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Academic Years 2001-2002

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Academic Years 2001-2002 Department of Medicine ANNUAL REPORT — A CADEMIC YEARS 2001-2002 Patient Care, Teaching & Department of Medicine RHODE ISLAND HOSPITAL/HASBRO CHILDREN’S HOSPITAL THE MIRIAM HOSPITAL Research MEMORIAL HOSPITAL OF RHODE ISLAND WOMEN & INFANT’S HOSPITAL VETERAN’S ADMINISTRATION MEDICAL CENTER Rhode Island Hospital/Hasbro Children’s Hospital The Miriam Hospital Department of Medicine Memorial Hospital of Rhode Island Administrative Offices Women & Infant’s Hospital Rhode Island Hospital Veteran’s Administration Medical Center Main Building, 1st Floor 593 Eddy Street Providence, RI 02903 OF MEDICINEDEPARTMENT – ANNUAL REPORT – ACADEMIC YEARS 2001-2002 WWW.BROWNMEDICINE.ORG On the Brown campus are plays, concerts, The Department of Medicine’s 2001-2002 Brown University, Providence, Annual Report was produced by: movies, lectures, art exhibits and many other - ’ and New England sources of entertainment and intellectual Designer: stimulation throughout the year. A modern rown University, Providence and athletic complex within easy walking distance Rhode Island together provide a from the main campus offers swimming in a pleasant and interesting setting for Printing: modern Olympic-sized pool, extensive study, recreation, and daily life. exercise equipment, squash and tennis courts, BFrom atop College Hill the University and ice-skating, as well as playing fields and overlooks downtown Providence, the capital of Photography: facilities for intramural and varsity team Rhode Island and the second largest city in sports , New England. The University was founded in 1764; its architecturally diverse buildings and ’ quadrangles center on the original College Rhode Island is especially known for Copy Edit and Proofing: Green. In the surrounding residential area are recreational opportunities centered on the many houses that date back to colonial times, ocean and Narragansett bay, including together with various historic sites, including boating, fishing, sailing and swimming. the Old State House, where independence in Newport, the site of some of the nation’s most America was first declared, and the First magnificent mansions and for many years Baptist Meeting House, the oldest Baptist home of the America’s Cup sailing races, is Special thanks to the following for their contributions: Church in America. less than an hour away. Providence is an hour by car, bus or train from Boston, an hour from Cape Cod, about three hours from Contemporary life in Providence complements major New Hampshire and Vermont ski areas, the city’s interesting history. One can walk and three-and-one-half hours from New York ’ from the campus to any of a variety of City. At Green Airport, ten minutes from restaurants, to the nationally renowned Trinity downtown Providence, several major airlines Square Repertory Theater or a performance of ’ offer frequent service to all major points in the Rhode Island Philharmonic Orchestra, or On the Cover: the United States. to a jazz club or dance performance. . Attractions also include several art galleries, Photo by: , including the museum of Brown’s college hill neighbor, the Rhode Island School of Design. BROWN MEDICAL SCHOOL DEPARTMENT OF MEDICINE DIVISION HIGHLIGHTS ➤ Cardiology .............................................................................. 6 ➤ Clinical Pharmacology .................................................... 22 ➤ Endocrinology .................................................................... 28 ➤ Gastroenterology ............................................................... 34 ➤ General Internal Medicine ............................................ 44 ➤ Geriatrics ............................................................................... 68 ➤ Hematology/Oncology ................................................... 74 ➤ Infectious Disease .............................................................. 88 ➤ Nephrology ......................................................................... 10 8 ➤ Obstetric & Consultative Medicine ......................... 118 ➤ Pulmonary, Critical Care, & Sleep Medicine ...... 12 4 ➤ Rheumatology ................................................................... 14 0 CARDIOLOGY CARDIOLOGY Overview RHODE ISLAND HOSPITAL The Division of Cardiology experi- enced a number of changes in 2001-2003, which will enhance it both academically and clinically. Faculty growth continued with the addition of Kristin Ellison, M.D. (electrophysiology), Philip Stockwell, M.D., and Katherine Stansmore, M.D and Gary Katzman, M.D.. The Electrophysiology fellowship was expanded to 4 positions in a 2 year program, and outside funding was received for one of the positions in the form of a NASPE Advanced Clinical Training Award. The basic fellowship match continued to bring high quality graduates of US medical schools and residencies. The electrophysiology program continued to grow clinically at both RIH and TMH. Importantly, Dr. Alfred Buxton received a Albert Most, M.D., Professor of Medicine; Director, large ($10 million) award from Medtronic Division of Cardiology, Rhode Island Hospital to continue his multicenter research on the application of implanted defibrillators (the proliferation and vascular apoptosis in swine MUSTT II trial). models. These studies are being conducted with NIH The Cardiac Catheterization Laboratory continued to funded RO1 support with Dr Lynne Johnson as PI. be productive as a clinical research center with highly The laboratory is scheduled to relocate from the innovative studies initiated to (1) evaluate a left atrial Southwest Pavilion into renovated space on Middle appendage occluder for patients with atrial House 3 in 2003-2004. fibrillation, (2) employ hyperoxemic antegrade The Cardiac Catheterization Laboratory converted coronary perfusion following angioplasty for patients to a completely filmless x-ray facility and the Echo with acute myocardial infarction and (3) apply optical Laboratory digitized its operation. coherence tomography to image the lumen and walls Non-invasive cardiology and cardiac imaging: The of coronary arteries in patients. Drug eluting stents echocardiographic laboratory continues to do a high that became available clinically in the past year and volume of imaging and is on the forefront of ultra- show promise to significantly reduce in-stent sound imaging technology including tissue Doppler, restenosis underwent extensive testing and 3D echocardiographic imaging, and contrast echo- development at RIH prior to FDA approval. cardiography. The nuclear cardiology laboratory also The Cardiovascular Research Laboratory was studying continues to do a high volume of scans. A second ways to image angiogenesis, vascular smooth muscle dual detector Vertex camera went on-line this year. BROWN MEDICAL SCHOOL DEPARTMENT OF MEDICINE All technetium labeled tracers are imaged with CARDIOLOGY FELLOWSHIPS attenuation correction to improve specificity. A The two Cardiovascular fellowship training Phillips/ADAC multi-ring 3D PET camera was programs are now joined into a single program with installed in the Nuclear Medicine Department and a single match list for 6 fellows for 2004. There will opened for clinical imaging April 2003. Tumor be 18 clinical fellows in the new combined program imaging represents the major indication for PET with 6 fellows per year. Fellows will rotate through imaging but cardiac imaging for myocardial viability three hospitals- RIH, TMH and the Providence will begin in mid 2003. VAMC. In addition to the clinical track there will The Heart Failure/Cardiac Transplantation program continue to be a program for fellows interested in EP opened a new facility on the APC fifth floor. that will include 2 years in the clinical program and 2 years as EP fellows. At the end of the 4 years they will THE MIRIAM HOSPITAL be eligible to take the boards in CVD and the subspecialty boards in EP. There will also be a physi- Dr. Alfred Parisi retired in June of 2002 as Chief of cian scientist track that will allow fellows interested Cardiology and Division Director at Brown after 14 in pursuing a career in academic cardiology to take 2 years in this position. He will remain active on the years as clinical fellows and 2 years of research that faculty and on The Miriam Hospital staff focusing his will allow them the opportunity to submit a K grant efforts on house staff and fellow education. for independent funding during the fourth year. As of July 1, 2002 Dr. Ken Korr was named Chief of Cardiology at The Miriam Hospital. Dr. Paul Gordon serves as the Coronary Care Unit Director. His role here ties in well with the evolution of cardiac services at The Miriam Hospital since so many CCU patients at The Miriam are received in transfer from outlying facilities in need of interventional cardiac procedures. Dr. Gordon is also Director of Interventional Cardiac Research at the hospital and continues to be very active in this area. Dr. Gary Katzman completed his first year as Associate Director of the Coronary Care Unit after joining The Miriam Hospital based staff. Kenneth Korr, M.D., Associate Professor of Medicine; Director, Division of Cardiology, The Miriam Hospital CARDIOLOGY PATIENT CARE AREAS CCU/ICU: The Miriam Hospital opened a new Faculty Members CCU/ICU in July, 2002. The CCU is a nine bed unit with individual rooms and the ICU is a 14 bed unit. There are 5 swing beds. House staff sleeping quar- FULL-TIME FACULTY (Hospital or Foundation Based)
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