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Dukemedmed FALL/WINTER 2004 MAGAZINE VOLUME 4 ISSUE 2 DukeDukeMedMed FALL/WINTER 2004 MAGAZINE Taking action against aortic disease What’s next in prostate cancer care Controversies in medicine: Antidepressants for adolescents ADVANCES IN RESEARCH, EDUCATION, AND PATIENT CARE AT DUKE PLUS: Earn CME credit for reading our STRETCHING Clinician Q&A THE LIMITS Advances in arthritis treatment put patients back on track FROM THE CHANCELLOR Changes and continuity It has been less than a year since I first visited Over the past year, I have read a great deal In the coming year, 2005, Duke will cel- Duke while interviewing for the job as chan- about my new home and had many conversa- ebrate the 75th anniversary of the opening cellor for health affairs. Looking back, I still tions with individuals on campus, throughout of those medical institutions in 1930. We clearly recall the sight that greeted me after the health system, and in the community. will also bring forth a strategic plan to guide I stepped off the Jetway into Raleigh-Durham In the course of learning about Duke’s proud the future of medicine at Duke for the next International Airport: a billboard for Duke past and exceptional accomplishments, I was five years. Medicine that read, “The Future of Medicine, particularly struck by the words of James As we look to the future, it seems to me Delivered Today.” That bold statement made B. Duke, founder of Duke University, in the that our fundamental goals remain much the a lasting impression on me, and I am honored Indenture of Trust establishing The Duke same as those mentioned by James B. Duke to have been given the opportunity to help Endowment. many decades ago. We still seek to advance Duke fulfill that vision for its patients. He wrote: “I recognize that [hospitals] have the quality and span of human life by making I knew Duke from a distance for many become indispensable institutions, not only by new discoveries and bringing new inventions years before becoming chancellor in July. I way of ministering to the comfort of the sick from the lab to the bedside. We still seek the had always greatly admired and respected the but in increasing the efficiency of mankind “best results” for our patients by adopting the medical center and health system for its first- and prolonging human life. The advance latest evidence-based care practices, and by rate patient care, education, and research, in the science of medicine growing out of setting and meeting high standards for quality and thought it fortunate in its excellent discoveries, such as in the field of bacteriol- and safety. We still work to ensure that our leaders, including Chancellor Emeritus Ralph ogy, chemistry and physics, and growing out health system meets the needs of patients in Snyderman, MD. of inventions such as the X-ray apparatus, the different communities we serve, and we Now that I have had a chance to get to make hospital facilities essential for obtaining still continue Duke’s tradition of giving special know Duke for myself, I have been truly the best results in the practice of medicine attention to the needs of those who have dif- impressed and inspired. Not only is Duke and surgery. ficulty accessing or affording health services. among America’s best academic medical “So worthy do I deem the cause and so I am proud to be part of an institution with centers, its people are among the most great do I deem the need that I very much such a long history of excellence and service. devoted, proud, and committed to excellence. hope that the people will see to it that ade- It is my goal and privilege to carry on those To me, they embody the true meaning of quate and convenient hospitals are assured traditions as we embark on the future of Duke Medicine. in their respective communities, with especial medicine at Duke. I have had a long journey to Duke, arriving reference to those who are unable to defray by way of Shanghai, Hong Kong, Montreal, such expenses of their own.” VICTOR J. DZAU, MD San Francisco, and Boston. Having lived To help meet the needs he saw, Mr. Duke PROFESSOR OF MEDICINE in many different places throughout my left in his will instructions that $4 million be CHANCELLOR FOR HEALTH AFFAIRS, life, I have always striven to adapt to each used to establish a medical school, hospital, DUKE UNIVERSITY new environment by learning about its and nurses’ home at Duke University—the PRESIDENT AND CEO, history, traditions, and culture—and Duke is “capstone” of his vision for a “network of DUKE UNIVERSITY HEALTH SYSTEM no exception. hospitals so located . that they . would be adequate and accessible to all who might need,” as his attorney put it. VOLUME 4, ISSUE 2, FALL/WINTER 2004 DukeMedMAGAZINE 18 36 42 26 Dzau’s Stretching the Working on the Fighting the early days limits highway of the heart man’s cancer Duke’s new chancellor for Advances in arthritis Often overlooked until disaster Duke’s prostate cancer health affairs took office treatment put patients strikes, aortic disease is starting to team offers men more July 1—and hasn’t slowed back on track. get the attention it deserves. options than ever before. down since. Plus: Arthritis care for kids Earn CME credit! 3 From the Dean 54 Clinician Q&A “A thoroughly modern medical education” “Use of opioids for outpatient pain management” by R. Sanders Williams, MD by Anne Marie Fras, MD 4 DukeMed Now 60Appointments, Honors, Awards Improving access to Duke specialists, improving service for regional clinicians, Duke’s new president espouses global health, and more. 71New Physicians 11Clinical Update Transfusion-free surgery, treating atrial fibrillation, 80 Three Questions bedbugs bounce back, and more. Catherine Lynch Gilliss, DNSc, RN, new dean of Duke’s School of Nursing 52Controversies in Medicine “Antidepressants for children and adolescents: INSIDE BACK COVER Dangerous medicine?” CME Calendar by John March, MD, MPH FROM DUKEMED DUKE UNIVERSITY MEDICAL CENTER AND HEALTH SYSTEM ADMINISTRATION Victor J. Dzau, MD Community and Family Medicine: Chancellor for Health Affairs, J. Lloyd Michener, MD Duke University Immunology: President and CEO, Thomas F. Tedder, PhD Duke University Health System Medicine: The great CME experiment R. Sanders Williams, MD Pascal J. Goldschmidt, MD Dean, School of Medicine Vice Chancellor for Molecular Genetics and Academic Affairs Microbiology: We thought our clinician readers might like a little extra credit for Thomas D. Petes, PhD Catherine Lynch Gilliss, DNSc reading DukeMed Magazine. Dean, School of Nursing Neurobiology: James McNamara, MD So, in this issue, we are offering an opportunity to earn up to 1.0 Vice Chancellor for Nursing Affairs William J. Donelan Obstetrics and Gynecology: Category 1 credit toward the AMA Physician’s Recognition Award for Vice Chancellor for Health Affairs Haywood Brown, MD reading our Clinician Q&A feature, “Use of Opioids for Outpatient Pain Executive Vice President and COO, Ophthalmology: Duke University Health System David L. Epstein, MD Management,” by Anne Marie Fras, MD, assistant clinical professor in the William J. Fulkerson Jr., MD, MBA Pathology: CEO, Duke University Hospital Salvatore Pizzo, MD Duke Department of Anesthesiology and interim director of the Division of Vice President, Duke University Health System Pediatrics: Pain Management. Dennis Clements, MD, PhD, MPH Kenneth C. Morris (interim chair) The article—and full instructions for claiming credit—can be found on Senior Vice President, Chief page 54. Financial Officer, and Treasurer, Pharmacology and Cancer Biology: Duke University Health System Anthony R. Means, PhD Is it a great experiment? Only you can tell us. Let us know whether you Molly O’Neill Psychiatry: think we should offer a CME opportunity again—and what topics would be Vice Chancellor for Integrated Ranga R. Krishnan, MB, ChB Planning Radiation Oncology: of interest to you. Vice President for Business Christopher Willett, MD Development and Chief Strategic Drop us a line via e-mail at [email protected] or write to Editor, Planning Officer, Duke University Radiology: Carl E. Ravin, MD DukeMed Magazine, DUMC 3687, Durham, NC 27710. Health System Asif Ahmad Surgery: A reminder from the Duke Office of Continuing Medical Education Vice President and Chief Danny O. Jacobs, MD, MPH that you may also be able to receive self-claim credit for reading Information Officer, Duke University Health System and DUKE UNIVERSITY Duke University Medical Center MEDICAL CENTER DukeMed Magazine: BOARD OF VISITORS Physicians licensed by the North Carolina Medical Board (NCMB) must com- Steven A. Rum Tina Alster, MD Vice Chancellor for Development William G. Anlyan, MD* plete 150 hours of practice-relevant continuing medical education (CME) and Alumni Affairs Leslie E. Bains every three years in order to be relicensed. Up to 90 of the 150 required Robert L. Taber, PhD Philip J. Baugh Vice Chancellor, Science and Santo J. Costa hours for NCMB relicensure can be “self-claim” credit for physician-initiated Technology Development Duncan McLauchlin Faircloth activities such as practice-based self study, consultations with colleagues, Mike T. Gminski Gordon D. Williams Robert Pinkney Gorrell teaching, M&M conferences, journal clubs, and reading clinically relevant Vice Chancellor for Operations Thomas M. Gorrie, PhD Vice President for Administration, Terrance K. Holt articles in DukeMed Magazine. The North Carolina Medical Board even Duke University Health System Richard S. Johnson provides a form that can be downloaded from its Web site for your use in Huntington F. Willard, PhD John D. Karcher Vice Chancellor for Genome Peter A. Karmanos, Jr. tracking physician-initiated activities: Visit www.ncmedboard.org/cme1.htm. Sciences David L. Katz, MD Bruce W. Knott For additional information regarding CME credit for NCMB relicensure, DEPARTMENT CHAIRS Milton Lachman Anesthesiology: Anthony J.
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