THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY DEPARTMENT OF MEDICINE ACADEMIC YEARS 2005 AND 2006 ◗ JULY 1, 2005–JUNE 30, 2007 Rhode Island Hospital/Hasbro Children’s Hospital The Miriam Hospital Memorial Hospital of Rhode Island Women & Infant’s Hospital Veteran’s Administration Medical Center ◗ INTRODUCTION AND OVERVIEW Comments from the Chairman ..............................................2 Department of Medicine Organization...................................3 Department of Medicine Faculty Data ...................................4 Chairman’s Associates ............................................................5 ◗ DiVISION HIGHLIGHTS Cardiology ...........................................................................10 Endocrinology ......................................................................28 Gastroenterology ..................................................................36 General Internal Medicine ....................................................45 Geriatrics ..............................................................................66 Hematology/Oncology .........................................................73 Hospitalist Medicine ............................................................91 Infectious Disease .................................................................93 Kidney Disease and Hypertension ......................................115 Obstetric & Consultative Medicine ....................................125 Pulmonary, Critical Care & Sleep Medicine .......................139 Rheumatology ....................................................................153 Providence VA Medical Center ...........................................155 ◗ iNTERNATIONAL HEALTH ..........................................163 ◗ GRAND ROUNDS ......................................................167 ◗ CLINICAL/RESEARCH ACTIVITY ............................... 177 ◗ AFFILIATED HOSPITALS OF ALPERT MEDICAL SCHOOL... 179 ◗ BROWN, PROVIDENCE & NEW ENGLAND ...........back cover 1 INTRODUCTION AND OVERVIEW Edward J. Wing, M.D. is the Chairman of Medicine and Joukowsky Family Professor of Medicine at Brown Medical School and for its’ five affiliated hospitals. He serves as Physician-in-Chief at Rhode Island Hospital and The Miriam Hospital and Executive Physician-in-Chief at Memorial Hospital of Rhode Island, Women & Infants Hospital and the Veterans Affairs Medical Center. Dr. Wing is the Director of the Internal Medicine Residency Program at Rhode Island Hospital, The Miriam Hospital and the VAMC. Dr. Wing graduated from Harvard Medical School and completed his internship and residency at the Peter Bent Brigham Hospital in Boston, Massachusetts. He completed an Infectious Disease Fellowship at Stanford University. Dr. Wing joined the faculty at the University of Pittsburgh where he rose to Professor of Medicine. He served variously as Physician-in-Chief at Montefiore Hospital, Chief of Infectious Diseases at the University of Pittsburgh and Interim Chief of Medicine before coming to Brown in 1998. Dr. Wing’s research interests have focused on the immune host defenses against in- tracellular pathogens such as Listeria monocytogenes and agents of bio-terrorism. He also has a strong clinical interest in infectious diseases, HIV, and international health. ver the past ten years, the Department of Medicine groups have expanded at the VA including Cardiology, at the Warren Alpert Medical School of Brown Nephrology, Infectious Diseases, and Pulmonary. Research University has had a remarkable record of success has also grown rapidly there under the leadership of Dr. Satish AN O in its clinical, educational, and research activities. Since Sharma and more recently Dr. Sharon Rounds. Similarly, the M the last biannual report (2005), many faculty have joined faculty at Memorial Hospital has been reinvigorated by the R the department, new clinical programs have been added, energetic leadership of Dr. Arny Artenstein. The educational I and the research profile has continued to grow. and research programs have grown rapidly. I have the privi- A lege of taking morning report at the VA and Memorial on a H A priority of the Department has been its primary care and C monthly basis and can attest to the new energy and excite- hospitalists’ programs. Dr. Frank Basile has spearheaded a ment at both institutions. E unique program at our new primary care site on Governor H Street. Using a national model of a “Medical Home”, he has Our faculty teaches in all four years of the medical school and T MEDICINE brought together a variety of sub specialists including cardi- has recently taken over teaching many of the basic sciences as OF ologists, gastroenterologists, orthopedic surgeons, general sur- well as pathophysiology, the third year clerkships and the ma- M geons, physical therapists, and psychologists to practice side jority of the fourth year requirements and electives. The $100 by side with primary care internists. This “one stop shopping” million gift by Warren Alpert will help fund our educational provides not only convenience (and easy parking) for patients efforts for students as well as move the medical school to the FRO DEPARTMENT but outstanding continuity of care from general internal Rhode Island Hospital campus. medicine to subspecialty care. Dr. Basile and his group plan to reproduce this model in other sites in Rhode Island. Research in the Department has more than quadrupled over the past 10 years, approaching $40 million annually and $250 UNIVERSITY ENTS Hospitalist medicine has become increasingly important for million total. Approximately eighty five percent of grants the care of our patients, for the education of students and are from federal sources. Of particular note are the multiple BROWN residents, and for high quality care for our patients. Drs. Sajeev investigators in the Infectious Diseases Division, which has the MM OF Handa at Rhode Island Hospital and Kwame Daapah at The largest research profile, the outstanding basic and translational Miriam Hospital have expanded their programs and instituted research in gastroenterology and cardiology, and exciting new CO innovative educational programs for our residents. Physicians research in oncology, nephrology, and endocrinology. SCHOOL in these divisions will also be responsible for quality initiatives in the future at both institutions. Similar but smaller programs Over the previous decade the Department has grown have developed at both the VA and Memorial Hospital. remarkably without losing its quality and unique culture. MEDICAL The leadership including the Division Chiefs, program Clinical programs have also grown at both the VA and directors, and hospital chiefs has matured into a highly ef- ALPERT Memorial hospital. Dr. Tom O’Toole was recruited to head fective group of academic leaders known nationally and in the outpatient programs at the VA. He is developing exciting many cases internationally. It is very satisfying to have the approaches to the care of our veterans in league with many privilege of being Chairman of such an outstanding group WARREN of the faculty from other institutions including those from of faculty, trainees and staff. THE our geriatrics and general internal medicine divisions. Other 2 ACADEMIC YEARS 2005 AND 2006 ◗ JULY 1, 2005–JUNE 30, 2007 Office of the Chairman Edward J. Wing, M.D. Associate Director for Categorical and Chairman of Medicine and Joukowsky Preliminary Internal Medicine Residency Family Professor of Medicine Programs Physician-in-Chief, Rhode Island and Dominick Tammaro, M.D. Miriam Hospital Associate Professor Executive Physician-in-Chief, Memorial Associate Chief for Clinical Affairs, Hospital of Rhode Island, VA Medical Rhode Island Hospital Center, Women & Infants Hospital Associate Director for Categorical and Andrew Artenstein, M.D. Preliminary Internal Medicine Residency Associate Professor of Medicine Programs Physician-in-Chief, Memorial Hospital Co-Director of Med/Peds Residency of Rhode Island Program, Rhode Island Hospital Lance Dworkin, M.D. Professor of Medicine Department Administration Director, Division of Kidney Disease Peter J. Ceriani, MBA and Hypertension, Rhode Island CEO, University Medicine Foundation Hospital and The Miriam Hospital Administrator, Rhode Island Hospital & Vice Chairman, Research and Academic The Miriam Hospital Affairs, Rhode Island Hospital and Daniel Bryant The Miriam Hospital Research Administrator, Rhode Island ON I Richard P. Millman, M.D. Hospital & The Miriam Hospital Professor of Medicine Jean Drinan Chief Physician for Clinical Operations, ZAT Administrative Secretary I University Medicine Foundation Program Director, Sleep Medicine, Denise Lavely-O’Hara THE Rhode Island Hospital Internal Medicine Graduate Med. Ed. WARREN Administrator Frederick Schiffman, M.D. RGAN Patricia O’Hara Professor of Medicine ALPERT O Vice Chairman, The Miriam Hospital Administrative Coordinator, Faculty Actions Department of Medicine, MEDICAL NE The Miriam Hospital I C I Division Division Chief SCHOOL Cardiology Alfred Buxton, M.D. Endocrinology Robert Smith, M.D. OF BROWN Gastroenterology Jack Wands, M.D. General Internal Medicine Michele Cyr, M.D. UNIVERSITY Geriatrics Richard Besdine, M.D. ENT OF MED Hematology/Oncology Peter Quesenberry, M.D. DEPARTMENT M Hospitalist Medicine Sajeev Handa, M.D. Infectious Diseases Timothy Flanigan, M.D. Kidney Disease and Hypertension Lance Dworkin, M.D. OF EPART Obstetric & Consultative Medicine Karen Rosene-Montella, M.D. MEDICINE