INSIDE

2 STARTUP BOOSTERS FastForward 1812 expands ’ labs, offices and amenities for young companies.

3 TRAUMA CARE EXPERTS REACH OUT Six Johns Hopkins rapid-response nurses raise awareness about traumatic injuries and how to prevent them. 7 CIVILITY 101 Dan Buccino offers guidance on how respectful behavior can improve life—in and out of the workplace. INSIGHT NEW MUSCLE ANATOMY APP Johns Hopkins teams up with BioDigital to create a dynamic and accurate 3-D musculoskeletal app. DA publication for the Johns Hopkinso Medicine family mVolume 68 • Numbere 3 • May/June 2017

Doctoral student Donna Dang, left, is conducting

cancer cell research in the MIKE CIESIELSKI lab of physiology professor Rajini Rao, director of the graduate program in cellular and molecular biology. iomedical research Great Study! illuminates the world and saves lives. It’s also messy, tedious and often Can You Do frustrating. Just ask Donna Dang. Working It Again? in Rajini Rao’s physiology lab, the school of medicine doctoral student spends about 60 hours Johns Hopkins is ensuring a week, including weekends, in a quest to figure out how a research reliability through certain protein, SPCA2, makes the HER2 breast cancer cell Bmultiply. education and better data It took her about two years to figure out how to grow cancer cells in Petri dishes and mix in just the right amount management. of protein. Four years and many failed experiments into her work, she now runs a makeshift assembly line, maintaining as many as 30 dishes at a time in an incubator set at human body temperature. Dang measures the growth, death and movement of cancer cells using a digital camera attached to a microscope. She sends the images to her computer, where they are converted to dense rows of numbers reflecting the quantity, activity and health of the cells. Dang is finally starting to see patterns. Too much of the protein seems to spur growth of the cancer cells, while too little appears to make them migrate. If she can find that Learn more about the strategic priority sweet spot, with just the right amount of protein to kill the for biomedical cancer cells, her work could eventually lead to breast cancer discovery online at therapies. hopkinsmedicine.org/ But only if her research proves reliable. strategic_plan . That’s why the young cellular and molecular medicine investigator repeats her most promising experiments several (continued on page 4)

Published by Johns Hopkins Medicine Marketing and Communications CHIEF PERSPECTIVES BIOMEDICAL DISCOVERY

Innovation in the Classroom PAUL B. ROTHMAN, M.D. DEAN OF THE MEDICAL FACULTY CEO, JOHNS HOPKINS MEDICINE

raduate education is one of the core Gmissions of Johns Hopkins Medicine. As times change for Matthew Davenport, lead researcher for Gemstone Biotherapeutics, shows material to research and development director Laura Dickinson and CEO George Davis. The company rented a lab in FastForward 1812 to commercialize academic medical a film that can be placed over wounds to permit healing. It was developed at The . The centers, we want to exterior of 1812 Ashland Ave. is shown below, along with the entry of the new business accelerator. keep apace of the trends in medicine. That’s why, as part Johns Hopkins Opens a Bigger, Brighter Space of our Strategic Plan, we are surveying our teaching methods for Startups to make sure we continue to provide a modern, world-class education and produce highly successful FastForward 1812 provides labs, offices and amenities for young companies. graduates. One recent example of this work is the opening ebastian Seiguer, CEO of emocha, has requiring that patients be observed taking their of our STILE classroom, which stands for science, lots of ideas for growing his mobile health medication each day. With emocha, patients record transform, interact, learn and engage. startup. He’s chosen Johns Hopkins themselves taking their medication, then submit the About two years ago, after touring our Preclinical University’s new FastForward 1812 business footage to health care providers for review through a Teaching Building (PCTB) facilities for graduate incubator as the place to do it. HIPAA-compliant web portal. education, I requested a needs list and cost estimates SThe company rents two four-person offices in the Organizations around the world, including the for renovations that could begin immediately. We new seven-story East building, plus desk Baltimore City Health Department and primary care formed the PCTB Design Committee to consider space for two additional employees. “We don’t need clinics in South Africa and India, now use emocha to how to remodel the first-floor space, with the goal of to worry about buying office equipment, signing promote adherence to regimens for illnesses including providing innovative and updated facilities to support long commercial leases, or hiring an office manager,” tuberculosis, hepatitis C and HIV/AIDS. The graduate biomedical education and student life. Seiguer says. “We can scale up or down if we need to, company has grown to offer additional mobile health though so far, we’ve never had to scale down.” The group identified two principal needs: So far, emocha is one of about 20 startups in • An active learning classroom to permit a more FastForward 1812, the Johns Hopkins Technology collaborative style of teaching Ventures business accelerator, at 1812 Ashland Ave., • A physical space that promotes interaction which celebrated its grand opening on April 26. among trainees, faculty members and staff “Biotech is one of our region’s great strengths, members, leading to a stronger community but for too long, Baltimore simply didn’t have the infrastructure in place to support biotech startups,” A few months ago, we celebrated the opening says Christy Wyskiel, senior adviser to the president of the STILE classroom, as well as renovations to of The Johns Hopkins University and head of Johns Mountcastle Auditorium and an adjacent classroom, Hopkins Technology Ventures. which represent the first phase of this work to create FastForward helps entrepreneurs like Seiguer more state-of-the-art teaching spaces. bring discoveries to market by providing affordable The STILE classroom offers a more engaging and space and support services, such as legal advice and interactive teaching environment. A “flipping the networking opportunities. As a result, Johns Hopkins classroom” instructional method enables students Technology Ventures supported 22 company launches to watch a lecture online at their own pace and then in the 2016 fiscal year. come to class prepared for deep discussion. A flipped To qualify for FastForward space, businesses tools, including ones to monitor disease outbreaks. classroom also enables information delivery to move must show they have a viable technology and The first FastForward incubator opened in 2013 in from lecture-based to interactive, which is why committed management team. Most are life science the Stieff Silver building near the Homewood campus. students come to Johns Hopkins—to interact with or information technology companies that use Two years later, the concept came to East Baltimore and learn from the best scientists in the world in a intellectual property licensed from The Johns Hopkins with the 6,000-square-foot FastForward East in the dynamic, intellectual environment. University, says FastForward senior director Brian John G. Rangos Sr. Building. The opening of the STILE classroom represents a Stansky. Startups based on innovations or discoveries The 23,000-square-foot FastForward 1812 sizable step forward toward the goals of our Strategic not developed at Johns Hopkins are also eligible, he innovation hub is designed for collaboration and Plan. It helps us ensure that biomedical education at says, though the bar for admission is higher. interaction, Stansky says, with shared spaces that Johns Hopkins is transformative, with creative and For emocha, Seiguer is building on a mobile health include a pantry and a sunny gathering space with innovative methods of instruction, and that we are education and data-collection platform he licensed in leather couches. Tenants also have access to conference building an effective culture and infrastructure for 2013, developed by infectious disease specialists Bob and meeting rooms, and don’t pay extra for utilities, learning across Johns Hopkins Medicine. Bollinger, Larry Chang and Jane McKenzie-White of office equipment, a receptionist, lab support or an A vital piece of our tripartite mission is setting the Johns Hopkins Center for Clinical Global Health endless coffee supply. a standard of excellence in education to produce Education. Prices range from $275 a month for a single desk to tomorrow’s leaders in health care. That is why we The company’s first focus was helping patients stick $6,000 for the largest labs. need to keep refining our methods and continuously with tuberculosis treatment, which has a protocol That lab space is important to Gemstone improving to lead this change. Biotherapeutics, which is developing a biosynthetic scaffold that can be placed Learn more about STILE classrooms at over wounds to encourage healthy cell bit.ly/stilemedjhm growth. Gemstone CEO George Davis rents a lab equipped with a chemical hood and ventilator, where researchers Matt Davenport and Laura Dickinson spend about 30 hours a week creating, testing and fine-tuning the product, which was developed by Sharon Gerecht, an associate professor in the Whiting School of Engineering. “This space has everything we need,” says Dickinson. —Karen Nitkin

2 • DOME • MAY/JUNE 2017 PEOPLE

Teaming Up for Trauma Care

Six Johns Hopkins nurses who manage trauma and burn center programs work to prevent injuries and improve the care process.

he lunchtime crowd gathering

at an information table outside the Kathy Noll, manager of the adult trauma program of The , helps steer MIKE CIESIELSKI cafeteria at The Johns Hopkins Hospital surgeon Alistair Kent through a virtual reality trip of distracted driving. resembles a back-up on I-95—a situation when drivers traditionally reach for their Tphones, apply mascara or fish around for a better CD. Kathy Noll is on the case. As manager of the designated adult burn center and the only center “THE CONTRIBUTION THAT adult trauma program of The Johns Hopkins certified to treat traumatic eye injuries. Hospital, her job today is helping people learn All six Johns Hopkins trauma program managers THE JOHNS HOPKINS how to prevent some of the “distracted driving” are nurses with advanced degrees and extensive HEALTH SYSTEM MAKES crashes that plague her department. She hands experience in patient care. They are responsible one gentleman a brochure detailing all the ways he for maintaining the patient registries that supply TO TRAUMA CARE IN might get himself in trouble behind the wheel. vital information to state and national trauma MARYLAND IS “It seems like more and more people are trying data banks, and for making sure that their centers to multitask as they drive,” she tells him. “Not that comply with the state trauma-specific regulations ENORMOUS.” you’d ever do that, sir, but just in case, here’s a list.” needed to keep their certification. –MARIE DIETER, MANAGER The risk factors include texting, reading on a cell They also manage staff and research projects, offer OF THE TRAUMA PROGRAM phone, eating, drinking, checking missed phone trauma education seminars, and meet regularly to AT JOHNS HOPKINS calls or voicemails, using a GPS device. Sound discuss how to improve patient care and outcomes. BAYVIEW MEDICAL CENTER familiar? And they’re always ready to explain how a trauma On this April day, Noll has joined with colleagues center differs from an emergency room. Susan Ziegfeld, who manages the hospital’s “We’re still fighting the perception that if you pediatric trauma and burn center programs, and have an emergency department, you can take Lauren Malloy, coordinator for pediatric injury care of anything,” says Meyers, who often finds prevention programs, to call attention to dangerous herself telling patients and their families why their Johns Hopkins Bayview, for instance, treats driving habits. The presentation is being held at the ambulance passed other hospitals on the way to more than 2,400 trauma patients each year. Every very same time by four other nurses who manage Suburban. impending arrival summons a team that might trauma programs within Johns Hopkins Health In Maryland’s emergency medical services system, consist of a trauma surgeon, a burn surgeon, a senior System. 85 percent of patients who are injured are taken surgical resident, an anesthesiologist, an emergency Over at Johns Hopkins Bayview Medical to the nearest hospital emergency department, but medicine physician, a trauma nurse, a trauma nurse Center, Marie Dieter and Natalie Tredway, who the rest are directed to trauma centers that offer assistant, a burn center nurse, a critical care nurse, manage programs for the Adult Trauma Center advanced medical and surgical services 24 hours a an operating room nurse, a respiratory therapist and and the Burn Center, are hosting a similar event. day. a radiology technologist, along with other critical Meanwhile, Melissa Meyers, trauma program For rapid response and resuscitation, trauma resource personnel, such as the nursing supervisor, director of Suburban Hospital, is educating folks centers have protocols that most community the chaplain and security staff. in Montgomery County. And Shaila Chopde, hospitals don’t. They also treat patients with severe Subspecialty medical services such as who coordinates the trauma center program at the injuries that fit certain criteria determined by the orthopaedics, neurosurgery, plastic surgery and Wilmer Eye Institute, is sharing space at Johns Centers for Disease Control and Prevention. Blunt cardiology are also available around the clock, Hopkins Bayview. trauma injuries result from such incidents as car according to program manager Dieter, who co- Distracted Driving is one of the community crashes, falls and blunt assaults, while penetrating chairs the hospital’s trauma joint practice council. outreach efforts these administrators coordinate trauma injuries cover gunshot and stabbing wounds. She also chairs the trauma quality improvement each year to reduce injuries for thousands of (Conditions that do not qualify for trauma center committee for the Maryland Institute for Marylanders who are treated at the state’s specially care include heart attacks, drug overdoses and Emergency Medical Services Systems, the agency designated trauma centers. infectious diseases.) that oversees the state’s emergency medical care and Johns Hopkins Medicine operates three of the Although trauma patients may arrive through verifies and designates the state’s trauma centers. nine adult trauma facilities in Maryland’s trauma the emergency department, they are assigned to Dieter says injury prevention remains a priority system—and one of two pediatric trauma and an extensive trauma care team who manages their for her fellow program managers. In addition to burn centers. Additionally, it runs the state’s only hospital stay after their surgery and stay in intensive care. improving the review and reporting of trauma care, they are developing a Stop the Bleeding Campaign A powerful team—from left: Kathy Noll, Natalie Tredway, Susan Ziegfeld, Melissa Meyers that will teach health care providers, security officers and Marie Dieter. Not pictured, Shaila Chopde. and first responders how to apply pressure and tourniquets for hemorrhages. In September, they will hold another same-day community awareness event on how to prevent the falls that cause nearly 40 percent of trauma admissions in Maryland. “This field has historically been associated with quality improvement,” she notes. “Trauma is a team sport. We are all contributing what it takes to make the system work better.”

—Linell Smith

To read more about each trauma program manager, go to hopkinsmedicine.org/dome.

DOME • MAY/JUNE 2017 • 3 BIOMEDICAL DISCOVERY

times and even asks others in the lab to try to get similar results. Dang is demonstrating a bedrock of scientific research: testing research by reproducing it. Yet the past few years have seen a “reproducibility crisis” that is eroding research trust. Nationally, in several highly publicized cases, investigators painstakingly followed the steps of earlier experiments but did not get similar results. The failures often occurred after pharmaceutical companies invested heavily in hopes of turning the now-questionable findings into treatments. Resources were squandered, the march toward therapies took a detour, and the research community was embarrassed. The school of medicine, which produces more than 5,000 published research papers a year, is working to avoid the problem. A robust education program for Physiology professor Rajini Rao looks at data that doctoral student Donna Dang is collecting and analyzing. investigators is being expanded, and a recently convened reproducibility task force has outlined recommendations that include creation of a secure system for storing and It sounds simple, but pitfalls can trip up scientists by the school of medicine’s recently launched Research sharing primary data. every step of the way. To help investigators spot and Reproducibility Task Force. “We need to archive, store The reforms will ensure that research at Johns avoid stumbling blocks, the school of medicine’s and secure these data so that the steps are traceable,” Hopkins Medicine remains trustworthy, says Paul says neuroscientist Alex Kolodkin, task force chair. Rothman, dean of the medical faculty and CEO of More journals are asking researchers to provide links Johns Hopkins Medicine. “Clearly, now is the time for “CLEARLY, NOW IS THE to their primary data so subsequent investigators can see the U.S. research enterprise to re-evaluate our processes how the conclusions were reached. Those data provide and incentive systems.” TIME FOR THE U.S. a priceless resource for continued investigation, and Worldwide, retractions of published papers are RESEARCH ENTERPRISE consideration of their reproducibility is crucial if the growing, says Stuart Ray, vice chair for data integrity integrity of research is questioned. and analytics for the Department of Medicine. In 2015, TO RE-EVALUATE OUR Currently, though, investigators jot down observations 720 papers in the PubMed database of biomedical PROCESSES AND INCENTIVE in physical notebooks, stash data on flash drives that literature were retracted, a more than tenfold increase SYSTEMS.” can get destroyed in coffee spills, or compute charts from 2004, while the number of publications per year on personal laptops that crash or get replaced. When increased just twofold during the same time period. –PAUL ROTHMAN, DEAN students graduate, they may leave behind primary data At least one Johns Hopkins researcher, no longer with the OF THE MEDICAL FACULTY that are poorly organized or labeled. institution, has retracted some of his papers, citing study AND CEO OF JOHNS “In our lab, our researchers use everything from pen design flaws, according to the Retraction Watch website. HOPKINS MEDICINE and paper to laptops to smartphones and computers,” In the most egregious cases of retracted research, says Rao. “If a journal asked to see original data, I don’t investigators fabricate data or results, as with a British know how we would deal with that.” physician’s 1997 study falsely linking vaccines and autism. Dang, for example, writes information in pen on sticky But outright falsifications are rare, according to experts. notes before transferring the numbers to her laptop Far more often, they say, research can’t be reproduced Responsible Conduct of Research Program requires and a Johns Hopkins server. She wants the information because of factors such as poor design, too-small data that they learn research rules and best practices available for the next researcher in Rao’s lab, who may sets, math mistakes or journal articles that leave out the through research integrity colloquia, online courses and build on her work after she graduates, she says. “Our rule details needed to mimic the trial. department meetings devoted to research conduct. of thumb is don’t delete anything,” she says. Now, Rao, who directs the graduate program in She estimates she has used 200 gigabytes of data— Avoiding the Pitfalls cellular and molecular medicine, is using National enough to hold about 40,000 songs—over the past two Institutes of Health funding to develop an online years for her digital interpretations of breast cancer cells. Research involves studying the existing literature, education series with topics including how to design Analyzing all that data can be daunting, she says, which is forming a hypothesis, gathering and analyzing data, and an experiment and how to analyze large data sets. The why she sometimes turns to biostatistician friends for help. publishing the findings. Other researchers then build course could be ready by fall, she says. In many labs, the principal investigators who receive on those results, creating an accumulation of knowledge Another goal is to create a unified, secure and easy- the grants may have little knowledge of how to handle that leads to treatments and cures. to-use data storage system—a measure recommended today’s large data sets. Data volumes have increased to a staggering degree, complicating both storage and interpretation. Thirty-five years ago, when molecular biologist Randall Reed received his doctorate, he based his thesis REVIEWING THE LITERATURE, paper on a single image. Now, his research might be GENERATING A HYPOTHESIS based on 100 million DNA sequences, analyzed by Potential pitfalls: Too much trust in previously published research researchers in his lab before he sees it. with poor methods or weak evidence. “The data are more complex, and the principal investigator is farther from primary data than a decade or two ago,” points out Reed, a member of the task force and assistant dean for research. Meanwhile, inexperienced researchers are working WRITING, DESIGNING in a pressure cooker environment, where an exciting PEER REVIEW AND study, published in a prestigious journal, can help AND CONDUCTING new graduates land academic jobs. Experiments that POTENTIAL PITFALLS don’t yield the intended results are far less likely to get PUBLICATION AT EVERY STAGE THE Potential pitfalls: EXPERIMENT published or help investigators win their next grants. Journals that favor Each phase of research has Potential pitfalls: Rao, whose lab supports five to seven researchers exciting results opportunities to go astray. Lack of positive at a time, encourages her graduate students to follow over incremental Here are some of the ones and negative the research where it leads, without worrying about discoveries; papers that Johns Hopkins Medicine controls, sample “shiny and immediate” results. “I like to tell them if published without investigators are taught sizes that are too the experiment is interesting, the particular result isn’t the technical details to avoid. small or not or primary data representative, what’s important,” she says. needed to collaborations that Dang, who aspires to a career in the biotechnology reproduce are di cult industry, appreciates that philosophy. “Some the work. to manage. experiments take weeks to set up and don’t yield useful data,” she says. “You can’t force a result. If it doesn’t work, I just go back to the drawing board.”

COLLECTING AND —Karen Nitkin ANALYZING THE DATA Potential pitfalls: Poor understanding of statistics; leaving Learn more about how statistics can mislead: out data that don’t support a conclusion; straining to turn hopkinsmedicine.org/dome. a small result into a major conclusion.

4 • DOME • MAY/JUNE 2017 PATIENT- AND FAMILY-CENTERED CARE For Image-Guided Procedures, a Simpler Path Patients receive treatment sooner, with fewer trips to the radiology department.

magine a hospitalized cancer means patients who need these image- stay in their rooms for image-guided else,” says Kelvin Hong, director of patient who needs a central guided procedures have shorter waits. The procedures. In the past, these patients interventional radiology for The Johns line inserted in order to receive new service also promotes efficient use of required transport to either a surgical Hopkins Hospital. Hong teamed with chemotherapy. This particular patient hospital resources because fewer patients suite or the interventional radiology internist Carrie Herzke, associate is prone to excessive bleeding, so are moved to the interventional radiology division. vice chair for clinical affairs for the Iprecision is at a premium. The oncologist suite for procedures that can be handled at The bedside service was staffed by Department of Medicine, to propose a requests a bedside imaging device and a the bedside. internist Gigi Liu and physician assistants simpler way forward. physician or physician assistant who is Some history: In 2007, The Johns David Lichtman and Jacob Yates, who Their plan was to increase the capacity trained to use it. Hopkins Hospital established a bedside were specially trained in the procedures for image-guided procedures at the The Interventional Radiology Bedside procedure service using a point-of-care and became experienced at challenges bedside by training more physician Service, which launched Oct. 1, 2016, mobile imaging device so patients could such as inserting central lines in assistants in bedside procedures. patients who were unable to lie flat, says The idea won early support from Johns Lichtman. Most procedures take between Hopkins Hospital President Redonda G. 20 minutes and an hour, and include Miller. “This is a win-win proposition,” by the school of medicine’s recently launched Research lumbar punctures, catheter insertions and she says. “It provides a service to Reproducibility Task Force. “We need to archive, store using needles to remove fluid. clinicians who may not have the time or and secure these data so that the steps are traceable,” Meanwhile, to improve accuracy, training to do bedside procedures, and says neuroscientist Alex Kolodkin, task force chair. demand for imaging to guide needles it’s potentially safer for our patients in More journals are asking researchers to provide links or catheters increased, outpacing certain circumstances.” to their primary data so subsequent investigators can see the capacity of the bedside service. Already, two additional physician how the conclusions were reached. Those data provide More patients were referred to the assistants have been trained to do a priceless resource for continued investigation, and interventional radiology suite. That the bedside procedures, says Hong. consideration of their reproducibility is crucial if the increased the burden on radiologists Capacity has increased, he says, and most integrity of research is questioned. and created hassles for patients, who procedures are now done the same day as Currently, though, investigators jot down observations sometimes had to wait until the following the request. in physical notebooks, stash data on flash drives that day for an appointment with an Additional staff members and more can get destroyed in coffee spills, or compute charts interventional radiologist. mobile imaging devices could expand on personal laptops that crash or get replaced. When “For patients, that meant delay of care the bedside service even more, he says, students graduate, they may leave behind primary data and leaving the bed to go somewhere to include weeknight evenings and that are poorly organized or labeled. weekends. “In our lab, our researchers use everything from pen and paper to laptops to smartphones and computers,” —Karen Nitkin Physician assistant David Lichtman demonstrates a mobile says Rao. “If a journal asked to see original data, I don’t imaging device that allows patients to stay in their rooms for know how we would deal with that.” certain interventional radiology procedures. Dang, for example, writes information in pen on sticky notes before transferring the numbers to her laptop and a Johns Hopkins server. She wants the information PEOPLE available for the next researcher in Rao’s lab, who may build on her work after she graduates, she says. “Our rule of thumb is don’t delete anything,” she says. She estimates she has used 200 gigabytes of data— enough to hold about 40,000 songs—over the past two years for her digital interpretations of breast cancer cells. 30th Anniversary of Intrastaff Analyzing all that data can be daunting, she says, which is Intrastaff, a subsidiary of the Johns Hopkins Health System, is the temporary staffing service for placement of clinical and nonclinical personnel for the Johns why she sometimes turns to biostatistician friends for help. Hopkins Health System. Intrastaff was established in 1987 to meet the temporary staffing needs of The Johns Hopkins Hospital and has grown to provide the In many labs, the principal investigators who receive entire health system with qualified clinical and business support temporary staff. the grants may have little knowledge of how to handle today’s large data sets. Data volumes have increased to a staggering degree, complicating both storage and Expands service by assuming Intrastaff starts as nursing 940 in the pool interpretation. responsibility for clerical float pool. Thirty-five years ago, when molecular biologist float pool. 440 FTEs* staffed Randall Reed received his doctorate, he based his thesis paper on a single image. Now, his research might be 32 Intrastaff office members based on 100 million DNA sequences, analyzed by researchers in his lab before he sees it. 1987 1992 “The data are more complex, and the principal investigator is farther from primary data than a decade or two ago,” points out Reed, a member of the task force and assistant dean for research. Meanwhile, inexperienced researchers are working in a pressure cooker environment, where an exciting study, published in a prestigious journal, can help new graduates land academic jobs. Experiments that 1988 2016 don’t yield the intended results are far less likely to get published or help investigators win their next grants. 200 people in the pool 151 of the temporary staff placed in assignments were Rao, whose lab supports five to seven researchers hired as permanent employees by their managers. at a time, encourages her graduate students to follow 32 FTEs* staffed the research where it leads, without worrying about Intrastaff manages48 contracts with external agencies that help support staffing needs. “shiny and immediate” results. “I like to tell them if 2 Intrastaff office staff the experiment is interesting, the particular result isn’t members what’s important,” she says. 1,641 temporary staff files were reviewed by the Dang, who aspires to a career in the biotechnology Intrastaff compliance group to ensure that they met industry, appreciates that philosophy. “Some Johns Hopkins standards. experiments take weeks to set up and don’t yield useful FAST FACTS data,” she says. “You can’t force a result. If it doesn’t work, I just go back to the drawing board.” Intrastaff provides staffing to all JHHS entities, including but not limited to all workers, speech and language therapists, environmental service workers and all of the hospitals, (including a few assignments at Johns Hopkins All Childrens), levels and types of business support and finance staff. —Karen Nitkin Johns Hopkins Community Physicians (all sites), Johns Hopkins HealthCare,  Intrastaff uses the same standards for hiring temporary staff as those used for Johns Hopkins Home Care Group, and Johns Hopkins Medicine International. permanent employees. This makes a transition to a permanent position easier  Types of positions provided include registered nurses, licensed practical nurses, for the temporary employee and the hiring manager. nurse practitioners, nurse anesthetists, certified nursing assistants, physician  Intrastaff conducts compliance review for every temporary staff member assistants, clinical technicians, certified medical assistants, radiology staff, and being placed at a JHM entity, including all JHU temporary staff placed in JHHS respiratory therapists; all levels of information technology workers, social clinical sites, except for a small segment of staff at Suburban Hospital and All Children’s Hospital. Source: Johns Hopkins Intrastaff * full-time equivalent DOME • MAY/JUNE 2017 • 5 PATIENT- AND FAMILY-CENTERED CARE A Boon for Baltimore's Vision Wilmer Institute brings eye care to underserved Baltimore seniors.

he senior apartment building sits at a or near the Hopkins campus." six-way intersection that few Baltimoreans Gajwani's group includes seven Johns travel anymore. Federal, Gay and North Hopkins University students, both Chester streets meet in the long shadow of undergraduate and graduate, who work the old American Brewery building, the part time performing the screenings. Tseven-story, 130-year-old behemoth that towers over a The students are trained to use high- neighborhood long blighted by abandoned and boarded- tech eye test devices and to recognize up row houses. eye abnormalities that go beyond The brick apartment building's lobby is crowded corrective lenses. They also help arrange today, though, as the Johns Hopkins Wilmer Eye follow-up care at Wilmer for patients Institute brings its traveling eye screenings to the who need it. residents and their guests. As often as twice a week, The clinic helps find insurance and the screening team sets up shop in locations around treatment for those who are subsequently Baltimore. diagnosed with eye disease. Their work feeds into a Centers for Disease Control At the screenings, the student team and Prevention (CDC) study of glaucoma in the also tests patients’ vision to determine country’s neediest and highest-risk populations. In whether they need glasses. Those who Baltimore, the funding specifically targets African- do can select frames from a tray of Americans and Latinos age 50 and up. But the Wilmer samples and have them fitted correctly. team takes the screening several steps further, checking Wilmer then prepares the lenses, and not only for glaucoma but also for other eye diseases, patients receive their new glasses, free of like cataracts and macular degeneration—a gradual charge, either in person or in the mail worsening of vision that may affect one or both eyes. within three weeks. Nationwide, minorities are far more likely than whites Joyce Wilkins has traveled across to leave poor eyesight uncorrected, according to the town for her eye screening. After CDC. African-American seniors are almost three times receiving a clean bill of vision health and a free pair of reading glasses, she's all smiles. “I’M RETIRED, AND VISION "That’s all I need,” she says. Wilkins belongs to Southern Baptist Johns Hopkins University graduate student Sean Thompson helps a patient INSURANCE IS SO EXPENSIVE. Church, across North Chester Street select eyeglass frames. Thompson is one of a group of students trained to perform vision screenings for the Johns Hopkins Wilmer Institute’s eye- YOU REALLY CAN’T BEAT from the apartment building. Her pastor screening program for Baltimore residents age 50 and up. THIS PROGRAM.” announced the eye screening at Sunday services, she says. Wilkins gathered a –JOYCE WILKINS, PATIENT small group of friends to join her. AT THE WILMER EYE "I'm retired, and vision insurance is so expensive," barriers to eye care faced by INSTITUTE’S VISION AND she says, noting that Medicare does not pay for eye underserved people. GLAUCOMA SCREENING screenings. "You really can't beat this program. I love it." "We are at a point where it is David Friedman is principal investigator for the possible to screen remotely for glaucoma research program and director of the ABOUT 20% OF glaucoma and other eye diseases Wilmer Eye Institute’s Dana Center for Preventive PEOPLE WHO using devices and relatively Ophthalmology. He reviews all patient records, making UNDERGO THE low-cost personnel, rather than as likely to develop glaucoma, a sure that those screened receive the best possible care. COMMUNITY physicians," says Friedman. pressure-related condition that He says there is a "tremendous unmet need" to SCREENING GET The screening program SUBSEQUENT EYE can lead to blindness. identify and screen for eye disease in Americans who are EXAMS AT WILMER. aims to serve as a model that IN 3 YEARS, In three years, the Wilmer underserved by the health care system; about 20 percent other institutions can use to MORE THAN team has screened more than of people who undergo the community screening get identify and treat underserved 3,000 PEOPLE 3,000 people for eye disease, says subsequent eye exams at Wilmer. minorities with eye disease. HAVE BEEN team manager Prateek Gajwani. Known for its work around the world to prevent and SCREENED FOR "We go anywhere in the city treat blindness and eye disease, the Dana Center is also —Patrick Smith EYE DISEASE. that people need us," he says." It committed to improving vision in Baltimore. Much doesn't have to be on the east side of the center's research is aimed at understanding the

IN BRIEF

New Health Plan Offered As Suggestion Box: Retirement Benefit How Can We Increase Our Johns Hopkins Advantage MD Group (PPO) is a Medicare Advan- Community Involvement? tage plan that is now available as a retirement benefit for Medicare- eligible (age 65 and older) retirees of select Johns Hopkins Health System entities, along with their Medicare-eligible spouses and de- Johns Hopkins Medicine is committed to pendents. Created by Johns Hopkins HealthCare LLC, Advantage supporting and investing in the neighborhoods MD Group offers an all-in-one Medicare plan, including medical, and communities we serve. Your feedback dental, vision, hearing and prescription drug coverage; enhanced and suggestions are important to helping podiatry and acupuncture benefits; and extra advantages such as a us become even better neighbors in our free membership in the Silver&Fit fitness program. communities. We invite you to use a new, anonymous online suggestion box to submit This plan is offered to retirees of The Johns Hopkins Hospital and your observations or questions about our Health System Corporation, Johns Hopkins Bayview Medical Cen- community engagement efforts, as well as ter, Howard County General Hospital, the Center for Ambulatory ideas about ways to increase involvement in Surgery, Sibley Memorial Hospital, Suburban Hospital, Johns Hop- our local communities. kins Medicine International, Johns Hopkins Community Physicians, Johns Hopkins HealthCare and Johns Hopkins Home Care Group. Learn more about the suggestion box at bit.ly/jhmsuggestionbox For benefit and service area information, call 1-800-735- 0897 (TTY: 711) or go to AdvantageMDGroup.com.

6 • DOME • MAY/JUNE 2017 PEOPLE

Q with Daniel Buccino Aclinical manager for the Broadway Center for Addiction and director of the Johns Hopkins Civility Initiative Minding Our Manners

hen the Johns with friends and family who hold communication and mobile devices, it’s Hopkins Civility opposing beliefs? tempting to participate in conversations Initiative debuted in In the workplace, we absolutely must instantaneously, without always thinking 1998, Daniel Buccino behave ourselves and get along as we our comments through. was among its earli- take care of patients and advance science. estW champions. The clinical social worker There are business and ethical reasons Your team had civility cards with and assistant professor of psychiatry and why we need to do that. But with the behavioral tips printed up for Johns behavioral sciences deeply admired the people we’re closest to at home, we should Hopkins Bayview Medical Center. work of the program’s first director, P.M. redouble our efforts to restrain ourselves. What has the response been like, Forni, who was passionate about offer- Given the stress everyone is under these and how did you come to give ing guidance on how to foster respectful days and the high speed of the internet, Aerosmith’s lead singer Steven Tyler human interactions and etiquette. it’s easy to fall into the trap of engaging some of these cards? Buccino was on a parallel mission in in disrespectful conversation. We need They’ve been a big hit. We wanted to his work teaching aspiring psychothera- to slow down, especially with family and boil down P.M. Forni’s original 25 rules pists how to build and maintain cordial friends. to 10, offering simple guidance. I met relationships with patients and col- Steven Tyler through Dorothea Johnson, leagues. In 2014, he succeeded Forni in What’s the most effective way to who co-authored Modern Manners: Tools directing the Civility Initiative. turn a conversation around when it to Take You to the Top, with her grand- CIVILITY AND In the wake of one of the most con- starts to deteriorate into angry or daughter (and Tyler’s daughter), Liv Tyler. RESPECT tentious presidential elections in our hurtful comments? I’d contacted Tyler—I’ve been a huge fan BEHAVIORS country’s history, Buccino says requests We want to stay factual, diplomatic and ever since I took up drums and started for guidance have been pouring in. Dome not go down to other people’s levels. If playing in a band. We arranged to meet spoke to Buccino about how to respond things get ugly, we can say things like after a recent concert. He was gracious Listen and be present. to and avoid coarse rhetoric—in and out “ouch,” or “I’m uncomfortable with the and hospitable when I handed him the The power of a smile is of the workplace; why civility matters; turn in the conversation. Can we talk cards, and he encouraged Johns Hopkins immeasurable. and what Steven Tyler, of Aerosmith about this later?” Civility is about how employees to “keep up the good work.” Say “I’m sorry.” fame, has to do with it. to say the right thing, the right way, to the right person. Sometimes, we need to Don’t blame others. How do you define civility? “speak up and speak out” to a colleague — Judy F. Minkove Find possibilities, not I think it’s—most of all—a sense of when behaviors are inappropriate. problems. respect for one’s self and for others. To request civility and respect laminated cards, contact Sheree We’re one team with the What’s surprised you over the years Restraint, self-awareness, listening and Riley at [email protected]. Learn same rules. being collegial are all part of it. It’s driven while leading efforts to improve more about the civility and diversity by the underlying wish to be respectful civility? toolkits at Johns Hopkins Bayview: Greet people. Make it bit.ly/jhmdiversitytoolkit in all situations. Sometimes that means Just that the eternal truths bear repeat- personal. making one’s own thoughts, wishes and ing. For thousands of years, people have Listen. Respect others’ privileges secondary to the other. It’s one struggled with staying respectful and opinions. step beyond the golden rule. courteous toward others. It’s surpris- ing—also a little thrilling—that after Be willing to explain. You’ve said that a civil workplace the election, we saw a huge resurgence Nonverbal behaviors speak improves the quality of life of its of interest in civility. Each generation louder than words. workers. In the highly charged comes to it anew. Triggers include road Express thanks. political climate we are facing now, rage, the internet, Facebook, texting and how can we also maintain civility tweeting. And with more high-speed

IN BRIEF

Johns Hopkins The Stars Shone Medicine Town Brighter Than Ever Dancing with the Hopkins Stars was back for its Meeting on third year on March 29, with an all-new cast of eight couples representing entities from across Johns June 6 Hopkins Medicine. Each couple chose a United Way Health and wellness will be the program or nonprofit organization to fundraise for. focus of the next Johns Hopkins The couples’ hard work paid off, as the event raised Medicine Town Meeting, which more than $54,000—a record for this event. will be held on Tuesday, June Cindy Delinski, executive assistant in the school 6, from noon to 1 p.m. in Hurd of medicine, and thoracic surgeon Stephen Yang Hall at The Johns Hopkins Hospital. Paul B. Rothman, took home the mirror-ball trophies for best dance dean of the medical faculty and CEO of Johns Hopkins performance and highest fundraising couple. They Medicine, and Ronald R. Peterson, president of the Johns raised over $15,000 for United Way's Project Hopkins Health System, will provide an update on the Homeless Connect. Strategic Plan and the people strategic priority. The Also appearing were members of the New Song meeting will also feature a panel discussion and interac- Academy Dance Department, part of Guardian tive poll questions. Watch for an email with details on Learn more about the event and winners: Baltimore, which helps Baltimore City pre-K to eighth- how you can view the meeting from your desktop or hopkinsmedicine.org/unitedway/dwths grade students develop self-esteem through Lindy hop, mobile device. swing dance and break dancing lessons. A group of 18 students performed “Greased Lightning,” from “Grease,” complete with swing dancing, flips and, of course, auto parts.

DOME • MAY/JUNE 2017 • 7 WHO / WHAT PICTURE THIS MATTHEW SHEARER

Top Hospital and Health Daniel Finkel- Care Leaders Accolades stein, M.D., M.A., professor of ophthal- Becker’s Hospital Review recently mology and a published its list of “100 Great member of the core Hospitals in America 2017,” faculty of the which included The Johns Hop- Berman Institute of kins Hospital. The Johns Hop- Bioethics, has been appointed the kins Hospital also received this inaugural holder of the newly recognition in 2016. In addition, created Andreas C. Draco- Becker’s Hospital Review recog- poulous Professorship, estab- nized Paul B. Rothman, M.D., lished with a gift from Andreas dean of the medical faculty and Dracopoulos, a trustee of The CEO of Johns Hopkins Medicine, Johns Hopkins University and a and Redonda Miller, M.D., member of the Berman Institute’s M.B.A., president of The Johns national advisory board. The new Hopkins Hospital, on their list of professorship is affiliated with the 100 exemplary health care leaders Wilmer Eye Institute, of which to know. Finkelstein is a 47-year veteran. New Emergency Manage- Nurses Honored ment Director Eleven Johns Hopkins Medicine Robert Maloney, nurses received Excellence in M.M.S., former di- Nursing Awards, bestowed in the EBOLA DRILL: On April 12, the Johns Hopkins Hospital simulated what it would be like to rector of Baltimore’s May issue of Baltimore magazine. admit and care for Ebola patients travelling from Africa, during a full-scale multi-agency Office of Emergency To see a photo of the awardees, go overseas exercise designed by the Department of State and the United States Management, and to hopkinsmedicine.org/dome Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness one-time member of and Response. As a designated site to care for potential patients with Ebola virus disease, Johns the Federal Emergen- Seal of Distinction Hopkins received two simulated patients who were flown from Africa in containment systems cy Management Agency’s Nation- for highly infectious patients. Members of the Johns Hopkins Lifeline team picked them up al Advisory Council, has been The Johns Hopkins Health from Washington Dulles International Airport and transported them to the hospital. The drill System The Johns Hop- continued in the hospital’s biocontainment unit and was a “tremendous success,” according appointed senior director of the and to unit director Brian Garibaldi. About 100 faculty and staff members from Johns Hopkins Johns Hopkins Health System’s kins University have received participated in the drill, either by planning or carrying out the exercise. Office of Emergency Manage- the WorldatWork Seal of Dis- ment. Maloney succeeds tinction for the fifth consecutive year. WorldatWork, a nonprofit Howard Gwon, a 37-year veter- JOHNS HOPKINS Nia Leak, M.D., human resources association and an of Johns Hopkins Medicine’s BAYVIEW MEDICAL has been named head compensation authority, cited the emergency preparedness offices. CENTER of the Department of health system and university for Obstetrics and Gyne- setting the highest standard for Lisa Filbert, Inaugural Chief Medical cology. A member of employee engagement, leading to M.S.H.C.M., R.N. Officer , the hospital’s profes- business success. has been named chief Dome Margaret Moon, sional staff since of staff in the medi- 2011, she has been serving as in- Published seven times a year for members M.D., M.P.H., EAST BALTIMORE cal center’s executive of the Johns Hopkins Medicine family by associate professor of terim head of the department for Marketing and Communications. Mark Anderson, office. She will work pediatrics at the the past year. M.D., Ph.D., pro- on the planning, de- The Johns Hopkins University school of medicine, Shannon Woll- School of Medicine fessor and director of velopment and monitoring of the The Johns Hopkins Hospital has been named the man the Department of medical center’s management ob- has been ap- Johns Hopkins Bayview Medical Center inaugural chief jectives. Filbert began her career pointed vice presi- Howard County General Hospital medical officer for the Johns Medicine and physi- Johns Hopkins HealthCare cian-in-chief of The at The Johns Hopkins Hospital as dent of development Johns Hopkins Home Care Group Hopkins Children’s Center. In a nurse, and, in 2013, became ad- for the Howard Hos- Johns Hopkins Community Physicians this new role, she will work Johns Hopkins Hos- Sibley Memorial Hospital pital, has received the 2017 Heart ministrator of hospital operations. pital Foundation. She Suburban Hospital closely with leadership to develop will plan and manage Johns Hopkins All Children’s Hospital clinical operations, strategic plans Rhythm Society’s Distinguished Cheryl Koch, Scientist Award. Anderson has fo- M.S., R.D., all fundraising efforts for the and organizational ethics. foundation to benefit the hospital, Editor cused his research on heart failure F.A.N.D., L.D.N., Linell Smith Human Resources VP and cardiac arrhythmias, a cause including its current capital cam- has been named vice Contributing Writers of sudden cardiac death. paign. Previously, she was director Kristena Lukish, president of opera- of development for the Johns Neil A. Grauer, Judy F. Minkove, Karen tions and facilities, a Nitkin, Kim Polyniak, Linell Smith, M.S.I.R., has been Donald Coffey, Hopkins Heart and Vascular In- Patrick Smith appointed The Johns Ph.D., distinguished post in which she stitute. Hopkins Hospital’s service professor of will assume broader responsibility Copy Editors for medical center operations, in- Abbey Becker new vice president of urology and professor SIBLEY MEMORIAL Judy F. Minkove human resources. emeritus of oncology, cluding support for ambulatory HOSPITAL With more than 25 pathology, pharma- services, community psychiatry, Graphic Designers addiction treatment services, labs Benjamin Levy, M.D., as- Kristen Caudill, Abby Ferretti, years of experience in health care, cology and molecular Rachel Sweeney Lukish was most recently vice sciences, is this year’s recipient of and imaging. sistant professor of oncology, has been named clinical director of Photographers president of human resources for the Dean’s Distinguished Mentor- Danielle Whar- Mike Ciesielski, Keith Weller the West Florida division of the ing Award. Coffey, a leading ex- medical oncology and medical ton, M.H.S.A., director of thoracic oncology at Hospital Corporation of America. pert in prostate cancer, has made N.H.A., has been Dalal Haldeman, Ph.D., M.B.A. major contributions to research, the new Johns Hopkins Kimmel Senior Vice President, New Professorships promoted to vice Cancer Center at Sibley. Levy is Johns Hopkins Medicine laying the foundation for many Marketing and Communications president of support the former director of thoracic Andrew modern genetic and epigenetic services. She will Cosgarea, M.D. discoveries. medical oncology at Mount Si- Send letters, news and story ideas to: , oversee such entities nai’s Icahn School of Medicine in Editor, Dome chief of the Division Sherita Golden, as food services, environmental New York City. Johns Hopkins Medicine of Sports Medicine, Marketing and Communications M.D., M.H.S., pro- services, materials management 901 S. Bond St., Suite 550 is the inaugural fessor of endocrinolo- and supply chain, patient trans- JOHNS HOPKINS ALL Baltimore, MD 21231 recipient of The port, security and parking. CHILDREN’S HOSPITAL Phone: 410-502-9602 Drew Family gy and metabolism Email: [email protected] Professorship of and executive vice- David Wu, M.D., Kimberly chair of the Depart- Read Dome online at Orthopaedic Surgery in assistant professor of Berfield, M.B.A., hopkinsmedicine.org/news/publications/ ment of Medicine, dome honor of Alec J. Cosgarea, medicine, has been has been named vice has been named the co-recipient named the director president of named after his late son, Alec of the University of Virginia For Insight of palliative care. A government and Email letters, news and story ideas to: Cosgarea. Donations from Johns School of Medicine’s Walter Reed Hopkins Medicine trustee Ina graduate of Yale and community affairs [email protected] Drew Howard Distinguished Achievement the Baylor College of for the hospital. , her husband, Award. © 2017 The Johns Hopkins University and Drew, actors Daniel Craig and Medicine, he most recently served Formerly Deputy Secretary of the The Johns Hopkins Health System Corporation. Rachel Weisz, the Broccoli Doug Robinson, M.Phil., as senior medical director for Florida Department of Health Family Foundation, and more Ph.D., professor of cell biology, Chesapeake Palliative Medicine/ and a member of Florida House of than 180 other donors created the pharmacology and molecular sci- Hospice of the Chesapeake. Representatives, she will lead the Follow Johns Hopkins Medicine hospital’s mission to provide new professorship—the first ences, and chemical and biomedi- HOWARD COUNT Y Facebook: dedicated to sports medicine. education, advocacy and research cal engineering at the school of GENERAL HOSPITAL f facebook.com/JohnsHopkinsMedicine Cosgarea, who served as team medicine, was recently named one for children. physician for the Baltimore of the Science Channel’s Super M. Shafeeq t Twitter: Orioles from 2000 to 2010, is the Heroes. Robinson leads the Johns Ahmed, M.D., twitter.com/HopkinsMedicine Johns Hopkins Blue Jays’ team Hopkins Initiative for Careers in M.B.A., chief medi- yt YouTube: physician. Science and Medicine. cal officer and vice youtube.com/user/ president of medical JohnsHopkinsMedicine affairs, has been named by Becker’s Hospital Review as one of the “100 Hospital and Health System CMOS to Know in 2017.”

8 • DOME • MAY/JUNE 2017