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General Internal Medicine Research Section Summer 2008 • Volume 9 Issue 2 • Published Quarterly General Internal Medicine Research Section The Research Section of the Division of in 1999 after five years at the University of Step’n Out , a six-state randomized clinical trial General Internal Medicine is dedicated to Chicago. He has published over 70 peer- of collaborative behavioral management in providing a multidisciplinary environment for reviewed articles on the organization of drug-involved parolees, for which Dr. health services and clinical research to opti - addiction treatment services, treatment Friedmann is lead investigator. Dr. Friedmann mize the physical, psychiatric and behavioral process and outcomes, and the role of pri - also serves as PI for Systems, Outcomes & health of individuals in general medical and mary care physicians in the diagnosis and Quality in Chronic Disease and Rehabilitation non-traditional settings. Housed in the 111 treatment of substance use disorders. In 2002, (SOQCR), a center for health services and Plain Street Building on the Rhode Island he received Lifespan Hospitals’ Bruce M. translational research at the Providence VA Hospital campus, the program maintains a Selya Award for Research Excellence. Medical Center that was recently refunded by core of outstanding clinical and health servic - VA HSR&D for four more years. Dr. Friedmann’s research aims to inform the es researchers: development of organizations and systems Susan Ramsey, PhD is Assistant Professor Peter D. Friedmann, MD, MPH, Professor that facilitate the management of substance (Research) of Medicine, Psychiatry and of Medicine and Community Health, accept - use disorders as chronic, relapsing illnesses. Human Behavior. Her work focuses on co- ed directorship of the Research Section in He works closely with the RI Department of occurring psychiatric, substance use, and July 2008. An established substance abuse Corrections in his role as PI of the Rhode medical issues. She serves as principal inves - health services researcher, general internist Island Research Center of the NIDA’s tigator on three National Institutes of and addiction medicine physician, Dr. Criminal Justice Drug Abuse Treatment Health (NIH)-funded R01 studies. The Friedmann joined the faculty of Brown Studies (www.cjdats.org). Our research center first is a study examining the efficacy of a Medical School and Rhode Island Hospital is involved in six multisite studies including brief alcohol intervention for depressed continued on page 4 INSIDE General Internal Medicine Research Section . 1 Chairman’s Message . 2 Research Awards . 3 7th Annual Beckwith Family Visiting Professorship Lecture and Awards for Outstanding Teaching . 5 The Rhode Island Commission on Women Honors Susan Cu-Uvin, M.D. 6 Research News . 7 Profiles . 7 Department of Medicine at Women & Infants New and Departing Faculty . 8 Graduate Medical Education Chief Medical Residents . 9–10 Annual Senior Resident Research Day at Rhode Island Hospital . 11 Update on the Director of the General Internal Medicine Research Section . 11 Peter D. Friedmann, MD, MPH is the new director of the Division of General Grand Rounds . 12 Internal Medicine Research Section. Chairman’s Message Lance Dworkin, MD to direct almost every division in medicine, pathogenesis and treatment of cardiovascu - and they in turn have unified and greatly lar disease in kidney transplant recipients. expanded their programs across our multi- Educationally, the new class of medicine res - hospital system both clinically and academi - idents that arrived this July are, by all cally. He instituted a new economic model reports, an absolutely outstanding group of m o s in the Department and created the young physicians from top schools across s o l B Academic Enrichment Fund, which annual - the country. Our fellowship programs also n i b o R ly channels millions of dollars directly into recently completed a highly successful / n a p s academic programs that have significantly recruitment season and have attracted e f i L : o contributed to the success of every division trainees from many of the best residency t o h P of the department. He presided over a peri - programs nationally. Clinically, we are in the od of unprecedented growth in extramural midst of a rapid expansion of the hospitalist his is a time of transition for the funding for both basic and translational services at both The Miriam and Rhode Department of Medicine, and an T research in the department, which has Island Hospitals. As physician practices appropriate time to reflect on the tremen - grown from approximately $10 million in change and fewer and fewer primary care dous progress our Department has made 1998 to $40 million annually in 2007. physicians round in the hospitals, the nature over the last ten years under the leadership Throughout his tenure, Ed was a principled of the hospitalist programs are also evolving of our outgoing Chairman, Edward J. Wing, and fair-minded leader, who always kept the and will assume increasing responsibility for MD, who became Dean of the Alpert academic mission and the needs of the resident education. Medical School of Brown University in July, department first and foremost on his list of 2008. Those of us with longer institutional In summary, I am tremendously optimistic priorities. We are grateful for his inspired memories may recall that, prior to his arrival about the future of our Department and leadership of our department and optimistic in 1998, the Department was decentralized; our School. We operate within outstanding about the future of our medical school with faculty members were employed by one of and highly successful institutions; Brown Ed as our Dean. two hospitals or three separate foundations. University, Lifespan, Memorial, the VA, and Among his first acts as Chairman, Ed Wing Looking forward, I am greatly honored to Women and Infants’ Hospitals that are all orchestrated the merging of the medicine have been selected as Interim Chairman to committed to our academic mission. We foundations at the Miriam and Rhode lead the Department until a new permanent stand on the verge of a revolution in medical Island Hospitals and became the first chairman is appointed. Interim periods are knowledge and therapeutics, including sys - Chairman of Medicine at Brown to actually often considered times of reduced activity tems biology, bioinformatics, nanotechnolo - oversee academic programs across the entire during which little progress is made, howev - gy, medical genetics, personalized medicine, system, serving as not only as the Brown er, our Department cannot afford to rest on stem cell, and gene therapy. Integrating these Chair, but also Physician in Chief at Rhode its laurels. Rather we must strive to continue new disciplines into our laboratories and Island and The Miriam Hospitals, Executive to expand and improve our clinical and clinics will challenge our abilities and enrich Chief of Medicine at Memorial, the VA and academic programs. We face, as always, our professional lives. Most of all, I am Women and Infants’ Hospitals, and the significant challenges, but there are also encouraged by the intelligence, skill, and President of the unified University tremendous opportunities. Federal funding dedication of our faculty and trainees, who Medicine Foundation. Educationally, he for biomedical research remains at a low are ultimately responsible for the success of merged the medicine residency training ebb, however, programs and individuals con - the department and for whom I have the programs at Rhode Island and The Miriam tinue to have considerable success in com - utmost respect and admiration. I look for - Hospitals. The unified program has grown peting for extramural funding. One notable ward to working with you to continue to in prestige and popularity and currently example was the $20 million competitive enhance and expand our clinical, research recruits outstanding graduates from across renewal of the FAVORIT study, led by and educational programs. the country. Ed Wing recruited new leaders Andy Bostom, which is examining the 2 Research Awards Richard Besdine, MD , Division Director for Susan Cu-Uvin, MD , from the Division of out HIV-Testing in Uganda.’ With approxi - Geriatrics, has received a two-year award Infectious Diseases, has received a grant at mately $145,000 in direct cost funding per from The John A Hartford Foundation titled Brown University funded from the National year, Dr. Kiene’s K-award is being used to ‘Center of Excellence in Geriatric Medicine Institutes of Health. This three-year award develop and implement an outpatient rou - and Training at Brown University.’ These has $125,000 annual direct costs for her proj - tine/opt-out HIV testing and counseling funds will be used in synergy with Dr. ect‘Interdisciplinary Framework in Global (RTC) program in Uganda. Uganda is one Besdine’s already funded Reynolds Health at Brown University.’ The objective of of the countries most affected by the HIV Foundation grant to further enhance the this award is to develop new multi and inter - epidemic and 80% of those who are HIV- development of physician scientists and edu - disciplinary curricular and educational positive are unaware of their status. This cator clinicians in aging at Brown University opportunities in global health for undergrad - program will help understand the dynamics and the affiliated hospitals. The funding of uate, graduate, and/or postgraduate levels at of sexual risk behavior, provide recommenda - nearly
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