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Caring for One's Carilion MedicineFALL 2017 In partnership with the Virginia Tech Carilion School of Medicine and Research Institute CARING FOR ONE’S OWN Carilion Clinic is using targeted Eugene Yopp is a patient programs to meet the health at Carilion’s family medicine practice in pastoral needs of rural residents Shawsville, Virginia contents CARILION MEDICINE FALL 2017 Departments 2 FROM THE CMO 3 IN BRIEF Major biomedical research expansion; national recognition; leadership past and present 7 GRAND ROUNDS Education initiatives both classic and with a twist 42 THE ART OF MEDICINE: HEALING ART IN THE BLUE RIDGE Carilion celebrates the power of art to create 16 moments of respite for patients and caregivers. ROUGH AND READY: 45 CHEERS FOR PEERS As he was growing up in Recognition for Carilion clinicians small-town Virginia, Adam Tate watched his physician father care for patients with 48 BACKSTORY: WOMEN a range of ailments. “In rural family medicine,” the IN HEALTH CARE younger Tate, now a medical Getting a seat at the executive table often student, says, “you have means sticking your neck out. to be ready for whatever BY NANCY HOWELL AGEE comes in the door.” SPECIAL REPORT Rural Outreach Features 10 16 22 24 28 32 38 CLOSING THE ROAD THE RURAL STRONG THE THE COSMOS ROOM WITH THE GAP LESS TRAVELED ROUTE MEDICINE AFTERMATH OF OUR CELLS A VIEW For Carilion Clinic, meeting Carilion training programs are The terrain and wildlife of Once just a hospital-owned Law-enforcement officers Scientists are using cryo- A day in the life of the the health needs of rural preparing medical students, southwestern Virginia and the athletic club, Carilion Wellness aren’t the only witnesses to electron microscopy at neuroangiography suite at residents is more than just a physicians, and advanced lifestyles of its residents create has transformed itself into an violence; health care providers unprecedented resolutions to Carilion Roanoke Memorial medical challenge. It’s about clinical practitioners to meet challenges beyond those of active partner in the Carilion often find themselves on the witness the self-destruction of Hospital provides glimpses caring for one’s own. the needs of rural populations. mere remoteness. care team. front lines as well. mutated breast cancer proteins. into high-tech miracles. BY CHARLES SLACK BY DAVID BUMKE BY PAULA BYRON BY VERONICA MEADE-KELLY BY JESSICA CERRETANI BY ASHLEY WENNERSHERRON BY JARED LADIA PHOTOS: JARED LADIA, COVER AND ABOVE; ILLUSTRATION: MIKE LEMANSKI my hometown of brodheadsville, Pennsylvania, was once rural farmland. Our Carilion Medicine town in the Poconos was small. The closest President and Chief Executive Officer hospital was 20 miles away, a distance I recall Nancy Howell Agee On the pulse of the well when, as a four-year-old, I was rushed Chief Medical Officer and Carilion Clinic community there with a compound-fractured arm. I still Executive Vice President vividly remember another day there, years Patrice M. Weiss, M.D. later, when I had an appendectomy. It was, Editorial Advisory Panel in brief after all, the day Elvis died. Nathaniel L. Bishop, D.Min.; Cesar Bravo, M.D.; I guess you could say my experience in rural John Burton, M.D.; Kimberly Carter, Ph.D., medicine began at an early age. R.N.; Kimberly Dunsmore, M.D.; Evelyn Garcia, M.D.; Mark Greenawald, M.D.; Daniel Harrington, As the youngest of four, I was my father’s M.D.; Cynda Johnson, M.D., M.B.A; Donald Kees, GROUNDBREAKING FOR last hope for continuing the family plumbing, M.D.; Wilton Kennedy, D.H.Sc., P.A.-C.; Michael RESEARCH EXPANSION heating, and remodeling business. Then, one day in college, I finally Nussbaum, M.D.; John Pastor; Paul Skolnik, M.D.; admitted: I wanted to become a doctor. Robert Trestman, M.D., Ph.D.; Fidel Valea, M.D. Carilion Clinic and Virginia Tech ofcials I went on to medical school in Philadelphia and trained to become an Chief Administrative Officer symbolically broke ground in October to OB/GYN in the Lehigh Valley at a large tertiary care center. It was only 45 Jeanne Armentrout begin construction on a new facility to minutes from Brodheadsville, but it seemed a world away. Vice President expand biomedical research and provide Later, as an OB/GYN resident, I was asked to go by helicopter to pick up Mike Dame enhanced experiential learning opportu- nities to students at all levels. a woman in labor with pre-term twins. As I climbed aboard, the pilot asked Executive Editor Known as the Virginia Tech Carilion whether I’d ever been to the Poconos. I couldn’t help but chuckle and reply, Linda Staley Biomedical Research Expansion, the “Never by helicopter!” Editor 139,000-square-foot building will rise on We landed near Pocono Community Hospital, the same place I was born Paula Byron the Virginia Tech Carilion Health Sciences and the same place I’d had surgery the day Elvis died. The twins received Art Director and Technology Campus in Roanoke. An the care they needed in our NICU. The event was big news, and we made the Laura McFadden elevated walkway will connect the struc- front page of the local paper: “Local hero returns home to save twins.” Special Thanks ture to the Virginia Tech Carilion School Now, as chief medical officer of Carilion Clinic, I once again find myself Catherine Doss, Mark Lambert, Steven Mackay, of Medicine and Research Institute. dealing with the challenges of caring for patients in some of our country’s Alison Matthiessen, Laura Mitchell, Anne Shaver The $90-million building, expected to THE FUTURE IS NOW: The new biomedical research expansion will be built at the heart of open in the spring of 2020, will be a phys- the Virginia Tech Carilion Health Sciences and Technology Campus in Roanoke. The building remotest areas. Our 20-county, mostly rural service area stretches from CARILION CLINIC will be organized around highly interactive research themes. central and southwestern Virginia to southern West Virginia, with 230 miles 1906 Belleview Avenue ical manifestation of the success of the separating our furthermost practices. Times have changed, but we still face P.O. Box 13727 Virginia Tech Carilion Research Institute. Roanoke, VA 24036 The expansion will enable additional state- Ph.D., Virginia Tech president; Nancy How- “In the frst 10 years of the Virginia challenges of geography and health disparity. People who live far from our CarilionClinic.org of-the-art laboratories organized around ell Agee, Carilion president and chief exec- Tech–Carilion Clinic partnership, we cre- cities often lack access to health care. 800-422-4842 interactive research themes, from neurosci- utive ofcer; Michael Friedlander, Ph.D., ated a research institute that makes a huge For some people, the nearest family physician may be hours away and ence to cardiovascular science, metabolism Virginia Tech Carilion Research Institute impact for its size, and we created what is they must travel even longer distances at signifcant cost for specialty care. and obesity research, and biomaterials and executive director; and Patrice M. Weiss, regarded as one of the best research-ori- People living in rural areas are more likely than those in cities to die from body–device interfaces. M.D., Carilion chief medical ofcer and ex- ented medical schools in the country,” heart disease, cancer, unintentional injuries, stroke, and chronic lower Carilion Medicine is published twice a year at: During the groundbreaking event, the ecutive vice president—all talked about ris- Dr. Sands said. “More faculty members and respiratory disease. 213 McClanahan Street, Suite 200 project leaders—including Timothy Sands, ing expectations for the partnership. students from Virginia Tech’s colleges will Carilion is confronting the challenges in the same way it has since its Roanoke, VA 24014 be involved in this next phase.” founding more than a hundred years ago as a scrappy little hospital for Phone: 540-266-6586 Fax: 540-266-6608 Ofcials said the new building will be immigrant railroad workers: with a spirit of self-reliance. We continue to Email: [email protected] Rising in the Ranks of Hospitals the next—yet not the last—product to push ourselves to find creative, new ways to bridge the gaps between patients Web: CarilionClinic.org/carilionmedicine spring from the partnership. In 2017, Carilion Clinic’s flagship hospital rose to its highest and providers. “Looking back more than 10 years ago, Carilion Clinic is a nationally ranked integrated health ranking ever in U.S. News & World Report’s annual assessments two aspirational conversations were hap- The solutions aren’t easy, but they’re vital. All our patients deserve the care system headquartered in Roanoke, Virginia. Its of hospitals. Out of nearly 130 hospitals in Virginia, Carilion pening in parallel—one at Carilion Clinic, chance to go home again—or to stay in the home they love. flagship, Carilion Roanoke Memorial Hospital, is the clinical affiliate of the Virginia Tech Carilion School of Roanoke Memorial Hospital was named the third best hospital one at Virginia Tech,” Agee said. “We began Medicine and Jefferson College of Health Sciences. in the state. to think, ‘Wow, what if we do something © Copyright 2017 by Carilion Clinic. No part of this The hospital was also one of 48 hospitals nationally—and together? And what might that look like?’ publication may be reproduced or transmitted in any form or by any means without written the only one in Virginia—to be rated “high performing” in all And I think that was the launch of some- Patrice M. Weiss, M.D. permission from Carilion Clinic. All editorial rights nine chronic conditions and surgical procedures the magazine thing phenomenal. What we’ve gained Chief Medical Officer and Executive Vice President reserved.
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