Hennepin Healthcare - Summer 2018 E-Newsletter

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Research

Research

Research continued . . . 

Dr. Andrew Busch, Division of Clinical Pharmacology, received a grant from the American Cancer Society entitled "Lung cancer screening following the Affordable Care Act" on July 1, 2018, and a grant from Clearway Minnesota entitled "Treating Tobacco Dependence among those with serious mental illness" on May 1, 2018.

Dr. Ajay Israni, Division of Nephrology, is a primary mentor to Casey Dorr, Investigator in the Nephrology Division who received a new mentored 5-year grant: K01 (Dorr), NIAID Genetic Variants Associated with Tacrolimus Metabolism in Kidney Transplant Recipients. This career development award will train Dr. Dorr to become an independent research scientist with skills in conducting pharmacogenomics and bioinformatics research in transplantation.

Dr. Louis Kohl, Division of Cardiology, received NIH funding in February 2018 for an ACCESS Trial entitled "ACCESS to the cardiac catheterization laboratory in patients without ST-segment elevation myocardial infarction resuscitated from out-of-hospital ventricular fibrillation cardiac arrest." This trial is in collaboration with the University of Minnesota.

Dr. Gavin Bart, Division of Addiction Medicine, received a UCare grant for the project "HCMC Emergency Room Opioid Use Disorder Treatment Initiation for Community Addiction Linkage Enhancement (HEROICAL-E)." This expands HCMC's response to the current opioid epidemic and aligns with Minnesota's State Substance Abuse Strategy, which seeks to improve linkage to care for those with opioid use disorders (OUDs). Per Dr. Bart, we propose initiating medication for an opioid-use disorder (MOUD) in the ER setting and embedding licensed alcohol and drug counselors in the ER to facilitate linkage to community providers for ongoing care.

In January 2018, the Department of Medicine received a generous grant from the Weil Foundation to support Integrative Medicine curriculum within the Internal Medicine Residency.

Dr. Sebastian Ksionski, Division of General Internal Medicine, has been working with the NIH/NIDA and CDC in an advisory role to help provide input in the ongoing opiate crisis on a national level.

The CARSK (Canadian-Australasian Randomized Trial for Screening Kidney Transplant Recipients for Coronary Artery Disease) trial, a multicenter, non-inferiority, two-parallel arm randomized prospective trial, will test the hypothesis that after screening for renal transplant waitlist entry, no further screening for coronary artery disease is not inferior to the current standard of care for mandated screening in asymptomatic waitlisted patients. Subjects will be followed for five years; target enrollment is 3300 patients. The trial is currently being conducted in Australia, New Zealand, and Canada. The results of this trial will impact the care of waitlisted renal transplant candidates worldwide. HCMC/Hennepin Healthcare Department of Medicine faculty have an important role in CARSK. Dr. Charles Herzog is on the Steering Committee of CARSK, and is the chair of the Critical Event Committee (CEC). Dr. Herzog recruited eight members to serve with him on the CEC including four HCMC/Healthcare Department of Medicine faculty members.

 

Awards & Recognition

Awards & Recognition

Awards and Recognition continued . . .

The American Heart Association recognized HCMC through the Division of Cardiology for the 2018 Get with the Guidelines-Heart Failure GOLD PLUS Program, for applying the most up-to-date evidence-based treatment guidelines to improve patient care and outcomes in the community we serve.

Dr. Mark Linzer, Vice Chief of Education, Mentoring and Scholarship, was awarded Mastership in the American College of Physicians (ACP) in recognition of lifelong accomplishments to the field of Internal Medicine. He received his Mastership at the National ACP meeting in New Orleans, Louisiana, in May 2018.

Dr. Mark Linzer, Vice Chief of Education, Mentoring and Scholarship, received the Chiefs Recognition Award through the Association of Chiefs and Leaders in General Internal Medicine (ACLGIM) for exceptional leadership, contributions and accomplishment as a Division Chief in April 2018.

Dr. David Hilden, Division of Hospital Medicine, was elected as the new Governor-Elect of the Minnesota Chapter of the American College of Physicians (ACP).  His position started following the National Annual ACP Meeting in May and he is working for one year with the current Governor Dr. John Bundrick. Dr. Hilden term as Governor will be for three additional years.  

Dr. Deepti Pandita, Division of General Internal Medicine, was appointed to the American College of Physicians (ACP) National Health Information Technology (HIT) Committee on April 1. This committee advises the ACP Board of Regents on all HIT-related items.

Dr. Katherine Diaz Vickery, Division of General Internal Medicine, was appointed Vice Chair of the Research Committee of the National Health Care for the Homeless Council in May.

Education

Education

Education continued . . .

Wonderful teachers joined our staff this year, including Chief of Medicine Dr. Arti Prasad, who specializes in Integrative Medicine, rheumatologists Rawad Nasr and Linh Ngo, who helped transform our Rheumatology rotation, pulmonologist Heidi Erickson, cardiologist Michelle Carlson, Chief of Informatics Dr. Deepti Pandita, gastroenterologist Jake Matlock, Palliative Care specialist Tom Klemond, GIM researcher Tyler Winkelman and several exceptional teaching hospitalists.  Residents and medical students have benefitted from the energy and devotion these new physicians have brought to patient care, teaching, research and systems improvements.  We are also lucky to have Dr. Mark Linzer serving in a new role as Vice Chief for Mentorship, Education and Scholarship.  Mark will assist faculty and residents with research and provide faculty development opportunities.

Residents continue to participate in research and quality improvement, publish papers, and present work regionally and nationally at ATS, ACG, SGIM, SAEM, ASN and ACP.  We’ve had other success as well:  for the second year in a row, the Hennepin Healthcare Doctors Dilemma (Jeopardy) Team took first place at the Minnesota ACP meeting and competed nationally at the ACP meeting in New Orleans in April.

Our 2017-18 recruitment season was very successful, with an exceptional and diverse intern class matched.  Fellowship placements were also successful, with three residents matching in Endocrinology at University programs in Utah, California, and Minnesota, and four residents matching locally in Rheumatology, Cardiology, Hematology-Oncology and Nephrology.  The University of Oklahoma expanded their Pulmonary-Critical Care fellowship to make room for a 2017 graduate, and two 2016 graduates finishing cardiology fellowships in Dallas and Chicago matched into one-year Interventional programs in Wisconsin and Connecticut.  Our internal Cardiology, Critical Care, Sleep, Geriatrics and Nephrology fellowships continue to recruit well and match excellent fellows.

We have expanded primary care to support our health system’s goals and provide better access to our patients.  In the past four years, five of our own graduates – including two chief residents - have taken positions in primary care in our own system.  We’ve also maintained a strong partnership with the Minnesota Department of Health, earning two more training grants in May of 2018, totaling $540,000 over 3.5 years, to help two additional international physicians through residency so they can serve their communities in Minnesota as primary care providers after graduation.  Both men completed a nine-month University of Minnesota Bridge program prior to enrolling in our residency and were able to hit the ground running during New Resident Orientation this June.

We are proud of our community for developing the next generation of physicians for Minnesota and beyond, and for showing learners just how personally and professionally satisfying it can be to care for vulnerable populations.  Working at a safety net is a way to help actualize social justice, and the reason so many of us devote our careers to Hennepin.

Noteworthy Publications

Noteworthy Publications

Noteworthy Publications* continued . . .

Ngo, L, Miller E, Valen P, Gertner E. Nivolumab induced remitting seronegative symmetrical synovitis with pitting edema in a patient with melanoma: a case report. J Med Case Rep. 2018;12(1):48. 

Shroff GR, Stoecker R, Hart A. Non-vitamin K-dependent oral anticoagulants for nonvalvular atrial fibrillation in patients with CKD: Pragmatic considerations for the clinician. Am J Kidney Dis. 2018;(18)30584-30585. 

Vickery KD, Bodurtha PJ, Winkelman TNA, et al. Cross-sector service use among health care high utilizers in Medicaid expansion. Health Affairs. 2018;37(1):62-69. 

Vickery KD, Winkelman TNA, Owen RA. Cross-sector service use: The Authors Reply, Health Affairs. 2018;37(5). 

Wang CJ, Tuffaha A, Phadnis MA, Mahnken JD, Wetmore JB. Association of slow graft function with long-term outcomes in kidney transplant recipients. Ann Transplant. 2018;23:224-231.  

Wetmore JB, Li, S, Molony JT, Guo H, Herzog CA, Gilbertson DT, Peng Y, Collins AJ. Insights from the 2016 Peer Kidney Care Initiative Report: Still a ways to go to improve care for dialysis patients. Am J Kidney Dis. 2018;71(1):123-132.    

Wetmore JB, Molony JT, Liu J, Peng Y, Herzog CA, Collins AJ, Gilbertson DT. Readmissions following a hospitalization for cardiovascular events in dialysis patients: a retrospective cohort study. J Am Heart Assoc 2018;7(4):e007231. 

Wetmore JB, Yan H, Hu Y, Gilbertson DT, Liu J. Factors associated with withdrawal from maintenance dialysis: A case-control analysis. Am J Kidney Dis. 2018;71(6):831-841. 

Winkelman TNA, Chang VW. Medicaid Expansion, Mental Health, and Access to Care Among Low-Income Childless Adults With and Without Chronic Conditions. J Gen Intern Med. 2018;33(3):376-383. 

*First author publications to-date in 2018. The Department published 137 journal articles in 2017 and is on track to publish over this amount in 2018.