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c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES BOARD OF REGENTS 167th MEETING
May 15, 2009 Bethesda, Maryland
CONTENTS
Matters of Information Federal Register: Notice of Open Meeting ...... 1 Board of Regents ...... 2 Charter ...... 3 Bylaws ...... 4 Meeting Calendar ...... 5 Summer Meeting: August 10-11,2009 Fall Meeting: November 2-3,2009 Winter Meeting: February 1-2,2010 Spring Meeting: May 13-15,2010
Opening Comments by the Board ...... 6 c Dr. Ronald Blanck Matters of General Consent Board Meeting Minutes, February 3,2009 ...... 7 Declaration of Board Actions ...... 8
Board Actions Degree Granting ...... 9 Dean, School of Medicine Dr. Larry Laughlin Degree Granting ...... 10-11 Dean, Graduate School of Nursing Dr. Ada Sue Hinshaw Degree Granting ...... 12-25 Associate Dean, Graduate Education Dr. Eleanor Metcalf Faculty Appointments and Promotions ...... 26 Dean, School of Medicine Dr. Larry Laughlin
President's Report ...... 27 Dr. Charles Rice
Report from Henry M. Jackson Foundation for the Advancement of Military Medicine .... 28 President and CEO Mr. John Lowe c "
c Reports to the Academics Committee Dean's Report ...... 29-30 School of Medicine Dr. Larry Laughlin Dean's Report ...... 31 Graduate School of Nursing Dr. Ada Sue Hinshaw Armed Forces Radiobiology Research Institute ...... 32 Director COL Patricia Lillis-Hearne USU Faculty ...... 33 President, Faculty Senate Dr. Andrew Bauer
Reports to the Finance and Administration Committee Vice President's Report ...... 34 Finance and Administration Mr. Steve Rice Budget Mr. Walt Tinling Review and Evaluation ...... 35 Director Mr. Dennis Stutz
Report to the Development and External Affairs Committee ...... 36 Acting Vice President, External Affairs BG William Bester (Ret) c
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TAB 1 I( , i a a8. c Natio11al Archives and Records Adlninis tra ti011
Federal Register: April 14,2009 (Volume 74, Number 70)] [Notices] [Page 17171] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr14ap09-50]
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DEPARTMENT OF DEFENSE c Office of the Secretary Board of Regents of the Uniformed Services University of the Health Sciences
AGENCY: Department of Defense; Uniformed Services University of the Health Sciences (USU).
ACTION: Notice of quarterly meeting.
SUMMARY: Under the provisions of the Federal Advisory Committee Act of 1972 (5 U.S.c., Appendix, as amended) and the Sunshine in the Government Act of 1976 (5 U.S.C. 552b, as amended), this notice announces the following meeting of the Board of Regents of the Uniformed Services University of the Health Sciences.
DATES: Friday, May 15,2009, from 9:30 a.m. to 3 p.m.
ADDRESSES: Everett Alvarez Jr. Board of Regents Room (D3001), Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland 20814.
FOR FURTHER INFORMATION CONTACT: Janet S. Taylor, Designated Federal Official, 4301 Jones Bridge Road, Bethesda, Maryland 20814; telephone 301-295-3066. c Ms. Taylor can also provide base access procedures. SUPPLEMENTARY INFORMATION:O Purpose of the Meeting: Meetings of the Board of Regents assure that USU operates in the best traditions of academia. An outside Board is necessary for institutional accreditation. Agenda: The actions that will take place include the approval of minutes from the Board of Regents Meeting held February 3, 2009; acceptance of reports from working committees; approval of faculty appointments and promotions; and the awarding of post-baccalaureate degrees as follows: Doctor of Medicine, Master of Science in Nursing, and master's and doctoral degrees in the biomedical sciences and public health. The President, USU; and the President, Henry M. Jackson Foundation for the Advancement of Military Medicine, will also present reports. These actions are necessary for the University to pursue its mission, which is to provide outstanding health care practitioners and scientists to the unifonned services. Meeting Accessibility: Pursuant to Federal statute and regulations (5 U.S.C. 552b, as amended, and 41 CFR 102-3.140 through 102-3.165) and the availability of space, this meeting is completely open to the public. Seating is on a first-come basis. Written Statements: Interested persons may submit a written statement for consideration by the Board of Regents. Individuals submitting a written statement must submit their statement to the Designated Federal Official at the address listed above. If such statement is not received at least 10 calendar days prior to the meeting, it may not be provided to or considered by the Board of Regents until its next open meeting. The Designated Federal Official will review all timely submissions with the Board of Regents Chainnan and ensure such submissions are provided to Board of Regents Members before the meeting. After reviewing the written comments, submitters may be invited to orally present their issues during the May 2009 meeting or at a future meeting. 0
Dated: April 9, 2009. Morgan E. Frazier, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. E9-8435 Filed 4-13-09; 8:45 am] BILLING CODE 5001-06-P
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TAB 2 C UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES BOARD OF REGENTS May 2009
NAME TITLE TERMEXP
Ronald R. Blanck, D.O. Chair, BOR June 20, 2013 Colleen Conway-Welch, Ph.D., MSN Vice Chair, BOR May 01,2011 Otis W. Brawley, M.D. Member, BOR June 20, 2009 Haile T. Debas, M.D. Member,BOR June 20, 2013 Michael M.E. Johns, M.D. Member, BOR June 20,2013 Vinicio E. Madrigal, M.D. Member, BOR June 20, 2009 Lawrence C. Mohr, Jr., M.D. Member, BOR June 20, 2009 Kenneth P. Moritsugu, M.D., M.P.H. Member, BOR May 01,2011 Gail R. Wilensky, Ph.D. Member,BOR June 20, 2013 Ellen P. Embrey Acting Asst Sec of Defense (Health Affairs)* Ex Officio Charles L. Rice, M.D. President, USU Ex Officio Lt Gen James G. Roudebush, USAF, MC Surgeon General, United States Air Force Ex Officio V ADM Adam M. Robinson, MC, USN Surgeon General, United States Navy Ex Officio LTG Eric B. Schoomaker, MC, USA Surgeon General, United States Army Ex Officio C -\DM Steven K. Galson, USPHS Acting Surgeon General of the United States Ex Officio Gen Thomas R. Morgan, USMC (Ret) Military Advisor to the Board Advisor Larry W. Laughlin, M.D., Ph.D Dean, F. Edward Hebert School of Medicine Advisor Ada Sue Hinshaw, Ph.D., R.N., F AAN Dean, Graduate School of Nursing Advisor COL Patricia K. Lillis-Hearne, MC, USA Director, Armed Forces Radiobiology Advisor Research Institute V ADM John M. Mateczun, MC, USN Commander, Joint Task Force National Advisor Capital Region Medical Maj Gen Thomas W. Travis, USAF, MC Commander, 59th Medical Wing Advisor MG Carla Hawley-Bowland, MC, USA Commanding General, North Atlantic Advisor Regional Medical Command Maj Gen Gar S. Graham, USAF, DC Commander, 79th Medical Wing Advisor RDML Matthew L. Nathan, MC, USN Commander, National Naval Medical Center Advisor COL Norvell V. Coots, MC, USA Commander, Walter Reed Army Health Care Advisor System Col John P. Mitchell, USAF, MC Commander, Defense Medical Readiness Advisor Training Institute John E. Baker, J.D. General Counsel, USU Advisor
BG William T. Bester, AN, USA (Ret) Acting Executive Secretary
*T. he Assistant Secretary of Defense for Health Affairs is not a statutory member of the Board of Regents but C represents the Secretary of Defense, who is by statute an ex officio member 11 ,., 1 . I
TAB 3 c CHARTER BOARD OF REGENTS OF THE UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
A. Official Designation: This Committee shall be known as the Board of Regents of the Uniformed Services University of the Health Sciences (hereafter referred to as the Board of Regents).
B. Objectives and Scope of Activities: The Board of Regents, pursuant to the Federal Advisory Committee Act of 1972 (5 U.S.C., Appendix, as amended) and 10 U.S.C. § 2113, as amended, is established to assist the Secretary of Defense in an advisory capacity in carrying out the Secretary's responsibility to conduct the business of the Uniformed Services University of the Health Sciences (hereafter referred to as the University). In addition, the Board of Regents shall provide advice and recommendations on academic and administrative matters critical to the full accreditation and successful operation of the University.
The Under Secretary of Defense for Personnel and Readiness or designee as determined by DoD policy, is authorized to act upon the advice of the Board of Regents.
C. Board of Regents Membership: Pursuant to 10 U.S.C. § 2113a, The Board of Regents is composed of fifteen members.
• Nine persons outstanding in the field of health and health education who shall be appointed from civilian life by the Secretary of Defense;
• The Secretary of Defense, or his designee, who shall be an ex officio member;
• The surgeons general of the Uniformed Services, who shall be ex officio members;
• The President of the University, who shall be a non-voting ex officio member.
The terms of office for each member of the Board (other than ex officio members) shall be six years except that:
• Any member appointed to fill a vacancy occurring before the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term; and
• Any member whose term of office has expired shall continue to serve until his successor is appointed c One of the appointed members of the Board shall be designated as Chairman by the Secretary of Defense and shall be the presiding officer of the Board.
Members of the Board of Regents who are not full-time or permanent part-time federal employees shall be appointed experts and consultants under the authority of 5 U.S.C § 3109 and shall serve as Special Government Employees. Pursuant to 10 U.S.C. § 2113, these special government employees shall be entitled to receive compensation at a rate fixed by the Secretary of Defense, in addition to travel expenses and per diem while serving away from their place of residence.
D. Board of Regents Meetings: The Board of Regents shall meet at the call of the DeSignated Federal Officer, in consultation with the Chairman and the President of the University. The estimated number of meetings is four per year.
The Designated Federal Officer shall be a full-time or permanent part-time Department of Defense employee, and shall be appointed according to established Department of Defense pOlicies and procedures. The Designated Federal Officer and/or Alternate Designated Federal Officer shall attend all Board of Regents meetings and subcommittee meetings.
The Board of Regents is authorized to establish Subcommittees or Working Groups, as necessary and consistent with its mission, and these Subcommittees or Working Groups shall operate under the provisions of the Federal Advisory Committee Act of 1972, the Government in the Sunshine Act of 1976 (5 U.S.C § 552b, as amended), o and other appropriate federal regulations.
Such Subcommittees or Working Groups shall not work independently of the chartered Board of Regents, and shall report their recommendations and advice to the Board of Regents for full deliberation and discussion. Subcommittees or Working Groups have no authority to make decisions on behalf of the chartered Board or Regents nor can they report directly to the Department of Defense or any federal officers or employees who are not Board of Regents members.
E. Duration and Termination of the Board or Regents: Pursuant to 10 U.S.C. § 2113a, the need for this advisory function is on a continuing basis; however, it is subject to renewal every two years.
F. Agency Support: The Department of Defense, through the University, shall provide support as deemed necessary for the performance of the Board of Regents functions, and shall ensure compliance with the requirements of 5 U.S.C. Appendix, as amended.
G. Operating Costs: It is estimated that the annual operating costs, to include travel and contract support for this Board of Regents is $250,000.00. The estimated annual personnel costs to the Department of Defense are 2.0 fUll-time equivalents (FTEs).
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H. Recordkeeping: The records of the Board of Regents and its subcommittees shall be handled according to section 2, General Records Schedule 26 and appropriate Department of Defense policies and procedures. These records shall be available for public inspection and copying, subject to the Freedom of Information Act of 1966 (5 U.S.C. § 552, as amended).
I. Charter Filed: April 4, 2009
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TAB 4 III ••• Xi c Bylaws of the Board of Regents for the Uniformed Services University of the Health Sciences
Article I
Establishment. The Board of Regents for the Uniformed Services University of the Health Sciences (USU), hereinafter the Board, is established by 10 U.S. Code § 2113.
Description. The Board is a federal advisory committee within the Department of Defense and operates in accordance with the Federal Advisory Committee Act (F ACA), DoD Instruction 5105.04, "Federal Advisory Committee Management Program," DoD Directives and Instructions specifically and generally applicable to USU, and its Charter.
Article II c Purpose. A. The purpose of the Board shall be to provide advice and guidance to the Secretary of Defense; the Under Secretary of Defense for Personnel and Readiness; the Assistant Secretary of Defense for Health Affairs; the Director, TRICARE Management Activity; and the USU President in order to ensure that the operation ofUSU is effective, in compliance with all applicable accreditation standards, and in the best traditions of academia.
B. The purpose of these Bylaws is to set forth the organization of the Board and to outline the procedures it uses to accomplish its responsibilities as an advisory committee.
Article III
Members. Pursuant to 10 U.S. Code § 2113, the Board shall consist of:
A. Nine Members, outstanding in the fields of health and health education, who shall be appointed from civilian life by the Secretary of Defense;
B. The Secretary of Defense, or the Secretary's designee, who shall be an ex-officio c Member; C. The Surgeons General of the Uniformed Services who shall be ex-officio Members; and
D. The USU President, who shall be a nonvoting ex-officio Member.
Representatives. Individual Members of the Board, to include the designee of the Secretary of Defense, may be represented at meetings of the Board and at committee meetings by representatives, provided these representatives are Federal government employees or members of the Armed Services and provided they are appointed in advance and in writing. Representatives should be appointed with continuity in mind and should have authority to speak for the represented Members.
Term of Office. The term of office for each Member of the Board (other than an ex officio Member) shall be six years except that:
A. Any Member of the Board appointed to fill a vacancy occurring before the expiration of the term for which a predecessor was appointed, shall be appointed for the remainder of such term.
B. Any Member of the Board whose term of office has expired shall continue to serve until a successor is appointed. These appointments will be renewed annually on the anniversary of the original appointment date.
Appointment of Chair. One of the Members of the Board (other than an ex-officio Member) shall be designated by the Secretary of Defense as Chair and shall be the o Presiding Officer of the Board. The term of the Chair shall continue until a successor is appointed.
Selection of Vice-Chair. The Chair of the Board shall select an appointed Member of the Board to serve as Vice Chair.
Article IV
Duties and Responsibilities. The Board shall:
A. Advise the Secretary of Defense, through the Assistant Secretary of Defense for Health Affairs and the Under Secretary of Defense for Personnel and Readiness, regarding the appointment of the USU President and advise the USU President regarding the appointments of deans ofUSU schools, directors ofUSU institutes, and department chairs within schools and institutes;
B. Be informed by the USU President of appointments of associate deans and assistant deans; o
2 C. Advise the USU President on the awarding of appropriate academic degrees to c successful candidates - after first receiving and considering the recommendations of the faculty and deans of USU schools;
D. Advise the USU President on the conferring of Honors (to include Professor Emeritus, Senior Lecturer, and Distinguished Professor) and honorary degrees - after first receiving and considering the recommendations of the deans ofUSU schools;
E. Provide its advice on policies and procedures intended to ensure that USU maintains appropriate accreditation requirements;
F. Consider recommendations made by USU Committees on Appointments, Promotion, and Tenure and provide its advice on these recommendations to the USU President;
G. Consider recommendations made to establish new academic programs at USU. (Recommendations for new programs will be read into the minutes at the Board meeting when they are first presented. Advice on whether or not to approve new programs will ordinarily be provided to the USU President at the next regularly scheduled Board meeting.); and
H. Perform other duties as deemed appropriate and within its Charter, to include (1) assessing and providing advice to the Assistant Secretary of Defense for Health Affairs, the Under Secretary of Defense for Personnel and Readiness, and the Secretary c of Defense on the performance of the USU President; the performance of USU as an institution (including major academic programs and divisions); the well-being ofUSU faculty, students, and staff; the adequacy ofUSU financial resources and their management; and the adequacy ofUSU's physical facilities; and (2) serving as an advocate for USU and its needs.
Article V
Advisors. Advisors to the Board shall include:
A. USU deans;
B. Commanders of affiliated teaching hospitals;
C. A legal advisor (the USU General Counsel);
D. A military advisor to provide advice to the Board from an operational perspective; and c E. Other individuals invited by the Board to serve in this capacity.
3 Article VI o Committees.
A. Executive Committee of the Board
1. Designation: The Board shall designate an Executive Committee. The Executive Committee shall report to the Board.
2. Purpose: The Executive Committee shall be responsible for conducting the business of the Board between its meetings. Recommendations made by the Executive Committee shall be submitted for ratification at the next regularly scheduled meeting of the Board
3. Membership:
(a) Chair, Board of Regents (chair); (b) Vice Chair, Board of Regents (vice chair); (c) An appointed Member of the Board selected by the Board; (d) An ex-officio Member of the Board selected by the Board; and, (e) USU President (non-voting)
4. Meetings: The Executive Committee of the Board shall meet either at the call of the chair of the Executive Committee or at the request of any two members of the o Executive Committee other than the chair of the committee. Meetings may be held in person or via conference call.
B. Ad Hoc Committees
1. Designation: The Board of Regents, as a body, shall designate ad hoc committees as necessary.
2. Purpose: Each ad hoc committee shall be responsible for in-depth consideration of assigned Board agenda items and/or special projects between scheduled meetings.
3. Membership: The Chair of the Board of Regents shall appoint ad hoc committee members and designate their chairs. Ordinarily, at least one appointed Member of the Board and at least one ex-officio Member of the Board will be appointed to each ad hoc committee.
4. Meetings: Each ad hoc committee shall meet either at the call of its chair, or at the request of any two members other than the chair. Meetings may be held in person or via conference call. o
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c Article VII Awards.
A. Board of Regents Awards: The Board shall annually recognize three outstanding students selected by the Dean, School of Medicine; the Dean, Graduate School of Nursing; and the Associate Dean, Graduate Education in accordance with separately established criteria.
B. Carol J. Johns, M.D. Medal: The Board shall review and approve or disapprove the Carol J. Johns, M.D. Medal recognizing an outstanding faculty member selected by the Faculty Senate in accordance with separately established criteria.
C. Distinguished Service Awards, Exceptional Service Awards, and the University Medal: The Board shall review and approve or disapprove Distinguished Service and Exceptional Service Awards and the University Medal.
Article VIII
General Procedures.
A. Regular Meetings: The Board shall hold at least four (4) meetings in an annual c period from October 1 to September 30, or more often if the Secretary of Defense, the designee of the Secretary of Defense, or the Chair of the Board of Regents shall deem it necessary. Unless otherwise determined by the Board, meetings shall be held in the Board of Regents Conference Room at the University, 4301 Jones Bridge Road, Bethesda, MD 20814.
B. Additional Meetings: Additional meetings shall be called by the Designated Federal Officer of the Board upon the direction of the Chair of the Board of Regents, the USU President, or upon written request of three or more Members of the Board. Additional meetings of the Board shall be held at such times and places as shall be specified in the notice of the meeting.
C. Notice of Meetings:
1. Notice of all meetings of the Board shall be sent by the Designated Federal Officer to each Member of the Board by mail, fax, electronic mail or telephone.
2. The Designated Federal Officer shall mail a notice not less than fifteen (15) days before any regular meeting. Faxing, emailing, or telephoning a notice shall be done not less than seven (7) days before a regular meeting.
3. The recital by the Executive Secretary in the minutes that notice was given c shall be sufficient evidence of the fact.
5 4. Public announcement of the meetings of the Board shall appear in the Federal Register as provided in the Government in the Sunshine Act. (5 U.S.C. 552b(e)(3))
D. Closure of Meetings: Meetings of the Board shall be open to the public unless a written determination is made to close all or part of a meeting in coordination with General Counsel. The determination shall cite those provisions of 5 U.S.c. 552b(c)(1) that justify closure and a summary of meeting activities shall be prepared and maintained as part of nonpublic Board of Regents files.
E. Quorum: The presence of a majority of all Members of the Board will constitute a quorum of the Board. When there are no vacancies on the Board, a quorum means at least eight (8) Members must be present in person or via electronic means. A Member's duly designated representative, provided the designation includes a proxy, counts for purposes of a quorum.
F. Voting:
1. During a meeting, if a quorum is called for by a member and found not to be present, no further business may be transacted.
2. During a meeting, issues will be determined by voice balloting, unless an individual Member of the Board of Regents requires a written ballot. o 3. The Chair, Board of Regents, is a Member of the voting assembly and has the same right to vote as any other Member when the vote is by ballot.
4. Unless otherwise specified, a simple majority vote will determine matters of issue before the Board. In the event of a tie vote, the proposed resolution is lost.
5. At the direction of the Chair, Board of Regents, action may also be taken by a majority of the Members by notation voting (that is to say by voting on material circulated to the Members individually or serially, or by polling of Members individually or collectively by mail, telephone, fax, email or a similar procedure). Such action will be reported by the Executive Secretary at the next meeting of the Board.
6. The Secretary of Defense, or the Secretary's designee, or a duly appointed representative of the Secretary's designee is authorized to vote.
7. The Surgeons General of the Uniformed Services, or their duly appointed representatives, are authorized to vote.
8. The USU President (Dean of the University) is precluded by statute from voting.
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9. Except for the USU President, individual Members of the Board, to include the designee of the Secretary of Defense, may give proxies to their representatives or to other Members of the Board of Regents (allowing them to be counted for quorum purposes and to vote) provided this is done in advance and in writing.
G. Order of Business: The order of business will be at the discretion of the Chair, Board of Regents, unless otherwise specified by the Board.
H. Rules of Order: The rules contained in the current edition of Robert's Rules of Order Newly Revised shall govern the Board in all cases in which they are applicable and in which they are not inconsistent with applicable statutes and directives, these Bylaws, and any special rules the Board may adopt.
Article IX
Amendment and Effective Date.
A. Amendment: These Bylaws may be amended at any meeting of the Board as long as each proposed amendment has been provided to the Members at least 60 days before the next scheduled meeting. Amendments will take effect by the affirmative vote of two-thirds (2/3) of the Members present. c B. Effective Date: These Bylaws are effective May 16,2008, and supersede previously published Bylaws dated August 7, 2007.
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TAB 6 Opening Comments
Tab Contents: Response to the February 2009 Board Resolution (Attachment 1) 2009 Board of Regents Student Award Recipients (Attachment 2) School of Medicine 2nd Lt Nicole Hsu, USAF, MSC Graduate School of Nursing Major Jon Geno, USAF, NC Decision Memo: Additional Compensation for Appointed Regents (Attachment 3) Board of Regents Charter Renewal- Filing Letter (Attachment 4)
Notes: c
c Attachment 1 c Information Note: USU Board of Regents
The USU Board of Regents approved the following resolution at its regularly scheduled meeting on February 3, 2009:
The Board expresses its serious concern over the paucity of the over 65 year old patient population within our Military Treatment Facilities and notes the negative impact on graduate and undergraduate medical education and on advanced practice nursing education. The Board urges the Assistant Secretary ofDefense for Health Affairs to seek to take positive steps towards a remedy.
On February 17,2009, the Board Chair and the President, USU, received the following email from Dr. Stephen Jones, Principal Deputy Assistant Secretary of Defense for Health Affairs:
Date: February 17,2009 To: The resolution has been discussed with Dr. Joe Kelley (DASD Clinical & Program Policy) and Mr. Al Middleton (Acting DASD Health Budgets & Financial Policy). Joe will review the matter in an Integration Council Meeting, which includes the Deputy Surgeons General, to explore should additional policies or guidance be appropriate. Thank you for raising the issue. Sincerely, Steve u Attachment 1 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 http://www.usuhs.mil OFFICE OF THE DEAN 7 March 2009 Dr. Ronald R. Blanck Chair, Board of Regents Unifonned Services University of the Health Sciences 4301 Jones Bridge Road Bethesda, MD 20814 Dear Dr. Blanck: I am pleased to infonn you that our Graduation Awards Committee has made its nominations for recognizing members of the Class of2009 at their commencement ceremony. This year, the Board of Regents Award will go to 2d Lt Nicole Hsu, USAF, MSC. The Board of Regents Award is the highest honor a graduating senior can receive. The recipient has a superior academic perfonnance and has shown concern for patients, dedication and personal commitment required of a physician, and has perfonned at the highest levels of duty c and honor expected of a commissioned officer. 2nd Lt Hsu clearly exceeds these criteria. I am attaching a copy of 2nd Lt Hsu's Dean's Medical Student Perfonnance Evaluation for Graduate Medical Education, to introduce this outstanding officer. Should you desire any further infonnation about 2nd Lt Hsu please contact Dr. Richard MacDonald, Associate Dean for Student Affairs, at (301) 295-3185. I am delighted to share this news with you and look forward to seeing you at Graduation. Sincerely, ~~~.'Ph.D. CAPT, USN:~~~) Dean, School of Medicine Cc:Ms. Jan Taylor, Management Analyst, BOR Enclosure: Dean's Letter C Learning to Care for Those in Harm sWay .. , c Medical Student Performance Evaluation for Second Lieutenant Nicole Hsu, USAF, MSC November 1, 2008 Identifying Information: Second Lieutenant Nicole Hsu, USAF, MSC is a fourth year medical student at the Uniformed Services University of the Health Sciences - F. Edward Hebert School of Medicine, Bethesda, Maryland. Unique Characteristics: 2d Lt Hsu has developed an extremely active research life and has completed at least four professional poster presentations, three contributions to First Aid for the Basic Sciences and one publication in the Journal Neuroscience Letters, Vol. 440, 2008. This represents considerably more recent contributions than the majority of students in her class. She also served as Secretary for the Class of 2009 and as the Air Force Surgeon General Student Representative to the r American Medical Association. She was selected to Alpha Omega Alpha Medical Honor \....- Society as an MS3 student. It should also be noted that she has also received numerous academic awards at USUHS including the highly prestigious Dean's Award for Broad General Excellence in 2006 and 2007. Academic History: Date of Expected Graduation from Medical School: May 16, 2009 Date of Initial Matriculation in Medical School: August 22, 2005 Please explain any extensions, leave(s) of absence, gap(s), or break(s) in the student's educational program. Not Applicable For dual/joint/combined degree students: Not Applicable Date of Initial Matriculation in Other Degree Program: Not Applicable Date of Expected Graduation from Other Degree Program: Not Applicable Type of Other Degree Program: Not Applicable c Was this student required to repeat or otherwise remediate any o course work during his/her medical education? X No Was this student the recipient of any adverse actions(s) by the medical school or its parent institution? X No Academic Progress: Preclinical/Basic Science Curriculum: During the basic science years, 2d Lt Hsu demonstrated an outstanding performance, achieving a cumulative grade point average of 3.95 on a 4.00 scale. She passed Step 1 of the USMLE. Core Clinical Clerkships: The seven clerkships were completed in the order given below. The comments were taken directly from the grade forms. After reviewing all of the ratings from the residents and faculty in a clerkship, comments were selected and edited to capture the overall evaluations. Internal Medicine Clerkship - Twelve Weeks Grade - A Ward Rotation First Attending. High Pass. 2d Lt Hsu was impressive for first block. Her presentations were appropriately detailed with a very reasonable assessment. Second Attending. Honors. 2d Lt Hsu's fund of knowledge was well above her peers, and her written notes demonstrated a thorough understanding of her patients' medical conditions. She was clearly at an honors level, 0 and was ready to take on greater responsibility with more complex patients. I encouraged her to continue developing confidence in her diagnostic conclusions and therapeutic decisions. Preceptor. Honors. 2d Lt Hsu was a pleasure to work with. She was interested. She was quiet, but enthusiastic. She had good manners. She was deferential to peers. Her H&Ps were detailed and superb. HPI + formulated. Ambulatory Rotation. Attending. Honors. 2d Lt Hsu is doing excellent. She clearly reports, interprets, suggests management decisions and gives me weekly educational sessions about a topic we discussed the previous week. She reads ahead and demonstrates an understanding of the patient's diseases. She consistently prepared for rounds by learning about her patients ahead of time and demonstrated an understanding of their problems during her presentations. Her history and physical exams were comprehensive. Endocrinologist Attending. High Pass (+). 2d Lt Hsu was able to work in our clinic 4 times three clinics with myself. She exhibited very strong reporter skills having a good handle on the salient facts and presented in a concise fashion. I think Nicole is in the top 10% of students. Pentagon Attending. Honors. 2d Lt Hsu is quite organized and will do an excellent job. I expect her to be at the ManagerlEducator level. Of course, she educates me as do all the students. She is terrific. Preceptor. Honors. 2d Lt Hsu is an excellent student. Her write-ups showed an understanding of the patient's disorder. She was able to take complex issues and determine the primary problem and develop a plan of care. o P I I Psychiatry Clerkship - Six Weeks Grade - A 2d Lt Hsu performed at an outstanding level during the clinical portion of the clerkship. She was described as a superior student who performed at the level of an intern. Her supervisors were impressed with her ability to think through difficult cases, form rapport with the ward's most challenging patients, and the initiative and interest she demonstrated in her own learning. She looked up article frequently to read about her patients. She performed at an excellent level on the preceptor portion of the clerkship. She was noted as having performed substantial and excellent work throughout the rotation. OB/GYN Clerkship - Six Weeks Grade - A + 2d Lt Hsu showed an excellent performance during this difficult rotation. Her knowledge base and deductive thinking were outstanding. She wrote good progress notes and her technical skills were excellent. She performed perineal laceration repairs without assistance! She was very hard working, a team player and knows how to get the work done. In addition she handled very sick patients very well. Surgery Clerkship - Ten Weeks Grade - A 2d Lt Hsu did an above job on the surgical rotation. Her scaled score grade was in the 'A' category. In General Surgery she was noted to take great notes, was an above average communicator, and had an above average fund of knowledge with a good ability to apply that knowledge. In Plastic Surgery she was felt to be somewhat above average, particularly in her technical skills. In ENT, where she spent 4 weeks, she was felt to be the finest student on the c rotation this year. She had an outstanding performance and got a 99 on the ENT examination. Anesthesia Clerkship - Two Weeks Grade - A 2d Lt Hsu accomplished all goals set for her to satisfactorily complete a two-week clinical clerkship rotation in Anesthesia successfully. Her daily evaluation testified to her abilities to learn and improve her capabilities. She is a team player and a hard worker. Family Medicine Clerkship - Six Weeks Grade - A 2d Lt Hsu's overall performance during her six-week Family Medicine clerkship was truly exceptional. In the clinical setting, she was assessed as achieving excellence in all domains of evaluation. She was described as very intelligent and knowledgeable and demonstrated excellent clinical thinking and judgment in the care for her patients. She consistently established great rapport with her patients and had excellent interactions with residents and staff. Her core clinical skills were all advanced. Her professionalism was unparalleled. She earned a near perfect score for her clinical work. Her performance on her end of rotation examinations was equally impressive. She earned an A on the NBME subject exam and a B+ on the OSeE. c Pediatrics Clerkship - Six Weeks Grade - A o 2d Lt Hsu displayed very mature interpreter and manager skills. On the ward, she took ownership of her patients and the interns/residents felt very comfortable with her ability to follow and manage her patients with very little supervision. Her differential diagnoses were very good and broad. She quickly picked up on pediatric care plans. One evaluator described her ability to interpret and manage as her greatest strength and was impressed with her knowledge and ability to think on her feet. As an educator, she demonstrated clear evidence of reading and used evidence-based resources to answer questions daily. 2d Lt Hsu met all of our requirements for initiative, enthusiasm, personal responsibility, professionalism, and collegiality. Summary: 2d Lt Nicole Hsu is one of the most scholarly and gifted members of her class. Since matriculating at USUHS she has constantly demonstrated an outstanding performance, and has also been a highly engaging class member taking on many representational responsibilities in national organizations and our local military chain of command. Her MS3 clerkships are particularly outstanding and described her as working at the Honors level, a manager and educator for the staff, an above average communicator and both pleasant and terrific. Including all junior-year clerkship evaluations, her three-year cumulative grade point average stands at 3.97, placing her in the top 10% of her class and ranking second academically. The junior-year clerkship distribution for the Class of 2009 is attached for your review. She passed Step 2 CK of O. the USMLE. It is my extreme pleasure to give Second Lieutenant Nicole Hsu the highest recommendation of our School of Medicine, a recommendation that she has earned and one that we do not give lightly. I am confident that she will excel as a house officer in any of the most competitive training programs in the country. The United States Air Force is fortunate in having her as a candidate for Graduate Medical Education. Signature of School Official Richard M. MacDonald, M.D. Name of School Official Associate Dean for Student Affairs rmacdonald@ usuhs.m il E-mail address o • UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES GRADUATE SCHOOL OF NURSING 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 www.uauha.mll 9 March 2009 ~ MEMORANDUM FOR VPE, BOARD OF REGENTS fI"'~ THROUGH: ASSOCIATE DEAN OF ACADEMIC AFFAIRS,,9~ /" DEAN, GRADUATE SCHOOL OF NURSING 1';pt \ SUBJECT: Nomination for the Board of Regents Award for 2009 1. The Graduate School of Nursing (GSN) respectfully submits Major Jon Geno, USAF, as our nomination for consideration of the Board of Regents A ward. The award is to be presented during the Commencement Program on May 16,2009. 2. Please feel free to contact me if you have any questions at 301-295-1022 or via email at kandace.wolfCQ{usuhs.mil c of(~O<.c:...UL.I J n. @ ~ \~LTC:-IA~ .. KANDACE J. W ' LF LTC,AN,USA Commandant, Graduate School of Nursing c ;llr-.,~ ~ __A ~, GSN Board of Regents Award Nominee C Major Jon Geno, USAF, NC FNP Program: Class 2009 (Submitted by Diane C. Seibert, PhD, CRNP) It is with great pleasure that I nominate Major Jon Geno for the 2009 Graduate School of --- Nursing (GSN) Board of Regents Award. Major Geno will receive a Masters of Science in Nursing in the Family Nurse Practitioner Program from the Uniformed Services University of the Health Sciences (USUHS) in May. While a student here at USU, Major Geno has achieved excellence both as a scholar and leader and is truly deserving of the highest award the University can bestow on a Graduate School of Nursing student. Leadership Shortly after arriving at USU, Major Geno was elected by his peers to the office of President, Class of2009, Graduate School of Nursing. In this role, he served as a liaison between the students, the commandant, the program directors and the faculty and presided over the GSN Student Advisory Council, developing a continuity book to pass along to his successors. Faculty have commented many times that Major Geno's effective leadership is evidenced by the calm emotional "tone" both in the class of 2009 and the class of2010. Service: Major Geno has shown leadership through service in innumerable ways over the past two years. He was a formal member of the University's Names and Honors Committee; he partnered with c the medical student community to initiate a combined university student counsel; escorted distinguished university visitors at a number of high visibility events to include the 2008 graduation exercise; and sponsored incoming masters students, helping them transition smoothly into their new academic role. He authored the GSN inclement Weather Policy; was the GSN Squadron Leader during the Antietam National Battlefield Walk; served as master of ceremonies for the 2008 GSN Student Awards program; helped organize the GSN Student Welcome Picnic and served as a liaison between the GSN and MEM during the 2008 Bushmaster exercise where he was praised for his leadership skills during his graded rotation as "commander" at the Battalion Aid Station. These leadership activities extend beyond the classroom into the community as well. When a classmate experienced significant personal challenges, Major Geno organized a student centered meal delivery service; he teaches bible study at a local church and is a member of the Home School Legal Defense Association. Clinical Acumen Major Geno is well on his way to becoming an outstanding clinician. He manages his time in clinical with the skill of a much more experienced provider and the Ft Dietrick medical director, preceptor, staff and patients have all commented on the high quality, compassionate care he provides. In 21 months, Major Geno provided care for over 543 clients, contributing significantly to positive health outcomes for patients seeking care in the National Capitol area. Research: Major Geno is the primary-investigator for the IRB approved scholarly research project entitled c "Utilization ofthe Air Force Nurse Practitioner in the Deployed Environment". In 12 months Major Geno's team successfully defended the project proposal, obtained IRB approval, 0 conducted a rigorous triangulation study involving an integrated literature review, qualitative analysis of interviews with strategically placed Air Force officers and compared results to existing Air Force doctrine. The data from this research has the potential to significantly impact the way in which Family Nurse Practitioners are used in operational missions. This research is an outstanding example of the benefit of focusing GSN scholarly projects on the needs of the services, in this case ... operational readiness and fully optimizing existing resources. Academics, Major Geno completed the rigorous 64 credit hour curriculum in the top 5% of his class, earning an impressive overall 3.98 GPA. Major Geno was a leader in the classroom, providing intellectual debate and discourse; challenging others to actively engage in learning. He actively seeks opportunities to increase his knowledge; touring the USNS Comfort to gain an increased understanding of diverse operational settings within the Military Health Care System, maintaining active memberships in both the American Academy of Nurse Practitioners and Emergency Nurses Association. Major Geno's accomplishments are that much more impressive when considered in the context of his personal life. He managed to maintain an exceptional GPA while calmly and effectively providing formal leadership for 57 colleagues while parenting 10 children, one of whom was born during the program. His leadership, professionalism and tenacity are characteristics forged in childhood, tempered during deployment with the Marines as an Navy Hospital Corpsman and polished during his Air Force nursing career. Major Geno is a gifted scholar and leader who has 0 demonstrated exceptional devotion to his military career and service to the Air Force Nurse Corps. He is a credit to USUHS, to the Air Force and to the larger nursing community. Without question, Major Jon Geno is deserving of the Board of Regents Award. Thank you for your consideration of this extraordinary student for this most prestigious award. o 2 •• Auachment3 OFFICE OF ~E ASSISTANT SECRETARY OF :::'FENSE HEALTH AFFAIRS SKYLINE FIVE, SUITE 810, 5111 LEESBURG PIKE FALLS CHURCH, VIRGINIA 22041-3206 TRICARE DECISION MEMO MANAGEMENT ACTIVITY FOR: DIRECTOR, TRICARE Management Activity FROM: Dr. Charles L. Rice, President, Uniformed Services University (//s//1/8/09) SUBJECT: Additional Compensation for Appointed Members of the Uniformed Services University Board of Regents • Section 2113a of Title 10, U.S. Code (U.S.c.), provides that appointed members of the USU Board of Regents (BOR) "attending conferences or meetings or while otherwise performing their duties as members shall be entitled to receive compensation at a rate to be fixed by the Secretary of Defense." At present, members are paid $100/day. This reflects a statutory maximum, in effect since 1972, which was eliminated in NDAA 2008. The current maximum, per 41 CFR 102-3.130(d), is the c rate for Executive Service Level Four (ES-IV), currently $587.28/day. • In a memorandum dated November 29,2006 (TAB A), the Deputy Secretary of Defense delegated the authority over USU vested in the Secretary of Defense by Title 10 to the Under Secretary of Defense, Personnel and Readiness (USD (P&R)). In Department of Defense Instruction (DoDI) Number 5105.45, the USD (P&R) further delegated this authority to the Director, TRICARE Management Activity, who has, accordingly, the authority to change the rate of compensation. • Increasing the rate of compensation for members of the USU BOR to the ES-IV rate is necessary to account for significant inflation since 1972 and to provide for automatic future adjustments. It will also ensure distinguished experts, appointed as members of the USU BOR, are properly recognized and compensated - according to accepted practice in comparable civilian academic institutions. For comparison purposes, DoD recently increased the limit on honorariums for highly qualified outside speakers and experts from a daily rate of $500 to $2000. RECOMMENDATION: That you approve the rate of compensation for ES-IV as the rate of compensation for appointed members of the USU Board of Regents. Approve/}\,J/(/' FEB - 4 Z~~sapprove ___ c Other --- COORDINATION: TAB B Prepared by John E. Baker, General Counsel, USU, 301-295-3028, Livelink # 162772, 162773 Attachment 4 OFFICE OF THE SECRETARY OF DEFENSE 1950 DEFENSE PENTAGON WASHINGTON, DC 20301-1950 ADMINISTRA nON AND MANAGEMENT April 5,2009 The Honorable Carl Levin Chairman Committee on Armed Services United States Senate 228 Russell Senate Office Building Washington, D.C. 20510 Dear Mr. Chairman, Enclosed is a copy of the charter that renews the Board of Regents, Uniformed Services University of the Health Sciences, which is being filed with your office in accordance with the Federal Advisory Committee Act of 1972, as amended (5 U.S.C. Appendix). Copies of this charter are also being filed with the Library of Congress, the Senate Committees on Appropriations; and the House Committees on Armed Services, and c Appropriations. Sincerely, ~~~ James D. Freeman Deputy Committee Management Officer for the Department of Defense 1 Enclosure As stated c TAB 7 .... Minutes of the Board of Regents c of the Uniformed Services University of the Health Sciences Meeting No. 166 February 3, 2009 The Board of Regents of the Uniformed Services University of the Health Sciences met on February 3, 2009, at the Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland. The meeting date and agenda were published in the Federal Register and each Regent was duly notified prior to the meeting. The Chair called the meeting to order at 8:30 a.m. Members and advisors listed below were in attendance: Board Members Ronald R. Blanck, D.O., Chair Colleen Conway-Welch, Ph.D., MSN, Vice Chair Otis W. Brawley, M.D., Member Haile T. Debas, M.D., Member Michael M.E. Johns, M.D., Member Lawrence C. Mohr, M.D., Member Kenneth P. Moritsugu, M.D., M.P.H., Member Charles L. Rice, M.D., President, USU Stephen L. Jones, DHA, representing the Assistant Secretary of Defense for Health Affairs RADM Steven K. Galson, USPHS, Acting Surgeon General of the United States c RADM Thomas R. Cullison, MC, USN, representing the Surgeon General, U.S. Navy Maj Gen Kimberly A. Siniscalchi, USAF, NC, representing the Surgeon General, U.S. Air Force COL Jonathan H. Jaffin, MC, USA, representing the Surgeon General, U.S. Army Advisors to the Board Gen Thomas R. Morgan, USMC (Ret), Military Advisor to the Board VADM John M. Mateczun, MC, USN, Commander, Joint Task Force, National Capital Region Medical Larry W. Laughlin, M.D., Ph.D., Dean, F. Edward Hebert School of Medicine, USU Ada Sue Hinshaw, Ph.D., R.N., FAAN, Dean, Graduate School of Nursing, USU COL Donald E. Hall, MSC, USA, for the Director, Armed Forces Radiobiology Research Institute Col John P. Mitchell, USAF, MC, Commander, Defense Medical Readiness Training Institute COL Norvell V. Coots, MC, USA, Commander, Walter Reed Army Health Care System CAPT Daniel J. Zinder, MC, USN, representing the Commander, National Naval Medical Center Col Grant R. Hartup, USAF, DC, representing the Commander, 79th Medical Wing John E. Baker, J.D., General Counsel, USU COMMEMORATION Following a tribute to the Honorable Robert E. Anderson, who died unexpectedly in January 2009, Dr. Blanck asked for a moment of silence and remembrance. Dr. Anderson served the university as a Regent from 1996-2002 and during his term contributed hundreds of hours c preparing the Board's annual reports to the Secretary of Defense. MATTERS OF GENERAL CONSENT After welcoming remarks and introductions, Dr. Blanck presented the matters of general consent listed below: • Meeting dates for the coming year • Minutes of the November 18,2008, Board of Regents Meeting • Notice of electronic approval of the Distinguished Service Medal to the Honorable Everett Alvarez, Jr., the Distinguished Service Medal to the Honorable Linda J. Stierle, and the University Medal to Ms. Carol R. Scheman. These awards were approved in October 2008. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the matters of general consent as presented. BOARD ACTIONS Degree Granting - Graduate Education Dr. Metcalf presented for certification two candidates to receive the degree of Doctor of Philosophy, one candidate to receive the degree of Master of Science and one candidate to receive the degree of Master of Science in Public Health. One candidate to receive the degree of Master of Public Health and one candidate to receive the degree of Master of Tropical Health and Hygiene were also presented to the Board. Upon motion duly made and seconded, the Board Voted by voice vote: To concur with the recommendations as presented by Dr. Metcalf 0' and to recommend that the President confer the degrees as stated. Faculty Appointments and Promotions - School of Medicine Dr. Laughlin presented the recommendations made by the School of Medicine Committee of Appointments, Promotion and Tenure at a meeting on December 17,2008. Eight individuals were recommended for faculty appointments, promotions or tenure. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the recommendations of the Committee as presented by Dr. Laughlin and to recommend that the President implement the actions as stated. New Graduate Program - School of Medicine _ Dr. Laughlin presented for approval the Masters Degree in Healthcare Administration. This new degree program from the Department of Preventive Medicine and Biometrics was unanimously approved by the school's Graduate Education Committee on January 21, 2009. Additionally, it was reviewed and discussed by the Board of Regents Academics Committee on February 2, 2009. Discussion concerning current program interest and the timing of student applications led to the following action. Upon motion duly made and seconded, the Board Voted by voice vote: To waive Article IV, G. of the Bylaws of the Board of Regents which states that recommendations for new programs are "read into the minutes" when first presented and acted upon "at the next regularly scheduled Board meeting." o 2 ,..... ~ The Board then considered the establishment of the new degree program. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the Masters Degree in Healthcare Administration, a new graduate program within the Department of Preventive Medicine and Biometrics. Faculty Appointments and Promotions - Graduate School of Nursing Dr. Hinshaw presented the recommendations made by the Graduate School of Nursing Committee of Appointments, Promotion and Tenure at a meeting on December 8, 2008. Two individuals were recommended for promotions. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the recommendations of the Committee as presented by Dr. Hinshaw and to recommend that the President implement the actions as stated. Awards and Honors Dr. Bauer presented a recommendation that the USUHS Exceptional Service Medal be awarded to Captain Gerald Denton for his exemplary service to the Faculty Senate from 2005- 2008. Upon motion duly made and seconded, the Board Voted by voice vote: To concur with the recommendation as presented by Dr. Bauer. c Dr. Bauer presented the Faculty Senate's nomination for the Carol J. Johns, M.D. Medal for Outstanding USUHS Faculty Member. The senate requests approval of Brian M. Cox, Ph.D., Professor and Chair, Department of Pharmacology, as the 2009 recipient. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the nomination as presented by Dr. Bauer. Dr. Rice presented a recommendation that Robert J.T. Joy, M.D., receive the degree of Doctor of Military Medicine Honoris Causa. Dr. Joy's nomination for this honorary degree was approved by the Committee for Names and Honors on January 27,2009. Upon motion duly made and seconded, the Board Voted by voice vote: To concur with the recommendation as presented by Dr. Rice. Dr. Rice presented a recommendation to name Classroom F in Building E the Faye G. Abdellah Auditorium. Dr. Abdellah was the first dean of the Graduate School of Nursing. The Committee for Names and Honors approved this nomination on January 27, 2009. Upon motion duly made and seconded, the Board Voted by voice vote: To concur with the recommendation as presented by Dr. Rice. c 3 PRESENTATION: ARMED FORCES RADIOBIOLOGY RESEARCH INSTITUTE Following a break, the Board reconvened at the Armed Forces Radiobiology Research Institute (AFRRI) located at 8901 Wisconsin Avenue, Bethesda, Maryland. COL Hall presented an overview of the institute and its work. His remarks emphasized the following points: • AFRRI is the only medical nuclear/radiological defense research and development institute in the Department of Defense. • The institute conducts radiobiology research and develops medical countermeasures, trains medical personnel in radiation threats and medical countermeasures, advises Commands within the Department on radiological matters and provides subject matter experts to other federal agencies, as well as international organizations. • AFRRI operates a TRIGA reactor to generate radiation for experiments o It has been used at the institute since 1962 o It is unique because it operates in both steady-state and pulse modes and includes various exposure facilities o It is inherently safe • The institute's integration into the university, along with the renewed realization of the importance of its work, has resulted in much needed infrastructure upgrades and renovations since 2006. Board members toured the facility before returning to the university. PRESIDENT'S REPORT Dr. Rice briefly reviewed many of the efforts to date concerning increased compensation for USU faculty and reported that proposed amounts in the Department's budget plans for o FY 2010 - FY 2015 adequately address comparability with other medical schools. In response to ensuing discussion, Dr. Rice also said the dean of the School of Medicine and the dean of the Graduate School of Nursing have each established a working group for salary planning and review. Other items in the President's Report included the following: • An update by Ms. Mary Dix on the proposed construction of Building F. Her remarks emphasized the importance of the extensive documentation process used to identify current and future space requirements as well as a commitment to an inclusive and open process. • Progress on the integration of the Walter Reed Army Medical Center and the National Naval Medical Center continues and the university remains actively involved in the process. COL Jeffrey Longacre, MC, USA (Ret) is the university's liaison officer to the Joint Task Force National Capital Region Medical. • The establishment of a branch campus in San Antonio, Texas, to support undergraduate medical education, advanced practice nursing education and an expanded clinical psychology program remains feasible. Personnel requirements are currently being considered. • The Accreditation Council for Continuing Medical Education recently appointed USU's Ms. Sylvia Scherr to its Accreditation Review Committee. o 4 .. ZI USJU BOARD COMMITTEE REPORTS Academics Committee Dr. Johns reported that the committee heard briefs from the Dean, School of Medicine; Dean, Graduate School of Nursing; Associate Dean for Graduate Medical Education; and President, Faculty Senate. From these reports and the committee's ensuing discussion, Dr. Johns highlighted the possibility that some graduate medical education programs in the National Capital Area may have accreditation concerns due to the effects of the war on patient mix in certain specialties. In response to these concerns, the committee suggested Board action on the following resolution: The Board expresses its serious concern over the paucity of the over 65 year old patient population within our Military Treatment Facilities and notes the negative impact on graduate and undergraduate medical education and on advanced practice nursing education. The Board urges the Assistant Secretary ofDefense for Health Affairs to seek to take positive steps towards a remedy. Discussion of the issue included the following points: • The resolution's purpose is to highlight the issue as one that is not only in the National Capital Area but rather system-wide. • The current system seems to lack a primary care structure. • The development of an organized referral system from civilian to military health care c providers and facilities is needed. Upon motion duly made and seconded, the Board Voted by voice vote: To approve the resolution as presented by Dr. Johns. Finance and Administration Committee Dr. Brawley summarized the reports heard by the Finance and Administration Committee: • USU's Vice President for Finance and Administration presented alternative methods of reporting the university's financial information. Dr. Brawley said the committee is interested in a strategic, rather than operational, view of the budget, which probably means a change from past reports to the Board. • The USU Brigade is experiencing a significant amount of personnel turnover in many of its offices. • The relationship between the university and the Henry M. Jackson Foundation for the Advancement of Military Medicine is excellent. The foundation was created by Congress in 1983 to facilitate university activities. IIi FY 2008, endowments managed for USU by the foundation were valued at $50 million. Development and External Affairs Committee Dr. Moritsugu reviewed the primary discussion points raised during the meeting: • The committee's emphasis is twofold I""""'" 0 Raising the university'S profile both within the Department of Defense and in the \....,., general public 5 o Engaging in a robust development program 0 • Approaches to development include traditional avenues, such as those used by the military academies, and non-traditional activities, which involve private funding. • The consensus of the committee is that development is good and the university should be engaged in these types of activities. • It would be helpful to develop a "case statement" to define the university's public image, and, in close coordination, to also develop a strategic plan for external affairs. ADJOURNMENT There being no further business, Dr. Blanck adjourned the meeting at 12: 10 p.m. SUBMITTED: APPROVED: LL0:'b~ William T. Bester Ronald R. Blanck Acting Executive Secretary, Board of Regents Chair, Board of Regents o Prepared by Janet S. Taylor o 6 TAB 8 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 BOARD OF REGENTS April 13, 2009 MEMORANDUM FOR CHAIR, USU BOARD OF REGENTS SUBJECT: Record of Board Actions According to the Board of Regents Bylaws, action may be taken by polling members individually or collectively by telephone, fax or e-mail. Any such action is then reported to the Board by the Executive Secretary. The following awards and honors were electronically approved in March 2009 by a majority of Members: Appointment of Matthew Pollack, M.D. to Emeritus Professor of Medicine Distinguished Service Award to the Honorable S. Ward Casscells c Distinguished Service Award to Major General George Weightman Exceptional Service Award to Stephen Jones, DHA William T. Bester Acting Executive Secretary c Learning to Care/or Those in Harm :,' Wuy $ l' IV tilU!l!itIilUh III L UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 BOARD OF REGENTS April 27, 2009 MEMORANDUM FOR CHAIR, USU BOARD OF REGENTS SUBJECT: Record of Board Action According to the Board of Regents Bylaws, action may be taken by polling members individually or collectively by telephone, fax or e-mail. Any such action is then reported to the Board by the Executive Secretary. The following action was electronically approved in April 2009 by a majority of Members: To posthumously award ENS Christopher M. Gallagher, MC, USN the degree of Doctor of Medicine. ~),~==---- William T. Bester Acting Executive Secretary Leumil7g [IJ ('Lire/in' Th(}se ill fJ"I'1I1" IJ (1\' TAB 9 c Placeholder School ofMedicine Class of2009 c: bM . i 9 TABlO 1M II ] • UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES GRADUATE SCHOOL OF NURSING 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 www.uauha.mll April 10, 2009 MlliMORANDUMFORBOARDOF~S THROUGH: PRESIDENT, USUHS ~ .- SUBJECT: Certification of Master's Nursing Students The Graduate School of Nursing Family Nurse Practitioner and Perioperative Clinical Nurse Specialist students are scheduled to complete their program of instruction on May 15,2009. Request that the Dean be authorized to award or withhold the Master of Science in Nursing degree based upon their successful completion of program requirements. The 2009 Family Nurse Practitioner and Perioperative Clinical Nurse Specialist students are listed below: Last Name First Name Branch of Service FNP Blankenbaker Susanne USN Carter Christina USAF c: Childers Tami USAF Curtis Jennifer USAF Daniel Shirley USA Delang David USAF Deutschendorf Danielle USAF Geno Jon USAF Hauff Thor USAF Hearn Sonia USA Hutto Clarence USAF Jones Gregory USN Madison Lisa USAF Maningas John USAF McDonald Barbara USAF McKenzie Chris USA O'Keefe Michael USAF O'Leary Sheila USN Perry Melissa USN Pulliam Rikkina USA c: Simmons Douglas USA C CNS Brenek Beth USAF Conrardy Julie USN Hillanbrand Mary USAF Myers Sandra USN Sanchez Christopher USA Tacey Glen USAF Watson Carolyn USA t7~~~ Ada Sue Hinshaw, RN, PhD, FAAN Dean and Professor Graduate School of Nursing c c c Health Promotion Behaviors of Military Women Who Smoke During Pregnancy LCDR Susanne Blankenbaker, Capt Barbara McDonald, LCDR Sheila O'Leary MAl Rikkina Pulliam Problem: Healthy People 2010 seeks to increase tobacco cessation during pregnancy to 99% to decrease pregnancy and fetal complications (USDHHS, 2000). Smoking during pregnancy is associated with'low socioeconomic status and/or educational level and residing where smoking is permitted. Research suggests pregnant smokers display negative health promotion behaviors differing from non-smokers. There is minimal research addressing the characteristics of military pregnant smokers. Purpose:_The purpose of this study was to describe the demographic characteristics and health-promotion behaviors of active duty women who smoke during pregnancy who participated in the 2005 Department ofDefense Health Related Behaviors Among Active Duty Military Personnel Survey (SHRB). Designs and Methods~ The research was descriptive using a secondary analysis of the c SHRB. Inclusion criteria included currently pregnant females who reported smoking during the past 30 days. Descriptive statistics were used to describe the sample and variables. Results: The majority of pregnant military smokers surveyed were Army Soldiers, junior enlisted/non-commissioned officers (ranks EI-E6), 20-29 years old, white, and minimally educated. Military women exhibited a nearly identical profile of negative behaviors as civilians. The military pregnant smoker was more likely to be married, had a pap smear in the last year, received early prenatal care, and engages in frequent physical activity. Implications: The military popUlation is unique in that those who continue to smoke do so despite access to quality healthcare and health promotion. Advanced Practice Nurses provide holistic care, addressing the patient's physical and emotional needs while promoting positive health promotion behaviors. Adherence to Disease Management Recommendations for Hypertension in a Population of Older 0 Adults with Health Insurance and a Regular Place of Care Capt. Christina Carter, and Capt. David DeLang, LCDR Gregory S. Jones Purpose: To describe factors associated with adherence to disease management recommendations for hypertension in a population of older adults with health insurance and a regular place of care. Methods: Descriptive, secondary data analysis (SDA) using a database from the study, Access to Care and Utilization o/Clinical Preventive Services (CPS) in Older Adults, was conducted. The sample from the primary study was a convenience sample of retired military members, 65 and older and their family members, residing in a privately owned and managed military retirement community with health insurance coverage, a regular place of care. The sample for this study consisted of 57 residents who were part ofthe original sample and self-reported hypertension. Results: The mean age for the sample from the secondary study was 86 years and 30% were o male. All participants of the study were Caucasian. 72% of the subjects were college graduates; 46% had an annual household income of greater than $75,000. Bivariate analysis using Fisher's Exact Test (l) showed a significant relationship between healthcare advice on changing eating habits (p=.036), reducing salt intake (p=.013), and performing exercise (p=.041) to control hypertension and the implementation ofthese positive lifestyle changes by the participants in this sample. Implications: The results of this study suggest that advice from health professionals on changing eating habits, reducing salt intake, and performing exercise to control hypertension did impact the implementation of positive lifestyle changes in diet and exercise by the participants in this sample. o c An Evidence Based Stroke Awareness Educational Program for Older Adults Major Tami Childers, CPT Shirley Daniel, CPT Sonia Hearn, L T Melissa Perry Purpose: To determine the knowledge deficits related to stroke awareness in a population of older adults; to identify the essential knowledge needs for stroke awareness; and to design an evidence based stroke awareness educational program for adults age 65 years and older. Methods: An adaptation of the seven step approach for a Population Based Needs Assessment process developed by Declercq, Bichell, and Center (1997) was used in the development of this descriptive study. Information pertaining to stroke awareness content and educating older adults was derived through a literature review and site visit to identify available resources within the target population, determine recommended approaches to education of older adults, and identify essential content for stroke awareness education. Data were extracted from an existing data set for the study titled Access to Care and Utilization of Clinical Preventive Services in Older Adults to develop c learning need profile. Data from the learning need profile and information from the literature review and site visit were used to guide development of two synthesis templates which were used develop the educational program. Findings: An evidence based stroke awareness program for older adults should present stroke symptoms as identified by the National Institute of Neurological Disorders and Stroke as well as modifiable risk factors for stroke in a brief, step-by-step message using repetition to build on the learners past experiences and current knowledge. Physical limitations must be considered when creating an educational intervention. Conclusion: By increasing stroke awareness and detection for older adults, mortality and morbidity may potentially be reduced. c A Goal-Free Program Evaluation of the Uniformed Services University Family Nurse Practitioner Program Capt Jennifer Curtis, Capt Danielle Deutschendorf, Capt John Maningas and CPT Douglas Simmons Purpose: The purpose ofthis study was to determine ifthe Uniformed Services University (USU) Family Nurse Practitioner (FNP) curriculum provides FNP graduates with the service specific deployment skill sets required to function in austere environments. Methods: The study was carried out using a combined process of a goal-free program evaluation and a needs assessment. A deployment skill set template was developed that incorporated all the pertinent units of analysis from the only skill set found, the USAF Readiness Skills Verification (RSV) Program in use since Oct 2004. The USU FNP program provided syllabi ofthe USU FNP curriculum for the class of 2008 that contained the educational requirements for operational o needs in a deployed environment as determined by a review of the course descriptions. Each selected course was then reviewed to identify intent to cover the units of analysis on the deployment skill set template. Results: Many ofthe courses in the FNP curriculum contained some elements from the skill set template, however the majority of elements were contained in the Military Contingency Medicine (MCM) course. Conclusion: The use of the goal-free evaluation was an effective method to provide insight into the importance ofthe MCM course within the USU FNP curriculum. o c Use of the Air Force Family Nurse Practitioner in the Deployed Setting Major Jon B. Geno, Captain Thor Hauff, Captain Michael Hutto, Capt Lisa Madison Background: The existing and projected civilian and military physician shortage directly affects the availability of Air Force physicians and Physicians Assistants (PAs) to fill current deployment responsibilities. Family Nurse Practitioners (FNPs) are a resource that does not have a formal deployment Unit Type Code (UTC) Objective/Purpose: To evaluate whether Air Force FNPs can be utilized in the theater of operations to recognize and treat illnesses/injuries associated with war and care for primary care complaints during military operations. Research Questions: 1) What are the range of illnesses and injuries in the deployed environment that FNPs must be capable of supporting? 2) What is the level of care that FNPs are able to provide in the deployed setting? 3) What is the current deployment process for Air Force FNPs? c Methods: This descriptive study employed a mixed method approach. The methods included a focused review of the literature, analysis of data retrieved from the Theater Medical Data Server (TMDS), and subject matter expert interviews. Analyses consisted of descriptive statistics, summary tables, and narrative descriptions. Results: FNPs are effective primary care providers and a significant number of deployment healthcare problems are within the scope of FNP practice. Conclusion(s): Several factors within the Air Force medical service infrastructure hinder the creation of a formal deployment UTC for the Family Nurse Practitioner. Based on our results, Air Force FNPs can provide primary care services needed in a deployment setting and should be placed in formal UTCs c Health Related Quality of Life and Health Insurance Status in Older Veterans Participating in the o 2006 Behavioral Risk Factor Surveillance System Survey Captain Chris McKenzie and Captain Michael O'Keefe Purpose: This secondary data analysis was conducted to describe the relationship between health related quality of life and health insurance status in older veterans who participated in the 2006 Behavioral Risk Factor Surveillance Survey (BRFSS). Sample: The sample and data pertinent to this research was obtained from the 2006 BRFSS. Respondents who answered 'yes' to the veteran status question and those who were 65 years of age and older (N=22,684) were removed from the larger data set. These were then divided into two groups, those with health insurance (n=22,253) and those without health insurance (449). Methods: A descriptive comparative research design was used to explore demographics (marital status, gender, race, and age), health insurance status (with or without), and health related quality 0 of life (HRQOL) (physical, emotional, functional) in these older veterans. Results: The majority of the sample was married, retired, college educated, and had health insurance. Of the three HRQOL indicators examined, the "number of days mental health not good" was found to be statistically significant for those without health insurance. Conclusion: Older veterans without health insurance had a poorer perception of their mental health than did those with health insurance. Since prior research has indicated that health related quality of life measures can be predictors of morbidity and mortality, future research should focus on factors obstructing older veteran's ability to obtain necessary health insurance benefits and subsequently necessary health care services. o rr c State of the Science for Implementation of the Joint Commission Universal Protocol Recommendations Major Beth Brenek, Lieutenant Commander Julie Conrardy, Lieutenant Sandra Myers Purpose: The purpose of this study was to determine the current state of the science concerning the implementation of the Joint Commissions' Universal Protocol (UP) and to identify significant trends, areas of concern, and gaps in the implementation process. Methods: An integrative review of the literature was conducted to answer the research question. Documents were identified through a systematic search of the National Library of Medicine database to identify research studies, standards, policies, position statements, and recommended practices which had been used in the implementation process of the UP. The sample for the study consisted of 34 research, editorial and informational documents. Data were extracted utilizing the document review template and analyzed c using the Identifying, Organizing, and Synthesizing (lOS) strategy developed by Bibb and Wanzer (2008). Results: Of the 34 documents reviewed that met inclusion criteria for the study, the research team identified 30 documents with significant trends such as UP elements, communication, systems processes, team performance, organizational/cultural behavior, and patient assessment. Seventeen documents had gaps pertaining to UP elements, measurement tools, and data on efficacy of UP. The team identified 24 documents with areas of concern relating to surgeon or staff behavior, data clarification, UP process variations, and efficacy of the UP. Conclusions: The current state of the science for the implementation of UP varies from facility to facility. To date, no definitive scientific studies have been published on the efficacy of the UP recommendations or the best way to implement the UP. c Goals Based Program Evaluation: o Role Preparedness of the Perioperative Clinical Nurse Specialist Captain Mary A. Hillanbrand and Capt Glen Tacey Purpose: The Peri operative Clinical Nurse Specialist (PCNS) role is defined through the literature as educator, researcher, consultant, advanced practitioner, and manager/leader. The purpose of this research study was to determine if graduates of the Uniformed Services University (USU) Graduate School of Nursing (GSN) PCNS program are being utilized in accordance with the domains of the role of the PCNS. Methods: A descriptive study design was utilized incorporating a conceptual framework based on the combination of the processes associated with a goals-based program evaluation and the needs assessment steps outlined in the Declercq, Bichell and Center (1997) needs assessment model. Data analysis was accomplished through secondary data analysis and content analysis. Data Analysis: Descriptive statistical analysis was conducted using SPSS 16.0. Manifest content analysis was used to extract themes related to core competencies and role preparedness obtained o from historical documents and the alumni survey. Implications: Results from the study indicated that the perception of preparedness of alumni from the Uniformed Services University, Graduate School of Nursing, Perioperative Clinical Nurse Specialist Masters Program supports the pre-identified goals to " ... to educate safe, competent clinical nurse specialists ... " The data obtained from secondary analysis of the completed "First Year Alumni Survey PCNS" revealed that the overall perception of the program was favorable. Although the program at USU is evolving to meet the needs of the Department of Defense, a need continues to exist to determine how the alumni are being utilized in regards to the five identified roles of the Perioperative Clinical Nurse Specialist. o c Comparative Analysis of the Skills and Responsibilities of the Registered Nurse First Assistant, Physician Assistant and Nurse Practitioner MAl Christopher Sanchez and CPT Carolyn Watson Problem: Registered Nurse First Assist (RNF A) role is formally recognized; currently tools to validate the effectiveness of the RNF A do not exist. Literature reviews indicate Physician Assistant (P A) and Acute Care Nurse Practitioner (ACNP) competencies are similar to those of the RNF A. If skills of the RNF A are similar, pre-existing measures of effectiveness for the P A and ACNP may be implemented in order to validate the RNF A role. Purpose: The study was to determine if similar skills exist between; RNFA, PA, and ACNP. Design and Methods: The design was descriptive, guided by a modified comparative analysis strategy, and operationalized by a modified needs assessment. Samples for the study consisted of; competencies, job analysis, and task statements from national and certification organizations for; RNFA, PA and ACNP. RNFA skills and responsibility template was developed, served as a c reference for comparison ofthe RNFA to the PA and ACNP. The analytic approach for data collection utilized content analysis (latent and manifest), from which pertinent and contextual data were identified. Reviews of the documents were completed, data compared and results recorded. Results: Data analysis was completed and revealed that of the PA major competencies over 70% correlated with the Skills and Responsibilities of the RNF A, while only 49% of the ACNP correlated with the RNF A Skills and Responsibilities. Implications: If RNF A skills are similar to the surgical competencies of the P A and ACNP, this may substantiate application ofPA and ACNP measurement tools to validate effectiveness of the RNFArole. c TAB 11 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES GRADUATE SCHOOL OF NURSING 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 www.usuhs.mll April 10, 2009 MEMORANDUM FOR BOARD OE.RE~ THROUGH: PRESIDENT, USUHS SUBJECT: Certification of Doctoral Student The listed doctoral student is presented for certification to receive the Doctor of Philosophy: DOCTOR OF PHILOSOPHY DOCTOR OF NURSING SCIENCE PROGRAM CAPTAIN LAURA SHAY, USPHS Attached is a copy of the certification of successful completion of the final examination, dissertation linking paper/executive summary, the approval sheet for the dissertation and an c abstract of the candidate. &A~ Ada Sue Hinshaw, RN, PhD, F AAN Dean, Graduate School of Nursing Attachments: As stated c Uniformed Services University of the Health Sciences Graduate School ofNursing c PhD Program Verification of Completion of Qualifying Examination FormL Verification of Submission of Qualifying Examination Date: ,,(1 ~4"""W ZooS Dissertation Chairper:::~-':J)( 1o ~, 0~ &-::- Date: 7/9 U«l.... Verification of PhD Student Passing Qualifying Examination ~at~,:_ :2(' '0Q.n\J~ .. 9)00 " c Dissertation Chairperson; ~ c6.k-<./ Date::;2(. F ~ (The verifications above can be notification by Email or Other Written Communication) Verification of Successful Completion of Qualifying Examination Attach Policy Statement from Appropriate Class Year in Handbook Regarding Requirement of Passing Grade on Qualifying Examination Prior to Dissertation Proposal Defense Form E: Report of Proposal Defense Examination To Be Attached c Fonn L: Applicable to PhD Students Records from Inaugural to 2006 Entry Class Supports Doctoral Handbook Policies Prior to the 2007 Handbook Uniformed Services University of the Health Sciences O. Graduate School ofNursing Report of Dissertation Defense for the Doctor of Philosophy Degree (Form HA) The decision ofthe Dissertation Committee is: PASS A. Both the dissertation and the oral defense are satisfactory: ~ B. Minor changes are recommended by the Dissertation Advisory Committee that are to be made to the satisfaction of the Dissertation Chairperson: ___ DEFER A. Major changes in the dissertation are required. Changes must be made to the satisfaction of the Dissertation Chairperson: ___ B. Major changes in the dissertation are required. Changes must be made to the satisfaction of the Dissertation Advisory Committee and at that time the oral defense will be rescheduled: ___ FAIL Neither the oral performance nor the dissertation are adequate: ___ o Sig~a~ ~mittee".. __ Chalrpers IF ~ ~- Member: ______ Date: .J.L...-+---=""L---/--I ~isaR Signature: __.k::l~~:::::....,>~~~~.£,;;tt-!Q~~~~ Date0'-/l-a 9' Dean, Gra ate School ofNurSI o Form HA : Applicable to PhD Students Records from Inaugural to 2006 Entry Class Supports Doctoral Handbook Policies Prior to the 2007 Handbook Uniformed Services University of the Health Sciences c Graduate School of Nursing PhD Degree Certification (Form I) Name of Student: CAPT Laura E. Shay, USPHS School: Graduate School of Nursing Degree Date: May 16, 2009 Total Course Units: Total Credits: 102/ Total Credit Points: 216 GPA: 4.0 Date passed dissertation proposal oral examination: October 3,2008 Date passed final dissertation oral defense: March 11, 2009 Date Dissertation accepted by the GSN: March 18, 2009 I certify that the above named student has fulfilled all requirements for the PhD degree. Diane Seibert, RN PhD Signature, Chairperson Printed Name ApprovallDisapproval ~ , I ~ )'!: Signature: ~~2~ Date: Christine E. Kasper, RN, PhD Director, Doctoral Program ~rova]J»isappr val Date:41- J?- cJ 9' c rr .. Uniformed Services University of Health Sciences Graduate School ofNu'rsing PhD Program Executive Summary The Effect of Self-Monitoring Methods and Diary Preference on Adherence, Se(Fe.tliC!IC)' and Weight Management Outcomes in a Military Weight Management Program Captain Laura E. Shay, USPHS Introduction According to the 2003 Institute of Medicine report on military weight management, the epidemic of overweight and obesity has become a major threat to the long-ten" welfare and readiness of the United States (U.S.) military forces. Results from the 2005 Department ot' Defense Survey of Health Related Behaviors Among Active Duty Personnel found 47.5% of active duty personnel were overweight (BMI~ 25) and 12.9% obese (BMI~ 30), with the Navy having the highest overweight ( 46.4% ) and obesity (19.3%) rates of all the military services. ShipShape, the Bureau of Medicine and Surgery approved weight management c program for the Navy, teaches basic information on nutrition, exercise and self-monitoring energy balance using paper food/exercise diaries. Research suggests that consistent self- monitoring results in greater weight loss and treatment outcomes may be improved ifpatients perceive greater control over their treatment choice. The belief in the ability to produce a desired effect (self-efficacy) has also been shown as a factor in successful weight management. The paper diary remains the gold standard for self-monitoring energy balance, however many weight management programs are now using computerized diaries, either handheld personal digital assistants (PDAs) or desk top (Web-based diaries). To date it remains unknown if diaries that rely on technology result in better outcomes then paper diary methods. c Study Aims The purpose of this study was to compare adherence rates, self-efficacy scores, and the effect 0 on weight management outcomes between the paper, PDA and Web-based diary methods when used in the same military weight management program. We hypothesized that participants who used a PDA diary would have greater self-efficacy, greater adherence to self-monitoring and therefore greater decreases in weight, estimated percent body fat and waist circumference compared to participants who used paper diaries and participants who used Web-based diaries over a 12 week period. We also hypothesized that participants who kept records via a preferred method would demonstrate higher adherence and therefore improved outcomes compared to those who used a non-preferred method. Methodology Seventy three active duty military personnel enrolled in the ShipShape weight management program were randomly assigned to use a paper, PDA, or Web-based diary to record daily energy balance. Weight, waist circumference, estimated % body fat and self-efficacy scores o were measured at baseline, 6 and 12 weeks. Prior to randomization and at week 12 each participant was asked what diary they would prefer to use. Data on adherence with diary use and entry timing were collected for 12 weeks. Publications A concept analysis on adherence and weight loss was conducted and published in Nursing Fonlln in 2008 1 followed by an in-depth review of the state of the science on self-monitoring 2 and weight management published in the Online Journal of Nursing Informatics in 2008 . An assimilation of the research and guidelines into practice for adult weight management 3 was published in the Jaurnal a/the American Academy a/Nurse Practitioners March 2009 . Two manuscripts have been submitted that describe the outcome of the data analyses: The Effect of Diaries on Adherence Patterns, Self-Efficacy and Body Composition (Submitted to 4 journal Obesity January 2009 ) and Adherence and Weight Loss Outcomes Associated with o 2 Diary Preference (Submitted to Annals of Behavioral Medicine February 2009\ c Summary of Findings Seventy three participants were enrolled in the study. Of the 39 participants who completed the 12 week study 59% were male with a mean baseline BMI of33 kglm 2(±3.5) and a mean age of 35. Overall at week 12 participants demonstrated a significant decrease in weight, waist circumference, and estimated percent body fat, and a significant increase in self efficacy scores for all comparisons (p<.OO 1). Weight loss correlated with the number of days food intake was recorded (r=-.3 7. P =.021) however there were no differences between diary groups (PDA, WEB, Paper) in relation to any of the outcome measures and overall diary entry adherence was poor at less than 31 % for the 12 weeks. When the data was reanalyzed based on diary preference, the analyses found the participants who used their preferred diary method were more adherent to recording both food intake (64.2 % vs. 43.4%, p=.O 15) and exercise (60.6% vs. 31.2%, p=.OO 1). However this did not seem to differentially affect c outcomes. Because there is strong evidence to suggest that consistent self-monitoring results in greater weight loss, a difference in weight loss between groups may have been seen if this study had been conducted in a civilian weight management population where the motivation to lose weight is generally not the same for all attendees or as urgent. Summary Limitations of the study included the inability to generalize the results to a non-active duty military population as well as the small sample size for the 12 week completers increasing the risk of a Type II error. However the effect size based on change in weight at 12 weeks with the sample of study completers was very low (partial eta2 =0.04) indicating that it is unlikely an effect seen from even a larger sample would result in a clinically meaningful difference in weight loss. c 3 The results suggest that it is the act of recording daily energy intake and expenditun.: that is important rather than the exact method of doing so and using a preicrred mcthod increases o adherence rates. While paper diaries provide a self-monitoring method that is not restricted by cost. further research is needed to identify different diary methods that can increasc adherence rates by providing greater choice and designing cost eHective methods that minimize the tedious nature of self-monitoring. I. Shay. L.E .. 2008. A Concept Analysis: Adherence and Weight Loss. Nursing Forum. 43( 1). 42-52. 2. Shay. L. (Spring 2008). Self-monitoring and weight management. Online Journal (d' Nursing /'1/ormatics (OJNI). 12. (I) [Online]. Available at: http://ojni.org!12 I/indcx.html 3. Shay" L.E. Shobert, J.L. Seibert .. 0 .. & Thonlas .. L. 2008 .. Adult Wt.!ight ManagCJ11cnt: Translating Research and Guidelines into Practice. Journal o(the American Amclemy o/Nurse Practitioners. (In Press: March 2009). 4. Shay, L.E .. Watts, D. Seibert. D. Sbrocco. T. and Pagliara. C. The Effect of Diaries on Adherence Patterns. Self-Efficacy and Body Composition in a Military Weight Management Program. (Submitted to journal Ohesit.v January 2009). o 5. Shay. L.E .. Seibert. D. Watts. D. Sbrocco. T. and Pagliara. C. Adherence and Weight Loss Outcomes Associated with Food-Exercise Diary Preicrence in a Military Weight Management Program. (Submitted to Annals of Behavioral Medicine February 2009). o 4 , .1 TAB 12 a 11 c Recommended Graduate Degrees - School of Medicine May 2009 Tab 13 Lisseth Calvio Doctor of Philosophy Medical and Clinical Psychology Tab 14 Cherise Harrington Doctor of Philosophy Medical and Clinical Psychology Tab 15 Robyn Osborn Doctor of Philosophy Medical and Clinical Psychology Tab 16 Michael Perry Doctor of Philosophy Medical and Clinical Psychology Tab 17 Crescent Seibert Doctor of Philosophy c Medical and Clinical Psychology Tab 18 Tida Kumbalasiri Doctor of Philosophy Neuroscience Program Tab 19 Felicia Qashu Doctor of Philosophy Neuroscience Program Tab 20 Michelle Colacicco-Mayhugh Doctor of Philosophy Preventive Medicine and Biometrics Tab 21 ' Ronald Burke Doctor of Public Health Preventive Medicine and Biometrics Tab 22 Laurel Cofell Master of Science c Medical and Clinical Psychology c Tab 23 Michael Doh Master of Science Molecular and Cell Biology Program Tab 24 Donald McInnes Master of Science in Public Health Preventive Medicine and Biometrics Tab 25 Master of Public Health - Candidate List Master of Tropical Medicine and Hygiene - Candidate TAB 13 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE ~ 4301 JONES BRIDGE ROAD VQ'! BETHESDA, MARYLAND 20814-4799 April 15,2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental -Clinical Psychology LISSETH CALVIO -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MD/Ph.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. icHealth C Masters Degrees -Military Medical History ~ £~ug -Public Health -Tropical Medicine & Hygiene ~~c,u Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedi http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAJ(:301-295-6772 c o UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD -, , .... :,: BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH FINAL EXAMINA TJON FOR THE DEGREE PJI.D. Degrees OF DOCTOR OF PHILOSOPHY Interdisciplinary IN THE MEDIC AL AND CLINICAL PSYCHOLOGY -Emerging Infectious Diseases GRADUATE PROGRAM -Molecular & Cdl Biology -Neuroscience Name of Student: Lisseth C. Calvio Departmental -Clinical Psychology Date of Examination: Thursday, April 2, 2009 -Environmental Health Sciences -Medical Psychology -Medical Zoology Time: 9:00 am Physician Scientist (MD!Ph.D.) Place: Lecture Hall C Doctor of Public Health (Dr.P.H.) Master ofScil!llce Degrees ~M~ATlON COMMI:; MEMBE:: C"blic Health 1L MflSters Degrees -Military Medical History Dr. David Krantz -Public Health Department of Medical and Clinical Psychology & -Tropical Medicine Hygiene committe. e Chairpersr\ Graduate Education Office "yy\\Jwi' d~JJL?~ Dr. Michael Feuerstein Eleanor S, Metcalf, Ph.D., Associate Dean Department of Medical and Clinical Psychology Bettina Amen, Support Specialist Major Advisor Roni Bull. Support Specialist k,·, ,\"~I \-Idlo,_)'"--] ( ~\'- b . / WebSite Dr. M'arjan Holloway hllP: iwww.u~uhs.miL·gruJeJ. Department of Medical and Clinical Psychology hrtp::;Il,uh:;.mi!'~e().'!!radp~l ind;:~.huni E-mail Address !2raduaI~p.rourun1 t[-"{tSUhs.nlil :a;z;~~~~. V- Dr. Andrew Say kin Phone Numbers Commercial: 301-2'95-9474 Indiana University, Indianapolis Toll Fn::e: 800-772-1747 Comm ittee Mem bel' DSN: 295-9474 c FAX: 301-295-6772 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH APPROVAL SHEET FOR THE DOCTORAL DISSERTATION Ph. D. Dt!grt!e.~ IN MEDICAL AND CLINICAL PSYCHOLOGY Interdisciplinary GRADUATE PROGRAM -Emerging Infectious Diseases -Molecular & Cell Biology Title of Dissertation: "Measures of Cognitive Limitations and their -Neuroscience Relation to Perceived Work Limitations in Breast Cancer Survivors" Departmental -Clinical Psychology Name of Candidate: Lisseth C. Calvio -Environmental Hc:alth Sciences Doctor of Philosophy Degree -Medical Psychology April 8,2009 -Medical Zoology Physician Scientist (MDlPh.D.l Dissertation and Abstract Approved: DoClor of P~blic Ht:alth (DLP.H.) Master 0/ Science Degrees ~~ 'I.-'-Of -Public Health Dr. David Kr;mz:S: .---- Date o Masters Degrees -Military Medical History -Public Health -Tropical Medicine & Hygiene Dr. Michael Feuerstein Department of Medical and Clinical Psychology Graduate £ducl1l.ion Office Major Advisor Eleanor S. MelcalC Ph.D .. ;\ssocirue Dean Betlina Arnett. Support Specialist Dr.~hr:ian Holloway Date Roni Bull, Support Specialist Department of Medical and Clinical Psychology Committee Member Web Sue rJ.U}..~·~~':l~~suh'~.nlU..ar~;l;Jt 4 L4. -;/: / ~i ~-."-..• ~ 'i-7-CXj ~lgr~.·~~:!ll~.nl~l 'c(;("!:.£jluip.,:[r.r lndt:·:;.!tu.El~ Dr. Andrew Saykin Date E-mail Address Indiana University, Indianapolis Comm ittee Member Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DS\!: 295-9474 FAX: 301-295-6772 o C The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: " Measures of Cognitive Limitations and their Relation to Perceived Work Limitations in Breast Cancer Survivors " is appropriately acknowledged and, beyond brief excerpts, is with the permission of the copyright owner. Lisseth C. Calvio Medical and Clinical Psychology Graduate Program Uniformed Services University c c Measures of Cognitive Limitations 111 ABSTRACT ~ Title of Dissertation: Measures of cognitive limitations and their relation to work function in breast cancer survivors Author: Lisseth C. Calvio, M.S. Thesis directed by: Michael Feuerstein, Ph.D., MPH Director of Clinical Training Department of Medical and Clinical Psychology Objective: A subset of breast cancer survivors (BCS) experience cognitive deficits that may impact work productivity. There are two methods of measuring cognitive limitations: self-report (perceived) and neuropsychological testing (observed). The gold standard for assessment of cognitive function is observed measurement; however, it is unclear how these measures relate to each other and to work productivity. The purpose of this study is to investigate factors that o impact work limitations in BCS and a Non-Cancer Comparison Group (NCCG), and to investigate the relationship between perceived and observed measures of cognitive limitations, accounting for possible confounders in both groups as it pertains to work limitations. Methods: Seventy-five working BCS working a minimum of 1-year post-primary treatment and 75 women in a NCCG completed an online survey consisting of several measures (e.g., demographic factors, work limitation, depressive symptoms, anxiety, pain, physical fatigue). Both groups also completed measures of perceived cognitive limitations and an Internet based neuropsychological screen (CNS-Vital Signs). Partial correlations, Multivariate o Measures of Cognitive Limitations IV C Analysis of Covariance (MANCOVA) and a series of hierarchical linear regressions and logistic regressions were conducted in order to: 1) determine whether SCS endorsed greater symptom burden (e.g., depressive and anxiety symptoms, fatigue) than NCCG; 2) determine the contributions of perceived and observed cognitive limitations on work limitations after accounting for proposed confounders; 3) replicate previous work indicating a stronger relationship between physical fatigue and work limitations in SCS and a stronger relationship between depressive symptoms and work limitations in NCCG; and 4) evaluate if the relationship between observed and perceived cognitive limitations measures will be significantly different. Results: SCS reported greater physical fatigue (p=O.OOO), general fatigue (p=O.OOO), and depressive symptoms (p=O.OOO) than the NCCG. BCS reported c significantly more perceived cognitive limitations (p=O.OOO) despite performing similarly to NCCG on observed cognitive tests. Symptom burden measures (R2 Change=0.43 for SCS, p=O.OOO; R2 Change= 0.25 for NCCG, p=O.OOO) accounted for a significant amount of variance in work limitations. After accounting for proposed confounders, self-reported cognitive limitations (R2 Change=0.19 for SCS, p=O.OOO; R2 Change= 0.28 for NCCG, p=O.OOO) accounted for more variance in work limitations than performance tests (R2 Change=0.04 for SCS, p=0.57; R2 Change= 0.10 for NCCG, p=0.14). Conclusions: Results suggest that treating fatigue, depressive symptoms, and perceived cognitive limitations may improve perceived functioning at work for c both SCS and women without a cancer history. Measures of perceived cognitive Measures of Cognitive Limitations v and work function should be incorporated when assessing cognitive 0 performance. Perceived cognitive impairment and symptom burden should be evaluated and psychoeducation on treatment of symptom burden should be provided when assessing work limitations of both BCS and women without a cancer history. Efforts should be made to develop a brief measure that captures both observed and perceived cognitive limitations. o o Measures of Cognitive Limitations 11 c Running head: Measures of Cognitive Limitations Measures of cognitive limitations and their relation to perceived work limitations in breast cancer survivors c Lisseth C. Calvio, M.S. Dissertation Manuscript submitted to the faculty of the Department of Medical and Clinical Psychology Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy 2009 c > T fY, 16! JH 'liiJ' TAB 14 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental CHERISE HARRINGTON -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. C;cHealth Masters Degrees -Military Medical History -Public Health ~~~'Ph.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedl http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 C 1 • U j or .c·" f '·.. ·4:\. lltl\ UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES ~ ~ 1:, F. EDWARD HEBERT SCHOOL OF MEDICINE (i) 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE 'BIOMEDICAL SCIENCES AND PUBLIC HEALTH FINAL EXAMINATION FOR THE DEGREE OF DOCTOR OF PIllLOSOPHY Ph.D. Degrees IN THE MEDICAL AND CLINICAL PSYCHOLOGY Interdisciplinary GRADUATE PROGRAM -Emerging ,Infectious Diseases -Molecular & Cell Biology Name of Student: Cherise B. Harrington -Neuroscience Departmental Date of Examination: Wednesday, March 18,2009 ';;CliIiicalPsychology -Environmental Health Sciences Time: 1 :00 pm -Medical ,Psychology -Medical Zoology Place: Room B4004 Physician Scientist (MDlPh.D.) Doctor of Public Health (Dr.P.H.) DECISION OF EXAMINATION COMMITTEE MEMBERS: Master ofScience Degrees PASS FAIL ;CHealth Masters Degrees C r. Neil Gru erg' /-- . -Military Medical History Departm~fMedic (and Cli . al Psychology -Public Health Committee Chairpf\n -Tropical Medicine & Hygiene ]\r\,J&~1 d~ j Graduate Education Office Dr. Michael Feuerstein Department of Medical and Clinical Psychology Eleanor S.Metcalf, Ph.D., Associate Dean Major Advisor Bettina Arnett; Support Specialist Roni Bull, Support Specialist i"_ ~_/ ~ ~. HO\(",.0~ • =.,..n·b. Dr. Jan Holloway WebSite Department of Medical and Clinical Psychology http://~.ustihs.mil/graded/ ' http://usuhs.mil/geo/gradpgmindex.htm! Comm" ~e~ber E-mail Address·' (AvJI~ ~ V". Dr. Ann Scher Department of Preventive Medicine and Biometrics ,EhoneNunibers ' Committee Member CommerCial: 301~295~9474 .TolrFree:800,~T72~174 7 DSN: 295-9474 ' FAX: 301~295-6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH Ph.D. Degrees APPROVAL SHEET FOR THE DOCTORAL DISSERTATION IN THE MEDICAL AND CLINICAL PSYCHOLOGY InterdiscipIinaiy GRADUATE PROGRAM -Emerging Infectious Diseases -Molecular & Cell Biology -Neuroscience Title of Dissertation: "Biomechanical, Mood, and Cortisol Response to Departmental. Work Demands in Office Workers with High and Low Workstyle " -Clinical Psychology -Environmental Health Sciences Name of Candidate: Cherise B. Harrington -Medical Psychology- "Medical Zoology Doctor of Philosophy Degree March 24, 2009 Physician Scientist (MDlPh.D.) Doctor of Public Health (Dr.P.H.) Dissertation and Abstrac Master ofScience Degrees /~ ./ / - \ -Public Health i?!-J-I!a 9 Masters Degrees Dr. Neil Grun~~rg Date Department,of Medical an mlcal Psychology o -Military Medical History -Public Health C_:~ittd Chairpers~ -Tropical Medicine & Hygiene \\f\,W.... Dr. Michael Feuerstein ~09Date Graduate Education Office Department of Medical and Clinical Psychology Major Advisor .Eleanor S.Metcalf, Ph.D., Associate Dean Bettina Arnett, Support Specialist· G:,. 'Ph. D. Roni Bull, .Support Specialist \J~c:.J'\ H~\lo~~: 3 /:2- L/Io' 4 Dr. Marjan Holloway Date Department of Medical and Clinical Psychology Web Site Co~eMember http://www.usuhs.mil/ graded! http://usuhs.miI/geo/gradpgm index.html b44J,-- 3/br;; q E-nuiil Address . . . . . '. ' .. Dr. Ann Scher Date [email protected] Department of Preventive Medicine and Biometrics Committee Member . Phone Nunibers Commercial: 301~295-9474 Toll Free: 800-772-1747 DSN: 295-9474 PAJ(: 301-295-6772 Fn n Ci COPYRIGHT STATEMENT The author hereby certifies that the use of any copyrighted material in this thesis manuscript entitled: "Biomechanical, mood, and cortisol response to work demands in office workers with high and low workstyle" beyond brief excerpts is with permission of the copyright owner, and will save and hold harmless the Uniformed Services University of the Health Sciences from any damage which may arise from such copyright violations. OWw6~lXI~ Cherise B. Harrington, MS, MPH, 2009 Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences c C Abstract o Title of Dissertation: Biomechanical, mood, and cortisol response to work demands in office workers with high and low workstyle' Author: Cherise B. Harrington, MS, MPH Thesis directed by: Michael Feuerstein, PhD, MPH Director of Clinical Training Department of Medical and Clinical Psychology Workstyle characterizes physiological, cognitive, and behavioral responses to high demand work tasks. Previous research suggests that certain workstyles (Le., high) may be associated with increased risk of developing job-related upper extremity symptoms and may playa role in the exacerbation or maintenance of o symptoms. The current study investigated if physiological and behavioral indicators of stress (Le., characteristics of workstyle) are measurable in asymptomatic office workers grouped by workstyle score. Recognizing these indicators prior to symptom onset may have implications for the prevention of work-related upper extremity symptoms. This laboratory experiment is a mixed-model design. Eighty office workers who were prescreened for workstyle (40 High/40 Low) and spent at least four hours per day on a computer were enrolled in this study. This experiment investigated in a controlled laboratory setting whether workers who score high on a measure of workstyle, indicating potential for higher levels of upper extremity symptoms related o iii JIiIian I C to work on a computer, demonstrate higher levels of keyboard force (biomechanical factor), increased cortisol response, increased heart rate and blood pressure (biochemical factors), and changes in mood (psychological factors) to the increased work demands. Results indicate that the high workstyle group had increased keyboard force, greater abnormal wrist posture, more negative mood changes, more negative cognitions, and greater output (performance) compared to the low workstyle group. Additionally, the high workstyle group had higher levels of perceived stress and perceived demands during the high demand typing task compared to the low workstyle group. There were no significant differences on the physiological measures of heart rate, blood pressure, and salivary cortisol. Overall the high workstyle group had higher overall levels of stress and higher reactivity to the high c demand typing task. These results provide support for the hypothesis that individuals scoring high on a workstyle measure display an increased response in performance, behavior, and cognitions to perceived increased demands. Future work should focus on long term prospective studies of risk factors in asymptomatic workers to assess if a causal relationship exists. C iv o Running head: Physiological & Psychological Reactions to Work Demands Biomechanical, mood, and cortisol response to work demands in office workers with high and low workstyle o Cherise B. Harrington, M.S., M.P.H Dissertation Manuscript submitted to the faculty of the Department of Medical and Clinical Psychology Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy 2009 ii r j TAB 15 '!If f.·,li n I J I UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 1S, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental ROBYN OSBORN -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and cv. C~Health Masters Degrees -Military Medical History -Public Health ~'Ph.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist Web Site http://www.usuhs.mil/graded/ http://usuhs.mil/geo/gradpgmindex.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 C _ Ii .,.r'f.r'4."4~ UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES ~ . . F. EDWARD HEBERT SCHOOL OF MEDICINE ~ ~ : ~.: : 4301 JONES BRIDGE ROAD t" BETHESDA, MARYLAND 20814-4799 @-' March 26, 2008 GRADUATE PROGRAMS IN THE FINAL EXAMINA nON FOR THE DEGREE BIOMEDICAL SCIENCES AND OF DOCTOR OF PHILOSOPHY PUBLIC HEALTH Ph.D. Degrees Name of Student: Robyn Osborn Interdisciplinary Date of Examination: 27 May 2008 -Emerging Infectious Diseases -Molecular & Cell Biology -Neuroscience Time: 2:00 Departmental .~ClinicaiPsychology Place: Lecture Room C -Environmental Health .sciences -Medical Psychology DECISION OF EXAMINATION COMMITTEE MEMBERS: -Medical Zoology -Pathology PASS FAIL . Doctor of Public Health (Dr.P.H.) Physician Scientist (MDlPh:D.) .. ' CMaster ofScience Degrees ~Public Health Department of Medical & Clinical Psychology Chairperson Masters Degrees -Military Medical History -Public Health -Tropical Medicine & Hygiene Trac~~ ~ Department of Medical & Clinical Psychology Graduate EduciItion Office Major Advisor . Dr. Eleanor S. Metcalf, Associate Dean Janet Anastasi,Program Coordinator .Tanice Acevedo, .Education Technician ,~Mn. V' WebSite.. . . Department of Medical & Clinical Psychology . http://Www. usuhs.rriill graded! Member E-mail Address' . [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 C FAX: 301-295-6772 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 March 26, 2008 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND APPROV AL SHEET PUBLIC HEALTH Ph.D. Degrees Title of Dissertation: "Understanding the Function of Emotional Eating: Does it Buffer the Stress Response and Help Us Cope?" Interdisciplinary -Emerging Infectious Diseases -Molecular & Cell Biology Name of Candidate: Robyn Osborn -Neuroscience Doctor of Philosophy Degree Departmental 9 May 2008 -Clinical Psychology "Environmental Health Sciences Dissertation and Abstract Approved: -Medical Psychology -Medical Zoology -Pathology Doctor of Public Health (Dr.P.H.) Physician Scientist (MDlPh.D.) Date Department of Medical & Clinical Psychology Master ofScience Degrees Committee Chairperson o -Public Health Masters Degrees -Military Medical History Tracy Sbrocco, Date -Public Health Department of edical & Clinical Psychology -Tropical Medicine & Hygiene Committee Member Graduate Education Office Dr. Eleanor S. Metcalf, Associate Dean Janet Anastasi, Program Coordinator Tanice Acevedo, Education Technician WebSite .http://www.usuhs.mil/graded/ E-inailAddress f; -1- of) [email protected] Date Phone Numbers American University Commercial: 301-295-9474 Committee Member Toll Free: 800-772-1747 DSN: 295"9474 FAX: 301-295-6772 o The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: "Understanding the Function of Emotional Eating: Does it Buffer the Stress Response and Help Us Cope?" is appropriately acknowledged and, beyond brief excerpts, is with the permission of the copyright owner. Robyn Osborn Department of Medical & Clinical Psychology Uniformed Services University c c Emotional Eating and Coping 3 ABSTRACT o Emotional eating, or eating in response to negative mood, has been reported in binge eaters, restrained eaters, the obese, and healthy controls as well. Models of coping, defined as specific efforts, both behavioral and psychological, that people employ to master, tolerate, reduce, or minimize stressful events, have not yet been applied in the emotional eating literature, despite clear evidence that some individuals eat during times of stress. The purpose of the present study was to 1) determine if the act of eating buffers the stress response to a stressful mood induction more for individuals who report greater tendency to emotionally eat across three domains (cognitive: attention/distraction, physiological: heart rate/blood pressure/galvanic skin response, and affective: mood); 2) compare comfort food (food that evokes a psychologically comfortable or pleasant state) with non-comfort 0 food on the stress response after eating; 3) understand the behavioral aftereffects of stress and eating for emotional eaters; and 4) understand the function of emotional eating in the context of coping. Participants were 117 healthy, overweight women ranging in age from 19-61 years, with no major medical or psychological diagnoses. Participants were randomly assigned to one of two films (stressful film or neutral. film), and one of two foods (comfort food or non-comfort food) .. The sample was highly diverse, with most being active copers, experiencing minimal depressive or anxiety symptoms, and moderate alexithymia. Results on physiological outcomes suggest that eating a comfort food buffers systolic blood pressure reactivity compared to eating a non-comfort food. Emotional eaters were also highly distracted from the stressor by eating. Finally, eating improved mo()d during the o it t £ r Emotional Eating and Coping 4 c stressor. Results suggest that emotional eaters may use food to distract themselves from stressors, and that eating is a powerful mood regulator. Comfort food improved mood more than the non-comfort food, despite the fact that participants preferred the non-comfort food. Future research should examine the relationship between emotional eating, coping style, and the function of eating to regulate mood. c c '0 Understanding the function of emotional eating: Does it buffer the stress response and help us cope? Robyn L Osborn-Freed Directed by Tracy Sbrocco, Associate Professor Department of Medical and Clinical Psychology o Dissertation submitted to the faculty of the Department of Medical and Clinical Psychology Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy 2008 -0 i [ TAB 16 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 @!. April 15,2009 GRADUATE PROGRAMS IN ~~- THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental MICHAEL PERRY -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. licHealth C. Masters Degrees -Military Medical History -Public Health ~~~PhD. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Amett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedl http://usuhs.mil/geo/gradpgmindex.htm) E-mail Address [email protected]) Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAJ<: 301-295-6772 c j n r ] UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 ·~··"GRADUATE·PI~:C>,GRAMS IN March 23, 2009 THE BIOMEDICAL-SCIENCES .;.AND'PUBLIC HEALTH " FINAL EXAMINA nON FOR THE DEGREE OF DOCTOR OF PHILOSOPHY interdisciplinary: •...... '...... • IN THE MEDICAL AND CLINICAL PSYCHOLOGY -Emerging Iflfectious DiseaSes, GRADUATE PROGRAM ';,;MoieclllarcfCell 'Biofo'gy"·' . ~c.;;N~iirosCience ...... '. "';'.. :,: .. ' ,- '!.; '.: ...... ~ . Name of Student: MAJ Michael E. Perry ~~':X~;:.'~. . Date of Examination: Friday, March 27, 2009 ~: ,Erivi!:orunental Health Sciences Time: 1:00 pm Place: Room B3004 '!liliitJ~~::i,:"~ . DECISION OF EXAMINA nON COMMITTEE MEMBERS: PASS FAIL ~\&~QuX '/ Dr. Michael Feuerstein Department of Medic and C . Co eCh Dr. Ni . IE. ber~ __- Depa .. ent of Medical and Clinical Psychology Major Advisor / 0/" / - ~.,/ ./ I ,. / . ltv') L-.:-,i ;7 V ~ ~ Dr. Marian Tap:!kY- af({;' ( ffi~~cal Psychology c/ Vcharles C. Engel lid Department of Psychiatry Committee Member UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 ;i'GRADUATEPROGRAMS IN March 23, 2009 : THE:BiOM:,EDICALSCIENCES ANDPUBLIC}JEALTH Ph.D. Degrees APPROVAL SHEET FOR THE DOCTORAL DISSERTATION IN THE MEDICAL AND CLINICAL PSYCHOLOGY , IJ;lterdisciplinary, GRADUATE PROGRAM -~mergingInfectious,Diseases '," ",,;Molecular&Cell Biology : "":.NeurosCieilce Title of Dissertation: "Effects of acute and recurrent stress during adolescence on subsequent indices of adult behavioral health" ";"Depa$ien~l ", ~Clii11c~KP:sychoIQgy" , ' '. Name of Candidate: MAJ Michael E. Perry ::;~~I;lvir6rti1J.tnt~rHeattli Sciences~ Doctor of Philosophy Degree "',.'-Medical Psychology ,', '~MedlcalZoology , April 10, 2009 . ,. " '...... ,~' CCrbysidiin Scientist (MDIPh,D.) ,.', Dissertation and Abstract Approved: 'itio~t9~·of:pllblic.Health'(Dr.P .H.) ',.~'"., ':~ -:, ,', " "","'-; :. .' " :, ...... , , , " ,Milstero/Science Degrees "-':., ',.. : . .... '\fVI'lQoJ /l/;o.itJ ~ , ~PublicHealth Dr. Michael Feuerstein~ ~ .'~. . .':... Department of Medical and Clinical Psychology ~:£«'.'; ~·:·'M.a;ters Degrees ;., .... ,j;; mmI ee ai -7' o ::.:Nwitary Medic~ History -Public HeaitQ, , ~1Date ',·.;:~\F:-::·:.:~;S·:'-.... - . "~': :<:- _FJ;}~'~ate:~i{u.ititio~ Office Eleanor S., M~tc o I Ii Ii t ii The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: "Effects of acute and recurrent stress during adolescence on subsequent indices of adult behavioral health in rats" beyond brief excerpts is with the permission of the copyright owner, and will save and hold harmless the Uniformed Services University of the Health Sciences . from any damage which may arise from such copyright violations. The views expressed in this manuscript are those of the author and do not reflect the official policy or position of the United States Army, Department of Defense, or the U.S. Government. Michael erry Depa ent of Medical and Clinical Psychology Uniformed Services University of the Health Sciences C""- c iii ABSTRACT o Title of Thesis: Effects of acute and recurrent stress during adolescence on subsequent indices of adult behavioral health in rats Author: Michael E. Perry, Doctor of Philosophy, 2009 Thesis directed by: Neil E. Grunberg, Ph.D., Professor Department of Medical and Clinical Psychology Thesis Committee: Michael Feuerstein, Ph.D., MPH (Chair of Committee) Neil E. Grunberg, Ph.D. Marian Tanofsky-Kraff, Ph.D. Cal Charles C. Engel, M.D., MPH The current research was designed to examine the effects of acute and recurrent stress during late adolescence on subsequent indices of adult behavioral health. The research used an animal (rat) model to examine four specific aims: (1) determine how repeated acute predator stress during o adolescence affects behavioral indices of anxiety, depression, and alcohol consumption during adulthood; (2) evaluate how recurrent sleep disruption during adolescence affects behavioral indices of anxiety, depression, and alcohol consumption during adulthood; (3) evaluate the combined effects of predator stress and sleep disruption during adolescence on behavioral indices of anxiety, depression, and alcohol consumption during adulthood; (4) evaluate genetic and sex differences in the stress effects during adolescence on adult behavioral indices of anxiety, depression, and alcohol consumption during adulthood in male and female rats of two different strains (genotypes). o I:i~ i JIj n iv C The research was divided into two experiments. Experiment 1 established the feasibility of conducting an experiment utilizing predator stress and sleep disruption as adolescent stressors. Experiment 2 used both stressors to determine the effects during adolescence on indicators of adult behavioral health in male and female Sprague-Dawley and Long-Evans rats. In both experiments, the independent variables were: no stress, predator stress, sleep disruption, and predator plus sleep disruption (combined). In Experiment 2, the independent variables also included sex and genetic strain. The dependent variables in both experiments were serum corticosterone, open field activity (including center time as index of anxiety), forced swim immobility (index of depression), and voluntary alcohol consumption. There were sex, strain, and condition differences. Rats in stress C conditions displayed higher corticosterone levels than controls. Rats in the sleep condition also displayed greater anxiety-like behavior, with females more anxious than males. SD rats displayed more depression-like behavior (forced swim immobility) regardless of condition, and males generally displayed more depression-like behavior than females, with SD males displaying significantly more depression-like behavior than all other groups. SD rats consumed more alcohol overall than LE rats. Animals in the sleep disruption condition consumed more alcohol than other groups. The results revealed that stress during adolescence, particularly sleep disruption, has long-lasting effects well into adulthood in rats. C o Effects of acute and recurrent stress during adolescence on subsequent indices of adult behavioral health in rats by Michael E. Perry o Doctoral Dissertation Proposal submitted to the Faculty of the Department of Medical and Clinical Psychology Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy, 2009 o TAB 17 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE ~ 4301 JONES BRIDGE ROAD Q BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental CRESCENT SEIBERT -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. iCHealth C. . Masters Degrees -Military Medical History ....::::::ttaV4/laG.~ Ph.D. -Public Health -Tropical Medicine & Hygiene C, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.miUgraded/ http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Tol1 Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 February 23, 2009 GRADUATE PROGRAMS IN THE FINAL EXAMINATION FOR THE DEGREE OF BIOMEDICAL SCIENCES AND DOCTOR OF PHILOSOPHY .. PUBLIC HEALTH Ph.D. Degrees Name of Student: Crescent Seibert . Interdisciplinary Date of Examination: February 24,2009 -Emerging Infectious Diseases .. -Molecular & Cell Biology -Neuroscience Time: 11 :00 AM Departmental -Clinicill Psychology Place: Room B-4004 -Environinental Health Sciences -Medical Psychology DECISION OF EXAMINATION COMMITTEE MEMBERS: -Medical Zoology -Pathology PASS FAIL Doctor oIPublic Health (Dr.P.H.) Physician Scientist (MDlPh.D.) / Cw"llSterofscie~ceDeirees.· . DaVi~ Department of Medical and Clinical Psychology -PUOllC Health Committee Chairperson Masters Degrees -Military Medical History -Public Health . Tracy Sbrocco, R . ~ Tropical Medicine & ,Hygiene Department of Medical and Clinical Psychology Committee Member Graduate Efillcation .Office . . . . - ' .. , Dr. Eleanor S. Metcalf; Associate Deat} :Bettimi.~Arnett,Support SI1ecialis(' . RoriiBul1,SupporfSpecialist" Marian Tano . aff: K.D. Department 0 ical and Clinical Psychology ," .. .•. ,WebSite ' Committee Member ·;:i;.i.:.@.:..-.~r:> ~__ _ / " " ."" '-:,,'- PhoneNuinbers- D fF °1 M dO ° -Cohrinercial: 30l~295::9474- epartment 0 amI y e Icme Toll Free:8QO-7'72-L747' Committee Member DSN:-2'95~9474 FAX: 30l~295~6772 . UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 February 23, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND APPROVAL SHEET PUBLIC HEALTH Ph.D. Degrees Title of Dissertation: "The Role of Food Proximity in Eating Behavior and Body Mass Index Among Air Force Personnel" Interdisciplinary -Emergiriglnfectious Diseases -Molecular & Cell Biology Name of Candidate: Crescent Seibert -Neuroscience Doctor of Philosophy Degree Departmental -Clinical Psychology Dissertation and Abstract Approved: ~Environmental Health Sciences . . ~Medicalrsychology -Medical Zoology -~athology . DoctorofPtibliC Health (Dr.P.H.) . . . - .• Physician Scientist (MDJPh.D.) Department of Medical and Clinical Psychology '-,+ • Committee Chairperson . Master ofScience Degrees . -Public Health· iJ/d 10 Masters Degrees Tracy Sbrocco, P , . Date "MilitaryMedical History' ~ Department of Medical and Clinical Psychology -Public Health Committee Member '.' ~Tropical.Medicine & Hygiene , •... .Gradililte EdUcation P!Ji,ce . -' bt TIr.Elean'orS, MetcaJf,Associate Dean sky- ff, h.W. Bettin~ Arnett, SuPportSP7c~~list .. Department edical ant Clinical Psychology Rom.Bull,.' .Support '. Specialist '. C omnu'tt ee M em b er h~~t;~£~------DMe irradua:teprogr~@iistihs:~ll Department of Family Medicine ...• PhoneNumbers .: .'; Committee Member . .-ComIriirciaJ: 30 F293':-94 7 4 .Toll Free:800-772~ 1747 DSN: 295~9474 pAx: 301~295-6772 ." o ~, emf Copyright Statement The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: "The Role of Food Proximity in Eating Behavior and Body Mass Index Among Air Force Personnel" is appropriately acknowledged and, beyond brief excerpts, is with the permission of the copyright owner. ~a.AtdttJ- Crescent A. Seibert, M.S. Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences- c c ii TITLE: "The Role of Food Proximity in Eating Behavior o and Body Mass Index Among Air Force Personnel" BY: Capt Crescent A. Seibert, USAF DIRECTED BY: Tracy Sbrocco, Ph.D. Associate Professor Department of Medical and Clinical Psychology ABSTRACT Over half of active duty military personnel are overweight (Bray et al., 2006). Compared to non-overweight status, overweight status is associated with greater health risk, poorer health status, and lower physical fitness. Although much research to date has examined individual factors associated with overweight, the role of environmental factors 0 has received less attention. The purpose of the proposed study was to examine the extent to which objective and perceived food proximity to base food outlets is associated with both military base food consumption frequency and body mass index among military personnel. Participants were 192 Air Force personnel stationed at Andrews AFB who worked in buildings with different proxirriity to base food outlets. Personnel underwent a . height and weight assessment and completed an anonymous survey regarding 1) frequency of eating away-from-home foods both on and off base, and 2) factors believed to influence eating behavior or body mass index (e.g., lifestyle, occupational, and demographic factors). The sample consisted of primarily enlisted (90.5%), married (55.5%), Caucasian (58.4%), overweight or obese (73.0%) men (80.6%). Respondents reported eating food from base food outlets an average of 5.2 times per week (SD = 4.7). 0 ll:l c Personnel who worked in buildings with closer proximity to the majority of food outlets on base reported eating food from them more often than personnel who worked in buildings farther away from those food outlets. However, there was no significant association between workplace proximity and BMI. Contrary to expectation, there was no significant association between base food consumption frequency and BMI. Nonetheless, military personnel appear to be eating food from base food outlets fairly often, suggesting that promoting healthy food options on base may help improve diet quality and help prevent weight gain a population level. Interventions might include offering price incentives for healthy food options at base food outlets and unit snack areas, and contracting with vendors who offer more healthy items on their menus. Future research should assess actual food consumption, include a measure of body fat, and examine how these results may generalize to military women, officers, and normal c weight personnel as well as deployed settings. c IV o The Role of Food Proximity in Eating Behavior and Body Mass Index Among Air Force Personnel by Capt Crescent A. Seibert, USAF o Dissertation submitted to the faculty of the Department of Medical and Clinical Psychology Graduate Program of the Unifonned Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Pfulosophy 2009 o v TAB 18 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental TIDA KUMBALASIRI -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Neuroscience Program Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. Masters Degrees -Military Medical History -Public Health ~~U~.'Ph.D -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedl http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE ~. 4301 JONES BRIDGE ROAD a~"'" BETHESDA, MARYLAND 20814-4799 - JW1e 15,2006 BIOMEDICAL GRADUATE PROGRAMS FINAL EXAMINATION FOR THE DEGREE Ph.D. Degrees OF DOCTOR OF PHILOSOPHY Interdisciplinary -Emerging Infectious Diseases Name of Student: Tida Kumbalasiri -Molecular & Cell Biology -Neuroscience Date of Examination: 7 July 2006 Departmental ·-Clinical Psychology .. -Environmental Health Sciences Time: 10:00 ~MedicalPsychology "Medical Zoology Place: Lecture Room C -Pathology . Doctor of Public Health (Dr.P.H.) DECISION OF EXAMINATION COMMITTEE MEMBERS: Physician Scientist (MDlPh.D.) PASS FAIL Master ofScience Degrees ./ "CUlar & Cell Biology K, .• " .; Health T)1omas Cote, Ph.D . Department of Pharmacology Masters Degrees Chai erson ~Comparative Medicine' ·;Military Medical History -Public Health . 'Provencio, Ph.D. -:-Tropical Medicine & Hygiene artment of Anatomy, Physiology & Genetics M or Advisor . Graduate EducatIon "Office Dr:.Eleanor S. Metcalf, Associate Dean Janet Anastas~Program Coordinator Sharon Juliano, Ph. Department of Anatomy, Physiology & Genetics . . . WebSite . wWw.usuhs.mil/geo/gradpgm ~index.html Member . . -- . ·.,/;;ina;IAMr~ss: . gra([email protected]· . . Diane Borst, Ph.D . _ Phone Numbers . . . Department of Anatomy, Physiology & Genetics CommerCial: 301~295-9474 Member . Toll Free: 800~772"174:7 .DSN:295-9474. FAX: 301,295-6772 Mark Adelman, Ph.D. Department of Anatomy, Physiology & Genetics c Member UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 June 15, 2006 BIOMEDICAL GRADUATE PROGRAMS . Ph.;D; Degrees APPROVAL SHEET Interdisciplinary -Emerging Infectious Diseases Title of Dissertation: "Molecular Basis of Circadian Photoreception" -Molecular & Cell Biolqgy . ··,Neuroscience Name of Candidate: Tida Kumbalasiri Departmental Doctor of Philosophy Degree -Clinical Psychology 30 June 2006 -Environmental Health Sciences ~MedicalPsyc:hology • , '~MedicatZoology Dissertation and Abstract Approved: . :-Pathology Doctor of Public Health (Dr.P.H.) 1}(j(: .• P'hysicianScientist (MnlPh.n:) ~e'Ph.D. Date .Master ofScience. Degrees :-Molecular & CeliBiology :~.l'ubii~ Health ...... I o .' . Masters Degrees Igna io Provencio, Ph.D. Date De artment of Anatomy, Physiology & Genetics ~Compirrative Medicine Co ittee Member .... ~Military Medical History --Public Health.' . -. )'r()picalM~dicine &.Hyg~ene ~ 1 .:-,.;.----",- Date Department~ of Anatomy, Physiology & Genetics GriuJitate Education Office. Dr. Eleanor S. Metcalf, Associate Dean Committee Member Janet Anastasi,P.rogram:Coordinator . Diane Borst, Ph.D. . Date Department of Anatomy, Physiology & Genetics Committee Member giaduateprogtam@usuhs;mil;- (V\,-"R. . .. C:PhimeNumbers' '. Jd&~. ~) t~ f!Jb Corilmeicial:·JOJ-::i95-9474 .. Mark Adelman, Ph.D. Date ··,~.~-;'ipIlF"ree'''800~172~1747 . Department of Anatomy, Physiology & Genetics " ... ··DSN: 295~9474 . .FAX: 301~295~6772' Committee Member o • 1 0... The author hereby certifies that the use of any copyright material in the thesis manuscript entitled: "The Molecular Basis of Circadian Photoreception" Is appropriately acknowledged and, beyond brief excerpts, is with the permission of the copyright owner. !Pb~- Tida Kumbalasiri Neuroscience Program Uniformed Services University of the Health Sciences c c o ABSTRACT Among the recently identified vertebrate opsins, melanopsin has emerged as a photopigment critically involved in the light-mediated regulation of circadian rhythms. Melanopsin is found in a subset of intrinsically photosensitive retinal ganglion cells (ipRGCs) that directly send photic information to various non-visual light processing brain regions. Melanopsin expression is necessary for the photosensitivity of the ipRGCs and several studies have shown that the melanopsin expressing ipRGCs provide input for photoentrainment, pupillary light reflex, and regulation of the melatonin biosynthetic pathway. Although evidence points towards melanopsin being the functional photopigment of the ipRGCs, melanopsin may simply function as a photoisomerase, facilitating an as yet unidentified opsin-based photopigment in these o cells. The purpose of this research was to identify whether melanopsin is in fact a photopigment and to elucidate the details of melanopsin photoactivation and signaling. We have found that heterologous expression of melanopsin in human embryonic kidney cells (HEK293) imparts photosensitivity upon the cell line. With thfs system, we h~ive . found that mel an opsin triggers a Gq or a related G protein, activation of phospholipase C, an increase in intracellular calcium from internal calcium stores, and depolarization that may be dependent upon the presence of the canonical transient receptor potential channel, TRPC3. o I ill c MOLECULAR BASIS OF CIRCADIAN PHOTORECEPTION Tida Kumbalasiri A Dissertation presented to the Graduate Faculty of the Uniformed Services University of the Health Sciences c for the Degree of Doctor of Philosophy Presented July 7,2006 Committee Members: Tom Cote, Ph.D. (Committee Chair) Ignacio Provencio, Ph.D. (Advisor) Sharon Juliano, Ph.D. Diane Borst, Ph.D .. Mark Adelman, Ph.D. c 2 TAB 19 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental FELICIA M. QASHU -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Neuroscience Program Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. 'icHealth C. Masters Degrees -Military Medical History -Public Health ~~'Ph.D. -Tropical Medicine & Hygiene . CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist Web Site hty?:lIwww.usuhs.miUgraded/ http://usuhs.mil/geo/gradogm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FPLX: 301-295-6772 c 611 ( ''''f.r''O'''4~ UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE j. ! ::: ;; 4301 JONES BRIDGE ROAD t"-" ~,;; BETHESDA, MARYLAND 20814-4799 @._. February 5, 2009 GRADUATE PROGRAMS IN THE FINAL EXAMINATION FOR THE DEGREE BIOMEDICAL SCIENCES AND OF DOCTOR OF PHILOSOPHY PUBLIC HEALTH Ph.D. Degrees Name of Student: Felicia Qashu Interdisciplinary Date of Examination: February 6,2009 -Emerging Infectious Diseases -Molecular & Cell Biology -Neuroscience Time: 15:00 Departmental . -Clinical Psychology Place: Lecture Hall A . -Environmental Health Sciences -Medical Psychology DECISION OF EXAMINATION COMMITTEE MEMBERS: -Medical Zoology -Pathology PASS FAIL .. Doctor of Public Health (Dr.P.H.) '7- ~c~~Q vi Sd""ti~ (MDlPh.D.) PC Dr ~unt Galdzicki ,laster ofScience Degrees Department of Anatomy, Physiology and Genetics -Public Health Chairperson Masters Degrees -Military Medical History raga ~Public Health Department 0 ~atomy, Physiology and Genetics -Tropical Medicine & Hygiene Graduate Education Office ~- ~ Dr..Eleanor S. Metcalf; Associate Dean Dr. Thomas E. Cote Bettina Arnett, Support Specialist Department of Pharmacology Member Web Site http://www.usuhs.mil/graded! spe E-mail Address [email protected] f Anatomy, Physiology and Genetics Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 Dr. Ludise Malkova FAX: 301-295-6772 Department of Pharmacology; Georgetown University c Member ( ,. :\. UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES ~+ ...... ~ YI. F. EDWARD HEBERT SCHOOL OF MEDICINE , .. 4301 JONES BRIDGE ROAD ~ " BETHESDA, MARYLAND 20814-4799 ~'-' February 5, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND APPROVAL SHEET PUBLIC HEALTH Ph.D. Degrees Title of Dissertation: "Pathophysiological alterations in the basolateral amygdala and neurodegeneration of limbic structures during epileptogenesis induced by Interdisciplinary. -Emerging Infectious Diseases status epilepticus" -Molecular & Cell Biology -Neuroscience Name of Candidate: Felicia Qashu Departmental Doctor of Philosophy Degree -Clinical Psychology February 2,2009 -Environmental Health Sciences ~Medical Psychology -Medical Zoology Dissertation and Abstract Approved: -Pathology DoCtor of Public Health (Dr.P.H.) ~"J j C~~~ Physician Scientist (MDlPh.D.) Dr. i~unt Galdzicki Date Department of Anatomy, Physiology and Genetics Master ofScience Degrees Committee Chairperson o -Public Health 02-- 02.. -07 Masters Degrees raga Date -Military Medical History Department of~atomy, Physiology and Genetics ~Public Health , -Tropical Medicine & Hygiene CO~a- Graduate Education Office Dr. Thomas E. Cote Date . Dr. Eleanor S. Metcalf, Associate Dean Department of Pharmacology Bettina Arnett, Support Specialist Committee .. ' ber WebSite 2 -2-Df http://www.usuhs.millgraded/ pe Date E-mail Address Department of Anatomy, Physiology and Genetics [email protected] Committee Member Phone Numbers ~~/ f).-9---0C( Commercial: 301-295-9474 Toll Free: 800-772-1747 Dr. Ludise Malkova Date DSN: 295-9474 Department of Pharmacology, Georgetown University FAX: 301-295-6772 Committee Member o bI c The author hereby certifies that the use of any copyrighted material in this thesis manuscript entitled: ·'Pathopbysioiogical alterations in the basolateral amygdala and neurodegeneration of limbic structures during epileptogenesis induced by status epilepticus" is appropriately acknowledged and, beyond brief excerpts, is.with the permission of the copyright owner. Felicia Qashu Neuroscience Program Unifonned Services University of the Health Science c c Il o ABSTRACT Pathophysiological alterations in the basolateral amygdala and neurodegeneration of limbic structures during epileptogenesis induced by status epilepticus by Felicia QasilU As a model of epileptogenesis and temporal lobe epilepsy (TLE), status epilepticus (SE) triggers structural and functional neuronal changes that take place during a latent period of weeks or months after SE, followed by the development of spontaneous seizures. Neuronal loss and synaptic reorganizations of limbic structures during epileptogenesis in the rat brain are similar to neuropathological observations in TLE patients .. The development of regimens that can inhibit epileptogenesis requires o understanding the alterations that occur during epileptogenesis in brain regions that are important in epilepsy. The amygdala plays a central role in the symptomatology and pathogenesis of TLE, and of the amygdala nuclei, the basolateral nucleus of the amygdala (BLA) is the most important for the initiation and spread of seizure activity. Therefore, we investigated alterations in the BLA that accompany epileptogenesis, the extent of neurodegeneration during epileptogenesis in limbic structures important in TLE, and whether termination of prolonged SE with diazepam reduces this neurodegeneration. In brain sections from adult rats, at 7 to 10 days after SE induced by kainic acid, whole-cell recordings from BLA pyramidal neurons showed a significant reduction in the . frequency and amplitude of action potentIal-dependent spontaneous inhibitory post synaptic currents (IPSCs), and a reduced frequency but not amplitude of miniature IPSCs o III c compared to sham rats. The reduced inhibition could be accounted for by the loss of GABAergic neurons, which, with the use of design-based stereo logy combined with GAD67 immunohistochemistry, was found to be significantly more extensive than the loss of principal cells. A reduced level of the GluR5 kainate receptor subunit, as revealed by Western blot analysis, was accompanied by impairment in the GluR5 kainate receptor mediated modulation of IPSCs, which could have contributed to the reduction of spontaneous IPSCs. Compensatory mechanisms appeared to be underway, as Western blot analysis revealed an increased level of glutamate decarboxylase and the alpha1 subunit of the GABAA receptor. Thus, due to a high vulnerability ofBLA GABAergic neurons to seizure-induced damage, tonic inhibition in the BLA is significantly reduced at a relatively early stage of epileptogenesis, which may facilitate the progression towards c the development of epilepsy. To compare the extent ofneurodegeneration during epileptogenesis in limbic structures, degenerating cells were quantified in the amygdala, hippocampus, piriform cortex, and endopiriform nucleus in brain sections stained with Fluoro-Jade C at 7-10 days after uninterrupted SE, and after SE terminated with diazepam. We found that ,neurodegeneration at this time point in epileptogenesis is the most extensive in the endopiriform nucleus, followed by the amygdala, with both structures showing significantly more neurodegeneration than the piriform cortex and the hippocampus. Compared to when SE was not interrupted, neurodegeneration was significantly attenuated when SE was terminated after 3 hours with diazepam, in all structures but the hippocampus, with the most protection occurring in the amygdala and piriform cortex. c These data suggest that the amygdala, a structure highly important in the development-of IV o TLE and co-morbid mood disorders, undergoes substantial neurodegeneration during epileptogenesis, but is responsive to the GABAA-mediated protection from neuronal loss after prolonged SE. .'--' o o v """ t c PATHOPHYSIOLOGICAL ALTERATIONS IN THE BASOLATERAL AMYGDALA AND NEURODEGERATION OF LIMBIC STRUCTURES DURING EPILEPTOGENESIS INDUCED BY STATUS EPILEPTICUS by Felicia Qashu Doctoral Dissertation submitted to the faculty of the Graduate Program in Neuroscience of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy Thesis directed by: Maria Braga, D.D.S, Ph.D. Assistant Professor c Department of Anatomy, Physiology, and Genetics c VI ,,; -- .., TAB 20 .M UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE ~ 4301 JONES BRIDGE ROAD Q BETHESDA, MARYLAND 20814-4799 April 15,2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Doctor of Philosophy effective upon your approval: Departmental MICHELLE COLACICCO-MAYHUGH -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PHILOSOPHY -Medical Zoology Physician Scientist (MDlPh.D.) Department of Preventive Medicine and Biometrics Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. liCHealth C Masters Degrees -Military Medical History -Public Health J,~~.'Ph.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/graded/ http://usuhs.mil/geo/wdpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c llMU UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH FINAL EXAMINATION FOR THE DEGREE Ph.D. Degrees OF DOCTOR OF PlllLOSOPHY Interdisciplinary IN THE DEPARTMENT OF -Emerging Infectious Diseases PREVENTIVE MEDICINE AND BIOMETRICS -Molecular & Cell Biology -Neuroscience Departmental Name of Student: Michelle G. Colacicco-Mayhugh -ClinicalPsychology -Environmental Health Sciences Date of Examination: Friday, April 3, 2009 -Medical Psychology '. -Medical.Zoology Time: 9:00 am Physician Scientist (MDlPh:D.) Place: Room A2074 Doctor. of Public Health {Dr.P.H.) . Master of Science Degrees DECISION OF EXAMINATION COMMITTEE MEMBERS: C'Health . PASS FAIL . . .Mas~ers Degrees -Military Medical History -Public .Health -Tropical Medicine & Hygiene De ent ofPreventi~e ~yne and Biometrics ',. . .. Graduate EducaiionOffi~e' ~~ )( Eleanor~. ~etCalf,~Ph:D;,AssociateD~an Dr. Russel Coleman Bettina.Arllett,SupportSpecialist . USAMMDA, Ft. Detrick R.()ni Bull; Support Sped31ist Major Advisor .. 'WehSite .. ~ X '...... •.. http://wWW~iisiihs.~illgradedJ ohnson ;http://u!)\ihs.mi1lgeo/gradpgmindex~html l; ; .... ~ Departmen of Preventive Medicine and Biometrics :,", c",_,' . . E~mailAddress Committee Member [email protected]'" ' . - -~'z~: ',:" PhoneNu;bers . . ' '~~k X Penny Masuoka, MS Commercial: 301~295~9474 Toll Free: 800~772.1747 ., Department of Preventive Medicine and Biometrics DSN: 295~9474 .' Committee Member FAX: 30i-29S:6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH Ph.D. Degrees Interdisciplinary Dr. Stephen Davies -Emerging Infectious Diseases Department of Microbiology and Immunology -Molecular & Cell Biology -Neuroscie~ce .=:;~ Departmental -Clinical Psychology ~deliS -Environmental Health Sciences NMIC, Ft. Detrick -Medical Psychology Committee Member -Medical Zoology Physician Scientist (MDlPh.D.) Doctor of Public Health (Dr;P.H.) Master ofScience Degrees -Public Health Masters Degrees o . -Military Medical History -Public Health -Tropical Medicine & Hygiene GraduOte Education ··Office Eleanor.S,Metcalf,'Ph~D., Associate Dean Bettina Arnett, .Support· Specialist . Roni Bull, .Support Specialist .. ·:Wehsiie http://www.usuhs.inii/gradedl http://usuhs.rnil/geo/gradpgmindex.htnil . . . . . E-nuiilAddress; "': ,;; . Phone Nunwers . Commercial: 301:295-9474- Toll Free: 800-772-1747 .. . DSN: 295-94.74. FAX: 301~295-6772 o UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 6, 2009 THE BIOMEDICAL SCIE~CES AND PUBLIC HEALTH APPROVAL SHEET FOR THE DOCTORAL DISSERTATION IN THE DEPARTMENT OF Ph.D. Degrees PREVENTIVE MEDICINE AND BIOMETRICS Interdisciplinary -Emerging Infectious Diseases Title of Dissertation: "Biology and Ecology of Sand Flies in the Middle . -Molecular & Cell Biology East, with Special Emphasis on Phlebotomus Papatasi and P. Alexandri" ~Neuroscience . Departmental Name of Candidate: Michelle G. Colacicco-Mayhugh -Clinical P.sychology Doctor of Philosophy Degree -Enviromriental Health$ciences April 8, 2009 "Medical.Psychology -Medical Zoology Physician Scientist (MDlPh.D.) Doctor of Public Health (Dr.P.H.) . Master. ojScience Degrees cine and Biometrics committee~on '~Health '34r?;- 01 . .' Masters Degrees C r. Russell Coleman Date -Military Medical History USAMMDA, Ft. Detrick -Public Health or -Tropical Medicine & Hygiene /tldV· '::. GraduateEducanonOffice Dr. Richard . '. . . Department of Preventive Medicine and Biometrics Eleanor S. MetCal;, P~.D., Ass6~i~teDeari Committee Cha~erson . Bettina Arnett, Support Specialist AI'} 7)1/} ;) Roni Bull, Support Speci!!lis~:. . /JyyJ'/yv~///-<1.A:tff{~ 3 Apr or Penny Ma~ka, MS Date I WebSite. ." .... Department of Preventive Medicine and Biometrics http://WWw.ustihs.mil/grad~d/ Committee Chairperson "http://usuhs.millgeo/gradpgrn index:htrill" AJ~'\>~ 1--&;J 01 Date . Phone Numbers , ..... Commercial: 301-295-9474 "Toll Free: 800':ni-'li4.7 . DSN: '295-9474 .. " '3 ArlU1 FAX: .301 ~295-6772 NMIC, Ft. Detrick Date c Committee Member The author hereby certifies that the use of any copyrighted material in this thesis manuscript entitled: o "Biology and ecology of sand flies (Diptera: Psychodidae) in the Middle East, with special emphasis on Phlebotomus papatasi and P. alexandn" is appropriately acknowledged and, beyond brief excerpts, is with permission of the copyright owner. Michelle G. Colacicco-Mayhugh Department of Preventive Medicine and Biometrics Uniformed Services University o o c Abstract Title of Dissertation: Biology and ecology of sand flies (Diptera: Psychodidae) in the Middle East, with special emphasis on Phlebotomus papatasi and Phlebotomus alexandri Michelle Gayle Colacicco-Mayhugh, Doctor of Philosophy, 2009 Dissertation directed by: COL Russell E. Coleman, Ph.D. Deputy Commander, United States Army Medical Materiel Development Activity c Adjunct Professor, Department of Preventive Medicine and Biometrics The overall goal of the research presented here is to further the understanding of sand fly biology and ecology in the Middle East region. In order to accomplish this goal, four studies were developed. The first study examined the effect of climate on sand fly activity. Sand fly collection and meteorological data from Tallil, Iraq from 2003 - 2004 were used in this multivariate analysis. Moon illumination, wind speed, and percent sky cover were inversely related to collections. Temperature was positively correlated. Sand fly activity at Tallil was greatest on warm, clear nights with low wind speed. c 111 In the second study, a niche model of Phlebotomus papatasi and P. alexandri o distribution was developed. The niche modeling program Maxent version 3.2.1 was used to develop predictive models of the distribution of P. papatasi and P. alexandri across the Middle East. Elevation, land cover, and Worldclim bioclimatic variables were entered into the model. The most influential environmental variable was land cover. The models developed produced maps indicating areas that have a higher probability for the presence of P. papatasi and P. alexandri. The third study examined the relationship between P. papatasi populations and the normalized difference vegetation index (NDVI), obtained from satellite imagery. NDVI values for October 2004 - September 2005 were compared to sand fly collection data from U.S. military entomologists in Iraq from April- May 2005. There were significant correlations between the May and September collection data and the NDVI values in the preceding winter months. While this indicates there may be some o relationship, further research is required to fully evaluate the nature ofthis relationship. In the fourth study, P. alexandri specimens from Turkey and Iraq were examined to determine if there is a genetic difference between the populations. Cytochrome b (cytb) of the mitochondrial DNA (mtDNA) and the second internal transcribed spacer (ITS2) of the ribosomal DNA (rDNA) were examined in this study. The populations from Turkey and Iraq are different, but there is no difference between populations in Iraq. Further work if required to determine if populations of this species are significantly different across its range. o IV c Biology and ecology of sand flies (Diptera: Psychodidae) in the Middle East, with special emphasis on Phlebotomus papatasi and Phlebotomus alexandri By c Michelle Gayle Colacicco-Mayhugh Dissertation submitted to the Faculty of the Department of Preventive Medicine and Biometrics Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy c 2009 v TAB 21 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE ~ 4301 JONES BRIDGE ROAD \Q BETHESDA, MARYLAND 20814-4799 April 15,2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the degree of Doctor of Public Health effective upon your approval: Departmental RONALD BURKE -Clinical Psychology -Environmental Health Sciences -Medical Psychology DOCTOR OF PUBLIC HEALTH -Medical Zoology Physician Scientist (MDlPh.D.) Department of Preventive Medicine and Biometrics Doctor of Public Health (Dr.P.H.) Attached is the candidate's certification of successful completion of the Final Master ofScience Degrees Examination, approval sheet for the dissertation, certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. :cHealth C Masters Degrees -Military Medical History -Public Health ~~.'Ph.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite htt.p:llwww.usuhs.mil/gradedl htto:llusuhs.mil/geo/gradogm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 10,2009 THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH FINAL EXAMINATION FOR THE DEGREE Ph.D. Degrees OF DOCTOR OF PUBLIC HEALTH Interdisciplinary IN THE DEPARTMENT OF -Emerging Infectious Diseases PREVENTIVE MEDICINE AND BIOMETRICS -Molecular & Cell Biology -Neuroscience Name of Student: Ronald L. Burke Departmental Date of Examination: Wednesday, March 11,2009 "Clinical Psychology Time: 9:00 am -Environmental Health Sciences Place: C 1026a -Medical Psychology -Medical Zoology DECISION OF EXAMINATION COMMITTEE MEMBERS: Physician Scientist (MDlPh.D.) PASS FAIL Doctor of Public Health (Dr.P.H.) Master ofScience Degrees is Department of Pre ntive Medicine and Biometrics · '-;Health Committee Chairperson C Masters Degrees Graduate Education Office ent of Preventive Medicine and Biometrics Eleanor S. Metcalf, Ph.D., Associate Dean Committee Member Bettina Arnett, Support Specialist Roni Bull, Support Specialist $l1%~ c@ Department of Preventive Medicine and Biometrics WebSite http://www.usuhs.mil/graded/ http://usuhs.mil/geo/gradpgrnindex.html Co%~ 6 ..1-'\. E-mail Address Dr. Edward Mitre [email protected] Department of Microbiology Committee Member Phone Numbers Commercia]: 301-295~9474 Toll Free: 800-772-1747 DSN: 295-9474 Dr. Roberto Barrera FAX: 301-295-6772 Dengue Branch, CDC. Committee Member VNIFOR;\IF.ll SERVICES L:~IVERSITY OF TIlE HEALTH SCIE:"CF.S F. l:nWARD HEBERT SCHOOL OF MEDlCI:"E -4301 JONES BRIDGE ROAD BETHESDA. MARYLAND 20HI~-4799 GRADUATE ,PROGRAMS IN M:m.:h 10. 2009 THE BIOM EDiCAL SCIENCES AND PUBLIC HEALTH FI~:\L EX:\~HSATJO:\ FOR TIlE DEGREE Ph.D. Degrees OF DOCTOR OF PCBJ.lC HF.Al.TH Imcnliscirlinal")o 1:\ THE DEPARTMENT OF ·Emerging Inli:clinus Dise-.LS<5 PREVENTIVE MEDICINE A~D BIOMETRICS -Mulccubr & Cdl Billlo!,'~ ·NeumsciellCC Name ofSludem: Ronald 1.. Burke [kpartlllcma I Dille ufExaminalion: Wednesday. March II. 2009 ·Clinicall'sychology Time: 9:00 am -En~in'mnc1llal i !cilllh Sr:ienc Ph~ sician Sd •.:nlbl (\10 Ph.D.) PASS FAIL j)Oi:lnf "I' I'uhlk Ikallh (Dr.PJ!.) 6" - Mosler ofScience Degrees L~ :~~:,I .; ~n'IW M,dld"" ",d Blome"'" "1,)2- ·}'ublh: Ilc;lhh Committee Chairperson r- - .--, "'a.wen. Degrees J)~,~~ itt- Dr. David Claborn -:>'Iilila~ :>.1ctlic .. llIistory Dcpa:l111.::nl ofPrcvcmiw \kdicinc ;md Biomclrics ·Puhlh: I.k.lllh o -'!rnpical \kdicim: & II~git:ll"" \'iSO~ X.. Gradualr! Educalion Office r John Grieco Dc nmenl ofPrevcnlive \kdicinc and Biometrics Etc-.Ifior S. Metcalf. "h.D .. Associ:ll .... Dl..'an Commiucc Member Ikuina Amell. Suppon SPl!Cialisl R.mi BUll. Support Specialist ns '. WebSite Ikpanmenl ofPrevcntiw ~vlcdh:inc ami Biomerrics imp: if\\'w'i\ .usuh;;.milig::aded· C olit:fi'iill:~ l\kmbcr '- '-""'" A hnn::,:uliui1s.mil'l!eP.'!!mdpgm inriex.brmi -:) A~'· /,./r:' ( . /~r , ~,:-:::,::-:::::..,~ t./'- /-f- E-mail Address Dr. Edward \litre gradl1at~pmg;amii~l!..'\Uhs.mjl Department of\Olicrobiology C(lmm ittcc M > bel' Plume :\'umbers l'umlllcrdal: 301-195-9474 Ttll! Free: 800-772-17';7 J)S~: 295-9474 arrern FAX: 301-295·6771 Dt:nguc Branch. CDC. Committee Member o UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS IN March 10, 2009 THE BIOMEDICAL SCIENCES AND PUBLICHEALTH Ph.D. Degrees APPROVAL SHEET FOR THE DOCTORAL DISSERTATION IN THE DEPARTMENT OF Interdisciplinary PREVENTIVE MEDICINE AND BIOMETRICS ~Emerging Infectious Diseases -Molecular & Cell Biology Title of Dissertation: "Evaluation of Aedes Aegypti Presence and -Neuroscience Abundance in Septic Tanks and Their Impacts on Dengue Transmission" Departmental -Clinical Psychology Name of Candidate: Ronald L. Burke -Environmental Health Sciences Doctor of Public Health -Medical Psychology -Medical Zoology March 18, 2009 Physician Scientist (MDlPh.D.) Dissertation and Abstract Approved: Doctor of Public Health (Dr.P.H.) Master ojScience Degrees l)r. s iCHealth l)epartment of Pre entive Medicine and Biometrics Committee Chairperson C Masters Degrees 'JJA.9J~ ('~k:---:- -Military Medical History l)r. l)avid Claborn -Public Health l)epartment of Preventive Medicine and Biometrics -Tropical Medicine & Hygiene 1ajOC d~ Graduate Education Office Eleanor S. Metcalf, Ph.D., Associate Dean Bettina Arnett, Support Specialist Committee Member Roni Bull, Support Specialist IF: /7I1U 09 l)ate WebSite $.{~ http://www.usuhs.mil/graded! l)epartment of Preventive Medicine and Biometrics http://usuhs.mil/geo/ gradpgm index.html Co~eMember E-mail Address ~~ :> ~ r/ ?Dc) '1 [email protected] l)r. Edward Mitre l)~te i l)epartment of Microbiology Phone Numbers Committee Member Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 l)ate FAX: 301-295-6772 l)r. Roberto Barrera l)engue Branch, Cl)c. c Committee Member v:''iIFORMED SERVICES V"'IIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MF.DlCI~E 4301 JONES BRIl)(;[ ROAD BETHESDA, MARYLAND 201114-4'799 GRADUATE PROGRAMS IN March i O. 2009 THE BIOMEOfCAL SCIEi\iCES AND Pl!8L1C HEALTH APPROVAL SHEET FOR THE DOCTORAL D1SSERTATlO\: Ph.D. Degrt!r!.~ J1\ THE DEPARTMENT OF Int~rdisciplinaT) PREVENTIVE MEDICINE AND BIOMETRICS -Emerging. In!l!ctious Disc!ast!~ -Mlllecuiar &. Cell Biolog: Title of Dissertation: "Evaluation of Aedes Aegyptl Presence and -~c:urosc:.mcc: Ahundance in Septic Tanks and Their Impacts or. Dengue Transmission" [)epanmcntal -Clinjcall'sycholo~ Name of Candidate: Ronald L. Burke -En\,jmnrnemai H~alth s<':ic:ncc:s Do;:tor of Public Health -Medical P!-)'c~ol(}g~ Vlarch lll. 2009 -!'vle PhysiciOlll Scientist !MD.·Ph.D.1 Dissertation and A.b:>tract Approved: J)octor of Public IkJlth (Dr.!'.l i.l ", MllSler ofSdence P''1:r('cs ; I· r-:::::::;.'~.LL'-'_--" D;.i~ict~cll~,is Date -Public B.:alth Department ofPrevcmive Meciicine and Biom~lric~ C;1mminec> Chairperson ~ll.::~0~~~.. _~:~---- .; 6' !~~~t. (~9 Dr. Da\·id Claborn Date -Puhlic H~a\\h Department of Preventive l\kdicinc and Biomctric:; .Tropica! t\h:dicim: & Jlygil-n~ o Nhl.ior Advisor Graduale £dllcutiiJI: Offi~'!! .... Dr. John Grieco Date 2lc:anor S. Metcalf. Ph.D .. Asso..:iall: J).:;m Department of Prcvc:mi\'c Medicine: anC Biomet!'ics Bettinz ..\m~u. Support Sp"'Ciai iSl Cm::mince \1ember Ron~ B!.l it St:pport Spct:ia;i$~ ./J .;:~d£~2!~ ,!X .:'71''17.:. c.: 7 Dr. TilDothy K.illC~' Date WdSiu' Department of Prewl1t:ve Mel:icinc and Biometrics hun: :,\, ~'. v. . ll.....;u::~.,mlji::ra:.l::.'d. httn: ;u:-;uhs.mi!':!!~~:·~n.Hjt'~!t-. md.:;~ (ommiuee r-.-1emher E-mail Add,.I?S.~ _..... __ •.. _--_. Dr. Edward Mitre Date Dl:partmcnl of Microbioiol;.;· Pholle !\umbr".. Comm~rdal: 30:-295-9474 commjHee~til Toli Fr.:c: 800-772-l747 DSN: 2q5-9474 .J~liil-- CL?.l i'i /V(t 9 FAX: 301-295-6772 Dr. ~ob?rto Darrera ualC Dengue Bnlilch. CDC. Committee M~mber o 11 c Copyright Statement The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: "Evaluation of Aedes aegypti Presence and Abundance in Septic Tanks and Their Impacts on Dengue Transmission" is appropriately acknowledged and, beyond brief excerpts, is with the permission of the copyright owner. MAl Ronald L. Burke, DVM Department of Preventive Medicine and Biometrics Uniformed Services University of the Health c Sciences c 111 Abstract o Evaluation of Aedes aegypti Presence and Abundance in Septic Tanks and Their Impacts on Dengue Transmission Ronald L. Burke, Doctor of Public Health, 2009 Thesis directed by: David M. Claborn Assistant Professor Department of Preventive Medicine and Biometrics Background: Aedes aegypti is the mosquito vector for dengue fever and has historically been considered to prefer 'clean' water for development. A 2006 study by the Centers for Disease Control and Prevention (CDC) demonstrated large numbers of adult Ae. aegypti mosquitoes emerging from septic tanks in Puerto Rico. The purposes of this study were (1) to definitively document larval presence in septic tanks and evaluate the water properties and environmental factors related to that presence, (2) examine the use of 2,2- dichlorovinyl dimethyl phosphate impregnated strips for control of mosquito productivity 0 in septic tanks, and (3) use Geographic Information Systems to examine the association between the presence of septic tanks and other environmental factors and the incidence of dengue in Puerto Rico. Materials and Methods: A miniaturized funnel trap (Vietrap) was used to sample 89 septic tanks in the Puerto Rican community ofPlayalPlayita. Water quality samples were also obtained from each septic, tank. Adult emergence trapping was conducted on 25 septic tanks in the community of Las Mareas in order to test the effectiveness of the impregnated strips for controlling mosquito productivity. Maps of sewerage lines were used to identify populated areas which did not have a sewerage system (i.e. used septic tanks) and compared to laboratory confirmed cases of dengue from 2003 - 2008, as reported by the CDC. Results: Larvae were recovered from 18% of the sampled tanks. Larval presence was positively associated with uncapped tank access ports and cracked walls. Larval abundance was positively associated with uncapped tank access ports, cracked walls, and surface area, and was negatively associated with total dissolved solids. Adult emergence was significantly reduced after one month in treated (median 6) versus untreated (median 40) septic tanks. A significant association between the absence of sewerage and dengue o IV c was noted during the rainy season, but it did not explain the variation in the incidence of disease. Conclusion: This study provides evidence that Ae. aegypti larvae are present in septic tanks and that septic tanks should be considered when developing mosquito control strategies, especially in areas where dengue or yellow fever are endemic. c c v EVALUATION OF AEDES AEGYPTI PRESENCE AND ABUNDANCE IN SEPTIC TANKS o AND THEIR IMPACTS ON DENGUE TRANSMISSION by Ronald L. Burke Thesis submitted to the Faculty of the Department of Preventive Medicine and Biometrics of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Public Health 2009 o o TAB 22 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Master of Science effective upon your approval: Departmental LAUREL COFELL -Clinical Psychology -Environmental Health Sciences -Medical Psychology MASTER OF SCIENCE -Medical Zoology Physician Scientist (MD/Ph.D.) Department of Medical and Clinical Psychology Doctor of Public Health (Dr.P.H.) Attached is the candidate's approval sheet for the dissertation, Master ofScience Degrees certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. ';cHealth C! Masters Degrees -Military Medical History -Public Health L~iI!iPh.D -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedi http://usuhs.mil/geo/gradpgrnindex.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA. MARYLAND 20814-4712 http://www.u5uhs.mil APPROVAL SHEET Title of Thesis: "Individual Differences and Short-Term Military Factors Associated with Unhealthy Weight Control Behaviors Among Active Duty and Reserve Army Soldiers" Name of Candidate: Laurel K. Cofell Master of Science Department of Medical and Clinical Psychology March, 2009 Thesis and Abstract Approved: __7-.V--UZ Tracy Sbrocco, .D. Date Department of Medical and Clinical Psychology c USUHS Thesis Advisor Date Department of Medical and Clinical Psychology . USUHS Committee Member Marian Tano[:"",! ...-.1...... Date Department of Medical and Clinical Psychology USUHS Committee Member 1 c Learning to Care for Those in Harm's T#zy o COPYRIGHT STATEMENT The author hereby certifies that the use of any copyrighted material in this thesis manuscript entitled: "Individual Differences and Short-Term Military Factors Associated with Unhealthy Weight Control Behaviors Among Active Duty and Reserve Army Soldiers" beyond brief excerpts is with the permission of the copyright owner, and will save and hold harmless the Uniformed Services University of the Health Sciences from any damage which may arise from such copyright violations. Laurel K. Cofell Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences o 11 o c ABSTRACT Title of Thesis: Individual Differences and Short-Term Military Factors Associated with Unhealthy Weight Control Behaviors Among Active Duty and Reserve Army Soldiers Author: Laurel K. Cofell, Master of Science, 2009 Thesis directed by: Tracy Sbrocco, Ph.D. Associate Professor Department of Medical and Clinical Psychology Studies have demonstrated an associative link between anxiety about passing mandated military weight standards and unhealthy weight loss behaviors (WLB) c (Carlton, Manos, & Van Slyke, 2005; Lauder, Williams, Campbell, Davis, & Sherman, 1999). This study assessed the impact of individual and demographic differences, disordered eating cognitions, and military weight standard-related factors on unhealthy WLB in 871 Army Active Duty and Reserve soldiers. Most of the participants were Caucasian (44.4%), male (68.3%), Active Duty (62.1 %) soldiers. Over a third of participants (35.6%) reported engaging in unhealthy WLB to prepare for military weigh ins, and over a quarter (29%) reported engaging in long-term unhealthy WLB. Other than gender, individual differences were largely unassociated with unhealthy WLB. Psychological factors, a history of failing weight standards, or current concern about failing standards were associated with unhealthy WLB. The implications of unhealthy weight loss behaviors and the impact of military environment on health behaviors is discussed. c 111 o INDIVIDUAL DIFFERENCES AND SHORT-TERM MILITARY FACTORS ASSOCIATED WITH UNHEALTHY WEIGHT CONTROL BEHAVIORS AMONG ACTIVE DUTY AND RESERVE ARMY SOLDIERS by CPT Laurel K. Cofell o Masters Thesis submitted to the faculty of the Department of Medical and Clinical Psychology Graduate Program of the Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of Master of Science, 2009 IV o TAB 23 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Master of Science effective upon your approval: Departmental MICHAEL DOH -Clinical Psychology -Environmental Health Sciences -Medical Psychology MASTER OF SCIENCE -Medical Zoology Physician Scientist (MDlPh.D.) Molecular and Cell Biology Program Doctor of Public Health (Dr.P.H.) Attached is the candidate's approval sheet for the dissertation, Master ofScience Degrees certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. ;CHealth C. . Masters Degrees -Military Medical History -Public Health ~~h.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/graded/ http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c I 6 rrl UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 www.usuhs.mil APPROV AL SHEET Title of Thesis: "Phannacological Treatment of Glutamate Excitotoxicity Following Traumatic Brain Injury" Name of Candidate: Michael Doh Molecular & Cell Biology Graduate Program Master of Science January 14,2009 Thesis and Abstract Approved: (·1 j I ,·i .".., t-./ f - ! '1 - 2,0 t;' tj c Date vi a Symes, PhD ~ ep~ment of Phanna co logy ~ Committee Member ~t..--- Department of Obstetrics & Gynecology Committee Member Learning to Carefor Those in Harm :S' Way B4/B7/2BB9 15:27 3B18971358 SUBURBAN EMEGENCY PAGE 02/02 ".. ( o The author hereby certifies that the use ot any copyrighted material in the thesis manuscript entitled: "Pharmacol~gical Treatment of Glutamate Excitotoxicity Following Traumatic Brain Injury" 18 appropriately acknowledged and, beyond brief excerpts, is with pennission of the copyright owner. ~0Z-- Micbael Doh 0 Department ofMolecular and Cell Biology Uniformed Services University ii l' AI ABSTRACT Title of Thesis: "Pharmacological Treatment of Glutamate Excitotoxicity Following Traumatic Brain Injury" Michael Doh, Master of Science, 2009 Thesis directed by: Joseph McCabe, PhD Thesis Advisor Department of Anatomy, Physiology and Genet-ics Traumatic Brain Injury (TBI) is a major public health concern. A TBI is defmed as a blow to the head that results in the disruption of normal brain function. Patients who suffer a TBI exhibit a wide variety of cognitive, somatic and c psychological symptoms that can severely diminish the individual's quality of life. Despite continued research, no therapy has proven effective for the treatment of TBI. The pathophysiology of the injured brain is complex. Cell death following TBI can result from primary injuries, caused by mechanical forces associated with the insult, and secondary injuries, caused by the disruption of normal cellular function in the injured brain.· Secondary injuries include brain swelling, hypoxia, oxidative stress, and glutamate excitotoxicity. The following will serve to discuss the basic phenomenology of TBI, focus on the role of glutamatergic neurotransmission and its role in TBI pathology, and analyze current pharmacological treatment strategies. c 11l o PHARMACOLOGICAL TREATMENT OF GLUTAMATE EXCITOTOXICITY FOLLOWING TRAUMATIC BRAIN INJURY By o Michael Doh Thesis submitted to the Faculty of the Molecular and Cell Biology Graduate Program Uniformed Services University of the Health Sciences In partial fulfillment of the requirements for the degree of Master of Science 2009 o IV I . II ' TAB 24 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 15,2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES MEMORANDUM FOR BOARD OF REGENTS AND PUBLIC HEALTH Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Graduate Student Interdisciplinary -Emerging Infectious Diseases The graduate student listed below is presented for certification to receive -Molecular & Cell Biology -Neuroscience the Master of Science in Public Health effective upon your approval: Departmental DONALD McINNES -Clinical Psychology -Environmental Health Sciences -Medical Psychology MASTER OF SCIENCE IN PUBLIC HEALTH -Medical Zoology Physician Scientist (MDlPh.D.) Department of Preventive Medicine and Biometrics Doctor of Public Health (Dr.P.H.) Attached is the candidate's approval sheet for the dissertation, Master ofScience Degrees certification of authorized use of copyrighted materials, thesis abstract and title page, and CV. -icHealth C. Masters Degrees -Military Medical History -Public Health ~Ph.D. -Tropical Medicine & Hygiene CAPT, MC, USN (Retired) Dean Graduate Education Office Attachments: Eleanor S. Metcalf, Ph.D., Associate Dean As stated Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite htto:llwww.usuhs.mil/gradedl http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 c ·.p i 1 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 GRADUATE PROGRAMS iN March 24, 2009 THE'lUqMEDICAVSCIENCES ' "AND PUBLIC HEALTH, APPROVAL SHEET Ph.D. Degre~s . , Inte~di~ciplinary Title of Thesis: "A Comparison of Gravimetric and Photometric , , -Emerging Infectious Diseases .·~Molecular& Cell Biology Aerosol Samplers" ~Neuroscience Name of Candidate: Capt Donald McInnes , .Departinental "'Clini~aIPsychology , Preventive Medicine and Biometrics "EnvirollnenW Health8ciences Master of Science and Public Health -Medical Psychology, April 8, 2009 -Medical Zoology , Physician Scientist (MDlPh.D.) Thesis and Abstract Approved: Doctor ofPu~liCHealth (Dr,P.H.) Master o/Science Degrees , CCHealth r;Jl!-:'r O-.~ 1'41;(/1.- 2-0 0 1 , " Masters Degrees CDR Philip Smith, Ph.D. Date Department of Preventive Medicine and Biometrics/OEHS , -Military Medical History -Public Health ' Committee Chair and Thesis Advisor "'-Tropical Medicine & Hygiene Graduate Education Office ~arn~ Ibl!O~ EleanorS. Metcalf, Ph.D., AssociateDean Department of Preventive Medicine and Biometrics/OEHS " ' Bettina' Arnett:, Support Specialist RonfBull, Support Specialist Committee Member ,:WebSite '" .http://wWw;usuhs.mil/gradedi aAJ (j /tift 101ft-or .:\http://usuhs;mil/geo/gradpgm· index.himl MAl Duvel White, Ph.D. Date ,.E--fnail Address Department of Preventive Medicine and Biometrics/OEHS ,[email protected] Committee Member ,', . , Phtmei!vumbers< , 'C:ornrnercial~: 301 ~ 295~947 4 /tJd;R£ ()f Toll Free: 800:':772-1747 I DSN: 295-9474 ong, Ph.D. Date FAX: 301-295~6n2 Department 0 reventive Medicine and Biometrics/OEHS c Committee Member Apr 13 09 09:49a Donald Mcinnes 13018166901 p.1 Copyright o The author hereby certifies that the use of any copyrighted material in the thesis manuscript entitled: A Comparison of Gravimetric and Photometric Aerosol Samplers beyond brief excerpts, is with the permission of the copyright owner, and will save and hold harmless the Uniformed Services University of the Health Sciences from and damage which may arise from such copyright violation. ~i-t~ Donald William Mcinnes Captain, Canadian Forces Department of Preventive Medicine and Biometrics Uniformed Services University of the Health Sciences o o '. II I _'] c Abstract A Comparison of Gravimetric and Photometric Aerosol Samplers by Captain Donald W. Mcinnes, Master of Science in Public Health, 2009 Uniformed Services University of the Health Sciences Thesis Advisor: Philip Smith, PhD, CIH Department: Department of Preventive Medicine and Biometrics Division: Occupational and Environmental Health Science This study compared gravimetric and photometric aerosol sampling instruments from two different categories for determining airborne concentrations of particulate matter. The instruments used were (1) the SKC® Deployable Particulate Sampler (DPS) that collects a sample on a filter, which is gravimetrically analyzed for c concentration of mass, and (2) the TSI® DustTrak™ 8520 and Sidepak™AM510 that use photometry to determine airborne particulate concentration. The capability to use these samplers interchangeably would permit employment of the best-suited instrument based on logistical and mission parameters. The instruments were deployed at Yuma Proving Grounds, Arizona for testing and were used in side-by-side sampling over a period of 13 days. Three statistical analyses, Pearson correlation coefficient, correlation within means, and the Bland-Altman analysis were used to compare the derived data. Statistical interpretation of the data between the DPS and the DustTrak at the PM 10 cut- point found a strong correlation of data using the metric devised for this study measuring the strength of a relationship between two variables. Analytical comparisons for the DPS c and DustTrak at the PM 2.5 cut-point demonstrated a weak relationship between the instruments. The analysis between the DPS and the SidePak was rejected as the power 0 source did not enable the Sidepak to sample for a twenty-four hour period and thus the samples collected were not comparable. A requirement exists for further laboratory and field studies. o o l1kili j jd i C A Comparison of Gravimetric and Photometric Aerosol Samplers by Captain Donald William Mcinnes Bioscience Officer Canadian Forces A thesis submitted to the Faculty of the Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE IN PUBLIC HEALTH, 2009 C c .. I' TAB 25 '-1. • flf II UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 21, 2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH MEMORANDUM FOR BOARD OF REGENTS J-. Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of Expected Preventive Medicine and Interdisciplinary Biometrics Graduates -Emerging Infectious Diseases -Molecular & Cell Biology -Neuroscience The graduate students below are presented for certification to receive the degree Master of Public Health, effective June 12,2009: Departmental -Clinical Psychology -Environmental Health Sciences Boswell (Crew), Valerie Klingenberger, Jane -Medical Psychology Brown, Mark Landesman, Roxanne -Medical Zoology Clausen, Shawn Martin, Joseph Curry, Jennifer McConnack (Richards), Erin Physician Scientist (MDlPh.D.) Dabbs, Clifton Moeny, David Doctor of Public Health (Dr.P.H.) Drulis, Michael Moss, Marcus Farrior, Hope Murga, Ricardo Master ofScience Degrees Garcia, Shawn Reynolds, Mark George, Susan Soto, Giselle ;cHealth Girardi, Alyce Stubbs, Jeremiah C Masters Degrees Grizzell, Tifani Tabakova, Anca Hayat, Aatif Teneza, Brigilda -Military Medical History Hollis, Ewell Ward, Claudine -Public Health -Tropical Medicine & Hygiene Johnson, Jeremiah Graduate Education Office Eleanor S. Metcalf, Ph.D., Associate Dean Bettina Arnett, Support Specialist .D. Roni Bull, Support Specialist Dean WebSite http://www.usuhs.millgraded/ htto://usuhs.millgeo/gradpgrn index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAJ(:301-295-6772 ..... " r UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 April 21,2009 GRADUATE PROGRAMS IN THE BIOMEDICAL SCIENCES AND PUBLIC HEALTH MEMORANDUM FOR BOARD OF REGENTS ~ Through: Charles L. Rice, M.D., President Ph.D. Degrees SUBJECT: Certification of the MTM&H Interdisciplinary -Emerging Infectious Diseases -Molecular & Cell Biology LTC Diego Gonzalez is presented for certification to receive the degree -Neuroscience Master of Tropical Medicine and Hygiene effective May 16,2009. Departmental -Clinical Psychology -Environmental Health Sciences -Medical Psychology -Medical Zoology ~~~~DCAPT, MC, USN (Retired) Dean Physician Scientist (MDlPh.D.) Doctor of Public Health (Dr.P.H.) Master ofScience Degrees CiCHealth Masters Degrees -Military Medical History -Public Health -Tropical Medicine & Hygiene Graduate Education Office Eleanor S: Metcalf, Ph.D., Associate Dean Bettina Arnett, Support Specialist Roni Bull, Support Specialist WebSite http://www.usuhs.mil/gradedl http://usuhs.mil/geo/gradpgm index.html E-mail Address [email protected] Phone Numbers Commercial: 301-295-9474 Toll Free: 800-772-1747 DSN: 295-9474 FAX: 301-295-6772 TAB 26 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 http://www.usuhs.mil OFFICE OF THE DEAN April 9, 2009 MEMORANDUM FOR BOARD OF REGENTS SUBJECT: Faculty Appointments The attached are recommendations made by the Committee of Appointments, Promotion and Tenure at a meeting on March 9, 2009. I recommend that you approve these recommendations and forward them to the President ofthe University for further processing. c Attachments c Learning to Care for Those in Harm sWay c 1 PROPOSED F ACULTY RECOMMENDATIONS May 15,2009 BOARD OF REGENTS ACTION/CURRENT DEPARTMENTINAME PROPOSED RANK DUTY STATION F AMIL Y MEDICINE REAMY, Brian V. Professor Promotion Col, USAF, MC USUHS MEDICAL/CLINICAL PSYCHOLOGY RAPP, Paul E., Ph.D. Professor Appointment (Secondary) USUHS SCHER, Ann I., Ph.D. Associate Professor Promotion (Secondary) USUHS c WATERS, Andrew 1., Ph.D. Associate Professor Appointment (For Tenure Only) USUHS MEDICINE BATTAFARANO, Daniel F., D.O. Associate Professor Title Change Ft. Sam Houston, TX DURNING, Steven J., M.D. Professor Promotion (Primary) (W/Tenure) USUHS KLEIN, Michael G., Ph.D. Research Associate Professor Appointment USUHS NEUROLOGY LIPSKY, Robert H., Ph.D. Adjunct Professor* Appointment Falls Church, VA c OBSTETRICS/GYNECOLOGY GOMEZ-LOBO, Veronica, M.D. Associate Professor* Appointment Washington, DC PATHOLOGY BAUER, Andrew J. Associate Professor Appointment LTC,MC, USA (Secondary) USUHS DURNING, Steven J., M.D. Professor Promotion (Secondary) USUHS F ANBURG-SMITH, Julie, M.D. Professor* Promotion Washington, DC MONAHAN, Brian P. Professor Appointment RADM, MC, USN (Secondary) USUHS ZAHN, Christopher M. Professor Appointment Col, USAF, MC (Secondary) USUHS o PSYCHIATRY BATTEN, Sonja V., Ph.D. Adjunct Associate Professor* Appointment Arlington, V A RITCHIE, Elspeth C. Professor* Promotion COL,MC, USA Falls Church, VA SURGERY ELSTER, Eric Associate Professor* Promotion CDR,MC, USM Silver Spring MADIGAN, William P., Jr., M.D. Adjunct Professor* Promotion Washington, DC PROVENCHER, Mathew T. Adjunct Associate Professor* Appointment LCDR, MC, USN San Diego, CA * Indicates non-billeted o TAB 27 'IjU 8 NFIQ' : 1 $ au s IJi rIP".' jildl I U 1 r President's Report • Task Force on Faculty in clinical departments • Dental program • San Antonio office • USU/HMJ Symposium and HMJ/McGraw Foundation Gala • Continuing Education for Health Professionals five-year accreditation from the American Psychological Association • Names and Honors Committee recommendations (Attachment 1) May 2009 .' I •• Attachment 1 UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4799 http://www.usuhs.mil OFFICE OF THE DEAN April 28, 2009 MEMORANDUM FOR CHARLES L. RICE, M.D., PRESIDENT, UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES SUBJECT: Names and Honors Committee Recommendation The Names and Honors Committee met on April 27, 2009, and considered the following attached award recommendations: Uniformed Services University Medal for Colonel David G. Burris, MC, USA Uniformed Services University Medal for Emmanuel G. Cassimatis, M.D. Uniformed Services University Medal for Howard Earl Fauver, Jr., M.D. All three applications were reviewed, discussed, and unanimously recommended for c acceptance. Your approval is requested. Attachments: As stated APPROVED ~SAPPROVED~ NOTED 0 L(L _~ , Charles L. Rice, M.D. C,lfr..-v - President j H lZ in L n i Nomination for the Award of the UNIFORMED SERVICES UNIVERSITY MEDAL TO DAVID G. BURRIS We would like to provide an enthusiastic nomination of David G. Burris, MD, FACS, DMCC, COL, MC, USA, Professor and Chairman of the Norman M. Rich Department of Surgery, F. Edward Hebert School of Medicine, and Uniformed Services University of the Health Sciences (USUHS) for consideration for the Uniformed Services University Medal. As a 1982 graduate of USUHS, we believe that Dr. Burris represents an outstanding example of the success of our School of Medicine and our University. He has truly risen through the ranks. He started as a Corresponding Member of Surgery, (USUHS) in 1982 advancing to Teaching Fellow of Surgery, USUHS in 1986, to Instructor in Surgery in 1988, to Clinical Assistant Professor in 1991, to Assistant Professor in 1994, to Associate Professor in 2000 and to Professor of Surgery, USUHS in 2004. We are confident that Dr. Burris emulates all of the attributes of Dr. Johns and that he meets all required criteria to be considered for the Uniformed Services University Medal. A review of Dr. Burris' curriculum vitae will attest to his academic and clinical interest as well as the expertise that he has developed. He is widely recognized both nationally and internationally by his peers as well as by those with more senior responsibilities. Dr. Burris has truly done it all by serving as an able administrator, an established Principle Investigator, a capable clinician who has deployed to both Honduras and Iraq in support of our Mission and as an c internationalist with admiration and respect from colleagues in many countries around the world. Dr. Burris has published widely in a variety of peer-reviewed journals both as first author and as co author. His leading manuscript in the Journal of Trauma in 1999, which was the cover article, was entitled "Control Resuscitation for Uncontrolled Hemorrhagic Shock", which has been a main component of his basic and clinical research. This work also received the Raymond Alexander A ward from the Eastern Trauma Society as the best manuscript presented at the 1998 Eastern Association for the Surgery of Trauma Meeting. He has contributed numerous chapters to books by invitation. He served on the Editorial Board for the 3rd United States Revision of Emergency War Surgery in 2004 published by the Army Office of the Surgeon General and he was the primary author of Hemorrhage Control: Shock and Resuscitation. Most recently he has served as a co-editor and an author for Conflict and Catastrophe Medicine: a Practical Guide which will be published by Springer Publishers early next year. He is widely recognized in his research in shock and in care of the injured on the battlefield. He has had a variety of funded grants. He has served as Consultant to the Defense Advanced Research Projects Agency. Based on his contributions he has been an invited professor to a variety of universities ranging from Harvard to Stanford. Also, he has been invited to participate in numerous international programs including those as far ranging as South Africa and the Peoples Republic of China. In 2002 Dr. Burris became the Interim Chairman of the Norman M. Rich Department of Surgery. He was asked by Dean Laughlin to serve as the second Chairman in early 2005. Dr. Burris has been a fulJ-time member of the Surgical Faculty for the past 15 years and he had previous USUHS administrative leadership responsibilities, serving as Chief of the Division of Surgical research at USUHS within the Department of Surgery from 1994 through 2001. He served as Deputy Chairman of the Department of Surgery, USUHS prior to being named the Interim Chairman. He has been a dedicated and effective contributor to his, Alma Mater serving on numerous committees I. ittII' !t:i hi.• w iW 1 lid t 1 r m· .. et. j II ranging from the Committee on Appointments Promotion and Tenure to the Institutional Review Board and the Laboratory Animal Review Board. We know of no other members of our Faculty who has had the broad USUHS committee experience nor who has been more dedicated to USUHS by serving on essentially every committee available to him than has Dr. Burris. Also, he has served externally on numerous selection boards for the National Capital Area and he chaired the Selection Committee for Orthopaedics and Rehabilitative Medicine. He has also served on hospital committees including the Institutional Review Board for Walter Reed Army Medical Center. Nationally, COL Burris has served as Chief of the American College of Surgeons Committee on Trauma Region XIII Military Surgery Committee. He has been responsible for the Advanced Trauma Life Support Courses taught to our military all over the world. He has been a respected and inspirational leader in this important component in of our mission-oriented activities. He has served on the Committee of Social and Legislative Issues for the Society of University Surgeons. He continues to serve as the representative to the National Association for Biomedical Research for the American Association for the Surgery of Trauma. Internationally, he was one of the first Americans to become a Diplomat of the Diploma in the Medical Care of Catastrophes under the auspices of the Apothecaries of London and he has served as an Examiner for the past 10 years. He has examined military and civilian colleagues in the United Kingdom, The Netherlands and the Philippines. Also, he has helped conduct examinations in the Arab Emirates. He has received his Freedom from the City of London and he is a Yeoman in the Apothecaries of London. He has been an invited speaker to international surgical meetings in many countries including Argentina, Australia, Canada, France, Germany, Mexico, The Netherlands, the Philippines and the United Kingdom. In summary, as a 1982 graduate of the F. Edward Hebert School of Medicine, Uniformed c Services University of the Health Sciences, Professor/C9L David G. Burris represents an important component of the successful combined effort at USUHS. He exemplifies all of the attributes of and we believe that he meets all of the establish criteria for the Uniformed Services University Medal. We are confident that he is highly competitive to be considered favorably for the Uniformed Services University Medal and we encourage that favorable consideration. Thank you very much for your time and for your consideration. Norman M. Rich, MD, FACS, DMCC COL, MC, USA (Ret) Leonard Heaton and David Packard Professor Deputy Chainnan of Surgery, 2002- NMR:ig E-mail: Nnch~usuhs.mll - J n ii "' £1 , • Nomination for the Award of the UNIFORMED SERVICES UNIVERSITY MEDAL TO EMMANUEL G. CASSIMA TIS, M.D. Emmanuel G. Cassimatis, M.D. has distinguished himselfthrough thirty years of exemplary service to the Uniformed Services University (USU) as a clinical educator, faculty mentor and senior member of the USU leadership team. Dr. Cassimatis began his affiliation with USU as an Assistant Professor of Clinical Psychiatry in 1980. He currently serves as Professor, Department of Psychiatry and Associate Dean for Clinical Affairs, F. Edward Hebert School of Medicine (SOM); and Vice President for Affiliations and International Affairs, USU. As an educator, Dr. Cassimatis has trained over a generation of medical students, residents, and staff. Despite tremendous pressures on his time, he has maintained his commitment to undergraduate education, teaching weekly seminars for all MS-III students rotating through Psychiatry and serving as a faculty member for MS-II Introduction to Human Behavior Course. Dr. Cassimatis is also an integral member of the National Capital Consortium Psychiatry faculty: He serves as course Director for the Introduction to Psychodynamic Psychotherapy seminar and as Psychotherapy Supervisor for PGY -3 and PGY -4 residents throughout the year. Dr. Cassimatis additionally serves as Teaching Analyst in the Washington Psychoanalytic Institute and is a Distinguished Life Member of the American Psychiatric Association. In his role as Associate Dean for Clinical Affairs, SOM, Dr. Cassimatis, develops and maintains relationships with military and civilian institutions throughout the world. He personally monitors USU major clinical affiliation agreements and all departmental clinical affiliations related to required clerkships. The recent Liaison Committee on Medical education accreditation review lauded the well-developed clinical clerkship education program and found no deficiencies in our relationship with clinical education sites. In addition, from 1996 through 200 I, Dr. Cassimatis served as the Senior Project Officer for the planning and development of our National Capital Area Military Medical Simulation Center. As Vice President for Affiliations and International Affairs, Dr. Cassimatis provides oversight for all USU affiliations as well as for all international academic activities at USu. He maintains a close relationship with DOD, ensuring clearance for international affiliations and for all international applicants for study or academic appointment at USU. He has also successfully coordinated visits to USU by numerous international delegations from Afghanistan, Australia, France, Israel, Japan, Jordan, Mexico, Thailand, and other countries in recent years. At the national level, Dr. Cassimatis served for many years as a Delegate from the Association of Military Surgeons of the United States to the American Medical Association (AMA) House of Delegates; and was a member and Chair of the AMA Council on Medical Education, the AMA Section Council on Federal and Military Medicine and the Specialty and Service Society. He also recently completed seven years on the Board of Directors of the Accreditation Council for Graduate Medical Education (ACGME), the last two as Chair. Dr. Cassimatis' contributions to the Uniformed Services University are legion. He has impacted the professional development of individual students and residents, contributed to the emergence ofthe Uniformed Services University as a national leader in medical education, and forged beneficial international relationships. The distinctive accomplishments of Emmanuel G. Cassimatis, M.D. reflect great credit upon him, the Department of Defense, and the Uniformed Services University. J • I If Nomination for the Award of the UNIFORMED SERVICES UNIVERSITY MEDAL TO HOWARD EARL FAUVER, JR., M.D. Howard Earl Fauver, Jr., M.D. has distinguished himself through over forty-five years of exemplary service to the federal services, including twenty-five to the Uniformed Services University. Dr. Fauver began his affiliation with USU as a Clinical Associate Professor of Surgery in 1984. He currently serves as Professor, Department of Surgery and Associate Dean of Graduate Medical Education. Dr. Fauver was also the founding Administrative Director and Designated Institutional Officer for the Nntional Capital Consortium. In addition, Dr. Fauver has c served in numerous critical leadership rolc::s, such as Chair of the School of Medicine Admissions Committee, Chair of the DoD Center for Prostate Disease Research Oversight Committee, and Chair of the Continuing Health Education Committee. Dr. Fauver is a nationally recognized leadc:r in the field of Graduate Medical Education. He served as Chief, Graduate Medical Education for the Army, prior to his assignment as Chief, Department of Surgery, Walter Reed Army Medical Center. Nationally, Dr. Fauver served as a Delegate to the American Medical Association and was a voting member of AMSUS Section of Federal and Military Medicine, as well as the National Board of Medical Examiners. Dr. Fauver is a recipient of the Legion of Merit (one Oak Leaf Cluster), Army Surgeon General's 'A' Designator, Order of Military Merit, Lewis Aspey Mologne Award, and Chennault Award. Dr. Fauver's contributions to military medicine and the Uniformed Services University are remarkable. The distinctive accomplishments of Howard Earl Fauver, Jr., M.D. reflect great credit upon him, the Department of Defense, and the Uniformed Services University. "'. In" .iMUJb1. j. TAB 28 c Henry M. Jackson Foundation for the Advancement of Military Medicine John w. Lowe President and CEO Briefing for USU Board of Regents April 10, 2009 ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c Our Mission • HJF was created as a not-for profit organization, HJF's purpose is to facilitate the activities of USU. • HJF is incorporated in the state of Maryland. • Since its creation by Congress in 1983, HJF has supported scientific research conducted at USU. c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION 1M Ii .. J c HJF Is Authorized to: • Enter into contracts with USU to carry out medical research, consultation and education • Take action to obtain patents and licenses for devices and procedures • Enter into contracts with organizations and government agencies to advance military medical research ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c HJF Services We assist military medical research by providing: • Grant and contract management • Staffing and HR services • Financial management • Administrative support • Infrastructure support ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c HJF at USU • Supports more than 200 research projects • Employs over 350 people, many working under U.S. visa status • Administers more than 100 education funds and 70 endowments • Operates Joint Office of Technolo y Transfer ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c Onsite Research Activities at USU • HJF supports research in each USU academic department and at the Graduate School of Nursing c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c USU Research Programs Major research programs facilitated by HJF: • Infectious Disease Clinical Research Program • Center for the Study of Traumatic Stress • Center for Neuroscience and Regenerative Medicine • Center for Disaster and Humanitarian Assistance Medicine • Armed Forces Radiobiology Research Institute • Most basic science programs • Center for Prostate Disease Research • Deployment Health Clinical Center Onsite research program Offsite research program ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c USU Onsite Research 35 30 25 20 15 10 5 o FY 2005 FY 2006 FY 2007 FY200B III Onsite research (in millions of dollars) c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION , , p •• I 11 n I I c USU Offsite Research • Of the $80.6 million spent on USU research in fiscal 2008, about $48 million was for offsite research. • This research was conducted at Walter Reed Army Medical Center, National Naval Medical Center, the Center for Prostate Disease Research and the Naval Medical Research Center. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCAT!ON 14 c Infectious Disease Clinical Research Program • IDCRP was established in 2005 through a collaborative agreement among the NIAID, USU and HJF. • It focuses on infectious disease threats to the military, including multiple-drug-resistant organisms, infectious complications of wounds, tropical diseases and HIV. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION 10 c Bringing It All Together • HJF facilitates the research effort between NIAID & USU . • NIAID has funds for infectious disease research. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION 12 c The Result • Pursuing infectious disease research important to both 000 and NIAID • Streamlined institutional review • Incorporated the Tri-Service AIDS Clinical Consortium • Improved structure for clinical investigation training c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION,. c Explanation of Indirect Costs HJF's 2008 indirect cost recovery rates for federally sponsored research programs through USU: • Onsite Rate is 52.1 percent - Base rate is 15.2 percent - 30.2 percent to cover support costs for research i nfrastru ctu re - 6.7 percent accrues to USU academic departments • Offsite - Base rate is 15.2 percent - Pays for HJF services such as recruiting, benefits administration and visa processing ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION,. c Breakdown of FY 2008 Indirect Costs (Recovered) Research expenses at USU increased $2.1 million in fiscal 2008 to $32.6 million Ill1 HJF reimbursed USU for facilities and administration Ill1 HJF provided research administrative services Ill1 USU departmental research administration ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c 18 Jilt c HJF Employees at USU Personnel include: • Researchers • Research support staff • Physicians and 2007 2008 nurses II1II USUHS rm AFRRI ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION 17 c USU Services • Addresses needs of researchers and administrators working at USU • Serves as point of contact • Oversees SPA support, research support award program, HJF fellowships • Provides training on HJF business practices ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c 20 c Joint Office of Technology Transfer • Through the USU-HJF Joint Office of Technology Transfer, the Foundation enables collaboration between USU-affiliated researchers and private partners. • The JOTT serves as a coordinating group. • HJF protects intellectual property by filing and prosecuting patent applications. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION 21 Novel Technology Licensing • 117 distinct technologies • 45 licensed - 98 patented or with - 27 license agreements patents pending - 19 non-patented technologies (mostly research reagents like Unlicensed antigens and antibodies) 62% ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c 22 c USU Tech Transfer Revenue • License income rose 39% in five years. • CRADA revenue increased 2,400% in o 2,000 4,000 6,000 8,000 10,000 12,000 five years. Illl License income ($K) Illl CRADA revenue ($K) ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c USU License Revenue Distribution • Revenue is distributed to USU inventors and the university. • Inventors can receive a maximum of $150,000/year for all inventions. • In fiscal 2008, USU received about $8.7 million and inventors received more than $573,000. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION c .. c Educational Programs Beth Carpenter Infectious disease • HJF provided nearly $3.3 million for about 800 education programs in fiscal 2008. Cherise Harrington Workplace stress • HJF awarded fellowships to three USU doctoral students for the 2008-09 academic year. Sari Holmes Heart disease ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION.. c Research Revealed • More than 200 representatives of military medicine and other fields attended the first USU-HJF Symposium in 2008. Experts discussed combat casualty care, posttraumatic stress disorder, brain injury and cancer. • HJF provides a variety of services for USU's annual Research Week, such as designing the event's website. c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION.. c Endowments • In fiscal 2008, HJF managed a total of 70 endowments for the university. • These endowments were valued at $50.3 million as of Dec. 31,2008. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION Z1 c HJF and USU: Partners in Military Medical Research and Education For 25 years, HJF has provided the support needed by USU to further its military medical research goals. HJF shares the university's sense of purpose and need to continuously advance military Henry M. Jackson medical research in support of Late Senator, servicemembers. State of Washington c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION.. c HJF and USU: Partners in Military Medical Research and Education As the medical needs of our men and women in the armed forces continue to evolve, so shall USU's role in providing for those needs. And so shall HJF's role in providing essential support for USU. ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION.. c Leadership Council of Directors Executive Staff Philip A. Odeen, Chairman John W. Lowe Senator John McCain President and CEO Senator Carl Levin Craig Anderson Representative Ike Skelton Senior Vice President and CFO Representative John M. McHugh William Slade The Honorable Beverly B. Byron Vice President, Legal Affairs and General Counsel GEN Gordon R. Sullivan (ret) Elizabeth Folk Charles L. Rice, M.D. Vice President, Sponsored Programs John H. Dressendorfer Craig Lebo Vice President, Acquisitions Stephen Goodwin Vice President, Operations Tom Scofield Vice President, Business Development Art Hapner Vice President, Program Management Office c ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION Questions? ADVANCING MILITARY MEDICAL RESEARCH AND EDUCATION.. c 1117 TAB 29 c Dean's Report - School of Medicine 14-15 May 2009 • Diversity Working Group Report FEATURED DISCUSSION o Next Steps • Recruitment and Admissions o "Second Look" program • Graduate Education o See attached report • Graduate Medical Education o Mock ACGME site visit • Chair Searches c o PMB selection o Ob/gyn start • Good News o Biochemistry course gets rave reviews o Centers and Institutes o DoD research portfolio May 2009 TAB 30 I! t Uniformed Services University of the Health Sciences c Board of Regents Board Brief Submitted by: Eleanor S. Metcalf, Ph.D. Date: April 10, 2009 Title & Department: Associate Dean, Graduate Education, SOM Phone: 295-1104 Purpose: Information X Action ---- Subject: Update on SOM Graduate Program Activities Significant Issues: Graduation 20009: This year we expect to graduate a total of 54 Graduate Students with basic science degrees. This total includes: 15 Ph.D. 's, 1 Dr. P.H., 5 Master of Science, 3 Master of Science in Public Health, 37 Master of Public Health, and 3 Master of Tropical Medicine and Hygiene. M.D'/Ph.D. Program: We have received 19 applicants to the M.D. Program who wanted to be considered for the combined M.D'/Ph.D. Program. To date, nine of these applicants have been c interviewed by the SOM and 3 have been accepted into the Combined Program. Graduate Student Open House: At the end of February, the Graduate Education Committee and the Office of Graduate Education (GEO) sponsored a recruiting Open House for prospective graduate students. Over 40 applicants attended this day long Program and included applicants from all the Graduate Programs. This successful day ended with the traditional Wine and Cheese Party which was . attend by applicants, current students, USU Faculty members and senior University leaders including the Dean of the School of Medicine. Research Week: The Graduate Education Office has been participating in the planning for the USU 2009 Research Week in May. Over 37 Graduate Students submitted Abstracts which will be presented orally or as posters, and 43 Postdoctoral Fellows submitted Abstracts. The Graduate Student Colloquium, which will take place on Tuesday, May 12,2009, celebrates graduate student research. The Colloquium consists of two activities: 1) oral research presentations by 6 graduate students selected as finalists in the Abstract competition and 2) The annual Bullard Lecture given by a nationally recognized basic scientist. This year, as mentioned in the last report, our Bullard Lecturer will be Dr. Claire Fraser-Liggett from the University of Maryland School of Medicine. Also this year we have resurrected and re-organized the Postdoctoral Fellow Symposium. We are excited about expanding and showcasing the research of our Fellows which form an integral, but underpublicized, segment of our research community. c May 2009 Current & Future Concerns: As mentioned previously, the GEO would like to consolidate the 0 offices of the main GEO staff. However, the Search for and hiring ofa new University Registrar (A~ VP for Academic Records) may change these plans as the duties of the GEO will be significantly affected. Funding/Budget Estimate/Fiscal Impact: Unknown as of now. Staffing Impact: May change staffing of Graduate Education Office. Board Action Requested: None at this point. o May 2009 o 1. . Ii TAB 31 - .. 'M qraduate Schoof o..f:J{ursing Uniformed Services University of the Health Sciences Dean's Report - Graduate School of Nursing • Doctoral Education Initiatives o Results: PhD in Nursing Science Program Review, January 28-29,2009 (Attachment 1) • Progress on the Alternatives for Undergraduate Nursing Program o Conference for Academic Partnerships (Attachment 2) o Survey for Student Applicants in Civilian Schools of Nursing • Faculty Initiatives o Faculty Development (April 27): Dr. Kathy Long, Dean University of Florida School of Nursing - Exploring Shared Governance o Faculty Search 1. Family Nurse Practitioner Faculty Selection: Dr. Pamela Slaven-Lee (Attachment 3) 2. Associate Dean Research: 7 Applications with 5 interviews c 3. PhD Faculty Position: 3 Applications: 1 not qualified; 1 interview; 1 declined interview 4. PhD Program Director: 1 Application to date ... 1 interview • Dedication: Faye Glynn Abdellah Auditorium (Building E Classroom): June 4, 2009 • Admissions: 2009 GSN Masters Student Admissions: Program Army Air Navy PHS Reserve FederalNA Total Force Nurse 2 15 20 0 37 Anesthesia FNP 12 11 2 0 25 peNS 1 3 3 0 7 Psych NP 1 2 3 6 Total 16 31 28 0 75 c (21.3%) (41.3%) (37.3%) May 2009 qraduate Scfioor o..fNursino Uniformed Services University of the Health Sciences Program Males Females Minority Total Nurse 26 11 11 37 Anesthesia FNP 9 16 7 25 peNS 4 3 3 7 Psych NP 3 3 0 6 Total 42 33 21 75 (56%) (44%) (28%) TOTAL GSN students expected to graduate in May 2009: 29 TOTAL expected GSN student load/or fall 2009: 185 • GSN Faculty Awards for 2009 (Attachment 4) • GSN Student BOR Award Nominee: Maj Jon Geno, NC, USAF c c May 2009 Attachment 1 c Final Report PhD Program External Review Graduate School of Nursing Uniformed Services University of the Health Sciences January 28 - 29, 2009 c Judith Halstead Indiana University School of Nursing Margaret Heitkemper University of Washington School of Nursing Richard W. Redman University of Michigan School of Nursing c o A review of the PhD Program in the Graduate School of Nursing, Uniformed Services University of the Health Sciences (USUHS), was conducted on January 28-29, 2009 at the invitation of Dean Ada Sue Hinshaw and her administrative team. Several materials were reviewed including: USUHS catalog, School of Nursing table of organization and supporting documents, self-study materials completed in 2008, Doctoral Student Handbook, faculty curriculum vitae, course syllabi for the doctoral curriculum, current student academic files, comprehensive examinations completed to date, and dissertations of all graduates. Interviews were conducted with key administrators on campus (President, Vice President, and Associate Dean for Graduate Education, School of Nursing (Dean, Associate and Assistant Deans, Doctoral Program Director, selected faculty who teach in the doctoral program, selected students currently enrolled and at various stages of progression in the doctoral program, and selected alumni of the doctoral program), and faculty representatives from basic science and preventive medicine departments. The review was conducted from the perspective of how the PhD Program at the Graduate School of Nursing, USUHS, compares with top PhD programs in nursing in the U.S. In addition, the program was compared to the American Association of Colleges of Nursing's Indicators of Quality in Research Focused Doctoral Programs in Nursing. This summary report contains the key findings from the review. Based on the site visit and review of data, several recommendations are offered. Areas of Strength Campus Level Support. There is considerable support from the USUHS Administration for the Graduate o School of Nursing. This begins at the level of President Rice and is reflected by all campus level officials. Ample evidence of this commitment exists, especially through the appointment of Dr. Ada Sue Hinshaw and the new building for the Graduate School of Nursing. Program Director. There is evidence of excellent leadership and staff support in the program. Students and faculty are highly complementary of Dr. Christine Kasper, Director of the PhD Program. She is a nationally recognized nurse researcher and has an active program of research. She is to be commended for her ongoing commitment to the program and support of the students. She practices an open door policy and is readily available and willing to help students. Progress since Inception of the PhD Program in 2003. Consistent progress has been made toward building a solid foundation for the program. Given that the program just began admitting students in 2003, the progress and maturation to date is impressive. Overall indicators of PhD Program Quality. Several characteristics of the PhD Program meet or exceed the AACN Indicators of Quality in Research-Focused Doctoral Programs in Nursing, These include: o Curriculum core courses fit well with the AACN Quality Indicators. o Highly qualified students o Excellent progression and time to degree statistics o 2 1 j c o High level of student satisfaction with the program o Responsiveness to student concerns o Flexibility in program structure to the benefit of students o Excellent opportunities are available to students through the required research rotations and research practica. Students have access to a wide variety of mentored research opportunities with faculty in nursing, faculty in other units on campus, and a variety of unique resources in the region including NIH. These are outstanding opportunities for students as they develop their research abilities and knowledge. o Excellent list of student /faculty publications or student solo-authored publications. o Good processes in place for monitoring student achievement. Building of Research Infrastructure. The development by Dean Hinshaw of the research infrastructure is a key indicator ofthe ongoing commitment to continuing to build a research intensive environment for faculty and students. The Faye Abdellah Research Center is an important resource for the research infrastructure. Dean Hinshaw has obtained funding for several new faculty positions and each of these will have a strong start-up package for their research program development. This is commendable. Students have access to some monies to support their research efforts similar to other students in graduate programs at USUHS. This is a recent addition to the doctoral program and will be extremely important to maintain and expand. As a result of these types of initiatives, there has been an overall increased focus on c research in the School of Nursing. This ongoing development will be essential as the PhD program and the research enterprise are intimately connected. Students. The doctoral program has attracted a cadre of bright, hard working predoctoral students. Their experiences in various federal programs have influenced their plans of study as well as their focus on important military nursing science issues. All expressed how important it is to them to have their research be relevant to the health problems faced by the service men and women they serve. Dissertations. The review committee had the opportunity to review completed doctoral dissertations. The five paper approach as established by the PhD Program is impressive and well executed based on the materials provided. It is especially impressive when one considers that many of the students complete their PhD in three years. Areas for Improvement and/or Discussion Among Leadership and Faculty Several areas for consideration and ongoing discussion are presented here. These will need to be shaped in a way that best fits the mission of the school and the faculty resources available. Graduate School. A Graduate School does not exist at present at USUHS although there has been discussion about the need for a resource of this type. This would be part of the ongoing evolution of the campus as it matures. Implementation of a Graduate School would align USUHS with other research c focused universities. It also would provide an important resource for nursing and other graduate units on 3 campus. A Graduate School would standardize policies, procedures, and definitions across all graduate departments. It also would provide "a framework for an internal review of doctoral programs on campus. o In addition, it would provide important campus level resources such as a registrar, an infrastructure for registration and grading, and a centralized compendium of all graduate course offerings. These latter areas are particular needs that nursing faces and likely other units do as well. Time to Degree. The current time given to active duty military for completion of a research-focused doctoral degree is very short. If at all possible, dialogue with the Service Chiefs about extending the time to a minimum of four years would be an important next step. Curriculum Structure. The current curriculum in the PhD Program has a well established core. It is recommended that the curriculum continue to be re-examined. One major issue is the lack of advanced knowledge development in substantive domains of nursing science. These could be reflective of concentrations or themes evidenced by faculty programs of research. Most top ranked PhD programs have moved beyond the exclusive emphasis on methods and measurement to addressing substantive domains in nursing science. This could be linked to the Graduate School of Nursing staking a claim in specific areas of nursing science that it wants to be known for. Faculty will need to discuss this and determine what approach would work best. One possible approach would be to examine the elective components in the curriculum. Approximately 6 - 9 credits could be allocated to advanced knowledge development in substantive domains of nursing science. One way to free up credits is to examine all required courses carefully. Some of the current offerings do not seem to be directly related to the research interests of all students. One example would be leadership and policy. It might also be possible to integrate the doctoral students in nursing more closely with other o resources on campus by taking statistics in biostatistics rather than teaching this content within nursing. Another aspect of the curriculum that would benefit from further examination is an assessment of the purpose ofthe elective portions of the curriculum. In addition to the allocation of a portion of these credits (as defined above) to substantive areas of nursing science, a portion of these could be linked more closely to the developing research focus of students and taken outside of the School of Nursing. Most programs in peer institutions require cognate courses outside of the school of nursing in areas that are supportive of the students' developing research interests. This would enable students to complete interdisciplinary courses that would inform their research areas and help link students efficiently with faculty and students in disciplines related to the doctoral students' research areas. It is in keeping with the emphasis on interdisciplinary approaches to the conduct of research and will facilitate the development of students for conducting research in interdisciplinary teams. There is good strength in the basic sciences on the USUHS campus. The behavioral and social sciences are less well developed at USUHS but it appears that opportunities for students would be available in a multi-university consortium that is available in the region. Another area in the curriculum that merits examination is the role of preliminary and comprehensive examinations as a requirement. Many schools nationally have dropped requirements for mUltiple major examinations and have focused on other methods to assess progression. The requirement is extraordinarily stressful to the students and detracts from energy that might be focused on other scholarly activities. Progress can be assessed in a variety of ways including grades and required assignments in 0 course work. Since preliminary examinations are not a part of the curriculum at many of the top schools 4 of nursing the faculty might reconsider the need for continuing with these. One examination to c demonstrate synthesis and mastery that is closely linked to the proposed dissertation research of the student would align the PhD Program with other peer institutions, reduce stress among students, and provide an opportunity to assess when a student is ready to advance to candidacy. Standardize Doctoral Student Committee Membership. Faculty are encouraged to standardize the definition of graduate faculty members for the comprehensive examination and dissertation committees. This definition would guide who is eligible to teach in doctoral courses, mentor doctoral students, and serve on student committees. Generally a committee structure that incorporates at least one member from a cognate or outside department is common practice graduate education, The inclusion of someone outside the student's discipline could be linked to the cognate or outside courses student would take in areas supportive to their research program. Ongoing Strengthening of Research Infrastructure. While impressive progress has been made to date, it will be very important for the School and the faculty to continue to strengthen the sustained effort that will be required to grow in research intensity. The faculty are encouraged to continue to refine their research emphasis or concentration areas. These research areas can align with the Graduate School of Nursing'S mission as well as with centers or research groups that are developing or available within USUHS. Strengthening of research emphasis areas will assist with the recruitment of doctoral students and faculty. In terms of faculty, consideration of workload and time to conduct research will be important considerations. Heavy teaching workloads will be at the expense of research productivity. Consideration c might be given to differential workloads where research productive faculty have lighter teaching loads and those faculty who are not research productive would be given heavier teaching loads. Given that faculty are federal employees and their salaries cannot be included in research grants, creative ways to provide research release time can be explored. This might include application of a portion of the start-up packages to provide release time for new hires. Funds from central administration might also be available to support faculty research time. There might also be a way to encourage research productivity faculty at other universities to spend a sabbatical at USUHS and thereby increase the research environment as well as mentor junior faculty. Additional activities to strengthen the research environment might include: establishing research interest groups and journal clubs that meet regularly and include all student and faculty interested in that research focus; offering of grant preparation seminars for faculty and students; establishing a regular series of research presentations from faculty outside the school of nursing. The advisement structure of an initial adviser and then moving to a research adviser does not appear to work smoothly for all students. Some stated that they did not match well with their initial adviser to the extent that there were questions about staying in the program. Once a research adviser was identified the procedure was smoother but apparently the procedure of advisor assignment needs some attention. Balancing resources will be important as approval and implementation of a DNP Program is considered. It will be essential that sufficient resources be available to support the ongoing strengthening of the research infrastructure and that this effort is not diluted by the implementation of a DNP Program. These c two programs can be complementary but that will have to be managed carefully. 5 Interdisciplinary Learning Opportunities. It will be important for the faculty to examine ways to 0 strengthen interdisciplinary learning and research opportunities for both doctoral students and faculty. \ This would include faculty and student ties with campus-based research centers. While some exist at the present time, it will be important to continue to expand in this area. Since the research enterprise is increasingly interdisciplinary in nature, this will provide important training opportunities for the students. This will strengthen both the research programs of faculty and the research development of students. Faculty Mentoring and Assignments in Working with Doctoral Students. While progress has been made in matching doctoral students with faculty mentors and their research programs, this requires ongoing effort. There also is a need for the continued development of a mentoring program for faculty to become more involved in teaching in the doctoral program and working as research advisors with doctoral students. This is a challenge is all schools of nursing and requires the development of a clear succession plan, given the demographics of most faculties today. Finally, the issue of matching students and mentors requires that careful consideration be given to the potential admission of students who have a potential research topic that may not fit into the focus of the faculty research portfolio. Consideration needs to be given whether such students should be admitted into the program. Faculty Composition. The school of nursing faces unique issues with its combined faculty from both the military and civilian sectors. The military faculty add a unique and important perspective. However, their three year assignment to the faculty presents particular challenges for the development of their faculty roles as well as the development of a research program. It would be beneficial to have periodic discussions arouild faculty composition and the most efficient blend of military and civilian faculty. This o has important implications for the ongoing development of the research infrastructure. The school is currently involved in the recruitment of several new faculty and this balance will be an important consideration. Doctoral Student Program Planning. All doctoral students would benefit from development and approval of plans of study during their first year in the program. This would help students to plan carefully, identify what courses they will take when, and propose a plan of study that is closely aligned with their research interests and professional goals. It also would provide a frame of reference when progression issues arise. Some students are taking electives for convenience and these may not necessarily contribute to their research development. Currently, students do not have adequate information to make informed choices about cognate courses they may be interested in taking. It will be important to begin to identify courses both on campus and perhaps through the consortium that would serve as cognates for students in particular research areas. All of these issues would come together if addressed in a program plan requirement. Work Environment. A long term goal for the School will be to develop better workspace for doctoral students. This could include cubicles or shared offices so that they can work there and leave work-related materials in that location. The students expressed a need for space. At this time, there does appear to be any space specifically designated for doctoral students other than a general lounge area. The availability of a common space for students to congregate and to work would seem critically important. Such a physical space would add to the transmission of information about courses and access to resources. o 6 Integration of stndents into Committees. Where possible, faculty are encouraged to incorporate c students into committee roles. This is an important learning opportunity for students, many of whom will be future faculty members. It also provides an important perspective for faculty to consider as they deliberate over curriculum, faculty searches, and similar governance issues. Dissertation Format. The current requirement of five papers for the dissertation is both impressive and demanding. The paper format is increasingly popular and serves an important purpose for the new graduate as a developing scholar. However, many universities require only three papers. It is a faculty decision; however, five papers seems quite demanding. This requirement could be re-examined to insure that it is consistent with the intended outcomes. Distributive Learning Environment. There is significant campus support and interest in further developing the distributive learning environment at USUHS so that the PhD nursing program and other university programs can be distance accessible. Currently there are faculty "champions" within the Graduate School of Nursing who are very competent with the use of instructional technology and can provide leadership within the School for further implementation of a distance accessible program. Integrating the use oftechnology throughout the curriculum is a goal that would maximize flexibility and accessibility of the program for all students including those who are on-campus. For example, on-campus students expressed a desire to be able to communicate among themselves for purposes of networking and social support within their cohorts. Course management systems (i.e. Blackboard, etc.) can be used to facilitate such interaction. At this time the infrastructure ofthe university requires further development to provide the necessary on-going technical support to faculty and students for online and videoconferencing delivery of distance accessible programs. Student support services (registration, bursar, etc.) for students who reside at a distance also need to be developed by the university to meet accreditation standards for distance accessible programs. Within the Graduate School of Nursing establishing computer and technology competencies that are expected of all faculty, staff and students is a strategy that would help increase their technology skills. Providing on-going faculty development opportunities for teaching with technology and the support of an instructional designer to help faculty design online courses are two additional strategies that the School can undertake to prepare further prepare faculty. c 7 ., JaN.III II Attachment 2 ~~. ftIT.:.~~ Uniformed Services University C~., or the Health S Dr. Ada Sue Hinshaw, PhD, RN, FAAN, Dean of the Graduate School of Nursing, and Colonel Bruce A. Schoneboom, CRNA, PhD, Associate Dean for Academic Affairs for the Graduate School of Nursing, Uniformed Services University of the Health Sciences hosted a conference in Washington, DC "Academic Partnerships Addressing the Military Nursing Shortage". The conference was sponsored by funding from the Office of the Assistant Secretary of Defense for Health Affairs, the Honorable S. Ward Casscells, M.D, through the TRICARE Management Activity. The conference objectives were: I. Building collaborative relationships among Military Nursing Services and Schools of Nursing to foster educational opportunities. 2. Exploring the types of educational programs in which additional military students can be enrolled. 3. Recommending the types of resources and incentives needed for the Schools of Nursing to be able to accommodate additional students. Deans or their representatives from top schools across the country as well as representatives from Schools of Nursing with currently established relationships with the Military Nursing Corps were invited to attend. There were approximately 35 Deans from Schools of Nursing who attended the one and half day conference at the Fairmont Hotel in Washington, DC. The leadership from the American Association of Colleges of Nursing, the National League for Nursing and the American Nurses Association were also represented. The agenda included background information from the three Nursing Corps Deputies to ot'Ifovide the current state of military shortages within each respective corps as well as current incentive ograms each Corps is using to incentivize students to enroll in nursing programs with an obligation to Cserve in the military after successful completion and licensure as a professional registered nurse. Two breakout sessions were conducted with leaders and facilitators to: 1. Strategize for Schools of Nursing and faculty to expand enrollment to military sponsored students. 2. Strategize to entice students from the Dean's perspective. Summary recommendations from these two breakout sessions included that Schools would require additional clinical faculty and access to military treatment facilities to accommodate more student enrollment. There were also recommendations to provide more marketing for existing incentive and scholarship programs to Schools so that they could counsel interested applicants with the full range of potential financial aid. Dean's were also very interested in how the military could provide Leadership expertise so that this skill set could be built into their existing curriculum. A wrap-up panel discussion concluded the conference with some discussion on humanitarian assistance roles that nurses perform within the military and how that could be leveraged to attract qualified applicants into nursing. Overall, this meeting was very successful and provided a sharing of information to promote developing academic partnerships among the military and academic schools of nursing. The next step to address the military nursing shortage will be for the University to conduct a survey using nationally recognized consultants to identify what incentives would be attractive to recruit tenti~l applicants into sc~ools of nursing with obligations to serve in the military nursing corps after C::>,'aduatlOn and successful hcensure. ... -, ._-- Attachment 3 c Pamela W. Slaven-Lee., DNP., FNP-C EDUCATION • Case Western Reserve University, Cleveland, Ohio Doctor of Nursing Practice May 2008 Doctoral thesis "Emotional Distress and Health Risk Behaviors in the Mothers of Servicemen Deployed in Support of Operations Iraqi and Enduring Freedom" • University of Maine, Orono, Maine Master of Science in Nursing May 2004 • University of Maine, Orono, Maine Bachelor of Science in Nursing May 1999 Summa cum laude EMPLOYMENT HISTORY • Metropolitan Liver Diseases and Gastroenterology Center, Fairfax, V A July 2008 - March 2009 Evaluation and ongoing management of patients with gastrointestinal diseases and related co-morbidities. • Internal Medicine, Down East Community Hospital, Machias, ME Jun 2005 - Jun 2008 c Primary care/internal medicine services for adult patients at internal medicine practice on the campus of rural Maine hospital. Completed requirements to practice with autonomy in the State of Maine. • Machias Medical Associates, Machias, ME May 2004 - Jun 2005 Preoperative assessment, history, and physical examination of patients in general surgery practice in rural Maine. Postoperative in-office follow up visits. Assisted in upper and lower endoscopies. MEMBERSHIPS & CERTIFICATIONS • Wreaths Across America / Arlington Wreath Project Board of Directors 2006 - Present Worcester Wreath has donated more than 90,000 wreaths that are placed by volunteers in a wreath-laying ceremony each December. Wreaths across America is a 50lc3 organization with a goal of placing holiday wreaths on the headstones of our Nation's fallen heroes in all state and national cemeteries. • American Academy of Nurse Practitioners c 2004 - Present o , Attachment 4 Graduate School of Nursing Spring Awards & Commencement c May 2009 FNP Student Awardees 1. Outstanding Student Award (MOAA): Capt Lisa Madison, USAF, NC 2. Distinguished Academic Performance Award: LT Melissa Troncoso, NC, USN; Capt Lisa Madison, USAF, NC; CPT Christopher McKenzie, AN, USA 3. Distinguished Clinical Performance Award: MAJ Rikkina Pulliam, AN, USA 4. Who's Who: LT Melissa Troncoso, NC, USN; Capt Lisa Madison, USAF, NC; Capt Andrew DeLang, USAF, NC; Maj Jon Geno, USAF, NC; MAJ Rikkina Pulliam, AN, USA; Capt Danielle Deutschendorf, USAF, NC 5. First Year Outstanding Student Award: MAJ Thurman Saunders, AN, USA 6. Dean's Award for Research Excellence: Capt Christina Carter, USAF, NC; Capt Andrew De Lang, USAF, NC; LCDR Gregory Jones, NC, USN (Adherence to Disease Management Recommendations for Hypertension in a Population of Older Adults with Health Insurance and a Regular Place of care) peNS Student Awardees 1. Outstanding Student Award (MOAA): Capt Mary Hillanbrand, USAF, NC 2. Distinguished Academic Performance Award: Maj Beth Brenek, USAF, NC; CPT Carolyn Watson, AN, USA 3. Distinguished Clinical Performance Award: CPT Carolyn Watson, AN, USA C 4. Who's Who: LT Sandra Myers, NC, USN; LCDR Julie Conrardy, NC, USN 5. First Year Outstanding Student Award: LCDR Barbara Whiteside, NC, USN 6. Dean's Award for Research Excellence: Capt Mary Hillanbrand, USAF, NC and Capt Glen Tacey, USAF, NC (Goals Based Program Evaluation: Role Preparedness of the Perioperative Clinical Nurse Specialist) PMH Student Awardees 1. Outstanding Student Award (MOAA): n/a 2. Distinguished Academic Performance Award: n/a 3. Distinguished Clinical Performance Award: n/a 4. Who's Who: n/a 5. First Year Outstanding Student Award: MAJ Kellie Norris, AN, USA 6. Dean's Award for Research Excellence: n/a RNA Student Awardees 1. Outstanding Student Award (MOAA): LT Rafal Banek, NC, USN 2. Who's Who: CPT (P) Laura Gallaway, AN, USA; LT Maria Ocampo Williams, NC, USN; LT Rafal Banek, NC, USN; LT Tiffany Dodson, NC, USN; Capt James Spencer, USAF, NC; LCDR Kristal Dye, PHS; Capt Clinton Hartman, USAF, NC c 3. First Year Outstanding Student Award: LCDR Nathaniel Clark, NC, USN Graduate School of Nursing Spring Awards & Commencement May 2009 o PhD Student Awardees Outstanding Student Award (MOAA): Lt Col Julie Bosch, USAF, NC FNSC Award Recipients: MSN: CPT (P) Laura Gallaway, AN, USA PhD: CAPT Laura E. Shay, USPHS BOR: Major Jon Geno, USAF, NC Esprit de Corps Award (student vote): To be announced at Commencement o o Graduate School of Nursing Spring Awards & Commencement c May 2009 Commencement Hooders: FNP: LTC Sandra McNaughton, AN, USA PMH: n/a PCNS: BG(ret) William Bester, AN, USA Commencement Faculty Marshalls: LTC Richard Prior, AN, USA Diane Padden, PhD, CRNP Faculty Awards: Outstanding Masters Uniformed Faculty Award: LCDR David Markell, NC, USN Outstanding Masters Civilian Faculty Award: Joseph DeSoto, PhD, MD Outstanding Doctoral Faculty Award: Dorraine Watts, PhD, RN Faye G. Abdellah Senior Research Award c CAPT Patricia Kelley, NC, USN GSN Scholarly Practice Award LTC(P) Elizabeth Vane, AN, USA Dean's Award for Excellence in Teaching LTC Richard Prior, AN, USA Faculty Leadership Esprit de Corps COL Bruce Schoneboom, AN, USA GSN Award for Interdisciplinary Collaboration and Contributions Dr. Lee Metcalf Dean's Special Service Recognition Award c Dr. Ernest Hepler TAB 32 c Uniformed Services University of the Health Sciences Board of Regents Board Brief Submitted by: Col P. K. Lillis-Hearne USA Date: 15 April 2009 Title & Department: Director AFRRI Phone: 301-295-1210 ~~~~~~~------ Purpose: Information _~X-=---_ Action --- Subject: AFRRI Update/Brief to Academic Subcommittee • Brief History of AFRRI Research Program • Programmatic Research in DOD C · Current Research Program • Future Directions c May 2009 , I III 111. TAB 33 Uniformed Services University of the Health Sciences c Board of Regents Board Brief Submitted by: Andrew J. Bauer, LTC MC USA Date: 20 Apr 2009 Title & Department: President, Faculty Senate Phone: 295-9716 Purpose: Information --==----X Action ---- Subject: Report from the Faculty Senate Significant Issues, Current & Future Concerns: I. Awards and Honors A. Carol Johns Award presentation - Brian Cox, PhD II. Update from Senate Subcommittees and Working Groups A. Mentoring Committee c • The Faculty Senate mentoring committee, with support from the Henry Jackson Foundation, conducted Orientation Day for New Faculty on Tuesday, April 14, 2009. The final agenda was developed with input from members of the mentoring committee as well as discussions with new faculty members and leadership from within the University, including The President, the Deans, and Department Chairs. A pre and post survey of participating faculty was administered and will be analyzed over the next 3-4 weeks, with results disseminated to the faculty and speakers. Informal responses from participants and speakers has been very positive-the orientation day was well received and a welcome addition for new faculty; many expressed their hope that it will continue into the future. • Other initiatives currently underway include o Developing a University website that would allow any faculty member to search for a mentor and/or project collaborators based on fields of interest. The preliminary version of the website is now available at http://www.usuhs.mil/faculty/mentoring.html (Attachment 1). Funding/Budget EstimateIFiscal Impact: Budget estimate from initial Orientation - $750 (printing), $3000 (refreshments), AV/recording and web-development (services in-kind) Staffing Impact: USU Senators and members of the subcommittee shoulder c May 2009 responsibility for strategic planning as well as logistical coordination for program development, registration, VIP and lecture invitations, room reservation, advertising, snack and reception contract, survey development and analysis. 0 Board Action Requested: Discussion/guidance on how USU Senate sponsored programs can receive more administrative support from USU. B. Communications Committee • Web-Based Portfolio System (WBPS) o Communications committee is actively engaged in research and development of a USU WBPS. o Buy vs. build. UIS does not have resources to develop an open source program. Systems such as the UC Davis and OSU systems currently have 7-10 staff. o Subcommittee members have been in contact with OSU and UC Davis for development modeling, resource estimates and to determine if licensing agreement could be extended to USU. AAMC has also been contacted for guidance. o Members ofUIS are active participants at subcommittee meetings to ensure efficiency of development and compliance with current USU software, servers and that data feeds include a human resources system, registrar system, and research/grant database. o Benefits to the University; mentoring, research collaboration, promotion and tenure and efficient and timely communication with billeted and nonbilleted faculty. Funding/Budget Estimate/Fiscal Impact: Costs would include additional VIS suppO staff to manage the system and cost of the software development and/or licensing. Staffing Impact: As above Board Action Requested: Support to program development and deployment ofUSU WBPS by end of FYIO. C. Research Committee • Research Week - Dates: 11-14 May 2009 o Plenary Speaker: Patricia Grady, PhD, RN, F AAN. Director, National Institute of Nursing Research. National Institutes of Health o Symposia A: Trauma Co-chaired Dr. lulianna Kiang, Dr. Dorraine Watts o Symposia B: Central Nervous System (Neuroregenerative Medicine) chaired Dr. Regina Armstrong o Symposia C: Cancer co-chaired Dr. Mary Lou Cutler and Dr. 10hnan Kaleeba. o Wu and Leonard Award winners: • Wu Award for basic science: Dr. Alison O'Brien • Leonard Award for clinical science: Dr. Thomas Darling Funding/Budget Estimate/Fiscal Impact: No budget issues c Staffing Impact: Supported through REA Board Action Requested: Informational D. Education Committee th 1. Education Day 2009 - June 26 : Building Bridges: Integrating Basic and Clinical Science Education o Guest speakers: • Gail Morrison, MD, Vice Dean for Academic Programs, Professor of Medicine, University of Pennsylvania • Cynthia Forehand, Ph.D., Professor of Anatomy and Neurobiology, Director, Foundations Level of Medical Curriculum, University of Vermont • Registration: Currently 81 faculty are currently registered; On-line Registration closes June 19,2009 Abstract submission: Closed April 15,2009 • Request for continuing education activity review is being submitted to the Continuing Health Education Office • Innovation in Teaching Awards: Peer nominated and reviewed teaching awards at the University. Awardees will receive $2500 to be used for future educational innovation and a certificate presented at the Education Day luncheon. Pre-clinical - 3 nominations; Clinical - 4 nominations 2. Faculty Forward (AAMC/COACHE collaboration): Surveys are being sent out in groups of 50 emails at a time to participating USU faculty. Problems have been c identified with the emails to non-billeted USU faculty. Their emails are being rejected by their servers. Col Rapp and Mr. Hanson are working with the representative from COACHE to try and resolve the problem. Funding/Budget Estimate/Fiscal Impact: Education Day budget has been incorporated into Senate Budget for FY09. No current shortfalls at this time. Staffing Impact: USU Senators and members of the subcommittee shoulder responsibility for strategic planning as well as logistical coordination for program development, registration, VIP and lecture invitations, room reservation, advertising, snack and reception contract, survey development and analysis. Board Action Requested: Discussion/guidance on how USU Senate sponsored programs can receive more administrative support from USU. E. Comparability and Welfare • USU faculty salaries have fallen far behind median salaries reported by the AAMC, in violation of Federal statute requiring comparability. President Rice has successfully obtained a $6 million dollar increase in FY 2010 USU funding to bring faculty salaries into statutory compliance. This amount was calculated to be the minimum needed to achieve comparability as defined by median USU May 2009 compensation compared to median AAMC salaries nationwide. • The SOM Dean has appointed a committee of senior USU PhD and MD faculty to develop recommendations for how the additional money is to be distributedO order to bring median USU faculty salaries in line with median salaries at AAMC national levels. This process is advancing with representation of the Faculty-Senate in an open and transparent manner. • Concerns exist that the recommendations developed by this committee will not be implemented by CPMS, and that some of the monies intended for achieving comparability will be set aside for new faculty hires. If either of these conditions are realized it would have significant negative repercussions for faculty morale. Board Action Requested: The Faculty Senate requests the continued support of the BOR in ensuring that the funds intended to address ongoing disparities in compensation be used for that purpose only and in the most expeditious manner consistent with Federal statute. F. Nominations Committee • Senate approved Senate President to extend 3-year term of 4 Senators due to rotate to maintain continuity of programming and balance in 1/3 turn-over goal as outlined in USU Senate constitution. • 2009 ballot will include voting on; o President-elect o Secretary Clinical - 4 (billeted) Basic - 3 (billeted) 0 • Election results due 30 May, results to be announced at Spring Assembly, 15 .. June MayO I( t B '}lI.lI1K usu Faculty Mentoring http://www.usuhs.mil!faculty/mcntoring.html Attachment J C~..,q~'lliL·"'''~NIFORMED SERVl CES UNIVERSITY HI'edt/:) SEARCH USU; Go Faculty Mentoring Contact Information What is Faculty 4301 Jones Bridge Road Faculty mentoring is a core component of career and academic success, as Bethesda, Maryland 20814 well as enhanced personal growth and job satisfaction. The USU Faculty Senate supports these vital concepts and has developed this Faculty Mentoring Web-Site to facilitate all USU Faculty in finding mentors for all aspects of their academic life. Some characteristics of mentors and mentee's are listed below. Faculty Mentoring at USU c The primary responsibility for mentorlng at USU is within the individual department of the schools and institutes of the University. One of the subcommittees of the USU Faculty Senate is the Faculty Mentoring subcommittee, the role of which is to help facilitate mentoring within the University. If you are interested in becoming a USU mentor or in searching for a USU mentor please follow the links below. If you would like additional information regarding the USU Faculty Senate Mentoring Program, please contact one of the members: USU Faculty Mentoring Subcommittee Anthony Artino '" William Haffner Paul Hemmer -P Barbara Knollmann -+ Susan Rasmussen Jennifer Rusiecki Mentor - responsibilities! characteristics: -;> Provide a positive and professional environment for academic growth -7 Be accessible Encourage individual growth + Support networking within and outSide the USU environment -7 Provide honest feedback on mentee's progress Mentee - responsibilities! characteristics: Be respectful of the time your mentor is giving you 10f2 4/2112009 10:01 PM USU Faculty Mentoring http://www.usuhs.mil/faculty/mentoring.htmI -7 Be an active listener to your mentor -7 Be eager to engage in opportunities for growth -7 Be open to the ideas and opinions of your mentor o Sign up to be a USU mentor Searcb for a USU mentor Coming Soon Faculty Mentoring/ Development USU New Faculty Orientaton Day Calendar 2009 Site Index USU Home Questions or comments about this site? Privacy/Security Notice Contact our webmaster at: [email protected] Last update: 04/12/09 o o 20f2 412112009 10:01 PM TAB 34 AU 9 Uniformed Services University of the Health Sciences Board of Regents Report to the Board Submitted by: Walter W. Tinling Date: 05/14/09 Title & Department: Assistant Vice 'President for Resource Management Phone: 295-6013 Purpose: Information ---:.-Y__ _ Action ---- Subject: Resource Management Report Significant Issues: Our annual planning figure as of 31 March for FY2009 for the Operation and Maintenance (O&M) budget is $109,672,000. Our O&M planning figure for FY2009 was reduced by $2,384,000, a ten percent reduction to our third quarter allocation. This ten percent reduction was applied across all components of the Defense Health Program. It is unclear at this time if USU will have any of these funds restored. On March 31 st the USU's O&M obligation rate was 53%. As part of the TMA midyear process USU submitted five prioritized issues for consideration: 1) Restoration and Modernization (Health, Safety, Education & Research) $16,083,000 c/ 2) Utilities $721,000 3) Student Travel $550,000 4) 1M/IT Infrastructure $2,097,000 5) Restoration and Modernization (Other) $12,098,000 USU received Congressional adds in the Research, Development, Test and Evaluation Appropriation (RDT&E) for: U.S. Military Cancer Institute, ($3.9M), the Integrated Translational Prostate Disease . Research Program at Walter Reed Army Medical Center ($3.9M), Pharmacological Countermeasures Against Ionizing Radiation ($780K), and Security Solutions from Life in Extreme Environments Center ($1.170M). USU's request to reprogram $5.0M for the ExRad™ Radiation Protection Program from Defense Wide RDT&E to Defense Health Program RDT&E has been approved. Additionally, USU received its first Congressional add of Procurement dollars for the Wide Angle Virtual Environment ($4M). Current & Future Concerns: The financial outlook for FY09 is consistent with the FY08 levels. Funding/Budget Estimate/Fiscal Impact: The ability to execute the $109,672,000 referenced above assumes that the University will earn c ~$9.4M through charge backs and cost transfers. Staffing Impact: No significant impact at the time. Board Action Requested: No Board action requested at this time. Board Action/Comment: o o Defense Health Program USUHS O&M Obligations -FY2008/2009 YTO Through March ($ Thousands) lOU,UUU ~ 140,000 /' 120,000 - 100,000 -----==!. - 80,000 ~ - ...... - 60,000 - - - 40,000 - --? .... 20,000 - 0 ------4L Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep c:::J FY09Plan 5,912 12,933 34,353 42,232 50,203 58,641 66,900 13,460 81,966 94,525 103,359 109,612 _ FY080bs 1,168 20,331 32,192 41,941 41,221 54,610 66,080 13,021 84,104 91,965 113,101 149,923 -'-FY090bs 5,912 12,933 34,353 42,232 50,203 58,641 FY 2009 Obligation Plan as of March 2009 "For Information 0 COMPARISON OF ANNUAL APPROPRIATIONS AND TERLY OBLIGATIONS n As of 31 March 20u:! n '($000) FY 2004 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 Current Status Object Class A(!(! ro(! ria ted Obli2;ated % O&M Personnel Compensation $ 38,383 $ 39,272 $ 45,088 $ 46,765 $ 48,562 $ 51,049 $ 27,400 54% $ 57,871 Personnel Benefits $ 8,698 $ 9,090 $ 10,586 $ 11,053 $ 11,458 $ 12,045 $ 6,397 53% $ 14,468 Severance Pay $ $ $ $ $ $ $ $ Travel $ 3,298 $ 3,413 $ 3,580 $ 3,956 $ 5,267 $ 6,379 $ 3,647 57% $ 4,468 Transportation $ 57 $ 71 $ 48 $ 147 $ 155 $ 123 $ 108 88% $ 161 Rent, Comm & Utilities $ 4,936 $ 5,432 $ 6,234 $ 7,498 $ 6,172 $ 6,393 $ 4,281 67% $ 6,729 Printing $ 43 $ 63 $ 21 $ 78 $ 29 $ 38 $ 18 47% $ 27 Other Services $ 15,194 $ 21,568 $ 65,368 $ 54,208 $ 56,811 $ 14,506 $ 10,812 75% $ 27,621 Supplies $ 5,411 $ 5,526 $ 5,714 $ 6,131 $ 5,909 $ 5,407 $ 3,379 62% $ 5,402 Equipment $ 2,197 $ 1,754 $ 4,724 $ 5,377 $ 4,326 $ 1,028 $ 625 61% $ 887 Grants/Stipends $ 17,263 $ 19,177 $ 10,260 $ 4,275 $ 11,234 $ 12,673 $ 1,949 15% $ 5,627 Financial Transfer $ $ $ $ $ $ 31 $ 31 100% $ Claims $ $ $ 35 $ 33 $ $ $ $ TotalO&M $ 95,480 $ 105,366 $ 151,658 $ 139,521 $ 149,923 $ 109,672 $ 58,647 53% $ 123,261 O&M TBI/PH $ $ $ $ 3,117 $ 9,809 2 $ $ $ Procurement $ $ $ $ 1,273 $ 300 $ 4,307 q $ $ 313 RDT&E,DHP $ 41,337 $ 9,011 $ 17,290 $ 10,774 $ 87,889 $ 16,538 3 $ 2,119 13% $ 13,851 RDT&E,DDR&E $ 1,889 $ 2,076 $ $ $ $ $ 0% $ GRAND TOTAL $ 138,706 $ 116,453 $ 168,948 $ 154,685 $ 247,921 $ 130,517 $ 60,766 47% $ 137,425 I Includes $6.4M for Triservice Nursing Research Program; $1.196M for Patient Safety Program: $0.486M for Global Emerging Infection Surveillance (GElS): $2.511 M for Graduate Medical Education: $1.816M for Avian! Pandemic Influenza Studies: $0.463M for MedXellence Course; $0.251 M for MEIR; $0.500M Nursing Feasibility Study; $1.5M for CDHAM ASD Global Stability Operations; -$2J84M for 10% withhold 3rd qtr allocation, and $0.524M for other small initiatives. , Includes $2.0M for Center for Deployment Psychology Program; $3.57M for Center for Traumatic Stress (CSTS); $0.978M for PDHealth.mil website redesign project; $1.836M for Tri-Service Respect-mil programs: $1.425M for Tri-Service PTSDfTBlIMUPS Patient Treatment programs. 'Includes $3.9M for US Military Cancer Institute: $3.9M for Integrated Translational Prostate Disease Research at Walter Reed AMC, $0 780M for Pharmacological Countermeasures to Ionizing Radiation; and $1 170M for Security Solutions from Life in Extreme Enviroments Center. • Includes $4.0M tor the Wide Angle Virtual Environment. S:\BUDlBoard of Regents\FY09\FY09 Obligations by Object Class Report for BOR 4/8/2009 TAB 35 c Uniformed Services University of the Health Sciences Board of Regents Board Brief Submitted by: .:;:D:...,:e;..:;;n=n=is:...S,::..t.:.,:u"""t=z ______Date: 4/14/09 Title & Department: Director, Review and Evaluation Phone: 295-3681 Purpose: Information X Action ---- Subject: Office of Review and Evaluation Report Significant Issues: l. DoD Hotline Cases The Office of Review and Evaluation (DRE) received one Hotline Case in FY08. This case was investigated and the results provided to the Department of Defense Hotline, through the University President, by its due date of 10 November 2008. (Hotline Cases are forwarded to the Office of the President for appropriate delegation.) 2. Management Control Program a. Audits - DRE continues to participate in audits of the University's Government Purchase card Program. These audits are performed in partnership with the Contracting Directorate. b. Inquiries - DRE conducted five internal inquiries on matters that were referred or directed by other departments. Two inquiries resulted in the resignation of one employee. The remaining three inquiries resulted in modification of policies and procedures. c. Annual Statement of Assurance - The Annual Statement of Assurance for FY08 was completed 90 days earlier than was required in previous years. This was done in order to meet a new requirement from Tricare Management Activity (TMA). As such, over 200 internal reports were collected and analyzed. As a result of this process, DRE developed an online checklist that will function both as the checklist of record for the departments submitting Statements of Assurance as well as a survey tool for the collection of data. Utilizing this tool, DRE will be better able to focus review efforts c May 2009 during the year and target specific areas for questions future Statements of ASSuranCO d. President's Open Door Policy - During FY08, DRE has reviewed and provided input to the President's Office on 25 new Open Door requests. These range from questions about salary to reviews of policy and procedures university-wide. DRE implemented a policy of answering the Open Door submissions within 10 business days and, with few exceptions, has been able to meet this deadline. The goal of this policy is to provide the university community with a quick response to their inquiries and encourage them to utilize this as a resource for submitting ideas and concerns. e. Projects - In conjunction with the Chief of Staff, the Director, DRE implemented a tracking system for projects undertaken by the department. Since implementation of this system at the end of April 2008, the department has completed over 70 projects. These projects range in size from simple reviews of policy to investigations of fraud, waste, and abuse. This system provides an accurate overview of the activities being conducted within the department and provides the President's Office with comprehensive oversight of the direction the department is going. Current & Future Concerns: None at this time o Funding/Budget Estimate/Fiscal Impact: NIA Staffing Impact: NIA Board Action Requested: No action is requested. MayO • TAB 36 I •• c Uniformed Services University of the Health Sciences Board of Regents Board Brief Submitted by: BG William Bester, AN, USA (Ret.) Date: 14 April 2009 Title & Department: Acting Vice President for External Affairs Phone: 301-295-1219 Purpose: Information __X=-_ Action ---- Subject: Vice President for External Affairs Progress Report Significant Issues: Alumni Affairs - USU Alumni Named to Significant Leadership Positions: BG Joseph Caravalho Jr., Corps Surgeon, XVIII Airborne Corps, Fort Bragg, N.C., (and former Multinational Corps-Iraq/Multinational Forces-Iraq Surgeon) was selected as the c next Commanding General, Brooke Army Medical Center/Great Plains Regional Medical Command, Fort Sam Houston, Texas. CAPT David Beardsley, class of 1984 was named as Chief Operating Officer, North Chicago Federal Healthcare Facility. He is currently the Commanding Officer, Naval Health Clinic, Annapolis, Maryland. CAPT C. Forrest Faison, class of 1984, was selected to serve as 7th Fleet Surgeon. He is currently the Commanding Officer, Naval Hospital, Camp Pendleton, California. COL Dallas Romas, class of 1987, replaced BG Joseph Caravalho, class of 1983, as the Multinational Corps-Iraq/Multinational Forces-Iraq Surgeon, overseeing all Army medical assets in Iraq. CDR Patricia McKay, class of 1995, has been named to succeed Col Ken Tashiro, class of 1984, as the new Commandant, F. Edward Hebert School of Medicine. CDR McKay will report to USU for duty on July 1 from her current position as residency director for the combined Walter Reed Army Medical CenterlNational Naval Medical Center orthopaedics residency program. Upcoming Alumni/Faculty Receptions: ~ American Association of Nurse Anesthetists, San Diego, CA, August 2009 \.....- May 2009 Commencement - Saturday, May 16,2009, from 11:00 a.m. until 1:00 p.m. DAR Constitution Hall, 18th o and "D" Street NW, Washington, D.C. Board of Regents Reception prior to ceremony in the "Blair Room" at 9:30 a.m. USU will provide transportation as necessary from hotel. Parking is available in the Dept. of Interior garage. Board members will sit on stage. Spouses are invited to attend; they will sit in Box seating. Commencement speaker will be LtGen James Roudebush, USAF, MC, Surgeon General, U.S. Air Force. Community and Government Affairs - Recent activities: Legislative Staff Members Visit - Sen. Benjamin Cardin/Sen. Barbara Mikulski - February Visit by Montgomery Housing Partnership Staff - February Visit by Special Assistant, Executive & Legislative Affairs, National Naval Medical Center - March Met with Executive Director - Bethesda Urban Partnership - April Met with President, Bethesda/Chevy Chase Chamber of Commerce - April Upcoming events: Visit by Air Force Association Legislative Staff - pending Meeting with Mr. Randy Schools, President-C.E.O. NIH & NOAA Recreation and . Welfare Association - April o Media Affairs - Personnel status: - The Media Affairs division is currently staffed full-time by one Air Force E-5, one Navy E-5, and two contract employees. One of the contractors is responsible for overseeing the media affairs division until the vacant GS-12 position can be advertised and filled on a permanent basis. The other contractor is a short-term, five-month . employee who will be at USU through August. Media Activities: - Between February and April, fielded queries from several reporters on a variety of subjects including the ethics of DoD travel funded by outside sources (Associated Press), a NIDA study that used USU as a participating site, - COL Geoffrey Ling, faculty member in USU's Department of Neurology, was featured on the April 12 "60 Minutes" broadcast for a segment on a lifelike prosthetic arm. - USU hosted a screening ofthe PBS primetime special "Coming Home: Military Families Cope with Change," featuring Stephen Cozza, M.D., professor, Dept. of Psychiatry. The screening was held in partnership with Maryland Public Television and was attended by MHS leadership, military families, staffers from Senator Cardin and o --. Congressman Van Hollen's offices, USU faculty, students, and staff, and a number of external guests, including representatives from organizations that work with military families. Dr. Cozza was interviewed by Maryland Public Television for their program, "Open Discussion" which aired March 31, 2009. - Patricia Deuster, Ph.D., MPH, professor, Department of Military and Emergency Medicine and director, Human Performance Laboratory, was asked to participate in an upcoming PBS special tentatively called "The Science of Healing," being produced by Resolution Pictures, under the direction of Emmy-winning producer Renard Cohen. The show will examine the science behind the use of exercise, smell, sight, emotion and state of-mind as an effective tool for healing. It will center on the story of NIH scientist Dr. Esther Sternberg, whose debilitating arthritis was reversed after a vacation in Crete. Dr. Deuster's research and work in the exercise arena will be the focus, and filming of Dr. Deuster is scheduled for April 29, 2009. Current & Future Concerns: None at this time. Funding/Budget EstimatelFiscal Impact: None at this time. Staffing Impact: VPE currently has a number hiring actions in the system, including a GS-12 Senior Administrative Specialist position that will serve as the director, Board of Regents Support division. Board Action Requested: None UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 www.usuhs.mil 8 May 2009 MEMORANDUM FOR LARRY W. LAUGHLIN, M.D., Ph.D. DEAN, SCHOOL OF MEDICIINE SUBJECT: Class of2009 Students Not Graduating The following two students have additional academic responsibilities that will delay their Graduation: ENS James Gilson, MC, USNR 2d Lt Michael Nay, USAFR, MSC This being the case, they will not graduate with their class on 16 May 2009. If the academic work is completed successfully, graduation is anticipated, but not certain, on or around 1 July 2009. Richard M. MacDonald, MD Associate Dean for Student Affairs, Professor of Psychiatry Lem'ninob to Care JItor Those in Harm :~. Wav~ UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 http://www.usuhs.mil 16 July 2009 MEMORANDUM FOR THE CHAIRMAN, BOA ENTS, USUHS THROUGH: Dean, S o'D~'bm~~pi.Coine SUBJECT: Reference is made to my memorandum, subject as above, dated 11 May 2009, and the attachment thereto. Reference is also made to USUHS Instruction 1201, subject: Student Promotions Committee, dated 19 December 2005. The following students has satisfactorily completed all academic requirements and is hereby recommended to be awarded the Doctor of Medicine degree and enter graduate medical education: NA Y, Michael R. An amended Recommendation List is attached. This letter of recommendation does not preclude the Dean, School of Medicine, from removing any student listed hereon for cause. BRIAN V. REAMY, M.D. Col, USAF, MC Chairman, Student Promotions Committee Attachment Learning to Care for 1hose in Harm's Way L 1i i m" . '" CLASS OF 2009 CERTIFICATION FOR GRADUATION LIST Adams, Daniel J. Dent, Michael S. Ambrosio, Art A. Dettmer, Jonathan R. Amin, Rohul Divis, Victoria S. Anderson, David M. D'Orazio, Gary W. Anderson, Kristi R. Dorsey-Spitz, Ryan S. Andrews, Christopher M. Downing, Kevin J. Andrews, Kristine E. Duncan, Joshua R. Arkin, Keren Dye, Cicely A. Baber, Wesley L. El-Khoury, Bashir B. Backus, Yolanda A. Enujioke, Sharon C. Baker, Joshua R. Erickson, Delnora Ballard, Brad R. Everson, Peter D. Balog, Todd P. Falls, William L. Bandino, Justin P. Finny, Joel V. Bandino, Michelle L. Francisco, Ramil M. Bevans, Scott E. Freiler, Anthony D. Boller, William A. Fridman, Izhak Borden, Nathan 1. Gann, Jami L. Brady, Robert O. Gaspary, Micah 1. Brewer, Michael D. Germain, Anneliese Bruehwiler, Timothy J Giberman, Anthony A. Brunson, Michael R. Gilson, James T. Bums, Rebecca K. Goodlow, Gale K. Caldwell, Kimberly B. Gruters, Amber K. Campbell, Barrett H. Gustafson, Joshua D. Campbell, Elizabeth A. Han, Samuel J. Chen, Brian S. Hansen, Dallas G. Christiansen, Joseph S. Hanson, Robert S. Cochet, Anthony A. Hathaway, Emily Crimm, Hampton A. Heaton, Benjamin J. Cunningham, Michael E.A. Heisel, Matthew O. Cunningham, Scott E. Heygood, Erick M. Daly, Patrick L. Holdaway, Andrew Davila-Moriel, Erik E. Hoy, Kattie D. Dean, Katherine A. Hsu, Nicole Dedekam, Erik A. Hurvitz, Andrew P. Degon, Michael S. Ismawan, Johanes M. Dengler, Bradley A. Ivy, Katherine M. .. hlitJUH 11 lii _Itt n."' n I < • Jackson, Aaron M. Reinsvold, Richard E. Jackson, Cody R. Rey, Jean-Marie A. Kasprenski, Matthew C. Reyes, Ila S. Kelly, Belinda L. Rivera, Victor A. Kern, Mary E. Robinson, Andrew Y. Kern, Sean Q. Rodriguez, Gabriel A. Kosatka, Donald 1. Ross, Kristen L. Kumbalasiri, Tida Russell, Daniel H. Kuschnerait, Andrew J. Russell, Travis C. Langton, Richard S. Rustad, Kristina R. Ledford, Christopher C. Sasso, Adam R. Lee, Michael A. Scheibler, Christopher M. Legault, Gary L. Schuerger, Shannon C. Lennon, Courtney L. Scott, Owen J. Lennon, Robert P. Searcey, Brett K. Lewis, Stephen L. Simmons, Joshua R. Singh, Nicklesh N. Liu, Mark Smith, Stephanie L. Louden, Joseph G. Stierwalt, Jennifer K. Major, Meikel Swenson, Matthew J. Manley, James M. Thai, Becky Martin, William E. Tiger, Michael K. McAdams, Douglas C. Tillman, Brendon G. McGuire, Daniel P. Triplet, Joseph 1. Meggitt, Craig D. Trivette, Evan T. Mielke, Arthur R. Trowbridge, Richard E. Mingo, Shannon A. Truscott, Daniel T. Minyard, Joshua W. Warfield, Sonia L. Molchan, Ryan P. Waters, Brit C.D. Moss, David A. Watts, Michael A. Mossop, Corey M. Welser, Sarah K. Murray, Maureen L. White, Alexander Narvaez, Joseph R. Wilson, David 1. Nay, Michael R. Wong, Priscilla H. Nolan, Melody Zeligs, Kristen P. Ori, Timothy R. Park, Matthew H. Pearce, Teresa D. Penn, Ashley B. Petteys, Sarah K. Polfer, Elizabeth M. Quiles, John G. Reed, Aaron D. Reinsvold, Regina M. 'Page 2 of 2 yages UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES 4301 JONES BRIDGE ROAD BETHESDA, MARYLAND 20814-4712 http://www.usuhs.mil 11 May 2009 MEMORANDUM FOR THE CHAIRMAN, BOA THROUGH: Dean, Sc 0 SUBJECT: In accordance with USUHS Instruction 1201, subject: Student Promotions Committee, dated 19 December 2005, the Student Promotions Committee met on 27 March 2009,22 April 2009, and 6 May 2009 to review each fourth-year student's performance prior to completion of his/her fourth year. The Committee recommends those students whose names appear on the attached Certification List to be awarded the degree of Doctor of Medicine and enter graduate medical education provided that all remaining academic requirements are met. Two students are specifically noted: 1. ENS James T. Gilson, on the Certification List: ENS Gilson is not on academic probation and is recommended for graduation and receipt of the Doctor of Medicine degree, contingent upon successful completion all academic requirements. ENS Gilson is awaiting the results of Step 2-CS of the United States Medical Licensing Examination, taken on 21 April 2009. 2. 20dLt Michael R. Nay, not on the Certification List: 20dLt Nay is on academic probation and is in the process ofremediating academic difficulties; he is not recommended to receive the Doctor of Medicine degree at this time. Upon successful remediation and removal from academic probation, he will be individually recommended for receipt of the Doctor of Medicine degree and his name will be forwarded to the Board of Regents through the Dean, School of Medicine. 2ndLt Nay is scheduled to retake Step 2-CS of the United States Medical Licensing Examination as soon as can be scheduled. This letter of recommendation does not preclude the Dean, School of Medicine, from removing any student listed hereon for cause. BRIAN V. REAMY, M.D. Col, USAF, MC Chairman, Student Promotions Committee Attachment Learning to Care for Those in Harm's Tffly ___R4 __"'_'''''''_~' __'_' ...... , ___ ...... ______... 1.______._. _J$_. __._u .... _ CLASS OF 2009 CERTIFICATION FOR GRADUATION LIST Adams, Daniel J. Dengler, Bradley A. Adcock, Mary E. Dent, Michael S. Ambrosio, Art A. Dettmer, Jonathan R. Amin, Rohul Divis, Victoria S. Anderson, David M. D'Orazio, Gary W. Anderson, Kristi R. Dorsey-Spitz, Ryan S. Andrews, Christopher M. Downing, Kevin J. Andrews, Kristine E. Duncan, Joshua R. Arkin, Keren Dye, Cicely A. Baber, Wesley L. EI-Khoury, Bashir B. Backus, Yolanda A. Enujioke, Sharon C. Baker, Joshua R. Erickson, Delnora Ballard, Brad R. Everson, Peter D. Balog, Todd P. Falls, William L. Bandino, Justin P. Finny, Joel V. Bandino, Michelle L. Francisco, Rami! M. Bevans, Scott E. Freiler, Anthony D. Boller, William A. Fridman, Izhak Borden, Nathan J. Gann, Jami L. Brady, Robert O. Gaspary, Micah J. Brewer, Michael D. Germain, Anneliese Bruehwiler, Timothy J Giberman, Anthony A. Brunson, Michael R. Gilson, James T. Burns, Rebecca K. Goodlow, Gale K. Caldwell, Kimberly B. Gruters, Amber K. Campbell, Barrett H. Gustafson, Joshua D. Campbell, Elizabeth A. Han, Samuel J. Chen, Brian S. Hansen, Dallas G. Christiansen, Joseph S. Hanson, Robert S. Cochet, Anthony A. Hathaway, Emily Crimm, Hampton A. Heaton, Benjamin J. Cunningham, Michael E.A. Heisel, Matthew O. Cunningham, Scott E. Heygood, Erick M. Daly, Patrick L. Holdaway, Andrew Davila-Moriel, Erik E. Hoy, Kattie D. Dean, Katherine A. Hsu, Nicole Dedekam, Erik A. Hurvitz, Andrew P. Degon, Michael S. Ismawan, Johanes M. " it Ii II ]1 Ivy, Katherine M. Reed, Aaron D. Jackson, Aaron M. Reinsvold, Regina M. Jackson, Cody R. Reinsvold, Richard E. Kasprenski, Matthew C. Rey, Jean-Marie A. Kelly, Belinda L. Reyes, IIa S. Kern, Sean Q. Rivera, Victor A. Kosatka, Donald 1. Robinson, Andrew Y. Kumbalasiri, Tida Rodriguez, Gabriel A. Kuschnerait, Andrew 1. Ross, Kristen L. Langton, Richard S. Russell, Daniel H. Ledford, Christopher C. Russell, Travis C. Lee, Michael A. Rustad, Kristina R. Legault, Gary L. Sasso, Adam R. Lennon, Courtney L. Scheibler, Christopher M. Lennon, Robert P. Schuerger, Shannon C. Lewis, Stephen L. Scott, Owen J. Liu, Mark Searcey, Brett K. Louden, Joseph G. Simmons, Joshua R. Major, Meikel Singh, Nicklesh N. Manley, James M. Smith, Stephanie L. Martin, William E. Stierwalt, Jennifer K. McAdams, Douglas C. Swenson, Matthew 1. Thai, Becky McGuire, Daniel P. Tiger, Michael K. Iv1eggitt, Craig D. Tillman, Brendon G. Mielke, Arthur R. Triplet, Joseph J. Mingo, Shannon A. Trivette, Evan T. Minyard, Joshua W. Trowbridge, Richard E. Mitchell, Sarah D. Truscott, Daniel T. Molchan, Ryan P. Warfield, Sonia L. Moss, David A. Waters, Brit C.D. Mossop, Corey M. Watts, Michael A. Murray, Maureen L. Welser, Sarah K. Narvaez, Joseph R. White, Alexander Nguyendo, Long T. Wilson, David 1. Obara, Andrew 1. Wong, Priscilla H. Oldach, Kristen E. Zeligs, Kristen P. Ori, Timothy R. Park, Matthew H. Pearce, Teresa D. Penn, Ashley B. Petteys, Sarah K. Polfer, Elizabeth M. Quiles, John G. Page 2 of 2 yages USUbvFund Report as of March 31, 2009 Direct Budget Totalfunds Used Balance Available $229,788,000 $107,524,442 $122,263,558 Reimbursable Budget Totalfunds Used BalanceAvaiiable $29,944,097 $23,552,846 $6,391,251 Grand Total $259,732,097 $131,077,288 $128,654,809 Thursday, April 02, 2009 Page 1 ofl USU by Appropriation Report as ofMarch 31, 2009 !--~======~~====~===~N~=~~__ ~_~~~~:IiiI':a -"---~'-'"--"-'; iDirect I I ! I Budget Total Funds Used Balance Available I L~~"".".,..~"",,,,,,,,,..,,,,,~~=. ___._ . ..,,.,...... ,,...,.~ .... ,,,,,_,,,,,,,,,,,,~,,,~~_"~"""""-"""~"'.N'''''''''''_"""""",1>''''''''''''-''' ____ ' .==".-_"""""""..,.....",....-..",...... =.",.., ... .-- ...... ".,.<><>,..""'~.:: ...... ",r_"'~=.J FY 07 PROCUREMENT $990,000 $990,000 $0 FY080&M2YR $9,809,000 $845,433 $8,963,567 FY 08 PROCUREMENT $583,000 $0 $583,000 FY08 RDT&E $87,889,000 $38,584,753 $49,304,247 FY090&M $109,672,000 $61,553,596 $48,118,404 FY 09 PROCUREMENT $4,307,000 $0 $4,307,000 FY09 RDT&E $16,538,000 $5,550,660 $10,987,340 -_. --"."_ .. - Total by Fund $229,788,000 $107,524,442 $122,263,558 IReimbursable - " ·--·.-.. -----·--.-'--.··.. ~~ .. ·--·<··------'·-·-~··""-·l , Budget Total Funds Used Balance Available I L~~'...... r"""..".".. ...-_'., ••• , .._~_ ...... """"::r_ __ - ..._""".".._=""""="'_.~_""',..".,.",._== FY090&M $6,524,888 $3,415,835 $3,109,053 FY09 RDT&E $5,903,678 $2,812,756 $3,090,922 Total by Fund $29,944,097 $23,552,846 $6,391,251 Grand Total $259,732,097 II $131,077,288 II $128,654,809 Thursday, April 02, 2009 Page 1 of 1 .. -,--">--,~----~~-~.----.-. ~ ....-.-- ...... :...--. -.---~--.~~.~.'" .... Summary ofBudgets by Activity Group Report as ofMarch 31, 2009 Budget Total Funds Used Balance Available BAG 1, In-House Care $310,000 $247,604· $62,396 BAG 3, Consolidated Health Support $2,117,724 . $1,477,176 BA G 4, Information Management $3,642,000 $3,004,707 $637,293 BA G 6, Education & Traininf! $89,624,000 $47,204,351 . $42,419,649 BA G 7, Base Operations/Communications $12,501,100 $8,979,210 $3,521,890 Grand Total $109,672,000 $61,553,596 $48,118,404 Thursday, April 02, 2009 Page 1 of 1 · . ~~ ____~ ..... ~ _____,~~~. \l!::C~~!'!:IIl:.""3\.~~~~~,t.w.N.C=S".;:;If~.....-:o.~?~~~~~.~"",,~ur-;,. USU by Commodity Report as ofMarch 31,~2009 r=~~======~w=~;::;;-::;;;::~=;::;::;;;~~'~::;;;::;;;::;;;F""';::;:~:::;:"1II'..-~..::t."'__ 3 Civilian Personnel Campen $73,665,175 $28,962,836 $44,702,339 Equipment $17,215,090 $10,202,943 $7,012,147 Financial Transfers $31,000 $31,000 $0 Grants, Stipends $75,179,013 $9,995,799 $65,183,214 Negative Budgets ($13,621,564) $0 ($13,621,564) Other Services $50,768,256 $36,153,934 $14,614,322 Printing $50,204 $18,299 $31,905 Rent, Utilities, Tele, Camm $7,495,168 $4,401,086 $3,094,082 Supplies $10,848,697 $6,912,117 $3,936,580 Transportation $153,000 $108,000 $45,000 Travel $8,003,961 $3,947,716 $4,056,246 Fund Total $229,788,000 $107,524,442 $122,263,558 f'Reimbur-::ble _. ___ ._·._._._·_·_ ... _.. __ .... _.. o_· __·· ____.. ___._ ... ------.. - .. - .. ----··1 I l I Budget Total Funds Used Balance Available ~""'''',..,.,...- ...-~ ~_. ....-.~ ~~",...,.,."""'...... _ .,..~ ~..l Civilian Personnel Campen $2,908,712 $1,727,823 $1,180,889 Equipment $1,204,006 $575,134 $628,872 Grants, Stipends $11,076,004 $10,945,128 $130,876 Other Services $4,102,820 $4,042,196 $60,624 Printing $6 $6 ·$0 Rent, Utilities, Tele, Comm $509,668 $499,668 $10,000 Supplies $7,766,208 $4,290,954 $3,475,254 Support Cost Recovery $1,087,543 $431,575 $655,968 Travel $1,289,130 $598,127 $691,003 Fund Total $29,944,097 $23,552,846 $6,391,251 Grand Total $259,732,097 II $131,077,288 II $128,654,809 Thursday, April 02, 2009 Page 1 of 1 USU by Resposibility Center Report as ofMarch 31,2009 Direct $19,723,080 $11,220,556 $8,502,524 Reimbursable $6,008,650 $4,673,963 $1,334,687 Responsibility Center Total $25,731,730 $15,894,519 $9,837,211 i======"""======- _"._,.~.~~_,"_~_._,..___ ._~._.. ~. __~,._". Reimbursable $56,345 $6,520 $49,825 Responsibility Center Total $4,152,960 $1,971,798 $2,181,162 rNo Center (Reserves) =_.. _.. __ .~ .. _. __ .__ .... _.. _ .. ,._~, .... ~ ...... , __ .w.~. ___ .___ ._."'·-····~·"' .. -· ....-l ! Budget Total Funds Used Balance Available ! "'_~_~~"-"'_~""'J';'~'=""""""'_'__ ~=' ____ ",*, __ ~""""""""",,,,,,,,,,,-=-,,,_~ ___ """"'''''=!'''''=",,-",,~~<_.e'''''''''''~''-''''''='I'.J. Direct ($13,439,614 ) $0 ($13,439,614) Responsibility Center Total ($13,439,614) $0 ($13,439,614) In- -~~T rrz: - -==.~-. ""'~""''''D~_'''''''''''"''''''''''''~'-''''''''~'' __"",,_~~,",="~'_'''~~''·'"''~'''''''''_~_'_'''''''.'''''-''''-""'="-'~"""""""'-~1 i School ofMedicine l I ~ I _ Budget Total Funds Used Balance Available I ~_=•• _,_~,"~=_~",~,,-_,=._~~_~.~,,~_=~~~«._,. ______~. __ "~.~n_~_~""'"_~~~_·~ __ ~~" __~,~,"," __.=,,, ___ =i Direct $83,317,978 $43,203,227 $40,114,751 Reimbursable $20,337,512 $16,582,269 $3,755,243 $103,655,490 $59,785,496 $43,869,994 Budget Total Funds Used Balance Available "" __ .,'-',."..._.,...... -" •..• <.~,'~ ""_.P.~"''''~,.=.~'''''.,.,.~,.,_'''''"'''''".'''-~.... ~''''''''"'''"'.,<...''''",,..,...... '<> ..- •..- ."'''''''''''''.''''.-"."r''''·''''-..... '''','~.~~''...,L=.. ~''''_·~~.~ .. '"-''OI ...... ='"'''' .. 'J·,.. '-.'~'~.' ••,'_-,.,·""""'·"' ..... ,·_~ .. ~,·."'--..,,"'''T'''='''''''7.''"!>~'''''\.,,'''''", .... «"'''',.,...,.,.., ,<:-~'"'=-,~,.>r\_.<.v"'.:-.."''''''"._'''"''''''= .... ~--"'''~''''''"''''.:>.~'T'''' ."~... < -.," , ... ', ~~ Direct $4,091.150 $2,335,530 $1,755,620 Reimbursable $189,242 $23,086 $166,157 Responsibility Center Total $4,280,392 $2,358,616 $1,921,776 Thursday, April 02, 2009 Page 1 of2 ·-,---··-····---·-·-··"·-<····~--·c·--·--~-··· .. - ..,------" ...... , rSupport Senior VP Budget Total Funds Used Balance Available I ___~. "_ ..____ ••. ____.J I Direct $11,361,680 $6,268,431 $5,093,249 Reimbursable $1,568,723 $780,877 $787,845 Responsibility Center Total. $12,930,403 $7,049,309 $5,881,094 r=- ...= . ... ~-~-...... - ... -.~~-. -·"-·-·~··~~··'"'-----·<>·-~--·~-·--~·,.·,.,~1 i Support VP for Finance and A , ! 1 Budget Total Funds Used Balance Available _I_ .• __ ~ ____. ___.~ ___.~._._~.~~ ___ • I . _._==""",.,..,."""""...... ,_._____ ~ .. ______,...... -"""' .• """'rn=<~ ...-"""""f Direct $39,489,772 $19,203,670 $20,286,102 Reimbursable $1,518,414 $1,331,469 $186,945 Responsibility Center Total $41,008,186 $20,535,139 $20,473,047 IVP for Research --·w ==. .. .-.-.. -~.. -... -..-.---.--,--.-- ...-.~.,,-- .. -.. ----.... --.... ----I I Budget Total Funds Used Balance Available I L.~""''''''''''''"'=-'==-,.. ''''''': .. '';, __ ''''''''~_~.= .. _ ..."."'''t=='->=~-'''='''''''''''_=~''',.,,...._"".,_.=-.~'''''''~"~,,~-...-.,.,,,-=~>;':;!"~'''_'''''''~_~==~''''').-':::,~'''<:n<,.=.''"'''''=J Direct $81,147,339 $23,327,749 $57,819,590 Reimbursable $265,211 $154,662 $110,549 Responsibility Center Total $81,412,550 $23,482,411 $57,930, 139 Grand Total $259,732,097 II $131,077,288 II $128,654,809 Thursday, April 02, 2009 Page 2 of2 _ ...... ____------_--_~ Report_as ofMarchll., 2009. Summary ofBudgets by Commodity IDirector of AFRRI Research Program AFRRI Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $826,562 ($826,562) Civilian Personnel Com pens $8,293,222 $3,019,374 $5,273,848 Equipment $145,690 $47,049 $98,641 Grants, Stipends $1,135,500 $0 $1,135,500 Other Services $6,869,984 $5,878,214 $991,770 Printing $2,000 $0 $2,000 Supplies $2,649,433 $1,242,982 $1,406,451 Travel $627,251 $206,375 $420,876 Fund Total $19,723,080 $11,220,556 $8,502,524 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $48,353 ($48,353) Civilian Personnel Com pens $218,877 $158,548 $60,328 Equipment $909,392 $323,728 $585,664 Other Services $2,443,245 $2,530,084 ($86,839) Rent, Utilities, T ele, Comms $57,064 $57,064 $0 Supplies $2,021,941 $1,270,452 $751,489 Support Cost Recovery $285,838 $248,806 $37,032 Travel $72,293 $36,928 $35,365 Fund Total $6,008,650 $4,673,963 $1,334,687 Program Area Total $25,731,730 $15,894,519 $9,837,211 Responsibility Center Total $25,731,730 $15,894,519 $9,837,211 Thursday, April 02, 2009 Page 1 of 15 Report a!f.moj March 31, 2009 Summary ofBudgets by Commodity IGraduate School of Nursing Graduate Nurse Education Program Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $164,192 ($164,192) Civilian Personnel Com pens $2,342,822 $765,873 $1,576,949 Equipment $78,780 $68,473 $10,307 Other Services $947,931 $560,466 $387,465 Printing $4,000 $0 $4,000 Supplies $353,332 $242,278 $111,054 Travel $369,750 $163,996 $205,754 .... .-.. " .... _...... _-_...... _... Fund Total $4,096,615 $1,965,278 $2,131,337 Reimbursable Budget Total Funds Used Balance Available Supplies $41,783 $4,499 $37,284 Support Cost Recovery $5,217 $0 $5,217 Travel $9,345 $2,021 $7,324 Fund Total $56,345 $6,520 $49,825 Program Area Total $4,152,960 $1,971,798 $2,181,162 Responsibility Center Total $4,152,960 $1,971,798 $2,181,162 Thursday, April 02, 2009 Page 2 0/15 Report as of March 31, 2009= 'Summary ofBudgets by Commodity §0 Center (Reserves) No Progam (Reserve account) Direct Budget Total Funds Used Balance Available Negative Budgets ($13,439,614) $0 ($13,439,614) - .. - .... ~ .. -.~ .•.... .'.... -- Fund Total ($13,439,614) $0 ($13,439,614) Program Area Total ($13,439,614) $0 ($13,439,614) Responsibility Center Total ($13,439,614) $0 ($13,439,614) Thursday, April 02, 2009 Page 3 of 15 __""- ______;.... ______~ ______. __ I!eport as ofMarch 31, 2009_ Summary ofBudgets by Commodity iSchOOl of Medicine Graduate Education Program Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $302,865 ($302,865) Civilian Personnel Compens $3,162,072 $1,325,267 $1,836,805 Equipment $16,200 $0 $16,200 Grants, Stipends $1,178,000 $1,175,420 $2,580 Other Services $509,418 $333,600 $175,818 Printing $300 $305 ($5) Supplies $472,709 $151,362 $321,347 Travel $586,700 $357,032 $229,668 ... __ .....•. ".---.. _._- Fund Total $5,925,399 $3,645,851 $2,279,548 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $44,776 ($44,776) Civilian Personnel Compens $280,959 $204,787 $76,173 Equipment $90,655 $81,495 $9,160 Grants, Stipends $10,376,702 $10,349,615 $27,087 Other Services $55,245 $41,055 $14,190 Supplies $141,220 $85,883 $55,338 Support Cost Recovery $84,399 $67,824 $16,575 Travel $306,174 $232,211 $73,963 Fund Total $11,335,354 $11,107,645 $227,709 Program Area Total $17,260,753 $14,753,496 $2,507,257 Graduate Medical Education Program Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $57,812 ($57,812) Civilian Personnel Com pens $790,582 $243,105 $547,477 Other Services $837,044 $611,253 $225,791 Supplies $178,847 $214,149 ($35,302) Travel $1,299,827 $387,977 $911,850 Thursday, April 02, 2009 Page 4 of 15 Report as ofMarch 31, 2.,Oo.!.. Summary ofBudgets by Commodity Graduate Medical Education Program Direct Budget Total Funds Used Balance Available Fund Total $3,106,300 $1,514,295 $1,592,005 Reimbursable Budget Total Funds Used Balance Available Other Services $2,759 $0 $2,759 Support Cost Recovery $441 $0 $441 Fund Total $3,200 $0 $3,200 Program Area Total $3,109,500 $1,514,295 $1,595,205 Medical Student Education Program Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $3,248,470 ($3,248,470) Civilian Personnel Com pens $35,275,629 $14,666,900 $20,608,729 Equipment $1,129,001 $922,075 $206,926 Grants, Stipends $19,399,450 $8,710,220 $10,689,230 Other Services $10,672,595 $5,748,237 $4,924,358 Printing $1,050 $0 $1,050 Rent, Utilities, Tele, Comms $0 $10,370 ($10,370) Supplies $3,357,788 $2,249,854 $1,107,933 Travel $4,450,767 $2,486,955 $1,963,812 Fund Total $74,286,279 $38,043,081 $36,243,198 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $182,937 ($182,937) Civilian Personnel Compens $1,491,739 $742,174 $749,565 Equipment $119,940 $89,018 $30,923 Grants, Stipends $699,302 $595,513 $103,789 Other Services $1,107,321 $1,090,185 $17,135 Rent, Utilities, Tele, Comms $10,000 $0 $10,000 Supplies $4,189,286 $2,346,712 $1,842,574 Support Cost RecoverY $504,876 $114,269 $390,607 Thursday, April 02, 2009 Page 5 of 15 Report as ofMarch 31, 200!, Summary ofBudgets by Commodity Medical Student Education Program Reimbursable Budget Total Funds Used Balance Available Travel $876,495 $313,816 $562,679 Fund Total $8,998,958 $5,474,623 $3,524,335 Program Area Total $83,285,237 $43,517,704 $39,767,533 Responsibility Center Total $103,655,490 $59, 785,496 $43,869,994 Thursday, April 02, 2009 Page 6 of IS Repor"t as !If March 31, 2009 Summary ofBudgets by Commodity ISupport· President. Support President Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $305,398 ($305,398) Civilian Personnel Compens $3,079,365 $1,321,107 $1,758,258 Equipment $12,080 $12,208 ($128) Negative Budgets ($33,450) $0 ($33,450) Other Services $693,862 $550,877 $142,985 Printing $4,660 $100 $4,560 Rent, Utilities, Tele, Comms $8,500 $12,649 ($4,149) Supplies $180,883 $58,576 $122,307 Travel $145,250 $74,616 $70,634 Fund Total $4,091,150 $2,335,530 $1,755,620 Reimbursable Budget Total Funds Used Balance Available . Other Services $11,117 $13,151 ($2,034) Supplies $166,725 $2,000 $164,725 Travel $11,400 $7,935 $3,465 --- .. " .... - .- .. -._ .....- Fund Total $189,242 $23,086 $166,157 :Program Area Total $4,280,392 $2,358,616 $1,921,776 Responsibility Center Total $4,280,392 $2,358,616 $1,921,776 Thursday, April 02, 2009 Page 7 of 15 Report as ofMarch 31, 2009 Summary ofBudgets by Commodity jsupport Senior VP Continuing Health Professional Education Program Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $82,534 ($82,534) Civilian Personnel Compens $894,100 $390,468 $503,632 Other Services $2,300,970 $55,376 $2,245,594 Printing $1,500 $0 $1,500 Supplies $79,650 $42,982 $36,668 Travel $156,200 $74,428 $81,772 --....•.... _._ .... _.. - ... -_ ... _-.-_ ... _.... - Fund Total $3,432,420 $645,788 $2,786,632 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Com pens $11,659 $0 $11,659 Supplies $12,973 $4,170 $8,803 Support Cost Recovery $3,644 $24 $3,619 Travel $10,000 $4,392 $5,608 Fund Total $38,275 $8,586 $29,689 Program Area Total $3,470,695 $654,374 $2,816,321 Support Senior VP Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $54,405 ($54,405) Civilian Personnel Compens $1,044,100 $293,172 $750,928 Equipment $991,500 $990,000 $1,500 Other Services $7,400 $7,557 ($157) Supplies $20,500 $12,073 $8,427 Travel $41,000 $20,011 $20,989 Fund Total $2,104,500 $1,377,218 $727,282 Program Area Total $2,104,500 $1,377,218 $727,282 University Wide Academic Support Thursday, April 02, 2009 Page 8 of 15 Report as ofMarch 31,2009 . Summary of Budgets by Commodity University Wide Academic Support Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $107,415 ($107,415) Civilian Personnel Com pens $1,454,401 $452,600 $1,001,800 Equipment $91,875 $8,521 $83,354 Other Services $1,871.276 $1,449,248 $422,028 Rent, Utilities, T ele, Comms $7.000 $0 $7,000 Supplies $2,187,829 $2,102,240 $85,589 Travel $10,878 $7,246 $3,633 Food Total $5,623,260 $4,127,271 $1,495,989 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $25.179 ($25,179) Civilian Personnel Com pens $162,221 . $87,891 $74.331 Equipment $4,412 $1.287 $3,125 Other Services $118,529 $122,217 ($3,688) Supplies $1,041,497 $535,346 $506,152 Support Cost Recovery $200,816 $0 $200,816 Travel $2,972 $372 $2,600 Food Total $1,530,447 $772,291 $758,156 Program Area Total $7,153,707 $4,899,562 $2,254,146 VP for Distributive Learning Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $16.951 ($16.951) Civilian Personnel Com pens $201,500 $101.204 $100,296 Food Total $201,500 $118,155 $83,345 Program Area Total $201,500 $118,155 $83,345 Responsibility Center Total $12,930,403 $7,049.309 $5,881,094 Thursday, April 02, 2009 Page 9 of 15 Summary ofBudgets by Commodity ISupport VP for Finance and Administration Administration Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $576,957 ($576,957) Civilian Personnel Com pens $6,127,595 $2,191,568 $3,936,027 Equipment $48,390 $0 $48,390 Negative Budgets ($133,500) $0 ($133,500) Other Services $4,756,094 $3,529,346 $1,226,748 Printing $35,000 $17,900 $17,100 Rent, Utilities, Tele, Comms $6,201,989 $3,651,382 $2,550,607 Supplies $772,593 $835,105 ($62,512) Transportation $153,000 $108,000 $45,000 Travel $29,400 $7,755 $21,645 Fund Total $17,990,560 $10,918,012 $7,072,548 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $63,332 ($63,332) Civilian Personnel Com pens $294,405 $231,073 $63,332 Other Services $68,247 $68,247 $0 Rent, Utilities, T ele, Comms $424,712 $424,712 $0 Supplies $17,924 $17,924 $0 Fund Total $805,289 $805,289 $0 Program Area Total $18,795,849 $11,723,301 $7,072,548 Chief Information Officer Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $303,102 ($303,102) Civilian Personnel Compens $2,913,620 $1,118,024 $1,795,596 Equipment $286,900 $260,455 $26,445 Other Services $1,513,899 $1,246,767 $267,132 Rent, Utilities, Tele, Comms $997,561 $726,685 $270,876 Supplies $73,586 $44,696 $28,889 Travel $4,200 $0 $4,200 Thursday, April 02, 2009 Page 10 of15 Report as ofMarch 3!, 2009 Summary ofBudgets by Commodity Chief Information Officer Direct Budget Total Funds Used Balance Available .•..... __ ...... •. _ ... Fund Total $5,789,766 $3,699,729 $2,090,037 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $27,067 ($27,067) Civilian Personnel Com pens $126,380 $99,313 $27,067 Equipment $79,607 $79,607 $0 Other Services $72,356 $72,356 $0 Rent, Utilities, Tele, Comms $17,892 $17,892 $0 Supplies $2,814 $2,814 $0 .. _-_. __ ._-,._"-"-._- --'-_ ..... _---_. __ ._-, -' .... --.<. __ ... ------_.,,--.-.---"" .. - Fund Total $299,049 $299,049 $0 Program Area Total $6,088,815 $3,998,778 $2,090,037 Environmental Health and Safety Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $111,402 ($111,402) Civilian Personnel Compens $1,226,676 $460,051 $766,625 Equipment $13,000 $4,500 $8,500 Negative Budgets ($15,000) $0 ($15,000) Other Services $1,607,718 $1,396,401 $211,317 Printing $994 ($6) $1,000 Supplies $105,146 $49,759 $55,388 Travel $18,548 $4,385 $14,163 Fund Total $2,957,083 $2,026,492 $930,591 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $17,744 ($17,744) Civilian Personnel Com pens $91,824 $74,080 $17,744 Other Services $85,482 $85,482 $0 Printing $6 $6 $0 Supplies $4,954 $4,954 $0 .-_._. ~ , ..,- .,~ -·.0"··' , • '._'_._ •• o~ .~ Thursday, April 02, 2009 Page II of 15 Report as ol.March 31, E!!!.!... Summary ofBudgets by Commodity Environmental Health and Safety Reimbursable Budget Total Funds Used Balance Available Travel $452 $452 $0 FlUld Total $182,717 $182,717 $0 Program Area Total $3,139,800 $2,209,209 $930,591 Resource Management Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $275,622 ($275,622) Civilian Personnel Compens $2,920,560 $1,201,759 $1,718,801 Equipment $5,000 $0 $5,000 Financial Transfers $31,000 $31,000 $0 Other Services $1,207,044 $815,057 $391,987 Printing $700 $0 $700 Rent, Utilities, Tele, Comms $264,000 $0 $264,000 Supplies $72,100 $16,533 $55,567 Travel $38,000 $17,873 $20,127 FlUld Total $4,538,404 $2,357,844 $2,180,560 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $4,615 ($4,615) Civilian Personnel Compens $90,284 $17,825 $72,459 Other Services $138,520 $19,419 $119,101 FlUld Total $228,804 $41,859 $186,945 Program Area Total $4,767,208 $2,399,703 $2,367,505 Support VP for Finance And Administration Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $28,276 ($28,276) Civilian Personnel Com pens $523,403 $164,624 $358,779 Equipment $6,497,896 $0 $6,497,896 Thursday, April 02, 2009 Page 12 of 15 ______;...... ______~="'~_=.!!/!.R0rt as ofMarch !!.!...~Op!"" . Summary ofBudgets by Commodity Support VP for Finance And Administration Direct Budget Total Funds Used Balance Available Grants, Stipends $533,000 $0 $533,000 Other Services $639,560 $0 $639,560 Supplies $5,600 $2,713 $2,887 Travel $14,500 $5,980 $8,520 Fund Total $8,213,959 $201,593 $8,012,366 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $350 ($350) Civilian Personnel Compens $2,555 $2,205 $350 Fund Total $2,555 $2,555 $0 Program Area Total $8,216,514 $204,148 $8,012,366 Responsibility Center Total $41,008,186 $20,535,139 $20,473,047 Thursday, April 02, 2009 Page 13 of 15 Report as ofMarch., 31, 20'!L Summary ofBudgets by Commodity Ep for Research Center for Neuroscience and Regenerative Medicine Direct Budget Total Funds Used Balance Available Equipment $5,000 $5,859 ($859) Grants, Stipends $45,956,581 $0 $45,956,581 Other Services $14,763,419 $12,437,180 $2,326,239 Supplies $5,000 $9,247 ($4,247) Travel $20,000 $5,077 $14,923 Fund Total $60,750,000 $12,457,362 $48,292,638 Program Area Total $60,750,000 $12,457,362 $48,292,638 ResearchProgrann Direct Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $328,749 ($328,749) Civilian Personnel Compens $3,415,528 $1,247,740 $2,167,789 Equipment $7,893,778 $7,883,803 $9,975 Grants, Stipends $6,976,482 $110,159 $6,866,323 Other Services $1,570,041 $1,534,356 $35,685 Rent, Utilities, T ele, Comms $16,118 $0 $16,118 Supplies $333,702 ($362,431) $696,133 Travel $191,690 $128,011 $63,679 Fund Total $20,397,339 $10,870,387 $9,526,953 Reimbursable Budget Total Funds Used Balance Available Civilian Personnel Benefits $0 $27,883 ($27,883) Civilian Personnel Compens $137,810 $109,927 $27,883 Supplies $125,089 $16,200 $108,889 Support Cost Recovery $2,312 $652 $1,660 Fund Total $265,211 $154,662 $110,549 Program Area Total $20,662,550 $11,025,049 $9,637,501 Responsibility Center Total $81,412,550 $23,482,411 $57,930,139 Thursday, April 02, 2009 Page 14 of 15 · ReE,!!!!. as oj March 31, 2001- ~Summary ofBudgets by Commodity Budget Total Funds Used Balance Avalable Grand Total $259,732,097 II $131,077,288 II $128,654,809 I Thursday, April 02, 2009 Page 15 of 15 Responsibility Center Brief to the USU Board of Regents May 15, 2009 Mr. 'Steve Rice Mr. Walt Tinling Resource Management in 000 • Planning, Programming, and Budgeting: - Planning, Programming, and Budget and Execution System (PPBES) • Direct path from strategic planning documents e.g., National Military Strategy, Quadrennial Defense Review, Defense Planning Guidance, to the Program Objective Memorandum (POM), to the Budget • OSD Comptroller, Mr. Hale has gone on record: "I want to put the big "E" back into pPsEs" - Managed by Quarterly Execution Review of appropriated funds allocated by Funding Allocation Documents (FADs) 2 Programming, Budgeting, and Execution Tim e fra me Program Review PR11 I Next POM, POM12 (FY12-FY17) FY08 FY12 FY13 FY14 FY15 FY16 FY17 Execution POM 10 (FY10-FY15) Budget Programming years Future Years Defense Plan (FYDP) ...... / 3 USU Resource Profile Post POM-1 0 $(000) 180,000 --,------, 160,000 +-1 ------t 140,000 -+-1 ---~ 120,000 100,000 80,000 60,000 40,000 20,000 o FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 . PROCPOM~O - O&M PR~9 IIO&M incr POM-10 . R&DPR~9 • R&D incr POM-10 4 Resource Management In• 000 • Execution: - Manage funds in cost centers: • by Appropriation • by Budget Activity Group (BAG) • by Commodity • by Status 5 Appropriations • Operations and Maintenance (O&M) • Research Development Test and Evaluation (RDT&E) • Procurement • Military Construction • Military Pay 6 Budget Activity Groups (BAGs) • Bag 1: Direct Care • Bag 2: Private Sector Care • Bag 3: Consolidated Health • Bag 4: 1M/IT • Bag 5: Management Headquarters • Bag 6: Education and Training • Bag 7: Base Operations/Communications 7 Commodities • Personnel • Travel • Transportation • Communication/Utilities/Rent • Printing • Other Services (Contracts) • Supplies and Material • Equipment • Stipends/Grants 8 Status • Commitment - Plan to spend • Obligation - Contract, Purchase Order, Civilian Hire • Expense - Goods received - services rendered, valid invoice and purchase order (three way match) • Available - Funds that are not committed, obligated, or expensed 9 FY08/090&M Department Budgets $133,145,764* $140,000,000 -,------, $120,000,000 -+-1 - --1 119,930,000 $100,000,000 -+-1 ---1 $80,000,000 -+-1 ---1 • Budget Authority • Projected Earnings $60,000,000 -+-1------1 $40,000,000 -+-1--- $20,000,000 -+-1------1 ~ $13,215,764 $0 --+-1------I 10 * Data as of 31Apr 2009 Middle States USUHS Total Obligations Direct and Reimbursable ($M) FY98-FY08 250~1------~ 200 I ...... ~ 150 I • • , ~ 100 I ~ 50 +I------~ o FY98 FY99 FYOO FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 [ -"';'Total Obligations - I $ Includes Direct and Reimbursable O&M , RDT&E, & Procurement 11 Middle States Total Obligations FY-98-08 80,000,000 70,000,000 - Research 60,000,000 -.-Instruction 50,000,000 .. --*- OperationlMaintenance of Plant 40,000,000 r" ~ I· 30,000,000 ~ Institutional Support 20,000,000 ---*-Academic Services 10,000,000 o --+- Student Services ~q'b ~~~ ~~~ ~~~ ~~\3 ~~'b - Scholarships & Fellowships ~ ~ ~ ~ ~ ~ Total Educational & FY98 FY99 FYOO FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 General expenses FY98-FY07 $ 86,256,500 $ 92,121 ,943 $ 107,781 ,914 $ 116,700,778 $ 136,160,232 $ 142,941,235 $ 150,751 ,022 $ 147,321,378 $199,943,745 $ 180,341 ,300 $213,718,265 12 University t t Responsibility Centers AFRRI PRS F&A GSN REA SOM SVP t t Major Programs Graduate Education Program Graduate Medical Education Program Medical Student Education Program t Chair Surgery, Chair Pediatrics, Cost Centers Chair Medicine, etc 13 Responsibility Centers & Major Programs • School of Medicine - Medical Student Education Program - Graduate Medical Education Program - Graduate Education Program • Graduate School of Nursing • VP for Research - Research - Center for Neuroscience and Regenerative Medicine • Director of AFRRI • President • Senior Vice President - Continuing Health Professions Education Program - Support Senior Vice President - University Wide Academic Support - Support Vice President for Distance Learning • VP for Finance and Administration - Support VP Finance and Administration - Support Resource Management - Support Administration - Support Environmental Health and Safety - Support CIO 14 Responsibility Center Reports • Each Responsibility Center will see: - USU Totals (Direct and Reimbursable) by Appropriation, Budget Activity Group, Commodity and Status - Responsibility Center (Totals Direct and Reimbursable) by Appropriation, Commodity and Status - Major Program Totals (Direct and Reimbursable) by Appropriation, Commodity and Status - Individual Cost Center Totals (Direct and Reimbursable) by Commodity and Status 15 • LIAISON a .... '- 1. \I fl....- LCME Part I-A Annual Financial Questionnaire on Medical School Financing Revenues and Expenditures History Uniformed Services University of the Health Sciences F, Edward Hebert School of Medicine (821) Five-Year History FISCAl YEAR FISCAl YEAR FISCAL YEAR FISCAL YEAR FISCAL YEAR ThlaVear 5-Vaar Annualized 2Il00' 2005 2006 2007 2008 VII Last Vear Growth Rate REVENUES: Tunion and Fees: Medicsl Students $0 SO $0 $0 $0 $0 Other Students 0 0 0 0 0 ___0_ Tolel Tuijion and Fees SO $0 $0 $0 $0 $0 GOlll!lmment and Parent Support: Federal Appropriations S142,2OO.379 S148.861 ,363 S181 .803.006 S204,935,989 $213,598.198 S8.662.209 10.71% Adjusted Slete and Parent Support 0 0 0 0 0 0 Local Appropriations 0 0 0 0 0 Total Government and Parent Support S142,2OO .379 $148.861 .363 $181 ,803,006 S204,935.989 $213.598,198 58.662.209 10.71% Grants and Contracts: Federal Direct $38,167.005 $42,478,061 $44,905.924 $45,756.383 $40,193,155 (S5.593.228) 1.30% State & local Direct 0 0 0 0 0 0 Private Direct 8.654.076 8.946.321 9.594.519 9,909,712 11,323,283 1,413.571 6.95% Facilijies & Admin (Indirect) 0 0 0 0 0 0 Total Grants and Contracts $46,821 .081 S51 .424.382 $54,500.443 S55,666.095 $51.516,438 -S4.149,657 2.42% Practice PlanslOther Medical Services SO SO $0 so $0 SO Hospitals: University Owned SO SO $0 $0 SO SO Veterans Administration 0 0 0 0 SO 0 Other Affiliated Hospitals 0 0 0 0 $0 ___0_ Total Hospital Revenues ' SO SO SO SO $0 SO Gifts SO SO SO SO SO $0 Endowment Income SO So So so so 0 Other Revenues SO $0 So SO SO 0 TOTAL REVENUES S189,021,460 $200,285.745 S236.303.449 $260.602,084 $265,114.636 $4,512.552 8.83% TOTAL EXPENDITURES & TRANSFERS S189,430.477 S2OO.285.745 S236,303.449 S260.602.084 S265,114.636 S4.512.552 8.77% NET REVENUES OVER EXPENDITURES ($409.017) $0 SO so so so Change 5409.017 SO SO so AAMC 112008-035 Printed on 1127/2009 16