries.
    The association acknowledges that improvements in the efficiency of healthcare delivery and/or advances in medicine may lower the overall number of doctors that the U.S. is projected to need in the future. The current recommendations and ongoing monitoring and analysis by the AAMC Center for Workforce Studies will allow the nation to respond to changing needs. The center will provide updated forecasts every two years or so. If the best available data indicate any changes in the U.S. physician supply, the AAMC will reassess its current position.

    A copy of the AAMC's revised physician workforce position can be found at click here

    The OHSU School of Medicine has incrementally increased its entering class size from 100 matriculants in 2001 to 120 in 2006, the maximum number of first-year medical students we can educate on the Marquam Hill campus. By 2008, regional campuses will afford the opportunity to further expand the entering class size.

    Tram Construction Progressing Rapidly

    Public attention turned literally overnight from the cost of the tram to the rapid progress being made toward completing it when the massive first section of the 196-foot intermediate tower appeared June 13 on its pedestal next to S.W. Macadam Avenue. Construction crews had worked through the night erecting it, and virtually every media outlet in the city took note of it. The tower's final section will go up in early July.

    The lower tram terminal adjacent to the OHSU Center for Health & Healing is nearing completion. The roof is up, the ropeway saddles are in place and the drive machinery has been installed. On Marquam Hill the 200-foot concrete elevator and stair-core tower – the most time-consuming component in the construction of the upper tram terminal – has been topped out and erection of the steel superstructure soon will be under way. The tram cabins are due to be shipped from Switzerland next month. At around the same time, Dopplemayr, the tram manufacturer, will begin the installation and tensioning of the four track ropes and one circulating haul rope that will carry the cabins up and down the hill.

    When it's up and running in December, the tram will efficiently speed riders between the Center for Health & Healing in the South Waterfront – the largest earth-friendly building in Oregon and one of the greenest buildings of its kind in the world – to the top of Marquam Hill. The tram will remove traffic from city streets, eliminating an estimated two million vehicle miles annually, saving 93,000 gallons of gasoline per year and reducing greenhouse emissions by more than 1,000 tons.

    Following is the link to the PDOT site with up-to-date information and photos of tram construction: click here

    Regionalization Update

    Regionalization of medical education, one of the five strategies in the SOM Strategic Plan, is now well into implementation. Numerous trips to Eugene and Corvallis by SOM deans have resulted in plans to have OHSU medical students at both the University of Oregon and Oregon State University in fall 2008.

    The prototype satellite site in Eugene, developed in partnership with the University of Oregon and the PeaceHealth System, Oregon Region, with Sacred Heart Hospital, is quickly coming online. Some third- and fourth-year medical students have clerkships in Eugene this summer and the building (owned by Sacred Heart and adjacent to the University of Oregon campus) that will house the regional program in Eugene is being readied for occupancy.

    Martin Fuss to Join Radiation Medicine

    Dr. Martin Fuss has accepted the position of Professor and Director of the Image-Guided Radiation Therapy (IGRT) program in OHSU's Department of Radiation Medicine beginning on August 1, 2006. Dr. Fuss is a recognized international leader in the rapidly evolving area of IGRT. His training encompasses both diagnostic and therapeutic radiology.

    Dr. Fuss was a member of the German Heavy Ion Project radiation oncology team that conducted the first clinical treatments with charged heavy particles in Europe. He was one of the pioneers in using an IMRT system to deliver IMRS over multiple couch angles, and an early investigator in the planning and delivery of SBRT using an IMRT system.

    In conjunction with Dr. Cristina Fuss, Martin Fuss helped to pioneer the clinical use of ultrasound-based image guidance techniques for abdominal cancer and childhood cancer radiotherapy. Dr. Fuss invented new clinical applications for this technology that allow assessing the location of a tumor within the body right before radiation therapy is being delivered. Development of this treatment technique has enabled safer radiation treatment for inoperable hepatocellular carcinoma, a liver cancer for which currently no standard treatment alternatives exist.

    Dr. Fuss implemented one of the first SBRT programs in the United States. Patients who are unable to undergo surgical resection for the treatment of small, early stage lung cancer and lung metastases, and/or inoperable liver metastases can receive high-dose radiotherapy to these lesions instead.

    Office of Science Education Opportunities

    The Office of Science Education Opportunities is hosting a welcome session for high school and undergraduate interns to meet peers and learn about various campus programs and resources. All OHSU mentors and students working on campus as interns are invited to attend.

    Please note these dates and times: West Campus on Friday, June 30, 11:30 a.m. - 1 p.m., Primate Center, Malinow Meeting Hall; Marquam Hill Campus on Wednesday, July 5, 3:30 - 5 p.m., BICC Gallery.

    If you are mentoring a high school or undergraduate student this summer, either on your own or through any program (e.g., CURE, ASE, NSI Summer Fellowship, OIDD Summer Youth Employment Program, Partners in Scientific Inquiry), please email Susan Shugerman ( shugeman@ohsu.edu ), director of Science Education Opportunities, with the name and grade level of the student(s). This will greatly assist in tracking mentoring activities on campus.

    Please refer to the instructions for Visiting Scientists and Other Affiliates at http://www.ohsu.edu/cc/pandp_vis.shtml to insure you complete the necessary steps for hosting a student over the summer. Some of these requirements should be completed before the visitors' arrival on campus (such as the Background Disclosure form). If your student is under the age of 18, please refer to "Requirements for Hosting Minors" at http://seo.ohsu.edu/index.php?mw_name=minors.php.

    OHSU Student Group Receives National Award

    The Family Medicine Interest Group (FMIG), with 160 medical student members, has received the 2006 "Program of Excellence" Award from the American Academy of Family Physicians. This is the ninth time the group has been honored since the inception of the award in 1997, an honor unique to OHSU's group. The award is given annually to ten medical schools to recognize outstanding community service and student support. The 2005-06 FMIG student leaders were Julie Mitchell and Miriam Sparkman, both second-year medical students. Faculty Advisors to the FMIG are Anita Taylor, Associate Professor of Family Medicine, and Kathy Chappelle, Assistant Professor of Family Medicine.

    Linda Hays Passes Away

    Linda Hays died on May 22, 2006, after suffering a cardiac arrest. For over 33 years, Linda was a vibrant and beloved member of the OHSU community. In 1972, she accepted a position with University Medical Associates, a precursor of OHSU Medical Group. Eight years later, she joined the staff at University Ophthalmic Consultants, now the Casey Eye Institute; in 1987, she moved to the Department of Anesthesiology where she worked for the duration of her career.

    The family suggests that memorials be made to the OHSU Wendell C. Stevens, M.D., Memorial Fund. Dr. Stevens was Chair of Anesthesiology when Linda joined the department, and this fund, which supports humanitarian missions to medically underserved areas of the world, was very important to her.

    Global Health Initiative

    In January 2006, a survey concerning the present and future state of global health at OHSU was written by the Global Health Alliance student group in co-ordination with other interested parties. An invitation to participate in the survey was sent to every person with an OHSU email address and included an introduction from President Peter Kohler. The survey was divided into two parts, one for faculty and staff and one for students, and included sections on interests, experience, research, curriculum, and the development of global health at OHSU. The Department of Medical Informatics and Clinical Epidemiology gave permission to use their Survey Monkey license.

    The purpose of the survey was to perform a resource analysis and needs assessment to gain a better sense of the areas of global health that are currently being pursued at OHSU, as well as ways the University could better support those engaged in global health activities. The newly formed multidisciplinary Steering Committee for Global Health will be using the survey information for setting priorities for a Global Health Center. Over 700 people took the survey, including 132 faculty, 378 staff, and 195 students. The majority of respondents were affiliated with either the SOM or SON, with wide representation of programs, departments, and centers within those affiliations.

    Following are some highlights of the survey:

    Functional Interest:

    • More than 3 in 10 students, faculty and staff were interested in clinical research (42%, 43%, 32%), health communication/education (57%, 41%, 45%) and direct medical relief work (61%, 45%, 38%).

    Topical Interest:

    • More than 4 in 10 survey respondents from all 3 groups chose Maternal and Child Health as one of their top interests.
    • There is also considerable interest in Health and Human Rights as it was the first or second most commonly selected interest by students (63%), faculty (28%) and staff (57%).

    Student Experiences:

    • Nearly 3 out of 10 student respondents (27.3%, n=42) have had some international experience while at OHSU.
    • Ninety-seven percent (n=152) of students expressed interest in the development of multidisciplinary international experiences organized through OHSU. The vast majority (n=121) would like experience in direct medical service while 49 respondents expressed the desire for a health policy component.

    Future research:

    • Forty percent of faculty (n=42) indicated that they have plans to apply for research funding related to international/global health issues in the future.
    • Recommendations by which OHSU could support faculty and staff in securing funds and carrying out research included developing a global health resource center/improved networking and linkages with others working internationally, emphasis on creating a formal campus-wide culture of collaboration and networking; creating a database of available grants, timely dissemination of information concerning grant opportunities; providing internal support for grant writing pertaining to global health; and offering support for meeting international IRB reviews, mechanism and understanding for subcontracts, and FWAs with international agencies and universities.
    • Recommendations by which OHSU could support students in pursuing global health activities included developing the following:
    • A centralized database with all projects on campus relating to research involving OHSU researchers, physicians and/or students.
    • Scholarships for students doing international work or research.
    • Student workshops and mentors.
    • Affiliations with organizations doing international health research.
    • Better integration among OHSU's programs and schools, with SOM and SON students collectively engaged in education opportunities and equitably solicited for presentations and RA positions for projects.

    For more information, visit the website: http://www.ohsu.edu/gha

  • Sharon Anderson Receives Service Award

  • SOM Student Wins ACP Run

  • Radiation Medicine Awards

  • CeDMA Awards

  • 2006 SOM Graduate Program Awards

  • New SOM Faculty
  • Sharon Anderson Recipient of Service Award

    Sharon Anderson, M.D., SOM Associate Dean of Faculty Affairs/Faculty Development, received this year's Faculty Senate Award for Service. She was recognized for her many roles within OHSU & the VAMC as a dedicated and accomplished physician, scientist, teacher and administrator. Her efforts as Associate Dean in support of faculty development were highlighted.

    Dr. Anderson, the long-time Program Director, Division of Nephrology & Hypertension, was noted for taking a program that was adrift in the mid-1990's and making it into one of the best fellowship programs at OHSU and one of the best nephrology training programs in the country. Dr, Anderson was recently elected as President-Designate for the American Society of Nephrology. She is widely respected as a teacher and clinician, and has served the NIH as study section member and as chair of the General Medicine B Study Section.

    SOM Student Wins ACP Run

    Laura Matsen, OHSU School of Medicine class of 2008, ran to a first-place finish of 18:34 in the American College of Physicians 5K Fun Run and Walk, held April 8, 2006, during the ACP Annual Session in Philadelphia. Proceeds benefited "Bridging the Gaps," which helps the medically underserved. The next ACP 5K Fun Run and Walk will be held during "Internal Medicine 2007" (the new name for the ACP Annual Session), April 19 - 21, 2007, in San Diego.

    Radiation Medicine Awards

    The Department of Radiation Medicine has been recently awarded two appointments to the prestigious and highly competitive American Board of Radiology Holman Research Pathway. Marka Crittenden, M.D., Ph.D., and Samuel J. Wang, M.D., Ph.D., have both received Holman Research Pathway designation.

    Department chairman, Dr. C. R. Thomas, Jr., noted, "This designation is given to less than two percent of all radiation oncology residents and is evidence of the tremendous past accomplishments and future promise that both Marka and Sam have demonstrated early on in their training in cancer medicine."

    Dr. Crittenden received her M.D. and Ph.D. degrees at the Mayo Graduate School in Rochester, Minnesota. Her research centers on the development of novel gene therapy approaches using immuno-modulatory agents for treatment of cancer. Dr. Wang received his M.D. and Ph.D. degrees from Stanford in Informations Systems and Human Imaging; he completed a fellowship at Harvard/MIT Health Sciences & Technology program in Medical Informatics. His work has focused on research pertaining to medical informatics, health services and outcomes research.

    CeDMA Awards

    The seventh annual OHSU Center for Diversity and Multicultural Affairs (CeDMA) Awards Ceremony recognizing leadership and contributions to the advancement of diversity and multiculturalism at OHSU was held on May 25, 2006.

    The Department of Public Health and Preventive Medicine received the Outstanding Program Award, which recognizes a department that has excelled in providing leadership and performing services to advocate diversity and multiculturalism on campus and the greater community.

    The Faculty Award, which recognizes a faculty member within OHSU's educational network who exemplifies dedication to education and sets the mark for credibility, flexibility and who maintains interest in the well being of minority students was presented to David G. Ransom, Ph.D., Department of Cell and Developmental Biology.

    2006 SOM Graduate Program Awards

    The School of Medicine recently awarded 110 graduate degrees to students who have completed training in either a masters or doctoral program. Every year, the SOM Graduate Studies Program makes several awards to recognize the outstanding achievements of its graduating masters and doctoral students. These are competitive awards based on faculty or student nominations to the Graduate Studies Program Awards Committee. Many of these awards are sponsored by the OHSU School of Medicine Alliance.

    2006 Graduate Student Speaker.

    The graduate selected as Hooding Ceremony speaker was Dr. Brenda McKee. Dr. McKee completed her dissertation research in Dr. Charlie Meshul's laboratory at the Portland VAMC and received the Ph.D. degree for work completed in the Department of Physiology & Pharmacology's Integrative Biomedical Sciences Program. The title of her dissertation is The Effects of Cocaine on the Dorsolateral Striatum of the Rat. Dr. McKee will soon begin postdoctoral research training in Behavioral Neuroscience at the University of Wisconsin, Madison.

    2006 Outstanding Master's Thesis Award.
    The recipient of the 2006 Outstanding Master's Thesis Award is Dr. Kimberly K. Vesco. Before entering the graduate program at OHSU, Dr. Vesco earned an MD degree from the University of California at San Diego and completed an internship and residency in Ob-Gyn at the University of Utah. She received the Master of Public Health degree for work completed in the Department of Public Health and Preventive Medicine. Her thesis, conducted under the supervision of Dr. Linda Humphrey, is entitled Is surgical menopause associated with an increased risk of fracture in elderly U.S. women. Dr. Vesco is currently a Fellow in Women's Health at the Portland VAMC and OHSU.

    2006 John A. Resko Research Achievement Awards.
    These awards are named for Dr. John Resko, Professor Emeritus and former Chairman of the Department of Physiology and Pharmacology.

    Dr. Eric Guire received the 2006 John A. Resko Outstanding Doctoral Dissertation Award. He received the Ph.D. degree for work completed in the Neuroscience Graduate Program under the co-mentorship of Drs. Tom Soderling and Victor Derkach in the Vollum Institute. The title of his dissertation is Cellular Mechanisms of Synaptic Plasticity in Hippocampal Area CA1. Dr. Guire plans to pursue postdoctoral research training at OHSU.

    Dr. John Crabbe received the 2006 John A. Resko Faculty Research and Mentoring Achievement Award. Dr. Crabbe came to the Portland VAMC and OHSU in 1979 when he was selected as one of the inaugural recipients of a prestigious VA research award to establish a program of basic research in the area of alcoholism. He is currently a Professor in the Department of Behavioral Neuroscience and a Senior Research Career Scientist at the Portland VAMC. Dr. Crabbe is one of the world's leading experts in the use of animal genetic models to study sensitivity to and dependence on alcohol. He is a pioneer in the use of selective-breeding and quantitative-trait-locus mapping procedures to identify the genes and neurobiological mechanisms underlying many different alcohol related behaviors.

    New SOM Faculty

    A warm welcome to the following faculty members who have joined the School of Medicine since May 1, 2006:

    JoDee M. Anderson, M.D., Assistant Professor, Pediatrics; Victoria C. Brownlow, M.S., P.A., Instructor, Cardiovascular Medicine; Stephen Y Chui, M.D., Assistant Professor, Hematology & Medical Oncology; Jian Qiu, Ph.D., Research Assistant Professor, Physiology & Pharmacology; Deborah Sands, M.S.N., Instructor, Anesthesiology & Peri-Operative Medicine: Suzanne C. Box, M.S., PA-C, Instructor, Nephrology & Hypertension; Lisa L. Roessel, M.S.N., A.N.P., Instructor, Pulmonary & Critical Care Medicine.



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