med ed
A newsletter for faculty, staff, and students of the University of Minnesota Medical School

No. 360, September 2003

Editor: Gregory Vercellotti, M.D., verce001@umn.edu

Editorial Assistant: Allison Campbell, aac@umn.edu
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In memoriam: G. Scott Giebink, M.D.

 

We were saddened to learn of Scott Giebink's sudden death last weekend at 59 years of age. An internationally recognized expert in otitis media and immunizations, he was head of the division of infectious disease for the Department of Pediatrics. A talented clinician, Giebink was also a passionate advocate for children and contributed to the creation of MinnesotaCare at the State Capitol as well as support for medical students and residents in primary care---family practice, internal medicine, pediatrics, ob/gyn, and emergency medicine. He applied his legislative experience to the successful push for tobacco-settlement funding a couple of years ago, also. A dedicated educator, Giebink was vice chair for education and community affairs, a position he relinquished recently when he become interim head of the department. Services take place 10:30 a.m., Friday, Sept. 5 at Hennepin Avenue United Methodist Church, 511 Groveland Ave., Minneapolis. A reception follows the service. Memorials preferred to the G. Scott Giebink, M.D., Memorial Fund at the University Pediatrics Foundation, c/o Minnesota Medical Foundation, P.O. Box 64001, St. Paul, MN 55164-0001.

 

LCME retreat Sept. 20

 

Deans Deborah Powell, M.D., and Richard Ziegler, Ph.D., open the LCME retreat Sept. 20 at 9:30 a.m., setting the stage for presentations on our strengths and our opportunities for improvement of the medical education program as revealed by the self-study process. Medical school leadership, representatives of affiliates, student council members, and other students will attend the Saturday retreat, which will meet in Moos 2-650. Heads of the six subcommittees from Duluth and the Twin Cities will report and, after lunchtime small-group sessions, everyone will gather for final discussions. The retreat will take place on the Twin Cities campus at a site to be announced. For more information, contact Linda Reilly, (612) 624-9608. (See the final item in this e-newsletter for a briefing on the LCME student survey.)

 

News from one piloting the OSCE, Sept. 5

 

The Objective Structured Clinical Exam, soon to be required of medical students, has been piloted at University of Arkansas for Medical Sciences. Mary Cantrell, director of the Clinical Skills Center at Arkansas, discusses "The Future of Performance-Based Assessment in the Health Sciences" at 1 p.m., Sept. 5, fourth floor of Coffman, in the Campus Club Conference A. Register by Sept. 3 by calling 612-624-9691

 

Classroom help at hand

 

When the audio goes out, the PowerPoint won't go up, or the classroom chair springs pop through, help is at hand. Four Twin Cities students in years one and two---Jonathan Hovda, Andrew Calvin, Eric Kirksson, and Simon Fenton---have been named curriculum liaisons to help faculty and students with AV first aid, to operate the Lectures Online system, to provide information for the curriculum database, and to communicate practical classroom concerns and problems to the Medical Education office or others in the Academic Health Center. They cannot solve every problem but they will get the word out to those who can.

 

Westra takes lead at Family Medicine in Duluth

 

Ruth Westra, D.O., M.P.H., recently was appointed acting head of the Department of Family Medicine at the School of Medicine-Duluth. Westra, certified by the American Osteopathic Board of Family Practice, received her D.O. degree from Des Moines University in 1976. She earned her M.P.H. from the Loma Linda University School of Public Health in 1996. An active family physician for the past 25 years in Michigan and with the Department of Veteran Affairs in Superior, Wis., Westra currently practices in Moose Lake. She has been with the Department of Family Medicine as an assistant professor since 2000.

 

Orientation at Duluth

 

Dean Ziegler officially welcomed the members of the entering class to Duluth's rural medical education program during orientation activities Aug. 27. Sixty-eight percent of the 53 new matriculants (all but one Minnesota residents) are from communities of fewer than 20,000, with an additional 19 percent from communities between 20,000 and 50,000. On Sept. 3, students divide up into small vignette groups and are presented with skits depicting challenges they may face as medical students. These groups continue to meet informally during the year and act as support groups for new students. Orientation activities culminate in an all-school picnic at Park Point Beach House on Sept. 5.

 

Latino health expert to speak Sept. 10

 

America Bracho, M.D., M.P.H., trains community health workers as leaders of wellness and change at the Latino Health Access center in Orange County, Calif. She comes to the Twin Cities campus Sept.10-11 to share her expertise at using participatory approaches in community health education. Her public speech is noon to 1 p.m., Sept. 10, in Coffman Memorial Union's theater. She also has meetings scheduled with family practice faculty and residents, as well as students in Physician and Society.

 

Health Careers Center opens Sept. 10

 

Those of us already in medical school---as students, staff, or faculty---often are asked about getting into health careers. Now there's a new University resource for potential doctors, nurses, pharmacists, dentists, veterinarians, and public health professionals. With its open house 1:30-2:30 p.m., Sept. 10, the new Health Careers Center officially launches a U initiative to reach students---high school, undergraduate, and returning---considering careers in health care. The Academic Health Center, the College of Biological Sciences, the College of Liberal Arts, the Institute of Technology, and the College of Human Ecology have joined efforts to create this new Health Careers Center in 2-565 Moos. The center offers a wealth of health careers resources that can be accessed at www.healthcareers.umn.edu . This includes Web-based tools and a schedule of classes helping prospective students explore their interests in health careers.

 

Native Americans into Medicine

 

Native Americans into Medicine is a six-week introduction to health care fields for college-age and college-bound students. This summer, 23 Native Americans took advantage of the Duluth-based program to help prepare for the Medical College Admissions Test and the Pharmacy College Admissions Test. Native Americans into Medicine is run by the University of Minnesota Center of American Indian and Minority Health (CAIMH), which strives to raise the health status of the Native American population by educating Native American students in the field of health care and Indian health. One of the three Native American Centers of Excellence in the nation, CAIMH also runs a program for high-school students that attracted 19 participants during summer of 2003. Currently, there are three Native Americans enrolled in year one at Duluth and four in year two; five recently came to the Twin Cities campus for year three.

 

Request from the AAMC

 

Federal budget discussions have moved the Association of American Medical Colleges to request help in contacting U.S. senators and representatives. The AAMC recently joined nearly 600 patient groups, scientific societies, and research institutions in calling on the Senate to add $2.5 billion to the NIH budget for FY 2004. The Senate was scheduled to begin considerations on NIH funding Sept. 2. In addition, the AAMC is asking faculty and students to advocate for continued Title VII program funding, which helps recruit health care professionals for underserved areas. For details, see http://www.aamc.org/advocacy/start.htm .

 

Mark your calendar

 

Oct. 4---White Coat Ceremony on the Twin Cities campus for the Class of 2007 begins at 1 p.m., Northrop Auditorium.

 

Oct. 11---White Coat Ceremony on the Duluth campus for the Class of 2007 begins at 2 p.m. in the Kirby Ballroom and School of Medicine Atrium.

 

Oct. 15---State of the Academic Health Center speech by Frank B. Cerra, M.D., vice president for health sciences, 3 p.m., at 2-650 Moos. Cerra's speech follows the AHC faculty assembly, which begins at 2 p.m. in the same room.

 

Oct. 17-19---Closing the Gap, a conference to discuss health disparities and minority representation in medicine, will bring more than 200 students to the Twin Cities campus from schools around the region. Sponsored by the Twin Cities and Mayo chapters of the Student National Medical Association, the conference is also hosted by the Medical School's Office of Minority Affairs and Diversity. For more information or to register, go to http://www.student.med.umn.edu/snma .

 

Editor's note: Work hours

 

Last month, the internal medicine residency program of Johns Hopkins University was the first to lose its certification from the Accreditation Council For Graduate Medical Education for violating the 80-hours-a-week rule that took effect July 1. The violation was reported by a Hopkins resident, according to a Baltimore Sun report, and the ACGME has at least five other complaints that it is investigating. While a third-year resident interviewed by the Sun said the intensity is what attracted him to the Hopkins program, I would argue that constant stress and sleep deprivation does not lead to top-notch patient care. The ACGME work-hours rule is serious business and it is related to the problem of stress management, which affects everyone from medical students to practitioners. Our Graduate Medical Education office has developed a system for tracking residents' work hours and will be enforcing those hours. Of our entering class this fall, 53 attended a pre-orientation led by the Center for Spirituality and Healing on handling stress and self-care---the kind of learning opportunity we all should consider. Each of us needs to figure out ways to take better care of ourselves so that in the long run we take better care of our patients.

 

LCME: Student Survey

 

Since the 1997 LCME accreditation visit, the Twin Cities campus has added more small-group teaching in years one and two. The Medical School also improved personal and career counseling for students since 1997 and strengthened the evaluation system.

 

This year, students who responded to surveys in preparation for the 2004 LCME visit reported that good relationships with faculty were among the strengths of the both the Twin Cities and Duluth: "students are treated as future colleagues." Students at both campuses, however, are concerned about money matters: tuition, financial aid, and insurance coverage, especially for families.

 

At Duluth, students would like career counseling to be introduced earlier---and more space for studying and relaxation. In the Twin Cities, they ask for more consistency in grading during years three and four---and clarification on the relationship between the pass-fail grading system and the deans' letters.